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	<title>Comments on: Livid (Healthcare Scam No. 217?)</title>
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	<description>A gold mine of straight talk and encouragement for people living with diabetes</description>
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		<title>By: Pages tagged "livid"</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-251623</link>
		<dc:creator>Pages tagged "livid"</dc:creator>
		<pubDate>Sat, 28 Feb 2009 18:38:10 +0000</pubDate>
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		<description>[...] bookmarks tagged livid » Livid (Healthcare Scam No. 217?) - DiabetesMine...&#160;saved by 16 others  &#160;&#160;&#160;&#160;MewMewIchigogirl bookmarked on 02/28/09 &#124; [...]</description>
		<content:encoded><![CDATA[<p>[...] bookmarks tagged livid » Livid (Healthcare Scam No. 217?) &#8211; DiabetesMine&#8230;&nbsp;saved by 16 others  &nbsp;&nbsp;&nbsp;&nbsp;MewMewIchigogirl bookmarked on 02/28/09 | [...]</p>
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		<title>By: Absolutely Absured</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247453</link>
		<dc:creator>Absolutely Absured</dc:creator>
		<pubDate>Wed, 28 Jan 2009 08:15:29 +0000</pubDate>
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		<description>Let me correct myself here. A hospital will write off a certain portion of an individual&#039;s bill if they are self pay. A discount of sorts. If you will pay in full they will offer a huge discount at the time of discharge.
I stand corrected or will correct further if needed!
If you have insurance, they will accept what insurance pays and charge you the rest of the bill in full. Oh, excuse me if you work there some will offer a slight discount. A hospital will accept a Public Aid payment in full, but will not accept accept a Medicare payment if full. You are charged the remainder of the bill. Possibly minus a small percentage. I don&#039;t pretend to be one hundred percent accuarate. I just know that this is the way some organizations do business.

P.S. and they really don&#039;t care if you have to take out a second mortgage either.</description>
		<content:encoded><![CDATA[<p>Let me correct myself here. A hospital will write off a certain portion of an individual&#8217;s bill if they are self pay. A discount of sorts. If you will pay in full they will offer a huge discount at the time of discharge.<br />
I stand corrected or will correct further if needed!<br />
If you have insurance, they will accept what insurance pays and charge you the rest of the bill in full. Oh, excuse me if you work there some will offer a slight discount. A hospital will accept a Public Aid payment in full, but will not accept accept a Medicare payment if full. You are charged the remainder of the bill. Possibly minus a small percentage. I don&#8217;t pretend to be one hundred percent accuarate. I just know that this is the way some organizations do business.</p>
<p>P.S. and they really don&#8217;t care if you have to take out a second mortgage either.</p>
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		<title>By: Absolutely Absured</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247454</link>
		<dc:creator>Absolutely Absured</dc:creator>
		<pubDate>Wed, 28 Jan 2009 08:00:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247454</guid>
		<description>Hello, I&#039;m not exactly sure Who I am responding to, but I had to RESPOND!

This is absolutely ludicrous, I am appalled. I am angry, but I also understand what the hospitals and Dr&#039;s offices are doing. I see it all around us. I see it in pharmacies also. This is an interpretation of HIPPA laws or CMS or Medicare. Everyone is going extremely overboard with this. For your own medical record, to have to pay for another physician&#039;s office to receive a FAX a copy of your medical records. Man, I see a Pandora&#039;s box here. We&#039;ll be charged for the service, Okay, of course it will continue to escalate to an absorbitant rate.  then again we will be charged for the copy we want, and again be charged to have it forwarded to the other Dr. will we eventually be EACH and EVERY single time!!!!!

This is absolutely ridiculous. It&#039;s sheer laziness. Someone has to lift one more piece of paper or make one more phone call or punch one more button on a fax machine. I could go on and on.

I realize we are ALL busy. EVERYONE. No one is immune to the fast pace world today. Some choose it, some don&#039;t choose it, some cause it, some ignore it, making everyone else more crazy and more busy. Geez, this will never end, will it?

Anyway, back to what I was talking about. You make a request, the office wants a release signed. Okay, no problem and really no problem to make the phone calls. This isn&#039;t really any one person or Dr&#039;s office staff&#039;s responsibility. I think we can all share this task. However, with the way it&#039;s going, certainly no one will volunteer to do this task. (Would you?) Let&#039;s Pretend or go with what you did, make the phone call with the request. Wonderful the ball&#039;s rolling. Now, WE make the call to verify that everything has been sent where it needs to go and the Dr&#039; office has the gull to ask you to pay a processing FEE! Excuse me, but good GOD. That is so Absolutely Lubricious. They just want more money. It&#039;s almost as bad as hospitals writing off (I&#039;m going to get in huge trouble here, but I&#039;m on a roll) bills for people who can&#039;t pay for the service. I completely agree everyone and I mean ABSOLUTELY EVERYONE should have access to care, but in most cases, individual&#039;s with insurance (You all know the Routine) end up paying higher prices and also end up being charged SELF PAY for the portion the insurance doesn&#039;t cover. (MOST HOSPITAL&#039;S EXPECT YOU TO TAKE OUT A LOAN TO PAY THEM BACK.) They simply do not care. Whatever happened to taking the Medicare allowance or even taking insurance companies allowance as payment in full. Good LORD we all need help. We&#039;re not going to make it much longer. (P.S. carefully scrutinize each and every bill)

Okay, so now really, the Dr. wanted you to pay for the little extra work that someone had to do for you. It is our right as a patient to request a copy of our own medical record. Especially, it is right to request records to be sent to another physician. More often than not, most hospitals and Dr&#039;s offices have some type of consent form that should cover this scenario. Yet, you still should NOT have to pay any more for it. GOT ME HERE?

I instruct everyone I know to ask for a copy of anything done in the hospital or Dr&#039;s office directly upon receipts of the results. Pretty soon, they will start CHARGING us for THOSE copies. Yet, if we keep on top of things we will have our own medical record and can make copies as we need them and transfer or submit the to another physician as needed. I certainly would recommend a place for safe keeping. Lock box, safe, whatever. At least you can do what you want. Something has got to change and soon. I pray.

Pharmacies use to call your Dr&#039;s office if you needed a refill authorization.However, now they will post a little sticker on the bottle to tell you to call him. Many are doing away with the answering machines now and you can&#039;t reach them accept for during hours of operation. They refuse to make a phone call to report a need. They are TOO busy! Well then, do what most people do....GET HELP. Pretty soon, they will be calling us with questions regarding the prescription the Dr. wrote for you. That&#039;s in the pharmacists job description isn&#039;t it? &#039;m just being facetious, I can make a call like this one too. I have no problem with that. Even though I don&#039;t know anything about what he ordered or what or how to ask for something else. Bah Humug!!! This is crazy...

Let us know what you think.

It&#039;s a viscious cycle and I completely understand the concept of accepting responsibility. I think we all do or most people do. I&#039;m not trying to bad mouth anyone. Really I&#039;m not. I&#039;m just sick and tired of the chaos creating more chaos. What happened to &quot;organized&quot; chaos. At least thing got done, maybe not fast but dependably.</description>
		<content:encoded><![CDATA[<p>Hello, I&#8217;m not exactly sure Who I am responding to, but I had to RESPOND!</p>
<p>This is absolutely ludicrous, I am appalled. I am angry, but I also understand what the hospitals and Dr&#8217;s offices are doing. I see it all around us. I see it in pharmacies also. This is an interpretation of HIPPA laws or CMS or Medicare. Everyone is going extremely overboard with this. For your own medical record, to have to pay for another physician&#8217;s office to receive a FAX a copy of your medical records. Man, I see a Pandora&#8217;s box here. We&#8217;ll be charged for the service, Okay, of course it will continue to escalate to an absorbitant rate.  then again we will be charged for the copy we want, and again be charged to have it forwarded to the other Dr. will we eventually be EACH and EVERY single time!!!!!</p>
<p>This is absolutely ridiculous. It&#8217;s sheer laziness. Someone has to lift one more piece of paper or make one more phone call or punch one more button on a fax machine. I could go on and on.</p>
<p>I realize we are ALL busy. EVERYONE. No one is immune to the fast pace world today. Some choose it, some don&#8217;t choose it, some cause it, some ignore it, making everyone else more crazy and more busy. Geez, this will never end, will it?</p>
<p>Anyway, back to what I was talking about. You make a request, the office wants a release signed. Okay, no problem and really no problem to make the phone calls. This isn&#8217;t really any one person or Dr&#8217;s office staff&#8217;s responsibility. I think we can all share this task. However, with the way it&#8217;s going, certainly no one will volunteer to do this task. (Would you?) Let&#8217;s Pretend or go with what you did, make the phone call with the request. Wonderful the ball&#8217;s rolling. Now, WE make the call to verify that everything has been sent where it needs to go and the Dr&#8217; office has the gull to ask you to pay a processing FEE! Excuse me, but good GOD. That is so Absolutely Lubricious. They just want more money. It&#8217;s almost as bad as hospitals writing off (I&#8217;m going to get in huge trouble here, but I&#8217;m on a roll) bills for people who can&#8217;t pay for the service. I completely agree everyone and I mean ABSOLUTELY EVERYONE should have access to care, but in most cases, individual&#8217;s with insurance (You all know the Routine) end up paying higher prices and also end up being charged SELF PAY for the portion the insurance doesn&#8217;t cover. (MOST HOSPITAL&#8217;S EXPECT YOU TO TAKE OUT A LOAN TO PAY THEM BACK.) They simply do not care. Whatever happened to taking the Medicare allowance or even taking insurance companies allowance as payment in full. Good LORD we all need help. We&#8217;re not going to make it much longer. (P.S. carefully scrutinize each and every bill)</p>
<p>Okay, so now really, the Dr. wanted you to pay for the little extra work that someone had to do for you. It is our right as a patient to request a copy of our own medical record. Especially, it is right to request records to be sent to another physician. More often than not, most hospitals and Dr&#8217;s offices have some type of consent form that should cover this scenario. Yet, you still should NOT have to pay any more for it. GOT ME HERE?</p>
<p>I instruct everyone I know to ask for a copy of anything done in the hospital or Dr&#8217;s office directly upon receipts of the results. Pretty soon, they will start CHARGING us for THOSE copies. Yet, if we keep on top of things we will have our own medical record and can make copies as we need them and transfer or submit the to another physician as needed. I certainly would recommend a place for safe keeping. Lock box, safe, whatever. At least you can do what you want. Something has got to change and soon. I pray.</p>
<p>Pharmacies use to call your Dr&#8217;s office if you needed a refill authorization.However, now they will post a little sticker on the bottle to tell you to call him. Many are doing away with the answering machines now and you can&#8217;t reach them accept for during hours of operation. They refuse to make a phone call to report a need. They are TOO busy! Well then, do what most people do&#8230;.GET HELP. Pretty soon, they will be calling us with questions regarding the prescription the Dr. wrote for you. That&#8217;s in the pharmacists job description isn&#8217;t it? &#8216;m just being facetious, I can make a call like this one too. I have no problem with that. Even though I don&#8217;t know anything about what he ordered or what or how to ask for something else. Bah Humug!!! This is crazy&#8230;</p>
<p>Let us know what you think.</p>
<p>It&#8217;s a viscious cycle and I completely understand the concept of accepting responsibility. I think we all do or most people do. I&#8217;m not trying to bad mouth anyone. Really I&#8217;m not. I&#8217;m just sick and tired of the chaos creating more chaos. What happened to &#8220;organized&#8221; chaos. At least thing got done, maybe not fast but dependably.</p>
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		<title>By: Stalwart Hospitalist</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247460</link>
		<dc:creator>Stalwart Hospitalist</dc:creator>
		<pubDate>Tue, 20 Jan 2009 17:24:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247460</guid>
		<description>I would advise that some of this energy be channeled into lobbying for a support of a national health care record, obviating the need for record faxing of any kind, and eliminating the inefficiencies associated therewith.

As a hospitalist, I yearn for the day when I do not have to spend any extra time with other hospitals&#039; or clinics&#039; medical record personnel in order to obtain needed information on my patients.

In addition, this would remove the current false dilemma of patients having to decide whether to spend the extra time to transport records themselves or having to pay an extra fee for medical personnel to do so.</description>
		<content:encoded><![CDATA[<p>I would advise that some of this energy be channeled into lobbying for a support of a national health care record, obviating the need for record faxing of any kind, and eliminating the inefficiencies associated therewith.</p>
<p>As a hospitalist, I yearn for the day when I do not have to spend any extra time with other hospitals&#8217; or clinics&#8217; medical record personnel in order to obtain needed information on my patients.</p>
<p>In addition, this would remove the current false dilemma of patients having to decide whether to spend the extra time to transport records themselves or having to pay an extra fee for medical personnel to do so.</p>
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		<title>By: Melissa</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247459</link>
		<dc:creator>Melissa</dc:creator>
		<pubDate>Mon, 19 Jan 2009 20:53:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247459</guid>
		<description>It&#039;s only going to get worse.  I&#039;ve just been informed that I have to take a &quot;healthy benefits&quot; assessment and then complete 2 &quot;wellness&quot; programs or the cost of my health insurance will go up $20 on the co-pay, $250 on the deductible and $750 on the flex account.  Oh, of course this is all &quot;optional&quot;, but if you don&#039;t do it you pay higher.  Sounds like extortion to me.  And apparently we have to do this every year now.  How they are going to work that is beyond me as there are only around 5 wellness courses to take, what happens after you&#039;ve done everything you can and taken all the classes?  What happens if you decide not to do it for 3 years, does that mean your co-pay goes up $60?!?  My current co-pay just went up $5 to $15 instead of $10 - add 3 years of $20 for not taking their stupid courses and my co-pay for an office visit would be $75!

It&#039;s a vicious cycle, they raise healthcare costs and more people can&#039;t afford health insurance, so they raise them again, and more people can&#039;t afford it.  We&#039;ll end up with socialized medicine in the end if by no other means than the fact that eventually absolutely no one will be able to afford health insurance and we&#039;ll all be on the public trough.</description>
		<content:encoded><![CDATA[<p>It&#8217;s only going to get worse.  I&#8217;ve just been informed that I have to take a &#8220;healthy benefits&#8221; assessment and then complete 2 &#8220;wellness&#8221; programs or the cost of my health insurance will go up $20 on the co-pay, $250 on the deductible and $750 on the flex account.  Oh, of course this is all &#8220;optional&#8221;, but if you don&#8217;t do it you pay higher.  Sounds like extortion to me.  And apparently we have to do this every year now.  How they are going to work that is beyond me as there are only around 5 wellness courses to take, what happens after you&#8217;ve done everything you can and taken all the classes?  What happens if you decide not to do it for 3 years, does that mean your co-pay goes up $60?!?  My current co-pay just went up $5 to $15 instead of $10 &#8211; add 3 years of $20 for not taking their stupid courses and my co-pay for an office visit would be $75!</p>
<p>It&#8217;s a vicious cycle, they raise healthcare costs and more people can&#8217;t afford health insurance, so they raise them again, and more people can&#8217;t afford it.  We&#8217;ll end up with socialized medicine in the end if by no other means than the fact that eventually absolutely no one will be able to afford health insurance and we&#8217;ll all be on the public trough.</p>
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		<title>By: kelly close</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247458</link>
		<dc:creator>kelly close</dc:creator>
		<pubDate>Mon, 19 Jan 2009 01:16:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247458</guid>
		<description>Amy, I know, where are things going! Hopefully with the new Obama administration, we&#039;ll be moving toward electronic medical records although there was just an article on today&#039;s NY Times about how privacy is such a problem there. Distressing! We know reimbursement is a major difficulty for so many people with diabetes - it&#039;s very hard for doctors too who just want to spend time with patients. My (our!) doctor is often in her office at 7 pm and gets paid incredibly little for her time. The days of doctors with fancy cars is ending. All doctors need to be able to communicate with and share info with each other MUCH more easily to keep us healthier, so we can get better care and do well in the long run - and so they can stay in business. I hope this is a bigger area of investment going forward. best kelly www.HealTheFDA.com</description>
		<content:encoded><![CDATA[<p>Amy, I know, where are things going! Hopefully with the new Obama administration, we&#8217;ll be moving toward electronic medical records although there was just an article on today&#8217;s NY Times about how privacy is such a problem there. Distressing! We know reimbursement is a major difficulty for so many people with diabetes &#8211; it&#8217;s very hard for doctors too who just want to spend time with patients. My (our!) doctor is often in her office at 7 pm and gets paid incredibly little for her time. The days of doctors with fancy cars is ending. All doctors need to be able to communicate with and share info with each other MUCH more easily to keep us healthier, so we can get better care and do well in the long run &#8211; and so they can stay in business. I hope this is a bigger area of investment going forward. best kelly <a href="http://www.HealTheFDA.com" rel="nofollow">http://www.HealTheFDA.com</a></p>
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		<title>By: jeremiah</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247457</link>
		<dc:creator>jeremiah</dc:creator>
		<pubDate>Sun, 18 Jan 2009 16:55:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247457</guid>
		<description>Scott,

you do realize that doctors don&#039;t have to accept insurance, and in doing so can lower their office visits to the patients since the don&#039;t have to ballon their costs to only settle at a lower price with the insurance companies while milking a self-pay person as myself. sorry but a $200 dollar visit to an endo for him to check my B.P. tickle my feet and tell me the low you had on X day is a concern to him. isn&#039;t worth 200 bucks and you say i ought to be happy to give them an extra 20 dollars are you off your rocker man!!! the last time i checked most docs are driving a 600 benz or 745li bmw, while a small business owners as myself puts in 18 hours a day just to be able to pay employees buy insulin and over pay these crack doctors. as a matter of fact they ought to be happy to hand me a 20 dollar bill for going to see them instead of someone else. not only are you a patient but you are the consumer in a for profit health industry that borders corruption and fraud.</description>
		<content:encoded><![CDATA[<p>Scott,</p>
<p>you do realize that doctors don&#8217;t have to accept insurance, and in doing so can lower their office visits to the patients since the don&#8217;t have to ballon their costs to only settle at a lower price with the insurance companies while milking a self-pay person as myself. sorry but a $200 dollar visit to an endo for him to check my B.P. tickle my feet and tell me the low you had on X day is a concern to him. isn&#8217;t worth 200 bucks and you say i ought to be happy to give them an extra 20 dollars are you off your rocker man!!! the last time i checked most docs are driving a 600 benz or 745li bmw, while a small business owners as myself puts in 18 hours a day just to be able to pay employees buy insulin and over pay these crack doctors. as a matter of fact they ought to be happy to hand me a 20 dollar bill for going to see them instead of someone else. not only are you a patient but you are the consumer in a for profit health industry that borders corruption and fraud.</p>
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		<title>By: Scott</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247456</link>
		<dc:creator>Scott</dc:creator>
		<pubDate>Sun, 18 Jan 2009 15:31:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247456</guid>
		<description>Everyone, it&#039;s very simple why this is happening. Doctors are now getting squeezed so much by insurance companies setting negotiated prices that they can no longer stay in business just charging the allowed amounts. Hence, they need to make money some other way.

In the state where I live (Ohio), over 40% of the OB-GYNs have gone out of business in the last 5 or so years.

You should be sending them the $20 as a thank you for even staying in business. I&#039;m not disagreeing at all that this should be a &quot;for free&quot; service, but because of the way insurance is killing us all....

Scott</description>
		<content:encoded><![CDATA[<p>Everyone, it&#8217;s very simple why this is happening. Doctors are now getting squeezed so much by insurance companies setting negotiated prices that they can no longer stay in business just charging the allowed amounts. Hence, they need to make money some other way.</p>
<p>In the state where I live (Ohio), over 40% of the OB-GYNs have gone out of business in the last 5 or so years.</p>
<p>You should be sending them the $20 as a thank you for even staying in business. I&#8217;m not disagreeing at all that this should be a &#8220;for free&#8221; service, but because of the way insurance is killing us all&#8230;.</p>
<p>Scott</p>
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		<title>By: Brenda</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247455</link>
		<dc:creator>Brenda</dc:creator>
		<pubDate>Fri, 16 Jan 2009 16:24:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247455</guid>
		<description>You should just make it a habit to get copies of all your test results yourself, whether it be electronically (so you can print it out) or on paper. Then you can just hand your other doctors your records, cutting out the middle man.  I have a fax service where I have faxes sent to a phone number, and the service sends me a PDF of the fax.  Assuming the doc&#039;s office is amenable to faxing results to me, I have an instant electronic copy in my inbox that I can file on my computer and print out for my files.</description>
		<content:encoded><![CDATA[<p>You should just make it a habit to get copies of all your test results yourself, whether it be electronically (so you can print it out) or on paper. Then you can just hand your other doctors your records, cutting out the middle man.  I have a fax service where I have faxes sent to a phone number, and the service sends me a PDF of the fax.  Assuming the doc&#8217;s office is amenable to faxing results to me, I have an instant electronic copy in my inbox that I can file on my computer and print out for my files.</p>
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		<title>By: Lauren</title>
		<link>http://www.diabetesmine.com/2009/01/livid-healthcare-scam-no-217.html/comment-page-1#comment-247452</link>
		<dc:creator>Lauren</dc:creator>
		<pubDate>Fri, 16 Jan 2009 06:50:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5328#comment-247452</guid>
		<description>Yes, there are laws governing access to your records.  Doctors have to provide them within a certain time limit and they are definitely limited to the charges they can apply.  If this incident upset you that much, contact the board immediately and file a complaint.

People go through far, far worse every day, dealing with the train wreck that is health care in America.

Whenever I&#039;m a patient, I make sure to know my rights and know exactly whom to contact if I need to involve an outside agency.  I also document everything, get names, and write down dates of conversations.</description>
		<content:encoded><![CDATA[<p>Yes, there are laws governing access to your records.  Doctors have to provide them within a certain time limit and they are definitely limited to the charges they can apply.  If this incident upset you that much, contact the board immediately and file a complaint.</p>
<p>People go through far, far worse every day, dealing with the train wreck that is health care in America.</p>
<p>Whenever I&#8217;m a patient, I make sure to know my rights and know exactly whom to contact if I need to involve an outside agency.  I also document everything, get names, and write down dates of conversations.</p>
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