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View Diary: Dear Supremes: An Expose of The Health Care Monster By An Industry Insider (100 comments)

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  •  Evil, pure and simple. (8+ / 0-)

    Insurance co. runs the table, marks the cards and calls winners & losers at will.  No other party is allowed adequate information to cover their bets and asses.  

    Whoops!  a little incongruency on a form and a poor (sick) sucker is out $45,000.

    The clinicians are running around caring for pts.  Precerts. are onerous time-suckers at best.  Techs. are filling out form after form.  No one is probably aware that so much money and angst are at stake.

    By the time this huge shit storm hits the pt., time's moved on, game's over.

    What a disgusting, unnecessary scam.

    Diamond 81, hope you do an on-going series of dairies on the ramifications of these codes and the pitfalls of the precert process.

    Information is power and we can all use some to counter these fuckers.    

    •  Oops. "dairies' fine. "Diaries" better. NT (1+ / 0-)
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      •  I love ice cream. (2+ / 0-)
        Recommended by:
        dotdash2u, cai

        If you do not believe that there is an ongoing war on women, then you aren't paying attention. h/t The Pootie Potentate

        by glorificus on Thu Apr 05, 2012 at 06:35:45 AM PDT

        [ Parent ]

        •  You found the best side to pint-sized dairy errs! (3+ / 0-)
          Recommended by:
          Diamond81, glorificus, dotdash2u

          And given these dairies were to be aired in series, you'll get graze all your choices of toppings to boot!  You see where optimism and seeing the best in others can get you, folks?  Rising like cream to the top!  And, hey, Dotdsh2u, don't apologize for taking a strong dairy stand! It goes well with apple-pie too!

          Maybe if we encourage dotdash2u, butter him up a bit, we can milk his errs until dotdash2u's great scoops can muck the custard, er, cut the mustard, sorry,   Mphnmmhph ...with udderly perfect sentences that are semantically grade A mphmmm...and syntacticly full of sugar...  It's...Mmnph...kind of hard for me to talk Mmnph...with all this hot fudge ..Mmmnhphchk... & carmel & nuts getting shtuck to the roobpf ob my mouth.  MMmph...needs more bananas... mmmmPhslurp... and strawberries. [wipe/wipe] Just don't give me the raspberries for pointing this out.  They're too good to waste on that.  

          Wait...does this mean I'd have to get my tonsils out in order for insurance to cover my 3 scoop sundae boat, with or without a cherry on top?  Here's where dotdash2u's expertise could help!  Just what diagnoses and ICD-9 codes could qualify me for ice cream?  Or Sherbert?  Italian Ice? Theoretically speaking, if lots of dark chocolate is used, maybe with some some bupropion sprinkles, could depression qualify me for this treatment?  I am sure Dr. Oz would approve this, if fresh pineapple & avocado were used.  Gonna need way more raspberries now.

          When life gives you wingnuts, make wingnut butter!

          by antirove on Thu Apr 05, 2012 at 09:53:17 AM PDT

          [ Parent ]

    •  You Are Indeed (5+ / 0-)
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      marina, glorificus, dotdash2u, cai, antirove

      On the right track. The average health insurance claim is less than $100.00 bucks. When a claim like this comes in, any reason at all to nibble away at it is sought. If no one fights back or manages to win, more money for the Insurance company. if it takes 3-4 months to settle an appeal, it could be simply a lat negotiaion of how much the hospital will accept. if that is the case, the money was held without having to pay it for that many more months it accrued interest in escrow

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