Patrick Haig

Building @goodbill.

[Patrick Haig @prhaig]

@lennysan Product Designer, Remote, https://t.co/JVWQv2b3X5

[Patrick Haig @prhaig]

@dvasishtha Request the UB04 from MGB and start with what they submitted to BCBS. It’s your right.

[Patrick Haig @prhaig]

@iseff No, not at all wrong.

[Patrick Haig @prhaig]

@Schmidt95819 @dp_oneill @_Imagine360 Honestly think this is a response to providers dominating in IDR for NSA eligible claims. Providers are disproportionately successful in IDR, and mostly going with provider QPAs, so payers will put pressure where they can to cut NSA eligible claim volume that might hit IDR.

[Patrick Haig @prhaig]

@WallStreetApes You can demand the provider not share your info with your insurer, but you have to “pay in full” (whatever that means). Takes the know-how, and is thus terrible, but works. Also need to catch it at the right time (before they send the claim). https://t.co/VX2RX9ONRr

[Patrick Haig @prhaig]

@EverettLebherz @joefigs2 @JAMAHealthForum @DavidBlumenthal @HarvardHPM @harvardmed @Health4Texas @shaochee_sim Agree with the sentiment, but I think hospitals book charity care write-offs at cost — not at billed charges / chargemaster rates. https://t.co/CujAPt7Gpp

[Patrick Haig @prhaig]

@AlexSalkever @goodbill That’s such a sad truth of the industry. Many negotiated rates are terrible. Happy to help and let me know if you have any feedback / questions.

[Patrick Haig @prhaig]

@AlexSalkever @goodbill We serve both!

[Patrick Haig @prhaig]

@chrissyfarr I’d guess a 99282 at high rates, with all hitting deductible, so you’re out the full amount. And almost all of that being facility billing. I’d argue the leveling, use ACEP E/M facility billing guidelines to get to 99281. If it’s already a 99281, then argue the rate. $3K is high.

[Patrick Haig @prhaig]

@LeonDerczynski Seattle awaits your many flags.

[Patrick Haig @prhaig]

@tjparker @alexlmiller @RobertMSterling @goodbill Thanks for the mention @tjparker. Happy to chat @alexlmiller — feel free to DM me.

[Patrick Haig @prhaig]

@elliotcohen @MegaGenius @Austen Whenever AEOBs land, that’s effectively what it is and for INN and OON care, too. Provider sends GFE (plans to use the FHIR Claim resource in fact) to payer, payer generates AEOB, sends AEOB to provider and to patient.

https://t.co/FLMgeY0cde

[Patrick Haig @prhaig]

@dp_oneill Potentially because hospitals solve problems with headcount, not technology. It’s a mindset that may be shifting, but is very entrenched.

Was on with a dir of RCM who complained of increased admin burden and was resigned to more FTEs. No whisper of tech.

[Patrick Haig @prhaig]

@bling0 Yes and huge problem. Some states (TX and TN) recently passed laws forcing payers to give some members credit towards deductibles even if they pay the lower cash rate and go outside the provider <> carrier contract. https://t.co/WTkFzv1L84

[Patrick Haig @prhaig]

@nicksoman @Decent

[Patrick Haig @prhaig]

@dteten 👋 thanks for sharing. Working hard to keep money in people's pockets and improve their position in our otherwise pretty patient-hostile billing system.

[Goodbill | Lower your hospital bills @goodbill]

How much will an ER visit for a urinary tract infection cost you? Roughly $2K, but some hospitals may charge you 10-20 times more, according to Goodbill's price analysis. How much does your hospital charge? https://t.co/YpGmZ62i5k

[Patrick Haig @prhaig]

@dp_oneill Overall lack of enforcement on hospitals sucks. Mult. system execs say regs that COULD lead to change have no teeth. E.g., patient access requests for data. It’s a risk analysis of exposing data that makes them look bad + gives patients info, sapping potential consumer pressure.

[Patrick Haig @prhaig]

*listens* ...yep, yep that's exactly what we're doing.

Hospitals act like what we're doing for patients is a bad thing. Kicking or screaming, welcome to a more transparent world.

[Patrick Haig @prhaig]

@chrissyfarr That last one is us @goodbill. 👋