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Thread: $2085 CT cost

  1. #21
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    I'm glad you didn't have to pay the $2085. That's a blessing.

  2. #22
    Senior Member Zumzum's Avatar
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    Another issue I have is trying to find out how much a procedure or test is actually going to cost me. I spent half a day on the phone talking to BCBS and several X-ray places to see what my mammogram would cost. One X-ray place quoted me $50 and when I asked if that was my share after insurance, they said, 'Oh no. If you have insurance we charge $150."

    That's ridiculous. But I wonder if they're anticipating the insurance reacting as mine did when my doc ordered a mammogram & bone scan. I had a preventative benefit available, but the insurance co refused to cover it under that because there was a diagnosis. The diagnosis? "Routine post-menopausal screening". How much more preventative can you get than that?

  3. #23
    Administrator Deb's Avatar
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    I used to be a medical billing specialist among other things. Up coding is running rampant. Back in Sept Dave was doing yard work and ending up with a corneal abrasion, at first there was actually a splinter of sorts in his eye that I could see, we went to the ER as you don't mess with the eyes.. anyway we got the bill and it was coded all wrong. The total of all the bills once they came in was over $2500 for the exam, the eye wash, supplies, and drs care. I scrutinized that bill and knowing what I was looking at of course because I used to do billing was easy for me. Most people don't know these things. Well needless to say, after my "audit" I got the bill down to $800 TOTAL. I am a magician when it comes to medical bills. I am GRATEFUL that I have the knowledge behind to have done that. I was dumbfounded by the obvious coding errors that to me were just intentional. I am the MOST cynical/skeptical person in the world, which is not necessarily a good thing either. I double, triple check everything........ I just don't trust anyone anymore!!!
    My personal YouTube Channel Link: www.youtube.com/bonusqueendeb

  4. #24
    Dawn curlyd's Avatar
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    Here is another little known secret - My hubby has been sick for many years. We had great ins. when he was working, and now that he is retired it is good but not as good. BCBS - anyway many years ago (while he was still working) after one of his hospital stays, after the ins. paid their portion there was still quite a balance due. The hospital called me - yes called me and said they would reduce the bill 25% (my portion) if I would pay the bal. in full. I know a deal when I see one and since I was able to pay the balance I did. Now after each hospital stay, 3 or 4 a year, and after BCBS pays their portion I wait for the hospital to call and make me an offer. It saves them money by getting it off of their books, no paperwork, no collection possibilities and they can use my lump sum payment better than me making monthly pmts.

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    Quote Originally Posted by Deb View Post
    I used to be a medical billing specialist among other things. Up coding is running rampant.
    Oh that is what it is called? I had that issue with the routine blood test as part of my physical. The hospital lab broke it down in to two separate codes which made the tests subject to my deductibles, and they wanted me to pay about $300. I fought for more than seven months. Finally, I told them if you guys want to be paid you will have to re-bundle those codes. When they re-bundled them the insurance paid them much less than what they wanted from me. They figure most people don't have time, and would pay. Not me.....I have TIME, and Internet.

  6. #26
    Administrator Deb's Avatar
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    Quote Originally Posted by anakin View Post
    Oh that is what it is called? I had that issue with the routine blood test as part of my physical. The hospital lab broke it down in to two separate codes which made the tests subject to my deductibles, and they wanted me to pay about $300. I fought for more than seven months. Finally, I told them if you guys want to be paid you will have to re-bundle those codes. When they re-bundled them the insurance paid them much less than what they wanted from me. They figure most people don't have time, and would pay. Not me.....I have TIME, and Internet.
    There are computer programs that billers use (I used Encoder Pro) that tells you what you can and cannot bill together code/procedure wise legally. The one billing service I was dealing with had never heard of those kinds of programs..... so they say..... I have time too, so don't mess with us right Anakin? lol
    My personal YouTube Channel Link: www.youtube.com/bonusqueendeb

  7. #27
    Senior Member MrFurley's Avatar
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    Quote Originally Posted by curlyd View Post
    Here is another little known secret - My hubby has been sick for many years. We had great ins. when he was working, and now that he is retired it is good but not as good. BCBS - anyway many years ago (while he was still working) after one of his hospital stays, after the ins. paid their portion there was still quite a balance due. The hospital called me - yes called me and said they would reduce the bill 25% (my portion) if I would pay the bal. in full. I know a deal when I see one and since I was able to pay the balance I did. Now after each hospital stay, 3 or 4 a year, and after BCBS pays their portion I wait for the hospital to call and make me an offer. It saves them money by getting it off of their books, no paperwork, no collection possibilities and they can use my lump sum payment better than me making monthly pmts.
    That's interesting curlyd. I guess everything is negotiable. I didn't realize hospitals did that.

  8. #28
    Senior Member payline's Avatar
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    First of all, Deb, your hired!! You could make some serious money for this service. Curlyd, usually ,the first call we get is from hospital collections, BEFORE the bill is even received in the mail. Gotta love that harrassment while recovering. This is from a hospital group that has been reported to charge way more than other groups in the twin cities.

  9. #29
    Administrator Deb's Avatar
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    Quote Originally Posted by payline View Post
    First of all, Deb, your hired!! You could make some serious money for this service. Curlyd, usually ,the first call we get is from hospital collections, BEFORE the bill is even received in the mail. Gotta love that harrassment while recovering. This is from a hospital group that has been reported to charge way more than other groups in the twin cities.
    I actually am in the works with a company to possibly start a franchise regarding this. They were featured on Anderson Cooper. They need reps for patient billing advocacy all over the country. We will see where this goes. Cassie, I am SURE HAPPY you got some good results with your portion of costs! Everything is so expensive these days!
    My personal YouTube Channel Link: www.youtube.com/bonusqueendeb

  10. #30
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    Deb: That would be very useful. It had taken me few months to learn what codes were used, what codes were paid, and what codes were denied. Once I knew those codes, internet came in handy. Also, since my wife had the same identical routine blood work done by another lab which was paid 100% I knew something was fishy.

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