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You don’t expect to pay for something that was done wrong. Starting October 1, 2008 the Centers for Medicare and Medicaid Services (CMS) have said they won’t either. The CMS will use its financial clout to improve patient safety and control costs by no longer paying for what are known as “Never Events”. Defined by several national quality measurement organizations, “never events” include surgical errors such as procedures performed on the wrong body part or on the wrong patient. In addition to wrong-site surgery and serious medication errors, “never events” also include a variety of other complications. Initially they started with 8 events but now have expanded the list to 11. Continue reading ‘Never Events and You’
States
Click on your state to find out more information and whom to contact. Continue reading ‘Never Events and State Policies’
Medical debt is the second most common reason why Americans file bankruptcy
Published by September 4th, 2008 in Legal Concerns in Health Care, Protect Yourself and News. Closed
Medical debt is the second most common reason why American’s file bankruptcy even those with insurance. A frightening statistic from the Federal General Accounting Office study reported that as many as 95 percent of all hospital bills include overcharges This could make for an interesting conversation during the cocktail hour at the American Hospital Association convention.
Hospitals will use the excuse that it is nearly impossible to keep up with the various billing programs of 40 to 50 different insurance companies and Medicare and Medicaid. All of these organizations have their own forms and codes for “who’s covered for what, under what circumstances” rules, and own billing and payment systems. “The medical billing system is complicated and confusing,” admits Rick H. Wade, senior vice president of the American Hospital Association, which represents most of the hospitals in the United States. On Dec. 27, 2002, he told a “Dateline NBC” investigative team, “Trying to understand all the code words and jargon can turn your brain into oatmeal.”
Many hospitals overprice procedures and supplies egregiously. “It’s not unusual to see supply items marked up sometimes as much as 1000 percent,” says Randall Marrs, owner of Medical Audit Recovery Services in Tulsa, Okla. “I’ve seen an oral swab billed for $55, when a package would cost you $2 at the drug store.” Saline solution, which is often billed as much as $75 per 1000 ml, costs the hospital no more than 35 to 40 cents, he adds. Those are details you may not notice if your hospital co-pay is a fixed amount. But if you have to pay a portion of the bill say 10% or 20% you’re paying part of those inflated costs. Continue reading ‘Medical debt is the second most common reason why Americans file bankruptcy’
Here are the most common areas of overcharges and errors, with tips on what to do if you find irregularities:
- Charging for the day of discharge. Most insurance plans do not allow hospitals to charge for the day you leave the hospital.
- Number of days in hospital: Check the dates of your admission and discharge. Were you charged for the discharge day? Most hospitals will charge for admission day, but not for day of discharge.
- Charging for a private room when you had a semiprivate room, or charging for a private room when a semiprivate room was unavailable.
- Charging for medications you didn’t receive or refused, or for high-priced brands when your doctor prescribed a generic.
- Charging for the same procedure or service twice, aka “double billing.”
- Charging for tests that are grouped under a broad category like “blood work” or “miscellaneous.” Always ask for tests to be itemized.
- Charging for services that your doctor did not order or that may have been scheduled but later cancelled.
- Charging for a test twice because it was administered incorrectly the first time or the first test results were misplaced.
- Charging for personal items that are usually included in the room charge like slipper socks, toothbrushes, lotions and combs.
- Charging for physician services when the doctor sends you a separate bill for the same service.
- Charging excessive amounts due to a clerical mistake which results in the wrong code for a service or procedure.
- Charging for more operating room time than was necessary for your surgery. Check your anesthesia record. It will show when your surgery began and ended.
- Up coding: This common billing mistake occurs when a doctor switches a high cost medication or expensive service for a cheaper alternative then charging for the more expensive item or, in some cases, charging for both!. An example of this would be the doctor replaces a top dollar brand name medication for a generic alternative.
- Keystroke error: An everyday mistake in which someone just happens to hit the wrong keyboard key. An innocent enough mistake but one that can cost you a significant amount of money.
“If This Is An Emergency, Please Go To Your Nearest Emergency Room”
Published by August 11th, 2008 in News. ClosedIf you have a regular doctor, have you ever called his or her office after 5 pm or on Saturday or Sunday? The answering machine usually says, “If you think you have an emergency, go to your nearest emergency room.”
The message was clear. You are now faced with having to make the decision on what type of care is needed. Visits to emergency departments are staggering with close to 115 million patients treated during 2005. This represents a 26 percent increase in patients over the past decade compared to a 12.3 percent increase in the countries population. During this same time period 15 percent of hospitals ERs were closed. The number of patients results in busy ERs with the average wait exceeding 3.3 hours. Patients are treated based on a system of triage with most serious being seen first.
Today, in addition to the Hospital Emergency Department you have the following options available: Continue reading ‘“If This Is An Emergency, Please Go To Your Nearest Emergency Room”’
Warning Signs and Symptoms that may be very serious
Published by August 11th, 2008 in Emergencies and News. Closed · Difficulty breathing, shortness of breath
· Chest or upper abdominal pain or pressure lasting two minutes or more
· Fainting, sudden dizziness, weakness
· Changes in vision
· Difficulty speaking
· Confusion or changes in mental status, unusual behavior, difficulty waking
· Any sudden or severe pain
· Uncontrolled bleeding
· Severe or persistent vomiting or diarrhea
· Coughing or vomiting blood
· Suicidal or homicidal feelings
· Unusual abdominal pain
Because of the high frequency of heart attacks and strokes we pay the following symptoms special attention. Continue reading ‘Warning Signs and Symptoms that may be very serious’
Meningitis - It Needs to be Shot!!!
Published by July 29th, 2008 in News and College Aged Health Issues. ClosedNews from the week of August 1, 2008
Welcome to CrisisID. Thank you for joining us online. This week Meningitis makes the News.
Meningitis can be a serious infection, and it can be contagious – which is why outbreaks make the news. Such was the case on July 24, 2008, when there was an outbreak of meningitis at the Eisenhower State Office Building in Topeka, the Kansas capital. State officials sent an e-mail to the building’s more than 800 employees, informing them of the cases and urging them to seek treatment from their personal health care provider if they show any symptoms.
Following is very important information that we have gleaned from the internet to help you protect yourself and your loved ones from the scourge of meningitis. It comes from various sources which we have deemed as reliable and hope you take the time to look through. CrisisID’s sole reason for being is to keep you and your family as safe as they can be.
Meningococcal disease is a potentially life-threatening bacterial infection that can lead to meningococcal meningitis, an inflammation of the membranes surrounding the brain and spinal cord, or meningococcal septicemia, an infection of the blood. Continue reading ‘Meningitis - It Needs to be Shot!!!’
All Hospitals Are NOT Created Equal
Published by June 13th, 2008 in Children's Health and Hospitals. Closed

