Demystifying Medical Bills - the Impossible?
Since we're still on the topic of pediatrician's, Rebecca's interested hearing if anyone has experienced billing woes:
I am in the midst of an conflict with my pediatrician's office regarding billing practices, and it has got me wondering how widespread the problem may be...so I wanted to inquire if other uMs might have had similar difficulties.
My family has an insurance policy through Regence BC/BS which includes 100% well baby coverage for 8 pediatricians visits in the first 24 months of life. The ped group that I had chosen has twice billed two visits in my daughters first 9 months of life with diagnosis codes, thereby resulting in only partial coverage by insurance and me getting a bill. What is so frustrating is that we visited our pediatricians under the impression that they were "well child" visits...we did not make the appointments with specific complaints. Upon researching the charges with my insurance company, I have been surprised to discover the diagnoses resulting in these charges...one of the two visits in our case was "functional disorder of the gastrointestinal system"...doctor speak for constipation. I had mentioned that my daughter was occasionally constipated at that visit, but it was simply mentioned in a conversation regarding the well being of my child.
I am a physician, and perhaps since I have just finished my training and have not yet practiced on my own, I am naive to billing practices. But this does not seem right. It seems to me a clear example of why health care costs are so high.... Anyone out there with similar problems? Thanks!