The minute before this. “Just a Test” is proof that Lawyers, Politicians, and Public just doesn’t understand what medical is. That’s our fault as doctors for not describing it properly.
@farid__jalali The insurer & litigator push for “just a test” is a fundamental lack of this understanding. Perhaps we explain it to judges, lawyers like this: We just want a judgement your honor. No discovery, No Motions. That’s all we want, a judgement. @EdGainesIII sound good?
To explain it to the insurers perhaps we say, we just want a payment. Submit the claim to you, you pay. Wait! Isn’t that what FFCRA AND #CARESact said?
This control of good medicine by corporations, insurer/finance, nonclinical regulating boards is endangering citizens who had #COVID & who have #COVID19 People are dying from corporate practice of medicine.
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So it begins. We can’t afford to pay for citizen testing for the uninsured & @RepMcKinley@BillPascrell@HouseGOP@HouseDemocrats WON’T ENFORCE THE #CARESACT#FFCRA so Insurers will continue to stiff bills & premium paying patients will be used as human shields for COVID19 bills.
What country do we live in where those who can afford to pay stick the bill to those who can afford least to pay? So what happens to the test to treat debacle? It appears the uninsured are left to fend for themselves. And $CI wants to doctors to sue the patients! #caresAct#FFCRA
Is anyone checking Turquoise Health? I think I know how hospitals can afford to buy doctors. My payment for a 99204 new visit is 200-ish dollars. What is it at local hospitals? I wonder what they get paid?
For those saying “that’s just the cash price!” Take a look at the tool for insurance charges. turquoise.health/providers/hart… That’s @Aetna payment to Hartford for that.
$UNH United sued last week acknowledged they HAVE TO PAY FOR COVID TESTING PERFORMED BY PHYSICIANS. UNITED refused to pay physician labs for YEARS. Now they recognize that the FFCRA and CARES mandate they pay these physicians and their labs! @EdGainesIIImodernhealthcare.com/insurance/unit…
This is precisely the problem. The lawsuit is about demanding proof of each & every test done. Then you submit this and they deny for “improper physician order” This letter is meant to stave off thousands of lawsuits from work in 2020. IT WONT WORK. Providers are getting lawyers.
Insurers are violating federal law. They know it. Cigna admits it, but says, so what doctor? You can’t do anything about it! @wendellpotter Instead they accuse of fraud because that’s their “loophole” here. It will cause massive problems when they just should’ve paid.