Re: Copays. Was Legal system defining
From: art fougner, md (evsono@pipeline.com)
Mon Apr 23 12:36:01 2001
tavern operator - sorry sir - the bar is closed.
wc fields - why?
tav op - why it's election day. it's the law.
wc - who made this law?
tav op - why, the people made it.
wc - that's carrying democracy too far!!!
this nonsense about insurance is just ridiculous.
again - to quote my assemblyman - you guys should be in a union!
art
At Mon, 23 Apr 2001, Dr. Lynn Montgomery wrote:
>
>Interestingly, a physician/practice can be found liable for not collecting a
>co-pay and subsequently writing it off (even if it is because of the
>patient's inability to pay it) in two scenarios. First, it can be(and has
>been)found to be "enticing" patients or essentially providing kick-backs to
>that subset of patients for them coming to you for care. Secondly, if you
>care for medicare/medicaid patients, you can be found for providing
>discounts to patients that you are not providing for medicare/medicaid
>patients.
>
>Once again, we, as physicians, come up the loser either way...
>
>Lynn
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanne
>Bulley
>Sent: Sunday, April 22, 2001 6:45 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Copays. Was Legal system defining
>
>Actually - if the co-pay isn't paid at time of service - the insurance
>company can cancel the policy (It think this is true for most policies)
>(I don't think the doc is at fault as long as your records show you
>tried to collect it) - so far I haven't reported a patient for such but
>if it isn't paid with reasonable attempts - they HAVE to pay it before
>being seen for anything short of an emergency (as well as the new one
>for the current visit).
>
>Joanne
>
>At Sun, 22 Apr 2001, RModugno@aol.com wrote:
>>
>>This exemplifies the total chaos of the managed care system - even the
>>customer service reps don't know (or even care) what is going on. It is my
>>general understanding, that unless stated otherwise ( e.g $0 co-pay on her
>>insurance card or for global ob visits or global post-op visits) the
>patient
>>is expected to pay a co-pay at each and every visit. We also have patients
>>who complain about this and we explain to them that this is a rule of THEIR
>>insurance company and if we don't charge a co-pay, we are violating our
>>contract and commiting insurance fraud.
>>
>>Any comments, Dr Kulkin?
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>
>--
>Joanne Bulley, MD, FACOG
>Keene, NH, USA
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
