It's fascinating reading your side of this, everything you said tracks with getting paid by insurance carriers as well. I'm a revenue analyst for an insurance agency. There are no established rules or SOPs they follow. They each make up their own thing. For each established rule one carrier follows, there's another one who does something completely different. Some of their websites are really good and helpful while others are the oldest looking sites I've seen in years. We have a team of people who are assigned carriers, and only work with those carriers, so we can keep track of how each one operates and pays us. It's a mess. I couldn't imagine trying to navigate all these carriers by myself in order to get paid, on top of managing a practice.
Short answer: making it deliberately hard to collect disincentives trying to collect.
The USA government stole a rent payment money transfer to my former landlord. It was the Office of Foreign Assets Control that took it, I guess because my landlord’s name sounded Muslim (terrorist). I petitioned them for the money, filling out a long form and including the case number they told my bank. They said the had no record of it. I concluded that it wasn’t worth my time for the amount I might get back and gave up.
The reimbursement rates for therapists is insane. When I look at my EOB, my psychiatrist gets paid just under $100 for a 25 minute medication maintenance session.
According to insurance rules, this includes any administrative work like filing the claim, booking appointments, office staff, etc. And if I email my doctor, that's covered under that $100.
I'd have to double check this but I don't think his reimbursement rate has gone up since I started seeing him 5 years ago.
And this is for a medical doctor. I imagine a talk therapist the reimbursement rate is lower.
I've seen therapists both in and out of network and the ones out of network are more attentive. I don't feel as rushed to get out the door and they don't overbook. It sucks that this basically means only rich people can see them.
We really need to reform healthcare in this country.
It took months to find a new therapist for my daughter when her old one had to quit her job for health reasons. Meanwhile, her anxiety got worse and worse. We were just super lucky a new counseling center opened in town and got in right away. Thankfully, she really likes the therapist too.
5 Comments
quixotic120@lemmy.world · 44 pts · 2y
Vengefu1Tuna@lemm.ee · 3 pts · 2y
It's fascinating reading your side of this, everything you said tracks with getting paid by insurance carriers as well. I'm a revenue analyst for an insurance agency. There are no established rules or SOPs they follow. They each make up their own thing. For each established rule one carrier follows, there's another one who does something completely different. Some of their websites are really good and helpful while others are the oldest looking sites I've seen in years. We have a team of people who are assigned carriers, and only work with those carriers, so we can keep track of how each one operates and pays us. It's a mess. I couldn't imagine trying to navigate all these carriers by myself in order to get paid, on top of managing a practice.
some_guy@lemmy.sdf.org · 28 pts · 2y
Short answer: making it deliberately hard to collect disincentives trying to collect.
The USA government stole a rent payment money transfer to my former landlord. It was the Office of Foreign Assets Control that took it, I guess because my landlord’s name sounded Muslim (terrorist). I petitioned them for the money, filling out a long form and including the case number they told my bank. They said the had no record of it. I concluded that it wasn’t worth my time for the amount I might get back and gave up.
These systems are designed this way for a reason.
CosmicTurtle0@lemmy.dbzer0.com · 13 pts · 2y
The reimbursement rates for therapists is insane. When I look at my EOB, my psychiatrist gets paid just under $100 for a 25 minute medication maintenance session.
According to insurance rules, this includes any administrative work like filing the claim, booking appointments, office staff, etc. And if I email my doctor, that's covered under that $100.
I'd have to double check this but I don't think his reimbursement rate has gone up since I started seeing him 5 years ago.
And this is for a medical doctor. I imagine a talk therapist the reimbursement rate is lower.
I've seen therapists both in and out of network and the ones out of network are more attentive. I don't feel as rushed to get out the door and they don't overbook. It sucks that this basically means only rich people can see them.
We really need to reform healthcare in this country.
FlyingSquid@lemmy.world · 6 pts · 2y
It took months to find a new therapist for my daughter when her old one had to quit her job for health reasons. Meanwhile, her anxiety got worse and worse. We were just super lucky a new counseling center opened in town and got in right away. Thankfully, she really likes the therapist too.
MediaBiasFactChecker@lemmy.world · -10 pts · 2y
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