Remix clone Hacker News

Be careful what you wish for. We already have a shortage of healthcare providers. Do you want to make it harder to get an appointment? There's nothing wrong with billing at the maximum level legally and contractually allowed.

▲

bradly a day ago | parent [-]

> There's nothing wrong with billing at the maximum level legally and contractually allowed.

I completely disagree with that statement. By nothing wrong, do you mean it isn't illegal?

It is horrible that some health care providers are denying more than half their claims incorrectly. A strawman argument about making it harder to get an appointment does not change that.

	▲	nradov a day ago \| parent [-]
		You seem to be mixing up providers and payers (insurers). Providers don't deny claims, but sometimes payers sent claims because the providers coded them incorrectly. There's nothing wrong with coding a claim with all services rendered and charging the maximum agreed rate. If the payers want a lower rate then they can negotiate it next time the contract is up for renewal. Obviously it would be wrong for providers to bill for things they didn't actually do. That would be fraud. This part isn't in dispute.