I'm f**ked

[Kat]

I just filed an appeal with my insurance company... I also noticed that the hospital might have screwed up with billing me and the insurance company.

My doctor told me just a local was needed in our first appointment I said fine then on surgery day the hospital staff started talking about the Anesthesiologist will be in, in a minute. I replied WTF!!! no I am not suppose to get knocked out and I made them call my doctor on her way to the hospital to verify what I was told. They said yep you are right just a local. So on my bill it shows I was billed for:

SURG LVL 2 FIRST 30MIN .... $4,289.00
SURG LVL 2 ADD 15M ......... $3,444.00

Then a few charges later im charged:

SURG PACU LVL 1 FIRST 30MIN ..... $976.00

And at the bottom im charged for:

CATH, IV SAFETY 20 1 1/4 ...... $20.00
IV LAC RINGERS 1L 54 ............ $182.00

I was never given an IV or a f**king catheter so im hoping that the hospital left all the previous charges on as if I was going to be knocked out and then also because I wasn't knocked out just charged me for a LVL 1 operation as well. If I am right this knocks my bill from $9,471.29 to $1,536.29 and I am no longer mad Kat what do you think?

Yep, I think your right. I would be on the phone to the hospital billing office. You still need to see the insurance EOB. If the hospital is contracted. You should see a billed amount and an allowed amount and what your responsibility is.

 

[JD Dave]

Sounds as though a built motor might still be in your near future. Hopefully everything gets worked out. I'd be pissed also.

 

[GMC_2002_Dmax]

Not to mention my doctor during our visit told me that it was a quick very non-invasive surgery(which it was) that would take about 15 minutes. This is a quick break down of what they charged me.
For the first 30 minutes I was charged $4289.00
They also added an extra 15 minutes of surgery for $3444.00

All I was given was a local as well... im literally about to go into melt down mode this is bullshit

Doctors lie, they pad their pockets of they can, change a code to something that pays more, had it happen to my kids after a doctor supposedly heard a heart murmer in both of them ?? Take them to a specialist, EKG and a ultrasound, total time in the office, 30 minutes for both kids and got a $6,000 bill, had to eat the $1500 deductible, doctor got to go on a cruise I am sure on my insurance company's stupidity.

My wife is kind of an expert on this. She says DO NOT pay ANYTHING until you receive a "Explanation of Benefits" from your insurance company. Then talk to your insurance company about the extra charges. She says you should only have to pay whatever % or amount your insurance company says to. Your doctor/hospital is trying to get you to pay the extra charges, which you are not responsible for.

Don't pay a dime, get an itemized bill, ask for clarification on everything.

If you think it's all bad just wait till Obama gets his way with the insurance companies. We are all going to get screwed.

We already are screwed, at least the government is shutting down tomorrow............:happy2:

 

[TheBac]

Paint, I just read this to my wife, and she agrees with your assessment. The hospital had already put into the computer the codes for the "knocked out" procedure, and then did not fully remove them before adding the proper outpatient procedure code and submitting the charges to the insurance company.

The hospital needs to resubmit the proper charges to the ins co, and they may have to remit some money back to them. Then they need to fire that billing agent.