tag:blogger.com,1999:blog-32053362.post4589846119206461237..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: How not to conduct a rulemakingPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-32053362.post-80499993694985333902013-09-09T13:07:28.416-04:002013-09-09T13:07:28.416-04:00Perhaps it is time to recognize that there is more...Perhaps it is time to recognize that there is more than a bit of "gaming" regarding reimbursements going on. The rush to convert outpatient settings to "hospital level" to do nothing more than be able to charge at hospital level of reimbursement has been a game for quite some time. WSJ did a great piece in December od 2012 pointing out that the same service in the same location and by the same provider could suddenly cost more than twice the price. As a health care provider myself and not yet on Medicare, I was stunned to see that my annual mammogram billed out at $169 incurred a facility and additional physician fee of an additional $650. I might not have even realized this had I not had a large deductible to pay. My insurer, Tufts, assured me that this was legal, but somehow; I cannot believe that it is right. Perhaps it is time that CMS woke up and began to deal with this issue whether the hospital like it or not.Anonymousnoreply@blogger.com