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Started By
Message
re: Medical billing… biggest scam ever
Posted on 7/2/25 at 10:22 am to SquatchDawg
Posted on 7/2/25 at 10:22 am to SquatchDawg
Nope, none of that.
Keyboard tough guy huh… what’s your email? We can set up a meeting…
Keyboard tough guy huh… what’s your email? We can set up a meeting…
1
Posted on 7/2/25 at 10:24 am to SmackoverHawg
Poster talking about BS they Dr’s make you do…. Like the adhd check ins? Every 3 months…gtfoh…. Nothing changing over 3 months.
Hell they don’t even do anything but ask how they feel .
Rip off
Hell they don’t even do anything but ask how they feel .
Rip off
Posted on 7/2/25 at 10:24 am to jchamil
Come over to my place bud… lemme know if you think I’m poor lol.
I’ll let you check my 401k balance too….lol
I’ll let you check my 401k balance too….lol
Posted on 7/2/25 at 10:31 am to xBirdx
I work on the other end of medical field with a degree, but you sure expect to be treated with highest quality care. And about fraud and scams….an unrequested Covid testing kit was mailed to our home from company in FLA. I got on phone with CMS and reported it. They put me on hold and came back online and thanked me very much. They had been trying to
Figure out this scam. It was ordered from
company in Chicago and mailed from
Lab in FLA. All charged to the Medicare account. No, no, no! That’s one hell
Of a scam n no telling how big it was.
Figure out this scam. It was ordered from
company in Chicago and mailed from
Lab in FLA. All charged to the Medicare account. No, no, no! That’s one hell
Of a scam n no telling how big it was.
Posted on 7/2/25 at 10:35 am to xBirdx
quote:
Come over to my place bud… lemme know if you think I’m poor lol.
If you're stiffing your medical providers, you are almost assuredly poor.
quote:
I’ll let you check my 401k balance too….lol
Cool, let's see it
Posted on 7/2/25 at 11:18 am to SquatchDawg
Always ask for an itemized bill for a hospital stay.You’ll likely find charges for all kinds of crap like charges for 10 sleeping pills with a 1 night stay in the hospital.Often there are charges for things the pt. never recieved such as bandages pt.had no use for and never recieved.
I’ve seen it so many times with friends and co-workers ,it can’t be honest mistakes.
It helps to have a friend or family member that is a nurse with hospital experience to go over the bill with a fine toothed comb.
I’ve seen it so many times with friends and co-workers ,it can’t be honest mistakes.
It helps to have a friend or family member that is a nurse with hospital experience to go over the bill with a fine toothed comb.
Posted on 7/2/25 at 11:40 am to xBirdx
quote:
Nope, same doc.
They are getting plenty from insurance… don’t think they care
When I know you're blatantly lying now
No practice type place will continue to see a patient that never is paying their bill. Maybe you get away with it once, maybe even twice. You should up for a 4th appt with zero paid history on the first 3 appointments, they will refuse you
This is literally the first thing they do when you check in anywhere, if you have a balance, they want their money before they will see you (at least to a certain extent)
This post was edited on 7/2/25 at 11:47 am
Posted on 7/2/25 at 11:42 am to xBirdx
Yup just had a bill come in 2 months after my daughters tubes for ears was done. Yeah straight in the trash it went. I paid what I was told up front what the Co Pay and what we owed the hospital day of the procedure. Send me a bill 2 months later wanting more money... yeah you can go fly a kite not paying it.
Posted on 7/2/25 at 12:12 pm to xBirdx
quote:
Keyboard tough guy huh
quote:
We can set up a meeting…
Posted on 7/2/25 at 12:14 pm to thunderbird1100
Think what you want lol.
Posted on 7/2/25 at 2:32 pm to xBirdx
To add some depth of some misunderstanding in this thread.
Controlled meds are required to be screened (by the government) in order to keep your DEA (ability to rx). This a federal regulation in which you can go to jail for not conforming. It is not the Drs making these rules. Same reason why you can't rx over 3 days of pain meds without a PMA/drug screen (techincally).
Regarding medical billing, people become fixated on the bill amount, but that is just a standard bill. Every practice is going to bill higher than their highest insurance maximum allowed. THis is, as stated above, because every insurance has a negotiated rate, and anything billed over this is written off as contracted with that insurance company. No one is going to bill less than the rate they are going to be able to recoup. Medical reimbusement continues to go down, and administrative and insurance profits continue to increase. You are complaining about the wrong thing.
If someone is willing to pay cash, most providers will give lowest rate allowed (most the time around medicaid rate).
I don't think anyone is happy with the way things have conitnued to transpire, but your frustration is mostly misguided. You would be the same person that would sue for someone not catching a detectable medical event with preventative screening while also complaining about the necessity of preventative screening. Preventative labs are a numbers game. You have to perform x to catch a certain percentage. The vast majority of those patinets are going to be fine and would have done fine without screening, but the screening is efficient enough to make it worthwile. I promise if your the screening percentage isn't high enough, your insurance wouldn't pay it. Insurance companies don't give a damn whehter you live or die. What they care about is what is the cheapest way to get you to your death/medicare age. If they can do a screening that will cost them $500 a year, but will potentinally prevent a $500,000 bill, they are willing to do that 99x to save that percentage over a 100 patients. If the screening will cost them $10,000 a patient, but the disease will only cost them $20,000, they would rather take the risk with the disease. THis has very little to do with your actual health.
Regarding not paying your medical bills, good luck. That luck will run out at some point, and you will find yourself in a difficult situation. I wish you good health.
Regarding estimates, they are estimates of the care and bills to be recieved. It is like if you went to have a car worked on and they said it is likely to cost x, but they get in there, and find out it is going to take more work. The bill is going to go up. There is also the issue of deductible that patients don't understand. You are responsible for your percentage of the deductible until it is hit.
I would love some reform, but also realize that overall, our system is very good for allowing quick direct access to care. It is far from perfect, but every system is. It becomes incredibly more difficult with a diverse patient population and extreme wealth gaps.
Controlled meds are required to be screened (by the government) in order to keep your DEA (ability to rx). This a federal regulation in which you can go to jail for not conforming. It is not the Drs making these rules. Same reason why you can't rx over 3 days of pain meds without a PMA/drug screen (techincally).
Regarding medical billing, people become fixated on the bill amount, but that is just a standard bill. Every practice is going to bill higher than their highest insurance maximum allowed. THis is, as stated above, because every insurance has a negotiated rate, and anything billed over this is written off as contracted with that insurance company. No one is going to bill less than the rate they are going to be able to recoup. Medical reimbusement continues to go down, and administrative and insurance profits continue to increase. You are complaining about the wrong thing.
If someone is willing to pay cash, most providers will give lowest rate allowed (most the time around medicaid rate).
I don't think anyone is happy with the way things have conitnued to transpire, but your frustration is mostly misguided. You would be the same person that would sue for someone not catching a detectable medical event with preventative screening while also complaining about the necessity of preventative screening. Preventative labs are a numbers game. You have to perform x to catch a certain percentage. The vast majority of those patinets are going to be fine and would have done fine without screening, but the screening is efficient enough to make it worthwile. I promise if your the screening percentage isn't high enough, your insurance wouldn't pay it. Insurance companies don't give a damn whehter you live or die. What they care about is what is the cheapest way to get you to your death/medicare age. If they can do a screening that will cost them $500 a year, but will potentinally prevent a $500,000 bill, they are willing to do that 99x to save that percentage over a 100 patients. If the screening will cost them $10,000 a patient, but the disease will only cost them $20,000, they would rather take the risk with the disease. THis has very little to do with your actual health.
Regarding not paying your medical bills, good luck. That luck will run out at some point, and you will find yourself in a difficult situation. I wish you good health.
Regarding estimates, they are estimates of the care and bills to be recieved. It is like if you went to have a car worked on and they said it is likely to cost x, but they get in there, and find out it is going to take more work. The bill is going to go up. There is also the issue of deductible that patients don't understand. You are responsible for your percentage of the deductible until it is hit.
I would love some reform, but also realize that overall, our system is very good for allowing quick direct access to care. It is far from perfect, but every system is. It becomes incredibly more difficult with a diverse patient population and extreme wealth gaps.
Posted on 7/2/25 at 2:34 pm to GeauxTigers777
quote:
Regarding estimates, they are estimates of the care and bills to be recieved. It is like if you went to have a car worked on and they said it is likely to cost x, but they get in there, and find out it is going to take more work. The bill is going to go up. There is also the issue of deductible that patients don't understand. You are responsible for your percentage of the deductible until it is hit.
That was one of the best parts of the OP. Like he had never heard of quotes and estimates before in any other industry
Posted on 7/2/25 at 4:17 pm to xBirdx
I've had to audit hospitals and the pricing is a kind-of a "scam". They bill at inflated rates that no one actually pays. Each insurer/payor-type has a contractual write-off of about 60-70% of what is charged and they also write off much of the private-pay due to deadbeats like you. In all they collect 20-25% of the total billings. (This comes from a few small rural area hospitals; not big dogs like Ochsner or other huge medical centers.)
Yep. My recent outpatient surgery totaled just over 50K. I was never told how much it would be until a few weeks after. My part was $4K, and I paid that through a pretax HSA.
ETA: 777 explains this way better than I did.
quote:
Where else do you get a service
Done, but don’t know how
Much it costs until after?
Yep. My recent outpatient surgery totaled just over 50K. I was never told how much it would be until a few weeks after. My part was $4K, and I paid that through a pretax HSA.
ETA: 777 explains this way better than I did.
This post was edited on 7/2/25 at 4:20 pm
Posted on 7/2/25 at 5:25 pm to xBirdx
quote:
Poster talking about BS they Dr’s make you do…. Like the adhd check ins? Every 3 months…gtfoh…. Nothing changing over 3 months.
Hell they don’t even do anything but ask how they feel .
Rip off
Are you Boomhauer?
Make your own meth at home dumbass. F$%king plant baws. Know everything know nothings. Posted on 7/2/25 at 5:29 pm to SmackoverHawg
Lmao
Way off
Try again baw!
Way off
Try again baw!
Posted on 7/2/25 at 5:36 pm to LSUA 75
If you stayed one night, it’s probably observation type stay and cannot charge or bill for these and you’re billed for it. It’s legit.
Posted on 7/2/25 at 5:40 pm to LSUA 75
If you stayed one night, it’s probably observation type stay and cannot charge or bill for these and you’re billed for it. It’s legit. Some will tell you to bring your meds from home. If you’re admitted for an inpatient stay, then insurance is billed for meds.
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