
- You want to wind up like this?
You got to get this right folks. I have clients who go to the hospital and never look at their medical bills to determine if perhaps there are inaccuracies. We are dealing with clerks here. They are not perfect, nor are they even super clerks, so be careful. The old people especially believe that everything is taken care of by Medicare, and so they don’t even bother to look. The first thing you need to understand is what is this going to cost?Â
When you are in the hospital, the staff thinks they have you by the short hairs and so they take advantage. We know of one patient that was billed over $500 for a couple of doses of a prescription drug she takes that costs about $150 per month for 30 doses. We told the patient to complain to the hospital which she did.Â
The pinheads in bookkeeping told her she could request an audit if the bill was over $1,000, which in this case it was not. Now if you request an audit, the hospital will try to jack up the bill even higher. Why you ask? It’s to discourage audits of course, but in this case they lowered the bill by $300, because when you have them, you have them.
I have a friend who is an expert on medical insurance. I can’t imagine why he would devote his life to it. He has a law degree from UC Berkeley and his whole world is the world of medical insurance. One day he explained it to me. He said Rich, listen up, medicine is not priced for you, a guy that can walk in and pay cash for something. Medicine is priced for the medical insurance industry, so what this means is they rip off anybody who doesn’t have the power of a medical plan negotiating for him. He was totally accurate.Â
A big problem right now is hospitals putting you under observation status. This means you are not formally admitted to the hospital, but you are in the hospital. It is supposed to go on for a maximum of 1 to 2 days. We have seen it last for 2 weeks here in Connecticut. So what’s the problem? The problem is that Medicare slaps you with a co-pay of 20%. There is also no coverage at all if you are placed into a post-hospital rehab center, or under nursing care, unless you were first formally admitted to the hospital.Â
You are talking about potentially seeing a bill for tens of thousands of dollars that you were unaware of coming down the pike. This is why the hospitals show you the bill when it’s all over. If you are there for 2 or 3 weeks, send one of your relatives down to the billing office, with a signed note after a couple of days, and ask to see the bill. Get copies of the bill every couple of days. If it’s out of control, change things right there. Don’t wait until you have to sign foreclosure documents on your home to figure out what is going on.
Do you think that hospitals can’t accidentally move a decimal point over in the wrong direction on a bill? It happens routinely, and it never ends up benefiting you. It always favors the hospital. What about scheduled and then cancelled procedures that wind up on the bill – happens every day. Also keep in mind that the codes they used on those bills are there to annoy you. They are meant to be incomprehensible. That is why you must contact billing, and go through the bill line by line if necessary.Â
How to NegotiateÂ
You want to be as sweet as apple pie first of all. These people on the other end of the phone are the most abused people in the world. Well actually the second most abused people. The most abused are NYC parking enforcement agents. You talk about being abused. They get beat up on a regular basis. The absentee rate is huge because of the beatings.Â
Now when you talk to the clerk on the phone, you be as sweet as Pepsi. If you have a bill, trust me, for cash they will knock it down immediately. They want the cash. Discounts on the phone of 20 to 40% are routine if you can pay right there, especially in the first month of the bill.Â
Don’t be intimidated by the hospital. The other day I took one of the boys I mentor here in Connecticut to the Metropolitan Museum of Art in NYC. I have a membership so I can get him in for nothing but I wanted to teach this 4.0 perfect average high school senior how the world operates. The sign says $10 for students, $20 for adults. I gave Joe $2 and said Joe, you go right up there and tell them you are giving them $2 and show they your high school ID.Â
They took the $2, and gave him an admittance button. I said Joe, look at how professionally done that $10 sign is? Big letters, it is a major statement. The price is written in stone. My point was and is, nothing is written in stone. You can negotiate anything, especially HOSPITAL BILLS.