healthmyths
Platinum Member
- Sep 19, 2011
- 28,841
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- Thread starter
- #21
So through your example YOU ARE NOW SAYING that the HOSPITALS are RIPPING Medicare off?Again the ignorance about Medicare is appalling on this board. I am an expert as my living comes from helping those 1.5 million providers GET PAID from Medicare 10,000 times a day!
And this phony statement about Medicare "efficiency" "1 percent figure" is because Medicare
processes NOT ONE SINGLE claim of the 1.2 billion that Medicare contractors process!
Want to see Medicare 'efficiency?
Explain to me why Medicare accepts from hospitals claims that are sometimes marked up over 6,000%???
Florida Hospital Tampa 3100 East Fletcher Avenue Tampa, FL 33613
In 2011 Hospital in Tampa sent Medicare 1,362 claims for CAT scan no contrast.
Each claim averaged $3,463, i.e. what the hospital billed Medicare...
The hospital's ACTUAL COSTS to perform the CAT SCAN was $57 a mark up 5,975.44%
ONE Acroynm EMTALA! A 1986 good feeling law passed that has snowballed health care costs to what is now and WHY
hospitals like the above SEND claims with sometimes 6,000% markups!!!!
Its a game. the hospital bills $6000, then gives medicare a $5500 discount, then medicare pays the hospital $500. But the actual cost is less than $100.
Where are your facts for that?
My source for the above example is this:
All information in this report is taken from the Medicare Hospital OPPS Identifiable Data Set which is updated annually by CMS based on the service year (i.e. calendar year).
The file includes hospital outpatient billing data for 100% of all Medicare fee-for-service claims for outpatient services provided during the twelve months ending December 31.
OPPS Identifiable Data Set - Centers for Medicare & Medicaid Services
Provide sourcing before wild eyed, exaggerated stupid comments!