Originally Posted by Fathead00
I figured out why insurance companies charge so much!!!! We've been waiting for the cardio doctor since lunch yesterday!!!!!!! I never knew that there is only one cardio doctor!!!!!! So the insurance was charged for one day for us to sit here and do nothing!!! I'm sure glad we have sooooo much money to waste!!!!!!!!!!!! I just ranted to a nurse and apologized, but she was surprised we were waiting since yesterday to see tge cardio doctor.
Insurance costs?! I could tell you a lot why insurance costs are so high. I work in a hospital lab. Our ER doctors order a urine pregnancy test and when it comes out 'negative', which most do, they throw in a blood pregnancy test. Depends on my mood, who the ER doctor is and how much time I have on my hands, I call them and ask them do they really want that? The urine test came out negative.........what do they think the blood test is going to come out as?
100% of the time the ER doc will tell me to cancel the duplicate test.
The doctor will order a full blood count on a trauma patient. Then he'll call the lab all frantic looking for a hemoglobin result. I tell them I am running a full blood count and it's not done yet. Then he'll say, "I don't care about the full blood count. I just need to know what his hemoglobin is." Which I want to reply, but I don't because we're in the middle of a trauma, 'Then why did you order the full blood count which takes longer and is more expensive?'
There is one ER doc that orders flu tests like they're going out of style. That is appropriate during "the flu season" but it is quite rare to have a positive flu in June, July, August. This particular doc orders a flu test on every patient that comes in to the ER with a sore throat or cold symptoms. I haven't seen a positive flu test yet this summer........strep, yes....flu, no.
What these ER docs want to do is order a crap load of tests all at once instead of using a 'rule out' method. Order some pertinent tests, if they com back negative, delve a little deeper. Part of this is to blame on the patients who whine if they are in the ER for "too long".
It's become a lot about turn around time and getting the patients in and out quickly. In order to do that, the docs order everything they can think of all at once. It's quicker.....though very much less cost effective.
I could go on and on. The doctors who have patients in house order tests correctly and efficiently. It's the ER docs that are very, very
*sigh* If only I were Queen of the Hospital I'd put those doctors in their place and educate them on how to efficiently utilize the lab tests.
But, yeah, Fathead, there is much waste and inefficiency in our hospitals. That cardiologist doesn't give a hoot if the patient and her insurance is billed for another day's stay.