Quote:
Originally Posted by i'va biggen
BRRRRP wrong medicare pays $120. for a Dr appointment if you have no insurance it is $75.
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Show me where!
FYI: I am asking, but in my discussions I am referencing payment not billing .... for a straight office visit with no additional cost codes for additional testing (in house), shots, or other services ... they will not get $120 ... and sometimes get just the copay ... one has to look at the averages .. I have seen $1,200 charges get tossed. Office prcocedures get pared to 10% of the billed charges. that is why they "pad" them with codes to show the validity of the visit and the "required" nature of the service.
Also, there are regional cost codes that will change the billing and payment depending on the "market" of the particularly region of the country.
You make it sound like any time I walk into a doctor's office any where I will pay $75 if I don't have insurance ... just not the case. .. or that the doctor will get $120 from Medicare for the same visit ... anywhere in the US ... just not the case.