$30,000 for outpatient procedure!!!! UNBELIEVABLE

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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VikingGnome
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Joined: Fri Feb 03, 2012 6:46 pm
Location: Mississippi

Re: $30,000 for outpatient procedure!!!! UNBELIEVABLE

Post by VikingGnome » Sat Jan 12, 2013 11:14 am

The irony of all this is that the very same blood tests, EKG, and chest X-RAY when ordered by my primary care physician and done at same hospital departments, the charges are 10% of what the hospital charged me for pre-op tests before outpatient surgery. Does that make any sense? Same tests, same hospital but charge 10 times as much if the patient is going to have outpatient surgery.

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StuUnderPressure
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Re: $30,000 for outpatient procedure!!!! UNBELIEVABLE

Post by StuUnderPressure » Sat Jan 12, 2013 3:21 pm

archangle wrote:
They might be able to play some games by listing the +$1000 in one tax period and the -$800 in another tax period, they're going to show a net $200 income.
They can't legally play those games.
Our tax system is based on revenue matching.
I.E. you have to match revenue & the corresponding deductions in the SAME year.
Are you really saying a DME who bills $2000 for a CPAP and actually gets paid $800 gets to list a $1200 loss without also showing a $2000 gain?
The ONLY way a DME can show a loss is if they paid more for the product they sold than the lower amount they received from the insurance company & the patient. Even at the lower reimbursements the DMEs are getting, they are still making a profit.

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scbeaver
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Re: $30,000 for outpatient procedure!!!! UNBELIEVABLE

Post by scbeaver » Sat Jan 12, 2013 8:52 pm

One of the reasons for the outragous billing is Medicare. Whatever a provider bills Medicare, they have to bill private (cash) pay patients. That way they hope to recope some of their loses?

Sleep Well,

Steve

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