What’s behind that bill for the doctor’s visit?
Milwaukee Journal Sentinel, January 9, 2008
A highly trained team of insurance experts is sequestered behind locked doors. They are fed and watered twice a day to keep them lean and mean. They are the real power brokers behind what gets paid vs. what gets denied. They determine, through a detailed mathematical equation that would stump Sir Isaac Newton, that due to their specialty, demographics and other physicians in the same ZIP code, your doctor should get paid a certain amount. More than likely it's about one-third of his original bill. Physicians have no control over this system; they either accept what is paid or they are dropped from the insurance plan. Most feel what they have lost on a per-patient basis they can make up for in volume.
- CMS to Speak with ICD-10 Backers Tuesday
- Boston Marathon Bombing Yields Lessons for Hospitals
- Governor Details Healthcare Payment Reform Path in Arkansas
- Feds Stonewall ICD-10 Summit
- Hospital Groups Back NQF Report on Patient Sociodemographics
- Physician Payment Data is Where the Action Is
- Reform Puts Vise Grips on Physicians
- MetroHealth Revs Its Population Health Engine
- Medicare Opt-Out a Viable Physician Strategy
- HIX Success Could Generate Add-On Revenue for CT