Sounds like the docs would prefer a simpler system like single payer to me. Billing will be simplified; denials, low reimbursement, slow payments, adminstrative headaches… all things of the past. Can’t wait! LOL
To a doctor responding to an AMA survey, the only acceptable system would be one in which ALL bills were paid yesterday for an amount exceeding the bill with no exclusions, deductibles, co-pays, co-insurance. In other words, if I, the doctor, send the insurer a bill, no matter what it’s for and no matter how much it’s for, I should get paid immediately without qualm or quibble.
That would work great until all the money was gone; probably, by the second day of each calendary/plan year.
Hello,
I’ve been on both sides of the fence over the last 25 years which include 10 years of handling claims for carriers/TPA’s as well 15 years on the healthcare provider side.
The system has become so complex that it’s a wonder how any claims get processed/paid whatsoever..
The interaction between payor rules (each one has different rules), governmental rules (what a nightmare this is!!)and provider systems (too cumbersome and staff often lacks training) has led to a challenging, and constantly changing, system to work with..I don’t know of a better way (certainly not the single payor option) to fix things but the systems is getting worse.
Mike
We have updated our privacy policy to be more clear and meet the new requirements of the GDPR. By continuing to use our site, you accept our revised Privacy Policy.
Sounds like the docs would prefer a simpler system like single payer to me. Billing will be simplified; denials, low reimbursement, slow payments, adminstrative headaches… all things of the past. Can’t wait! LOL
To a doctor responding to an AMA survey, the only acceptable system would be one in which ALL bills were paid yesterday for an amount exceeding the bill with no exclusions, deductibles, co-pays, co-insurance. In other words, if I, the doctor, send the insurer a bill, no matter what it’s for and no matter how much it’s for, I should get paid immediately without qualm or quibble.
That would work great until all the money was gone; probably, by the second day of each calendary/plan year.
Hello,
I’ve been on both sides of the fence over the last 25 years which include 10 years of handling claims for carriers/TPA’s as well 15 years on the healthcare provider side.
The system has become so complex that it’s a wonder how any claims get processed/paid whatsoever..
The interaction between payor rules (each one has different rules), governmental rules (what a nightmare this is!!)and provider systems (too cumbersome and staff often lacks training) has led to a challenging, and constantly changing, system to work with..I don’t know of a better way (certainly not the single payor option) to fix things but the systems is getting worse.
Mike