insurance scam by greedy doc

Question

Ultrasound at $59,490 Is Outrage in Claim Against Doctors...

the comedy here is that the giant insurer aetna is raking in huge dollars paying high level cardiologists 74$ for a heart ultrasound on which the docs actively lose money(while the ins co executives cash 1 billion per year personal bonuses)but now some greedy doc realizes he has them by the shorthairs and puts it to them.
who loses here,....the patients, just like obamacare....get ready folks,its gonna suck even worse than our sucky system now.

drJ · Answer

Ultrasound at $59,490 Is Outrage in Claim Against Doctors...

the comedy here is that the giant insurer aetna is raking in huge dollars paying high level cardiologists 74$ for a heart ultrasound on which the docs actively lose money(while the ins co executives cash 1 billion per year personal bonuses)but now some greedy doc realizes he has them by the shorthairs and puts it to them.
who loses here,....the patients, just like obamacare....get ready folks,its gonna suck even worse than our sucky system now.

drJ · Answer

Ultrasound at $59,490 Is Outrage in Claim Against Doctors...

5_for_Fighting · Answer

Obamacare will go down in history as the worst thing that happened to this country.Hopefully Obamacare will get shot down by congress and / or the Supreme Court

drJ · Answer

Not gonna work.  well it was funny and sad at the same time.  on the drudge report.

5_for_Fighting · Answer

link

kaponofor3 · Answer

Initial thoughts: Those guys deserve jail time, that's unconscionable and completely a fraud upon the system.

"Aetna tried in 2007 to impose caps on some out-of-network payments, prompting doctor complaints to the New Jersey Department of Banking and Insurance. The agency sided with the doctors, fined the company $2.5 million, and ordered it to pay out-of-network practitioners enough so that patients wouldn’t be asked to pay balances other than co-pays."

Well guess what NJ Dept of Banking and Insurance -- YOU are the reason this is happening!

"The most detailed complaint is against Benyamin Hannallah, a cardiologist at Jersey City Medical Center. Hannallah charged $59,490 for a heart ultrasound in April 2010 and was paid $47,592, the suit says. Aetna reimburses in-network doctors $74 for the procedure at Jersey City hospitals, Michener said.

Hannallah billed Aetna $56,980 last July for a consultation with a patient who wasn’t critically ill, a hospital visit that typically takes 25 minutes, according to the suit. The insurer refused coverage, and said Hannallah had asked for $220 for this type of consultation in 2007.

In April 2010, Aetna said, Hannallah asked for $54,600 for a heart catheterization, up from $5,500 for the same procedure in 2007. When the insurer gave him $2,000 -- a sum it deemed “usual and customary” for the procedure -- Hannallah complained, and Aetna paid in full to prevent him from billing the patient for the remainder, Michener said."

Benyamin Hannallah, you are a stain on your profession and should have your licensed revoked. And I say that as someone who represents doctors on a regular basis.

AcerRubrum · Answer

it is going to get real ugly here very very soon in this country

...and NONE of these douche bags in WASH DC give a shit other than for themselves and their cushy little retirements and plans.

a few honest ones, but for the most part SEND THEM ALL DOWN THE ROAD

we are far past the point of no return on the road to decline and death of the USA

this runaway train is headed right for the mountain

I feel sorry for the youth of this Country right now

drJ · Answer

represent docs legally?yep the dude is scum.  however maybe like me he went bankrupt and insurance companies owed him hundreds of thousands they refused to pay so he got so bitter he decided to defraud them.  i no longer send bills to any insurance companies.  love not depending on the vile pieces of shit.how do you feel about the insurance companies underpaying in network docs, forcing many to go out of business and get bought up by hospitals that routinely overcharge everything and screw patients over?  because that is the trend now.  big hospitals will rule the system more and more.

drJ · Answer

maybe its better we go under while we still have our agra land and other natural resources.  i&#x27;m pretty torn about the pros and cons of our nations decline

kaponofor3 · Answer

Yes, I represent them legally. It makes up a very large portion of my practice. If I were a doctor, I probably would not want to deal with insurance companies either, but they are a necessary evil nowadays. I&#x27;d probably prefer to do only private patient pay, but I don&#x27;t know if its possible to sustain a large enough patient load to keep your business running like that. Then again, if you do that private pay method, then you also run the risk of having to perform collection services from patients who don&#x27;t pay (no different than attorneys who don&#x27;t get paid on their bills)With regard to the in-network doctors, I feel like they are making an agreed upon trade-off in many cases with the insurance company: you pay me lower reimbursements for what I think my services are legitimately worth in exchange for an increased patient load that I can see because we have an agreement.

drJ · Answer

i charge the patients up front retainer which covers most everything they need unless they take up tons of my time. no collections ever. if they are destitute i never charge anything.

so you are a med mal def atty i bet. never needed one and hope i dont. know a few that have. i used to do med mal consulting in the past, no need anymore. i hate courtrooms since a divorce 11 yrs ago.

you will find docs getting farther away from the ins co. model of managed care and being bought up by massive groups, usually hospital run. all the cardiologists here (34) just got bought by 1 of the 3 major hospitals here and we cant schedule tests through them for most ins co unless the patients want to pay full hospital price.

the cardiologists sold out because their reimbursement was dropping so much that every year their salaries were 10% less than the prior year since 2007.

now all my cardiac folks can only go to 1 hospital even if its not on their insurance list.....patients get screwed.

AcerRubrum · Answer

where do you see HOPE and CHANGE that will SAVE this country?  The GOP is on life support and about to take the last breath... the left, the unions, the blacks, and now probably the hispanics all go BLUE no matter whom the candidate making the GOP less and less of a threat to even try and balance anything.show me the positives heading forward please

drJ · Answer

cant see any.  i periodically takes weeks/months off from paying attention to anything else other than business/wife and kids.  typically summer and football season.  i feel better then get stupid enough to start reading again.i am halfway through rick the Sargent&#x27;s   book about everything that can kill you and have a fantastic idea since i am big on overpopulation.  there is this sperm killing corn out there that needs to be given to as many men as possible but how.  well i am working on poisoning the worlds food supply so next time the green giant says ho ho ho, the laugh may be on your lil swimmers.

drJ · Answer

speaking of greedy docs, i have been on a tear, winning 10/12 since thurs.  a friend gives me his picks from some computer system.have butler and byu tonight.  time to go home and watch JimmerTeach Me How to Jimmer (THE ORIGINAL)

dl36 · Answer

During the bush presidency we saw a trend of policing non-profit agencies that deliver services to medicare/medicaid.. I think that it was both appropriate as well as a shift in the typical contracts were often a lump sum that people then took their piece of the pie to a more fee for service, detailed account of the work and contracts being restructured..

This was also a product of the technology being able to better track and police providers paid by government contracts with electronic medical records...

But similar to current politics this put focus on the public sector while the government contracts in the private sector had much less regulation if not any...

steveshane67 · Answer

my ins co denied my ortho docs 7.5k fee from my surgery (total billed fees were ~30k).  i hope that one doesnt get passed on to me.

Ap1Bfreetorun · Answer

I concur, Acer.  We are going to hell with a downhill pull.  I am sorry for my grandchildren and great-grandchildren.  If Obama wins in 2012 we will REALLY go to Hell as a country, much worse than now.

drJ · Answer

Steve,  the question is whether or not they are contracted with your insurance co and  are therefore in a minor pissing contest.  if so you are fine.if they are not contracted then you may be liable for some of that inflated bill.  that they should have told you ahead of time though.  good luck

insurance scam by greedy doc

Teach Me How to Jimmer (THE ORIGINAL)

Teach Me How to Jimmer (THE ORIGINAL)

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