General Discussion
In reply to the discussion: New Yorker: A Man Was Murdered in Cold Blood and You're Laughing? [View all]LizBeth
(10,935 posts)needed. Takes repeated calls and a lot of time from providers office to get it pushed thru. Yes there is the claims where doctors over bill and have to be mulled out. But it is not an easy smooth run to get the basic claims paid. A glitch in the systems denies all CPT codes automatically and has to be sent in to steps before getting to final step of a national appeal simply to get code editing unlock to be able to adjust. A provider can spend months trying to get a 400 office visit paid only to receive 65 dollars of the 400. There is so much in this conversation and a little of what you say is true that people are not recognizing but the fact is, many people have a 2000 deductible average they have to pay before they get a simply doctor office visit paid or anything else. And a lot of the policies are increasing a large percentage from 2024 to 25 and deductible is increasing. It is not a pretty picture.