Doctor's Double-Billing Illustrates Broken System
Me: Well, we have had that conversation, and they gave me the same runaround that you're giving me. This is not your fault, but this is a big reason why my employer and I use you to interact with the provider. You have negotiating power. Alone, we don't. In fact, they tell us they have to bill twice for this kind of visit. They told my wife it's a federal law, but I've yet to find any law that governs this, and I cover healthcare for a living.
Michael: Well, they don't have to. They don't have to do anything, but when they process the ear infection, it's a different code, and they know it generates another bill.
Me: Well, it doesn't sound like I have the power to do anything about it other than get a new doctor.
Michael: I see where you're coming from, but they would probably all try to do it this way.
Me: Well, at my level, and at the level of me paying for my own care up to $1,000 per child or adult, it's wrong. I mean, she has to look in his ears as part of the well visit. Just because she found an ear infection that she writes a prescription for shouldn't give her the ability to effectively double-charge us for an office visit. I would be OK with paying for one of the two, but this kind of thing is why healthcare takes up 20% of the national budget.
Michael: I agree with you and I sympathize, but according to the contract, this is the way it works. I am going to put a note on your account that we talked with you about it.
Me: Thanks, I guess.
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers
- Don't Underestimate Emotional Intelligence
- The Secret to Physician Engagement? It's Not Better Pay
- Care Coordination Tough to Define, Measure
- Yale New Haven Health Partners with Tenet Healthcare in CT
- Physicians Take SGR Repeal Message to Washington
- Size Matters in Antibiotic Overuse
- CDC Warns of Antibiotic Overuse in Hospitals
- SCOTUS Review of NC Board Case 'A Very Big Deal' to Providers
- 4 Reasons PCMH Principles Aren't Going Away