Hello everyone. My wife went in for an annual pap smear which is covered on our insurance. During her visit she mentioned a possible bacterial infection so the doctor said she'd do check for one. We ended up with a nearly $800 bill due to them running 18 labs at an out of office medical and pathology lab. Everywhere I've read says this is unusual. Could anyone share insight on what the possible reason is behind all the labs and possibly if I have grounds for an appeal?
Hiển thị các bài đăng có nhãn reddit. Hiển thị tất cả bài đăng
Hiển thị các bài đăng có nhãn reddit. Hiển thị tất cả bài đăng
Thứ Ba, 20 tháng 5, 2025
CareDx Finally Agreed to Pay Investors $20.25M Over Hiding Issues With Medicare Billings
If you missed it, CareDx finally decided to settle and pay $20M to investors over the scandal they had in 2021, for hiding issues with Medicare billing rules. So, here’s a quick recap and some updates.
Back in 2021, CareDx promoted growing revenue from its AlloSure test. However, later it was revealed that the company had billed Medicare for tests that didn’t meet medical necessity rules and had paid illegal incentives to doctors.
After that, the company even reported it was under investigation by the DOJ, SEC, and a state regulator, causing the stock to drop by 75% (not a surprise at all, imo).
So, after all of this came out, investors filed a lawsuit against CareDx. Now, after 4 years, they finally agreed to settle and pay them for their losses.
If you got hit by this, you can check the details and file for payment.
Anyways, anyone here invested in $CDNA when this scandal happened? How much were your losses if so?
Mythbusting: Medicaid and Work Requirements
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https://ift.tt/pUIb6qX Submitted May 20, 2025 at 12:06AM by cepr_dc https://ift.tt/OrAh0JD
Thứ Hai, 19 tháng 5, 2025
An Apple a day keeps the medical bills away
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https://ift.tt/OBWYeur Submitted May 19, 2025 at 05:43AM by Terrible_Internet_32 https://ift.tt/jZJpkqo
Hospital bills
We have years of bills and are drowning further. All different facilities. I never signed up for payment plan. How long paying as I can do I have before collections and does it impact credit?
Chủ Nhật, 18 tháng 5, 2025
Private health insurance now
I'm a student in the state of Florida looking for private health insurance. Something simple and cheap. Even short term can do.. I was just randomly told that my "family planning" partial Medicaid coverage is no longer an acceptable health insurance policy at my University (after 2 yrs). Health insurance is required to be enrolled on campus. It seems that the infirmary is no longer a "free" service for students, so now I'll b paying out of pocket for the most basic care. I do not qualify for special enrollment or full Medicaid (I've applied). I just need insurance that'll prevent me from being enrolled in my University's overpriced and expensive healthcare plan.
Please point me to legit sites and resources. Please don't reply "healthcare.gov", I've been down that route and it isn't helpful. Any advice is helpful, & also waiting until open enrollment won't do.
Cutting hours?!?
Why are LTC centers cutting all staff hours?!? Including kitchen?
Is there something I’m missing or are they budgeting or are we not able to afford costs?
Waited an hour to talk to an insurance agent. Typical 😂
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https://ift.tt/DTtYl9v Submitted May 17, 2025 at 11:39PM by IDeliveredYourPizza https://ift.tt/u2wmqcJ
Thứ Bảy, 17 tháng 5, 2025
Are you a registered dietitian?
Hello everyone! I'm 24 years old and graduated from UCLA last summer with a degree in psychology. Throughout my life, I've harbored a strong passion for food, health, and nutrition. While I enjoy psychology, I’m not as enthusiastic about it as a career, except perhaps for becoming a marriage and family therapist in the future because I love helping people navigate difficult relationships.
However, my true passion lies in nutrition. I genuinely enjoy assisting others with their dietary choices and leading a healthy lifestyle. Although I haven't directly interacted with nutritionists or registered dietitians, I've learned a lot about the field from my nutrition professor, who is also a registered dietitian.
This year, I worked as a culinary instructor for children, but I feel like I'm not progressing in my higher education. My parents have expressed concerns about pursuing a career in nutritional science, suggesting that registered dietitians don’t earn much, especially living in Los Angeles.
I would love to hear from registered dietitians, particularly those based in California. Are you satisfied with your work? Do you feel undercompensated? What can I expect from this career? If you could go back to being 24 with the knowledge you have now, would you still choose this path? Thank you for your insights!
Do you ever feel like the sheer number of patients packed into your schedule can make it challenging to truly listen to people and treat them like human beings?
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https://ift.tt/DIE82UM Submitted May 17, 2025 at 02:41AM by web2122 https://ift.tt/lL5zrsC
healthcare workers rant
Hello all, I work at a assisted living facility as a caregiver and I’ve seen some terrible things. For some context, I’m a sitter so basically I watch patients who are prone to fall and I accompany residents to doctors appointments. Every time I go with them to an appointment, the receptionist or doctor, or assistant is always so rude or nonchalant. They never greet me, or ask me what I’m there for. For example, I go with a resident to dialysis every other day and the workers there are so rude to their patients. They never said hi, and I recall an incident where one of them was telling a patient she wouldn’t put his chair up bc he didn’t ask nicely. Like what did she expect? She has a job bc of THEM, and she didn’t even say good morning or anything. What is happening with healthcare workers? Are they not taught proper etiquette? I have past restaurant experience and I was taught to ALWAYS greet customers. Ik it’s not any way near the same thing but it is in the sense where you need to be respectful. I’ve noticed this more with young healthcare workers and I am 20. This bothers me sm because I want to pursue a career in healthcare, and seeing these things makes me wanna pursue it more because the system needs more kindness. I am however very happy when I see nurses who love their job and are sweet and caring, you all are extremely appreciated. But I wonder why that is.
Thứ Sáu, 16 tháng 5, 2025
Mental Health
Lately I’ve been feeling guilty that I’m a healthy individual with minor health problems. But working in a BMT unit has been taking a toll on me. How can I change my mindset? These patients are suffering. These patients are good people. I don’t wish this upon anyone, even my enemies. How can I be grateful for my life when other people are suffering?? Honest question..
Nursing staff ratios
Inpatient PT here asking a question for nurses. How much do you feel your work day would improve if your staffing ratio was 3:1 instead of 4/5:1. Do you think this would improve patient experience significantly?
BCBS Line Level Denial Data?
Currently, BCBS is denying our entire claim at the claim level rather than the individual line level. This is making it excruciatingly difficult to determine the denial root cause in order to rebill a corrected claim for payment.
Has anyone ever ran into this same problem? If so, were you able to get BCBS to remit at the line level? Availity is no help. Our 835 data is no help, same issue. When you call the reps, they aren’t helpful either. Any help would be greatly appreciated. If this is the wrong sub for this, my apologies.
Thứ Năm, 15 tháng 5, 2025
Proposed Fair Pricing Act caps hospital bills at 150% of Medicare in New York
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https://ift.tt/ra3VKYI Submitted May 15, 2025 at 03:28AM by news-10 https://ift.tt/2UfxTmw
Texas Medical Board Complaint
Is the doctor you’ve filed a complaint against typically (to required to be) present at the board hearing?
I’ve asked (and been granted permission) to speak at the hearing against my Dr and am just curious if he’ll be there.
New medical scrub brand!
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https://ift.tt/ra3VKYI Submitted May 14, 2025 at 11:55PM by OTForlyfe https://ift.tt/Gvfr0Cn
Thứ Tư, 14 tháng 5, 2025
Trump wants to lower prescription drug prices. What it means for your pharmacy bill.
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https://ift.tt/gB7uOcn Submitted May 14, 2025 at 02:43AM by mrinternetman24 https://ift.tt/psILwlO
Cannot afford a covered CA plan for next year, is it better to be uninsured?
Hi Right now I just started a new job, the pay is pretty good, but there are no health benefits sadly. Currently I have health insurance fully paid till the end of the year as part of a severance agreement with my last employer when I was laid off at the end of last year. The cheapest covered CA plan still has a deductible of 5800/year and the monthly premium is over $400/month.
It seems better to just be uninsured at that point since I will never hit the deductible and I'm still paying a crazy amount of money. I'm right now considering just getting a new job even though I just started, the commute is unsustainable too (2hrs to get home)
Thứ Ba, 13 tháng 5, 2025
What to do when work requirements are implemented for Medicaid?
I'm honestly at a loss. I'm scared to death as someone with asthma that needs medication and doctors visits to keep it controlled. I do work, but due to my back I can't work full time. My store where I work only schedules me around 10 hours a week. I'm terrified I'm going to lose insurance when the work requirements come into effect. I'm looking to see what options are out there in preparation for the loss of my insurance. I only make around $500 a month so I can't afford much of anything. I tried for disability years ago, got denied. Was told by a lawyer to see a doctor for at least a year, but I honestly don't feel confident I can get anything, I'm still traumatized by going through the court system before. I honestly don't know what to do.
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