Medical billing code monopoly explains American Medical Association’s support for health plan

As Democrats tout the American Medical Association’s endorsement of their health care overhaul, critics are pointing to their studious sidestepping of a little-known monopoly that sends millions into the trade group’s coffers each year, saying it’s no surprise the Democrats were able to gain the AMA’s support.

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5 Responses to “Medical billing code monopoly explains American Medical Association’s support for health plan”

  1. Joan Magrane says:

    This new health care reform will put every Doctor out of business that participates with medicare. I do not understand. What people have on their minds when they see a doctor, this is a business, like anyother business. The days of paying the doctor with two chickens and a bag of apples are over and done with. How can a doctor stay in business with the rising cost of Malpractice insurance and Medical Equipment rent and office rent.

    The trouble is everyone in this country thinks a Doctor is rich, the truth is most doctors are broke and can not afford to keep these insurances that pay slow, or don’t pay at all, so they opt out.

    The patient then goes to the doctor or calls and finds out the doctor no longer takes the insurnce they have.

    Unfortunately with the new health care bill people will start to practice medicine on themselves, because nobody will be able to afford the rates, or figure out the policy coverage.

    I get sick when I hear the new health care reform bill. WHAT DID I GO TO BILLING SCHOOL FOR IF I AM TO BE OUT OF THE JOB?

  2. Jamesmmm says:

    I have been teaching MB&C since 1998–that was when I stopped doing medical billing full time. At that time, the managed care plans, which covered at least 65% of the non-Medicare population, had slammed doctors with very large reductions, to the point that Medicare approvals were equal to the managed care approvals. I just noticed in the 2010 MPFS that Medicare approvals were a bit lower, and I know the managed care plans are using ever more of their revenues to enhance salary levels and/or decorate their properties (see the movie DAMAGED CARE), and such coincides with what the previous poster says.

    If Medicare was the single payor, we would have very large reductions in many other government programs and No fault auto insurance and workers Comp, since most of those claims would come under Medicare. By tweeking Medicare to cover 100% of the approvals for lower income, Medicaid Plans could be eliminated too. The result of Medicare Single Payor would really save lots of money, and with increased vigilance continuous, the entire Social Security system could be saved. Is anybody out there hoping to collect from SS in the future?

    James Mansfield

  3. MnTwins29 says:

    I finally read an article that spoke the truth about the AMA and its “support” for this bill. Too many people have heard that nugget of news and then jumped to the conclusion that since the AMA approved, so do all the doctors. The bill does nothing to address either the payment system, reimbursement to providers or reducing the cost of health care (here’s a hint: let’s start with tort reform!). Instead, it is supposed to ensure everyone (that became 96% of the people) have “insurance.” Forcing employers to provide insurance and people to buy insurance is a joke. First, will providers accept this insurance? Second, how high are the deductibles and copays? Third, what services are covered under the plan? And be sure that there are not TOO many services, because then that policy becomes a “Cadillac” policy and will be taxed. Not to mention the other big source of payment for this monstrosity – oh, yeah, the evil tanning salons – let’s throw a tax on THEM to pay for all this. What a joke!

  4. den13ice says:

    Thank you, MnTwins29. I have worked on both sides of the healthcare system (provider and payer) for the last 19 years. The general public does not understand what is happing in congress or what is about to happen. I encourage everyone to read the bill and not base your stand on what you hear from the media. Really, taxing the tanning industry,how ridiculous.

  5. Christine_A-Claim says:

    If patients were paying for their portion of their expenses, it would really help the docs too! There is so much money left on the table every year it’s sick! The problem stems from the docs not even knowing what to bill the patients for 30-60-90 days after POS! When they finally do bill the patient, the patient has forgotten the detail, argues about payment and the doc ends up writing off about 50% of all patient pay portions each year. It’s ridiculous.
    But I’ve just seen a new system, A-Claim by Preferred Health Technologies in conjunction with VISA International – (www.medicalpaysolutions.com) A-Claim allows the practice to see what the patient will owe – 99.9% accurate – at the POS – which will then allow the practice to make payment arrangements for that patient portion BEFORE THE PATIENT LEAVES THE OFFICE!
    The system is amazing. All the medical billing coders out there should learn about this – it would make everyone’s job so much easier and the practice would make about $100,000 more per year PER DOC! It’s incredible!

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