THE MYSTERY MEDICAL BILL/HELP IS ON THE WAY!
By: Randy S. Gerber, Esq., Founder of Pacient.care
Imagine this: you walk or are wheeled into the hospital and on the wall in the waiting room you see the following:
- Aching Appendix? Appendectomy: $595 while you wait.
- Galled by the pain in your abdomen? Gall Bladder surgery-- $1245 with sutures; $500 with strong tape (and drugs for the pain you will certainly have after the tape comes loose)
- Need a new Knee? $675 for a right knee replacement and $575 for a left knee replacement. [Just trying to get people to move a bit to the left].
Well perhaps this might be a slight exaggeration but the Centers for Medicaid & Medicaid Services (CMS) announced this week a plan to have hospitals be more transparent about their pricing. The plan doesn’t go into effect until January 1, 2019 but from a consumer’s perspective it is moving in the right direction.
CMS recognizes that patients are still perplexed and surprised by:
- Getting out-of-network bills for doctors such as anesthesiologists, radiologists who provide services at in-network hospitals;
- Fees charged by the hospital for use of their facilities; and
- Doctor fees for emergency room visits.
The CMS plan would require hospitals to display their current standard charges, in a consumer friendly way. And update them annually.
For more information on the mystery of medical bills, we have put together a few thoughts for your consideration.
Thanks for reading, Randy. email@example.com