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I’d about 100% guarantee they were all told it was a regular ED visit and would be billed accordingly, probably multiple times.
I’d about 100% guarantee they were all told it was a regular ED visit and would be billed accordingly, probably multiple times.
Signing in to the ED to be seen, whether for 2 years of occasional nausea after exposure to skunk scent, or crushing chest pain. Anything for which you are charged the facility fee for use of the ED.What is the definition of regular?
That makes way more sense. We had so many young people faking mild COVID symptoms just to get a test in the ED.Our hospital has a central drive through testing site, free of charge for anyone and you can have a test for any reason without an order.
No idea why everyone isn't doing that.
Signing in to the ED to be seen, whether for 2 years of occasional nausea after exposure to skunk scent, or crushing chest pain. Anything for which you are charged the facility fee for use of the ED.
Our hospital has a central drive through testing site, free of charge for anyone and you can have a test for any reason without an order.
No idea why everyone isn't doing that.
it depends. If they actually had to walk into the emergency department, then yes they should get a appropriate bill.Yes exactly.
It’s insane that Americans would think what is described in the above article is normal and ok. But I shouldn’t be surprised.
Because that sore throat of 5 days became a MERGENCY at 2am. Gotta rule out PTA, epiglottitis, etc... That stubbed toe is a fracture...could even be open...unless my magical X-ray says otherwise lol.How can insurance pay ED bills for sore throats, stubbed toes, and work notes??
Because that sore throat of 5 days became a MERGENCY at 2am. Gotta rule out PTA, epiglottitis, etc... That stubbed toe is a fracture...could even be open...unless my magical X-ray says otherwise lol.
Great album!Exactly this.
It was a bubble from the start, and now the bubble has popped.
Its now just insurers and hospitals/CMGs fighting over the dollar and we're there as the stick to hit the piñata.
90% of jobs out there are CMG-owned, so their goal is to squeeze us as hard as they can and pay us as little as they can.
The remaining mix of academics (lolz), and SDGs (both good and bad) are going to become infinitely more difficult to get, if they're not already beyond possible to get.
I think it was miacomet who said it first, but: "I'm embarrassed to have matched into this specialty."
We serve at the whims of our CMG overlords, classified as independent contractors, so they can avoid treating us like equals.
Meanwhile, their middle-manager ranks swell with MBA/RNs and used-car-salesman-types who all get their 4 weeks vacation, 401K match, stock options, and (health insurance).
Every time I mention to a muggle that I have to buy my own health insurance on the market at 1600/month for me and the wife, they look at me like they've been punched in the solar plexus.
I shared to my therapist that if I were to take time off to take care of myself as a human being (say, to crawl out of depression, or spend some time with my dad in his last years), that I wouldn't have a job to come back to. He first said: "But... can't you take PTO or FMLA or something?"
We get none of those considerations. Yet, without us - the greedy pigministrators wouldn't have a teat to suckle from.
Pigs. Dogs. Sheep.
Pink Floyd's "Animals" album seems so appropriate.
The Pigs are the hospital admins.
Big man. Pig man. Ha-HA. Charade you are.
You well-heeled big wheel.
... pig stain on your fat chin.
Saying... Keep on DIGGING...
The Dogs are the CMG middlemen.
And after a while... you can work on points for style.
Like the club tie...and a firm handshake.
A certain look in the eye and an easy smile.
You have to be trusted by the people that you lie to.
So that when they turn their backs on you.
You'll get the chance to put the knife in.
Us docs? We're the sheep.
Hopelessly passing your time in the grassland away.
Only dimly aware of a certain unease in the air.
You better watch out! - There may be dogs about!
I've looked over Jordan, and I have seen
Things are not what they seem
What do you get for pretending the danger's not real?
Meek and obedient you follow the leader;
Down well trodden corridors into the valley of steel.
I saw a woman in the ED once, who had no symptoms and just wanted a pregnancy test. I told her, "You can get the same test at the dollar store. For a dollar. If you get it here, it'll be much more expensive." She could have signed out free of charge at this point. She insisted, so I ordered the test. She was happy.
A few weeks later I get pulled into my directors office because I got a "complaint." He started threatening and pressuring me. The complaint was from her. She was pissed off that she got a massive ED bill and now it was 'my fault.'
I saw a woman in the ED once, who had no symptoms and just wanted a pregnancy test. I told her, "You can get the same test at the dollar store. For a dollar. If you get it here, it'll be much more expensive." She could have signed out free of charge at this point. She insisted, so I ordered the test. She was happy.
A few weeks later I get pulled into my directors office because I got a "complaint." He started threatening and pressuring me. The complaint was from her. She was pissed off that she got a massive ED bill and now it was 'my fault.'
It wasn't.How was it your fault she got a massive bill?
Technically the MSE started and finished when she said, "I have no symptoms of anything. I just want a pregnancy test." No EMC at that point, so no EMTALA violation.Technically you aren't allowed to discuss cost with her up front without an MSE as that's an EMTALA violation.
No. He was hyper aware of EMTALA. For all his faults, that wasn't one of them.Was your director instructing you to commit EMTALA violations?
It wasn't.
Technically the MSE started and finished when she said, "I have no symptoms of anything. I just want a pregnancy test." No EMC at that point, so no EMTALA violation.
No. He was hyper aware of EMTALA. For all his faults, that wasn't one of them.
Been there, can confirm.If your director tells you about every complaint (like this one), then you need a new director or a new ED. Patients have numerous meritless complaints. Many of them feel that a complaint will get them out of a bill, which is not true at all. You'd be surprised at the number of complaints a physician may get that a good director will shield from the doc. If you tell your docs about every single complaint, you will beat them down into oblivion where they become dissatisfied with their career and will subsequently generate more complaints. This will create an endless cycle until the doc becomes burned out. We have enough pressures on us that meritless complaints shouldn't be thrown into the mix.