Protect Yourself Archive

Medical debt is the second most common reason why Americans file bankruptcy


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’

Top Hosptial Overcharges


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.

Communicating With Your Doctor

Good communication with your doctor is an important part of your health care. If you cannot communicate your needs and concerns, or your doctor cannot clearly communicate information to you, your health care will suffer. Both you and your doctor must make the effort to talk openly and effectively.

What You Should Do to Prepare for Visits to Your Doctor

Before you step foot in your doctor’s office, take some time to prepare for the visit. This increases your chances of leaving the appointment well informed and satisfied with the care you received. Continue reading ‘Communicating With Your Doctor’

Patients Have Important Role in Safer Health Care

Ensuring patient safety is a national priority, and everyone involved in the health care system has a role, including the patient. Patients can help make their health care experience safer by becoming active, involved and informed members of the health care team. Research shows that patients who take part in decisions about their health care are more likely to have better outcomes. The more information patients have about health care, the better they can make decisions about what is best for them. Continue reading ‘Patients Have Important Role in Safer Health Care’

Help safeguard against preventable medical errors….

Nearly 195,000 people in the U.S. died each year as a result of potentially avoidable medical errors in 2000, 2001, and 2002, according to a new study of 37 million patient records.

The equivalent of 390 jumbo jets full of people are dying each year due to preventable, in-hospital medical errors, making this one of the leading killers in the U.S.,” says Samantha Collier, MD, in a news release. Collier is vice president of medical affairs at Health Grades Inc., which conducted the study.

“If the Center for Disease Control’s annual list of leading causes of death included medical errors, it would show up as number six, ahead of diabetes, pneumonia, Alzheimer’s disease and renal disease,” says Collier. “Hospitals need to act on this, and consumers need to arm themselves with enough information to make quality-oriented health care choices when selecting hospital and providers.”

Check Ups

In keeping with the latest health care trend, the annual physical is dead. Taking its place is the periodic health examination (PHE). What’s the difference? The PHE is a customized exam based on each individual’s personal health history.

You feel fine: no aches or pains, no shortness of breath, nothing out of the ordinary. So why should you see your doctor? Well, there are several reasons. A regular checkup, now being referred to as a periodic health examination (PHE), can help prevent diseases before they ever take hold or catch health problems at early stages when they’re easier to control or cure. Another great benefit of such visits is that over time you and your doctor develop a rapport and mutual trust. Continue reading ‘Check Ups’