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Serving Over 20,000 US Medical Transcriptionists

Insurance companies already know. Doctor bills them you know.

Posted By: They have to say why you are seen. on 2006-01-13
In Reply to: Who is interested? - Albert

I'm not running for political office. Who would be interested in my medical records and what could they do with them if they did have them?


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MT companies negotiate with the insurance companies until they get what they want

It is strictly up to the agreement between the employer and the insurance company.  Your new employer can tell you what the pre-existing clause is in your new policy.  Some require proof of insurance for the past 12 months.  It may say something like if a diagnosis has not been made NOR treatment received within the last __ months.  Not good when companies negotiate with a pre-existing clause in order to get a lower rate.  Better check with your HR with your new company before doing anything.  It really gets hairy !


Do any MTs just go buy their own insurance, is so which companies do you
nm
Insurance companies
I do know that there are insurance companies that will deny coverage of a person if that person has EVER been TESTED for HIV, despite circumstances involved. People entering the military are automatically tested for HIV. This in effect just caused the person to be denied coverage from that one particular company. I know of another company that has denied one man benefits for life insurance because of a medication he has been taking, despite the reason for that particular medication. Imagine being denied life ins because maybe you took Wellbutrin, a medication that can be used for several purposes.

Medical records are not protected despite HIPPA. Medical records are the most available records to any eyes of all records out there. HIPPA is a smoke screen to appease the masses, so that people don't storm Congress.
While many insurance companies sm
have been paying for this over the past few years, it's become such a "common" thing that many have it on their list for non-coverage this coming year.  When you find out the company and the insurance company they use, call and verify that it does in fact cover the surgery. 
Considering insurance companies
only reimburse .02 on the dollar, they'd need to bill over $500 to make their $5 needed.  Sad, but true.
They usually herd them because tis what the insurance companies
x
Insurance companies get rich
If you look at the profits, insurance companies are getting rich.  They are the ones pocketing all the money.  Plus probaby the hospitals are not far behind. I feel the same, my docs are not getting rich. 
has anyone ever charged insurance companies for doing their work - SM
I have a lot of medical issues with my family and so see a lot of doctors and pay a lot of copays.  Each and every time I see a doctor or facility I have to pay a copay, which I always ALWAYS charge on my credit card.  No exception.  Do not pay, do not see the doctor or have the test.  Yet time and time again I get letters from the doctor's billing or facility saying I owe a copay to them.  When I call them up, explain that I paid my copay at the time of services rendered and do not owe anything further, I am told they don't have a record of it.  I must find the receipt and send them a copy for proof of payment.  In short, I must do their job because they are either too lazy or inefficient to do it.  Earlier this month I got a statement from the x-ray facility saying that I owed a copay.  The customer (dis)service person was very unhelpful when I explained that I always made my copay first and it showed up on my credit card statement.  Finally I told him I would call the facility myself and get things straightened out, which I did (they had put my copay into a different account by mistake).  But I ended up doing his job and got treated rudely to boot.  Then yesterday, I got yet another doctor's billing statement saying I owed my copay.  I called and left a message saying that it had already gone through on my credit card bill and would not be paying.  They want proof.  Am I out of line saying, fine, I will photocopy the receipt (and this is an NCR receipt so the office has a copy of it) and my credit card bill (with everything else blanked out) and send it to you as proof of my payment, but it will require my invoicing you a $10 processing fee.  If you are not willing to reimburse me for my time to straighten out your mistake, then I will not provide proof of payment.  This takes time out of my day to hunt through my receipts, make a photocopy, document it in writing (LOL I learned that VERY early on), then postage, etc.  Why must I do this without being reimbursed for it.  IS ANYONE ELSE FED UP WITH PEOPLE NOT DOING THEIR JOBS?????  Arrrrghhh.  I feel every so much better.
wow!! not true - they just changed insurance companies (sm)
at the end of the year.  I don't know about the family coverage, I get the single, but it is about 1/3 of what you said.  Maybe you should give them another look.
the major insurance companies should also be notified. SM
Plain and simple, HIPAA regulations mean nothing once their insured patient's medical records leave the country. I really cannot understand why the major insurance carriers in the U.S. have not cracked down on offshoring medical records, as this is not within guidelines of HIPAA, which was created by the Department of Health and Human Services. I feel the insurance companies here in the U.S. should refuse to pay insurance claims if a patient's confidential medical information leaves the country where no regulations on privacy are in place or enforceable. Can you imagine how many doctors and hospitals would make themselves more informed on where patient medical records are being transcribed if their claims are suddenly being denied for payment. I say inform Aetna, Blue Cross and Blue Shield, Health America, Medicaid, Medicare, etc. I think this is where the changes need to start.
I bet other insurance carriers have insurance for their employees. Why not Wal-Mart? nm
:+
I pay all of our bills but I never would
He makes money and I make money and we should each be able to spend some of that on ourselves if we desire. The only time we really consult the other on any purchase is if that purchase is over a certain amount. I do not ASK him if I can buy anything for my business. If I need it and we can afford it, I buy it. If it is a major purchase that might involve a credit line, I would definitely discuss it with him but not ask his permission. It should be shared. When you get married, you are sharing, not one person owns you/controls you or vice versa. I would be willing to bet that at some point during his little outings, he has chipped in for beer. I doubt one person would be willing to supply all the beer for all the guys every single get-together. My DH used to play softball and there were lots of times they'd hang out and have a few beers after and all the guys chipped in for their share of the beer. If he's telling you the beer is always provided for free, I would have a real hard time buying that. Sounds like you are an understanding wife and you deserve time out to go to lunch or do whatever (and some of that time should be without your kids to give you some alone time, too). If he can't see that, he needs a reality check! Leave him at home with the kids for a weekend and see how fast he wants to run out that door once you get home! lol
Can you really pay your bills with only 29K though???
nm
If you have bills to pay you take whatever

you can get.    You can refuse a job, but the work will just go to India or some other country and the company can get rid of all but a few MTs who will edit the work. 


I have been in this business at least 20 years.  I make better than most people these days, but I have not had a raise in 5 years.  I have been offered at least 8 positions the past 6 months and not one of them offers what I make now.   I test very well, usually getting at least 98 on the highest level of testing,  I can do any ESL given to me, I do all Op notes, so I would be an asset to any company, but none will offer me what I am making now, much less offer me more. 


 


Pay bills or make a
list of things I need or want.
Do you have bills that NEED to be paid?
If there is no other job but those with companies that send work offshore, are you going to refuse to work for them?  How do you feel about stores that sell merchandise that was once manufactured in US and now outsourced to another country?   How about the very merchandise itself.  Do you check to see if Liz Claiborne or Nike or other favorite brands are outsourced and decide against buying them, hoping that somehow you are going to force these goods to be manufactured in US and are you willing to pay higher prices to justify American workers wages?
What bills could we possibly have?
That was exactly what one doctor said to me when he called wanting my services and I told him what my charge was. He was in a town 15-20 minutes away and since tapes were the "in" thing", I charged for picking up and delivery, minimal charge.

Well, he thought that was ridiculous and told me I didn't have any "expenses" associated with this job, so what was I charging him for other than doing the reports. BTW, he got my name and number from his partner in the office who thought my charges were more than reasonable and willing to pay for it to get what he called "great" service.

Of course, we have no expenses, we live free, not having to eat, buy gas, pay all the same bills they do. You know, the necessities of life!!!!!!

Go figure!!!
we did just the opposite, but now bills alone about 2,500.....
We had a place similar to yours on a slough with lots of wildlife...loved the wildlife. Used to sit out on the deck and watch the great blue heron, raccoons, muskrats, ducks, etc. But never got it paid off as we kept building on as kids came along (3). We were there 30 years and finally sold to move out of the flood zone and into a new, easy-maintainance one story with smaller yard up near the hospital. The other place was so hard to paint and maintain that I knew we had to move before we couldn't take care of it anymore. Problem is our mortgage alone is 900$ month! Not as steep as others on this posting, but lots for us as the MT thing is not bringing in the money I expected! The house is worth lots more than we paid for it, and I keep saying we should sell it and rent until the big housing "adjustment" that I keep predicting, but family won't budge!
Keep the bills out of sight--sm
For me they are the biggest distraction. I can ignore the phone, tune out the noise but those stinking bills in my line of sight are the worst. I either have to go online and pay them or call so and so and tell them why I am late. I don't pull them out until after I am done or before I start. Otherwise, they stay in the drawer. Now, I keep the paid receipts on top of the desk to remind me why I work like a mule!
High bills
In Georgia, it's not unheard of for the power bill to exceed $300 during summer. In fact, it's expected. I can't believe the posters with two-digit bills. My water bill is $65! Everything around here has gone up in the last year. My doing MT was supposed to be for extras and fun money, but it's not turning out to be so.
I have plenty of bills to pay...
Hubby had open heart surgery and was off work during the busiest season last year. I now handle ALL the bills except his truck insurance and truck payment to the tune of at least $5000 a month and that doesn't include the $75,000 hospital bill that the insurance doesn't pay. I couldn't do that if I didn't stick to my guns. Sure, we're not in the best of shape right now, but we are scraping by with a little ingenuity and things will get better for us...but I surely will not work for peanuts,never have, and never will...and neither should you.

You have to prove you're worth it that extra $.01 or so,(ahem), but in reality, we really need to stick together. Fighting amongst ourselves doesn't solve the problem.
that's determined by your bills!!...
There is an easier calculation but I think most companies require 1200 lines a day nowadays. Some 800 to maintain fulltime. One way to figure it is that you take the amount of lines x cpl and divide by 8. If you typed your other stuff in word, check the line count to see what you have done on a good day when paid by the hour. Hopefully you are getting paid characters and spaces as opposed to just characters.

If you figure you can put out only 800, which is still a good bit, 800 x 0.08 cpl divided by 8 would be $8/hour. 1200 lines would be 12 an hour. So, if you are currently making 10 an hour, you would have to put out 1000 lines a day for $10 an hour.

It can be done.
What? Not only easy, but I did it Still pay bills.


But I do make what I need to pay my bills
so I am satisfied and like I said, just work part time, not full, work the time I want.
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
for tracking congressional bills
http://thomas.loc.gov/


Kansas utility bills
Hi, I live on the Kansas/Oklahoma border have a 3000 sq ft home (2 levels) and 2 boys who don't know how to close doors. Anyway, our last electric bill was $260.00. This was keeping thermostat at 80 upstairs with ceiling fans going in every room. If it gets too warm, you just go downstairs where you have to wrap up in a blanket as there is a good 10 degrees difference in temp. I have to admit, I thought mine was high but am now thinking we don't have it too bad. Good luck to all and hopefully, we will still be able to pay these next year at this time and the rates won't have put us all in the poor house.
arkansas utility bills
Wow.  I live in a 6 room house and my last bill was 328.00.  We have very high rates here.
Used to, but compared electric bills
I used to never turn my computer off. Then my grandchildren visited me for 3 wks. Because I did not want them playing on my computer (they had their own laptop), I kept mine off when I was not working. When the electric bill came it, it was almost $60 less, so from that point on, I began turning it off between the hours of 5 p.m. and 5:00 a.m. plus my days off (and I get more done around the house as well) -- continued with the same savings. Figured I can buy a new tower for $720 a year in savings.
I keep the unpaid bills on my desk
and put the college tuition bill right on top. Money motivates.
Single person and bills
How does any single preson today make ends meet as an MT?  I work a 2nd job and still way behind in bills.  Job-hunting for a full time position other than MT is fruitless, as employers take on look at all of your years in transcription and ask you how you think can do anything else.  It seems like a curse.  The dreaded "transcription" word is getting me nowhere fast when it comes to breaking in to other clerical work.  Had I know this would be the case, I would have left the MT field years ago.  I can do SO much more than transcription if given the chance.  Maybe I should lie on my resume and not mention all the years of transcription. 
Nice doesn't pay the bills. They still only pay .06 line.
You need to be a speed demon to make any money there and top pay is still only .08 per line at 225 lines per hour. No thanks. I prefer to work a 40 hour work week, not an 80 hour work week.
Curious, how much of household bills is BF carrying?

is withdrawn?


If you are carrying the lion's share of the bills, then you surely will be better off when you have cut the ties and are in your own place.


If he is carrying a good bit of the bills, and you are then responsible for them when he moves - whoa - think about this.  Will any childsupport you manage to get suffice for what you are taking on that he is paying now?


 


I worked as one, too. It paid my bills. Barely.
I hated that job because I could so totally empathize with the people I was collecting from. Plus, we had to be real hardnoses. The thing is that our "numbers" were tied to our bonuses. The more you collected, the more money you made. I lasted 9 months and received two raises and promotions to keep me there before finally finding another job. By that time, I had developed sleeping problems and an ulcer and started smoking again.
There were a few bills that Arnold would not sign - not passed
x
Oh dear, maybe you could pay some bills or surf the net while she's impressing herself

Not everyone bills based ona 65-character line
An MT billing gross lines would stand to lose a great deal with a smaller font.

See, not so confusing.
DH pays the big bills and know he won't have more taken out on him, we don't share checking ac
I have mine and he has his but like I said before, he pays for my car, his and the house note. Just moved here in 2004 and not planning a move, ever hopefully! But, as in my previous post, I have as regular employee been told to take off everything that pertains to my working at home (before becoming IC), room, DSL line, phone (have to have to use the DSL), computer, printing materials, all so I keep all receipts in all years plus we have 3 tax bills for 3 different properties for this past year (just sold a home where I used to live) but all that is kept. What I am saying is I have been told for years as an employee working from my home ok to exempt these. I do not like TAX TIME!!
Sounds great. You gonna pay the bills for
nm
A husband to take care of the bills and the health
nm
You need to talk to the people who pay the bills where you work. nm
x
But if that account is paying your bills, you must negotiate and be flexible. IMO
I know you can only lower a little bit, but to let them know that you are flexible and care about keeping their account may just encourage them to stay with you.  I can't afford to let an account go without just a little negotiation.
Does paying your bills rely on offshore? No. Easy
asdf
Yep if I needed a job, beats not eating/paying bills - nm
xx
Correction note to husband. Meant BILLS NOT AUCTIONS LOL
Freudian slip. Have to read whole post to get joke. LOL.
How are you planning to deal with the oncoming high winter heating bills?
I'll be bumping the thermostat back another degree or 2, down to whatever leveI I can  not be cold at.  Otherwise there will be less "fun" money spent if it has to go to the oil companies!
Most companies do no use their only files (HIPAA). They use files provided by other companies, serv
If you can get through the test files, then the sound quality on the actual company files is better. And, the dictation is never as bad as the test files, plus you have QA to help with hard blanks.
Fear of change is worse than fear of not being able to pay your bills? nm
:)
Insurance

If you don't have insurance (dental, vision, prescription, chiropractic, and some locations medical) and don't have a lot to spend on insurance, ask me what I signed up for if interested.


There's a lot of information to tell and I don't want to ramble on if no one's interested.


Talk to ya later,


Andrea - Medical Transcripionist (Nashville, TN)


How can MQ take away the insurance

when the MT is paying for it also?  Does that not count for anything?