If this is your first visit, be sure to check out the FAQ in HCMA Announcements. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. Your Participation in this message board is strictly voluntary. Information and comments on the message board do not necessarily reflect the feelings, opinions, or positions of the Hypertrophic Cardiomyopathy Association. At no time should participants to this board substitute information within for individual medical advice. The Hypertrophic Cardiomyopathy Association shall not be liable for any information provided herein. All participants in this board should conduct themselves in a professional and respectful manner. Failure to do so will result in suspension or termination. The moderators of the message board working with the HCMA will be responsible for notifying participants if they have violated the rules of conduct for the board. Moderators or HCMA staff may edit any post to ensure it conforms with the rules of the board or may delete it. This community is welcoming to all those with HCM we ask that you remember each user comes to the board with information and a point of view that may differ from that which you hold, respect is critical, please post respectfully. Thank you

Announcement

Collapse
No announcement yet.

Billing Codes and billing

Collapse

About the Author

Collapse
Phil Border Find out more about Phil Border
X
Collapse
  • Page of 1
  • Filter
  • Time
  • Show
Clear All
new posts
Previous template Next
  • #1

    Billing Codes and billing

    Recently we were billed what I think was an excessive amount - 'Other Imaging services General Classification' (that's all the bill said, though the about was a specific 737.00) , as well as for 'Cardiology General Classication (*over 3,200) and an EKG/ECG (412). I realize insurers 'negotiate' different rates, but how do you compare to ascertain you're not being taken advantage of? This helath care sysrtem is notirous for billing 'erros' that frequnely seem to be in their favor. HCM is streesful enouygh without having to actually deal with health care billing and insurers.

    Tags: None
  • #2
    Hi Phil,
    Welcome to the board. If you use Facebook, I'd encourage you to join the Facebook HCMA group - it has much higher volume than this board does.

    I don't have any comment on your question, except that (as I'm sure you know) there's an enormous difference between the amount billed and the "usual and customary" amount that an insurer will pay. I'm not sure I'd be concerned about what's billed (assuming that the services billed for were really performed); what matters is the amount you're on the hook for after the insurer pays.

    $412 for an ECG doesn't sound unusual to me; was the other imaging an echo? If so, that amount doesn't seem unusual either. The "Cardiology General," well -- that's so vague I have no thoughts at all!

    Gordon
    Myectomy on Feb. 5, 2007.

    Comment

    Previous template Next

    Today's Birthdays

    Collapse
    Working...
    X