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Author Topic: anonymouse, i use to work in healthcare too, biggest fraud system and joke  (Read 2032 times)

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Offline hmgROCK

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i don't deal with patient
i work more behind the scene
medical billing
i did that for 5-6 months, till i couldn't handle it anymore
don't sit well with my moral ethic


so everything that you guys do
it get coded
so we can bill the insurance and etc...

For example:

E08.43
Diabetes mellitus due to underlying condition


they have a code for every diease and stuff out there




now here comes the bad part

the hospital just make up a price
so E08.43   might be like $800 or $2000, maybe even $5000

the point is
they are just making up randomly price stuff
it IS CRAZZYYYYY



here's my proof
again p=pebhmong
a coding book let me have when i quit






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Offline hmgROCK

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kidney stone removal???
they can charge you $50k while the hospital down the road do $20k

but you will know the price
because,

they just randomly making up shti.



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Offline hmgROCK

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they starting doing this network insurance thing
to help reduce cost
where everyone partner up and etc....
and monopoly everything



hopefully when you are not breathing
and not awake

the amubalance takes you to the right hopstial in your network plan

lol



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Offline theking

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...don't sit well with my moral ethic



 ;D ;D ;D

The fraud that has no shame stealing from the poor's public resources is claiming "moral ethic" .... ;D ;D ;D



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Offline theking

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they just randomly making up shti.

I know right, kind of like idiots that claimed "no smog in wi" or "no armed guards in wi"... ;D ;D ;D



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Offline SummerBerry

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Insurance company have a cap/max allowed. 

I can billed $300 and you billed $500 for the same code/treatment/etc. but the insurance company max is $600. 

We have the same health insurance for 20 yrs.  Dental insurance switched to Delta Dental about 3/4 yrs now.  Delta Dental is cheaper and save us half from the old insurance.  We always paid 20%.  A cleaning now after insurance is just $18.  Old insurance it was $35.  The kids pediatrics dentistry billing amount has not change but our family dentist has lower his billing for service.  $50 is what I paid out of my pocket each time.  I'm looking to switch them to a different dentist. 

To me it is how much coverage you have in you plan.  If you are covered 200k a year for health insurance.  My surgery will cost 30k and you maybe 40k.  It is still being paid.  Same with dental if you have a max coverage of 2k.  Extract a teeth can be $300 from one dentist and another dentist $150. 

To me I don't really care about the billings.  I just make sure I paid my portion responsibility which is pretty fair. 

Regardless fraud is everywhere.... ......... When it is not you who are in charge of billing for that certain code........wh y care???  You did nothing wrong.

If you are the one who fraud the system for your own benefits then when it caught up to you then you deal with it. 




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Offline hmgROCK

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Insurance company have a cap/max allowed. 

I can billed $300 and you billed $500 for the same code/treatment/etc. but the insurance company max is $600. 

We have the same health insurance for 20 yrs.  Dental insurance switched to Delta Dental about 3/4 yrs now.  Delta Dental is cheaper and save us half from the old insurance.  We always paid 20%.  A cleaning now after insurance is just $18.  Old insurance it was $35.  The kids pediatrics dentistry billing amount has not change but our family dentist has lower his billing for service.  $50 is what I paid out of my pocket each time.  I'm looking to switch them to a different dentist. 

To me it is how much coverage you have in you plan.  If you are covered 200k a year for health insurance.  My surgery will cost 30k and you maybe 40k.  It is still being paid.  Same with dental if you have a max coverage of 2k.  Extract a teeth can be $300 from one dentist and another dentist $150. 

To me I don't really care about the billings.  I just make sure I paid my portion responsibility which is pretty fair. 

Regardless fraud is everywhere.... ......... When it is not you who are in charge of billing for that certain code........wh y care???  You did nothing wrong.

If you are the one who fraud the system for your own benefits then when it caught up to you then you deal with it.

hey, you have pretty good knowledge
im guessing you work in the healthcare section too

my problem, as I address in my OP post
and like you stated

"I can billed $300 and you billed $500 for the same code/treatment/etc. but the insurance company max is $600."


is people just making up shit number. It is CRAZZYYY.  I don't know who make up these number. Im guessing upper managerment. but they just pulling number out of their ass. there is no standardize cost and etc...

i saw a post on reddit, where the dude got charge like $40 something dollars to just hold his baby

that's crazyyy,,,







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Offline hmgROCK

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Mentions making shit up.  Takes Reddit as facts.

Err.... no
I know y’all like to google
So I will let you do that

That dude is using a more clinical coding base
Call cpt code

The code is hidden probably cuz it’s a receipt
But those cpt code
Just like the icd

People can just make up a shit number

Could be $100, 300, 1000
Who knows

Hahaha

Think god I got out
Against my moral ethics to participate in such scam system



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Offline theking

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Think god I got out


WTF..."god"?  ::)

Quote
Against my moral ethics to participate in such scam system

Says the guy that has no shame stealing from the poor's public resources..

Talk about "biggest fraud"...


« Last Edit: July 18, 2018, 05:14:27 PM by theking »

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Offline hmgROCK

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Think god? 

Again with your weird usage of the english language. What Moral Ethics?  You have no sense of morality. You just make shit up and claim "Well google it."

So he's using a code, but it's "hidden" because of "random bullshit."  RIGHTTTTTT.
More making shit up..   Let us know how well it goes when you publish a piece of work and cite "random google website" "Reddit" or "Random Youtube Video" as your sources.

lol

i see you still upset
i will just leave you be you

so I will just leave you a ICD code that you can google and wiki
since you looveee to get your source from there

K62.5



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Offline Believe_N_Me

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I already explained awhile ago how the healthcare industry is fraudulent and that they are all in on the scam.

This is why OBAMACARE MUST GO!!! It makes it worse!




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