SITUATION
A 58 year old woman with a family history of ovarian cancer, undergoes yearly transvaginal ultrasounds as one means for early disease detection. These sonograms were always performed at a radiology facility not associated with a hospital. A previous sonogram detected growths of the undetermined cause on one ovary, which prompted her gynecologist to request a repeat of the sonogram. Given her concern, she requested that the sonogram be performed at the hospital by one of her colleagues, someone whose judgment she knew and trusted.
Because the patient had a high deductible plan, she wanted to know in advance what her financial responsibility might be. She asked for the procedure and diagnosis codes for the test and called her insurance company to determine if there would be a difference in how the claims would be processed and paid whether they were done at the out-patient radiology facility or on an out-patient basis at the hospital. Along with the coding information, she provided the representative with the names and locations of the facilities she might use. She was told by the insurance representative that the codes would be paid at the exact same rate at either facility, the cost being $83.
Given this confirmation, the patient followed her doctor’s request and scheduled and had the procedure at the hospital.
One month later, the patient received a bill from the hospital for $495.43.
THE PATIENT CALLED SYSTEMEDIC
Systemedic contacted the patient’s insurance company to understand the bill. We were told that the reimbursement rate for the procedures at the out-patient facility was $83, while the reimbursement rate at the hospital was $495.43, for the exact same procedures. We brought to their attention that the patient had called their company in advance of the test to determine the costs and was told that her responsibility would be $83 regardless of where it was performed. This led to a lengthy conversation with a number of representatives over the course of 3 months. We insisted that they pull the tape of the conversation between the patient and the insurer to hear what she was told. Once they listened to this conversation, they heard that their representative had misinformed the patient. Had the patient known her responsibility would be 5 times higher if she had the procedure at the hospital, she would not have taken that course of action. We requested that the insurance company fix their error.
Would love to incessantly get updated outstanding web site! .
I have been browsing online more than 3 hours lately, but I never found any fascinating article like yours. It¦s beautiful value enough for me. Personally, if all site owners and bloggers made good content material as you probably did, the web can be a lot more helpful than ever before.
I do not even know how I stopped up here, but I thought this publish was once good. I do not recognize who you are however certainly you are going to a famous blogger if you are not already 😉 Cheers!
Way cool, some valid points! I appreciate you making this article available, the rest of the site is also high quality. Have a fun.
Hi there, You’ve done a great job. I’ll certainly digg it and for my part suggest to my friends. I am confident they will be benefited from this website.
Hiya! Quick question that’s totally off topic. Do you know how to make your site mobile friendly? My weblog looks weird when browsing from my apple iphone. I’m trying to find a theme or plugin that might be able to resolve this issue. If you have any suggestions, please share. Thanks!
There may be noticeably a bundle to find out about this. I assume you made certain good points in features also.
Hi my friend! I want to say that this article is awesome, great written and come with almost all vital infos. I?¦d like to peer more posts like this .
Fantastic blog! Do you have any tips and hints for aspiring writers? I’m planning to start my own blog soon but I’m a little lost on everything. Would you recommend starting with a free platform like WordPress or go for a paid option? There are so many options out there that I’m completely overwhelmed .. Any recommendations? Thank you!
Hi, Neat post. There’s a problem along with your web site in internet explorer, would check this?K IE nonetheless is the market leader and a good component of other folks will leave out your magnificent writing due to this problem.
Sweet website , super design, rattling clean and utilize pleasant.
Very interesting details you have mentioned, appreciate it for putting up. “I never said most of the things I said.” by Lawrence Peter Berra.
Really informative and great complex body part of content, now that’s user genial (:.
Greetings from Idaho! I’m bored to death at work so I decided to check out your blog on my iphone during lunch break. I enjoy the info you provide here and can’t wait to take a look when I get home. I’m shocked at how quick your blog loaded on my mobile .. I’m not even using WIFI, just 3G .. Anyhow, superb blog!
I just couldn’t depart your site prior to suggesting that I extremely enjoyed the standard info a person provide for your visitors? Is gonna be back often in order to check up on new posts
Throughout the great design of things you’ll get an A+ for hard work. Where exactly you actually confused me personally was on the facts. You know, it is said, details make or break the argument.. And that could not be more true here. Having said that, allow me tell you what exactly did deliver the results. Your article (parts of it) is definitely pretty engaging and this is most likely the reason why I am making an effort in order to opine. I do not really make it a regular habit of doing that. 2nd, whilst I can easily notice a jumps in logic you make, I am not sure of how you seem to unite the points which inturn make your final result. For right now I will subscribe to your point but wish in the future you link your facts better.
you have a great blog here! would you like to make some invite posts on my blog?
Generally I do not read post on blogs, but I would like to say that this write-up very forced me to try and do so! Your writing style has been surprised me. Thanks, very nice post.
Unquestionably consider that that you said. Your favorite reason appeared to be on the web the easiest thing to have in mind of. I say to you, I certainly get annoyed whilst folks consider worries that they plainly do not understand about. You controlled to hit the nail upon the highest as well as defined out the whole thing without having side-effects , folks could take a signal. Will likely be back to get more. Thanks
I discovered your blog site on google and check a few of your early posts. Continue to keep up the very good operate. I just additional up your RSS feed to my MSN News Reader. Seeking forward to reading more from you later on!…
Great post. I am facing a couple of these problems.
I am not rattling wonderful with English but I get hold this really easygoing to understand.
fantastic post.Ne’er knew this, thankyou for letting me know.
Thankyou for all your efforts that you have put in this. very interesting info .
I cling on to listening to the news update talk about receiving free online grant applications so I have been looking around for the finest site to get one. Could you advise me please, where could i find some?
Very informative and wonderful bodily structure of articles, now that’s user pleasant (:.
Utterly written content material, thanks for entropy. “Necessity is the mother of taking chances.” by Mark Twain.
Glad to be one of the visitants on this amazing internet site : D.
Great post, I believe people should acquire a lot from this blog its really user pleasant.
I do like the way you have presented this concern plus it does present me some fodder for consideration. However, through everything that I have personally seen, I simply just hope as the opinions pack on that folks remain on issue and don’t start upon a tirade regarding some other news du jour. Still, thank you for this superb piece and though I do not necessarily agree with the idea in totality, I regard your point of view.
Yay google is my world beater assisted me to find this great site! .
Pretty section of content. I simply stumbled upon your website and in accession capital to claim that I acquire in fact loved account your blog posts. Anyway I will be subscribing in your feeds or even I success you get right of entry to persistently rapidly.
Hi, I think your site might be having browser compatibility issues. When I look at your website in Safari, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, fantastic blog!
Im now not certain the place you are getting your info, but great topic. I needs to spend a while finding out much more or working out more. Thanks for fantastic information I used to be searching for this info for my mission.
Hi, just required you to know I he added your site to my Google bookmarks due to your layout. But seriously, I believe your internet site has 1 in the freshest theme I??ve came across. It extremely helps make reading your blog significantly easier.
What i do not understood is if truth be told how you’re now not actually much more neatly-liked than you might be now. You’re so intelligent. You recognize therefore significantly relating to this subject, produced me personally believe it from numerous varied angles. Its like women and men are not fascinated except it’s one thing to accomplish with Woman gaga! Your own stuffs outstanding. At all times care for it up!
I conceive you have observed some very interesting points, thanks for the post.
I am glad to be a visitor of this thoroughgoing weblog! , regards for this rare information! .
Whats up very cool web site!! Man .. Excellent .. Amazing .. I’ll bookmark your blog and take the feeds also…I’m glad to search out a lot of helpful info here in the put up, we want develop more strategies in this regard, thanks for sharing. . . . . .
Whats Happening i am new to this, I stumbled upon this I’ve found It positively useful and it has helped me out loads. I hope to give a contribution & assist other users like its aided me. Good job.
My brother recommended I would possibly like this web site. He was entirely right. This put up actually made my day. You cann’t consider just how much time I had spent for this information! Thank you!
I like what you guys are up also. Such intelligent work and reporting! Carry on the superb works guys I’ve incorporated you guys to my blogroll. I think it will improve the value of my web site 🙂
I like this website because so much useful stuff on here : D.
I truly enjoy looking through on this site, it contains fantastic posts. “For Brutus is an honourable man So are they all, all honourable men.” by William Shakespeare.
I’m impressed, I must say. Actually rarely do I encounter a blog that’s both educative and entertaining, and let me let you know, you have hit the nail on the head. Your concept is excellent; the difficulty is something that not sufficient people are speaking intelligently about. I am very glad that I stumbled throughout this in my search for one thing referring to this.
Some really fantastic info , Sword lily I found this. “The trick is to make sure you don’t die waiting for prosperity to come.” by Lee Iacocca.
Hi! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I’m getting tired of WordPress because I’ve had problems with hackers and I’m looking at alternatives for another platform. I would be awesome if you could point me in the direction of a good platform.
I will immediately seize your rss feed as I can not to find your email subscription link or newsletter service. Do you’ve any? Please allow me know in order that I could subscribe. Thanks.
This actually answered my drawback, thank you!
Excellent read, I just passed this onto a friend who was doing some research on that. And he actually bought me lunch as I found it for him smile So let me rephrase that: Thanks for lunch! “Procrastination is the thief of time.” by Edward Young.
You made some respectable factors there. I looked on the web for the issue and located most individuals will associate with with your website.
Oh my goodness! a tremendous article dude. Thank you Nonetheless I am experiencing subject with ur rss . Don’t know why Unable to subscribe to it. Is there anyone getting equivalent rss problem? Anyone who is aware of kindly respond. Thnkx
I’ve been surfing online more than 3 hours today, yet I never found any interesting article like yours. It’s pretty worth enough for me. In my opinion, if all web owners and bloggers made good content as you did, the net will be a lot more useful than ever before.
We’re a group of volunteers and opening a brand new scheme
in our community. Your site offered us with helpful information to work on. You have performed
a formidable task and our whole group shall be thankful to you.
Superb post however I was wondering if you could write a litte more on this subject?
I’d be very thankful if you could elaborate a little bit further.
Cheers!
If some one wants expert view on the topic of blogging after that i advise him/her to visit this blog, Keep up the good work.
Hi! I know this is somewhat off topic but I was wondering if you
knew where I could get a captcha plugin for my comment form?
I’m using the same blog platform as yours and I’m having problems finding one?
Thanks a lot!
Very interesting info!Perfect just what I was looking for!
I’m really loving the theme/design of your blog.
Do you ever run into any browser compatibility problems?
A few of my blog visitors have complained about my blog not operating correctly
in Explorer but looks great in Chrome. Do you have any
solutions to help fix this problem?
I enjoy reading an article that can make people think.
Also, thanks for allowing me to comment!
Hurrah! In the end I got a website from where I
be capable of truly obtain useful facts concerning my study
and knowledge.
I like what you guys tend to be up too. This type of
clever work and reporting! Keep up the great works guys I’ve you guys to our blogroll.
This post was amazing i actually read your blog very often,
and you’re consistently coming out with a lot of great stuff.
I contributed this on my blog, and my followers adored it. Keep up the
very good work 🙂
Thanks for finally talking about >In-Hospital vs Outside Facility Testing – Health Insurance Claims Advocate
<Liked it!
Hey would you mind stating which blog platform you’re working with?
I’m planning to start my own blog soon but I’m having a tough time making a decision between BlogEngine/Wordpress/B2evolution and Drupal.
The reason I ask is because your layout seems different then most blogs and I’m looking for
something completely unique. P.S My apologies for being off-topic but I had to ask!
Howdy, i read your blog from time to time and i own a similar one and i was just wondering if you get a lot of spam remarks?
If so how do you protect against it, any plugin or anything you can recommend?
I get so much lately it’s driving me insane so any assistance is
very much appreciated.
I precisely had to say thanks yet again. I am not sure the things that I might have gone through in the absence of those basics shown by you about such a subject matter. It has been an absolute scary dilemma in my circumstances, nevertheless seeing a new skilled style you dealt with it took me to weep for delight. Extremely thankful for this work and thus wish you comprehend what a great job you happen to be carrying out training some other people all through your web blog. Most likely you have never encountered any of us.
This post was amazing i read your blog pretty often,
and you’re always coming out with some great stuff. I contributed this on my fb,
and my followers adored it. Keep up the great work 🙂
I really liked this post i try to read your blog fairly often, and you’re consistently coming out with pretty
great stuff. I contributed this on my fb, and my followers adored it.
I really admire the great work 🙂
I visited many blogs except the audio feature for audio songs existing at this site is truly marvelous.
Good day! I could have sworn I’ve visited this blog before but
after going through some of the articles I realized
it’s new to me. Nonetheless, I’m certainly delighted I came
across it and I’ll be bookmarking it and checking back frequently!
Thankfulness to my father who informed me on the
topic of this webpage, this website is truly remarkable.
Link exchange is nothing else except it is just placing the other person’s website link on your
page at proper place and other person will also do similar for
you.
It’s fantastic that you are getting thoughts from this paragraph as well as
from our dialogue made at this time.
WOW just what I was looking for. Came here by searching for business advisory service
Hi there! This article could not be written much better!
Looking at this post reminds me of my previous roommate!
He constantly kept preaching about this. I most
certainly will send this article to him. Pretty sure he’ll have a great read.
I appreciate you for sharing!
I simply couldn’t leave your website before suggesting that I actually enjoyed
the standard information a person provide on your visitors?
Is going to be again incessantly in order to inspect new posts
Nice post. I was checking continuously this
blog and I am impressed! Extremely useful info specifically the last part :
) I care for such info a lot. I was looking for this certain info for a very long time.
Thank you and best of luck.
It’s an remarkable piece of writing for all the internet visitors; they will
obtain advantage from it I am sure.
Great wordpress blog here.. It’s hard to find quality writing like yours these days. I really appreciate people like you! take care
It’s very effortless to find out any topic on web as compared to
textbooks, as I found this post at this web site.
It’s great that you are getting thoughts from this post as well as from our dialogue made at this time.
Fantastic website you have here but I was wondering if you knew of any community forums that cover the same topics discussed here?
I’d really love to be a part of community where I can get feedback from other knowledgeable individuals that share the same interest.
If you have any recommendations, please let me know.
Appreciate it!
Just wanna state that this is invaluable, Thanks for taking your time to write this.
Hi there to all, how is the whole thing, I think every one is getting more from this site, and your views are pleasant for new users.
I really liked this poswt i actually read your blg fairly often, and
you’re consistently coming out with pretty great stuff.
I contributed this on mmy facebook, and my followers really ljked it.
I really admire the great work 🙂
Link exchange is nothing else however it is just placing the other person’s weblog
link on your page at suitable place and other person will also do same in favor of you.
Thank you for sharing your info. I really appreciate your efforts and I
am waiting for your next post thank you once again.
Great write-up, I am regular visitor of one’s website, maintain up the excellent operate, and It’s going to be a regular visitor for a long time.
I needed to thank you for this fantastic read!!
I certainly enjoyed every bit of it. I have got you book marked to
look at new stuff you post…
I enjoy looking through a post that will make men and women think.
Also, thank you for allowing for me to comment!
We are a bunch of volunteers and opening a new scheme in our community.
Your website provided us with useful information to work on. You’ve performed a formidable job and our
entire community shall be thankful to you.
Appreciate this post. Will try it out.
It’s great that you are getting ideas from this paragraph as well
as from our dialogue made here.
Every weekend i used to pay a quick visit this web site, as i want enjoyment, for the reason that
this this website conations really good funny stuff too.
This is really interesting, You are a very skilled blogger.
I’ve joined your rss feed and look forward to seeking more of your wonderful post.
Also, I’ve shared your site in my social networks!
I like this web blog so much, saved to my bookmarks. “Nostalgia isn’t what it used to be.” by Peter De Vries.
Hello mates, its great piece of writing about educationand entirely defined,
keep it up all the time.
Hello i am kavin, its my first occasion to commenting anywhere, when i read this piece of writing i thought
i could also make comment due to this brilliant paragraph.
This web site really has all the info I needed concerning this subject and
didn’t know who to ask.
What’s up to every one, it’s genuinely a nice for me to pay a visit this web site, it contains priceless Information.
An impressive share! I have just forwarded this onto a colleague who had been conducting
a little homework on this. And he actually ordered me dinner due to the fact that
I discovered it for him… lol. So allow me to reword this….
Thank YOU for the meal!! But yeah, thanx for
spending the time to talk about this matter here on your internet site.
I loved this post! i try to read your blog fairly often, and
you’re constantly coming out with some great stuff.
I shared this on my facebook, and my followers loved it.
Continue the good work 🙂
I loved this post! i read your blog fairly often, and you’re constantly
coming out with some great stuff. I contributed this
on my facebook, and my followers loved it. Keep up the great work 🙂
I really liked this post i actually read your blog pretty
often, and you’re constantly coming out with a lot of great stuff.
I shared this on my blog, and my followers loved it. Keep up
the great work 🙂
At this time it appears like BlogEngine is the best blogging platform out there right
now. (from what I’ve read) Is that what you are using on your blog?
Terrific post however , I was wanting to know if you could write a litte more on this topic?
I’d be very thankful if you could elaborate a little bit further.
Thank you!
If some one needs to be updated with most recent technologies then he must be visit this website
and be up to date daily.
I am sure this article has touched all the internet viewers, its really really good paragraph on building up new web site.
Hi there, I log on to your blogs daily. Your story-telling style is awesome,
keep up the good work!
Excellent post. Keep posting such kind of info
on your blog. Im really impressed by it.
Hi there, You’ve performed a great job. I’ll definitely digg it and
individually suggest to my friends. I’m confident
they will be benefited from this site.
Great article, just what I was looking for.
I don’t know whether it’s just me or if everybody else encountering issues with your site.
It appears like some of the text on your posts are running
off the screen. Can someone else please comment and let
me know if this is happening to them too? This could be a
problem with my internet browser because I’ve had this happen previously.
Kudos
Its like you learn my thoughts! You appear to grasp a lot approximately this, like you wrote the
e-book in it or something. I think that you just could do with some % to force the
message house a little bit, but instead of that,
this is excellent blog. An excellent read. I will definitely be
back.
Quality content is the key to invite the people to pay a quick visit the web page, that’s what this site is providing.
Your style is very unique compared to other people I have read stuff from.
Thank you for posting when you’ve got the opportunity, Guess I’ll just
bookmark this page.
These are really enormous ideas in regarding blogging.
You have touched some fastidious points here. Any way keep up wrinting.
It’s truly very difficult in this busy life to listen news on Television, thus I only use web for that reason, and get the most recent news.
If some one needs to be updated with most up-to-date technologies
then he must be visit this web page and be up to date all the time.
hello!,I love your writing so so much! proportion we be in contact extra about your article on AOL?
I need an expert on this area to unravel my problem.
May be that is you! Taking a look forward to see you.
If you desire to get a great deal from this article then you have to apply these methods to your won weblog.
Very energetic post, I liked that bit. Will there be a part
2?
I every time spent my half an hour to read this weblog’s articles or reviews everyday along with a cup
of coffee.
I have been browsing online more than three hours today,
yet I never found any interesting article like yours.
It is pretty worth enough for me. In my opinion, if all site owners and bloggers made
good content as you did, the net will be much more useful than ever before.
You need to take part in a contest for one of the greatest blogs on the internet.
I will recommend this web site!
What’s up, just wanted to say, I enjoyed this article.
It was practical. Keep on posting!
whoah this blog is magnificent i really like reading your posts. Stay up the great work! You know, a lot of people are looking round for this information, you can help them greatly.