Last one to post wins [5]

Borg 386 said:

Good morning / afternoon folks.

Another humid day ahead . Not too warm though.

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OK, so I am beyond mad at how the hospital handled this.

Summarizing all this:

She gets admitted for having the runs for 3 weeks. They try to clear her out for 4 days for a colonoscopy, but her movements are still cloudy, which would indicate a blockage somewhere. I call her gastro doc after 3 days of her taking prep, she says they need to do a scan. I pass this info on to the nurse who says she'll tell the doc. They finally do the procedure a day later, they find she has colitis. Yesterday she finally has a movement. The doc comes in, tells me according to the X ray they took, there is blockage, but they're sending her home with suppositories & a liquid to clear the blockage. Because they can't justify to Medicare a reason to keep her there.

So basically we're back to square 1, she still has a problem, the runs have gone away (for now), but they didn't address the blockage issue that was obvious & now they're discharging her without trying to fix that problem.

And the suppositories they sent needed prior auth, something the hosp should have addressed according to the pharmacist. I could only get 10 for now because those were $26, if I had gotten all 60 (30 day supply) that would have run $195. Called the hosp with the docs name & meds, they said they would get back with me....they never did.

They told me in the hosp they had to give her that med for 10 days, but for some reason she needs to have them given to her for a month now.

Great medical system we have. I know, it's something at least, but the bill is not going to be fun to see, and they didn't finish the job of getting her back to normal.

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Josey Wales said:

They sent her home with a blockage? Unbelievable! That should be malpractice. Prayers for your wife and you Borg. Back in Win 10 Forum some called you Dr. Borg. You probably know more than these clowns.

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Marie SWE said:

Good Morning Mr and Mrs Borg

wow, i cant find words for it... its really a big mess with the medical system over there.
as it is the US and you can sue people and company's to the right and left (that we can't do over here) Can't they be sued for not doing their job and charging for a job they haven't done?
Its a real mess when they send someone home like that and not be 100% sure that those meds will actually to 100% solve it.

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Borg 386 said:

Morning Marie.

Yeah, I was in shock when the doc told me what was going on followed by "we're discharging her this afternoon."

I don't know if I have any course of action because there are soooo many damn rules & regulations that the docs & hospitals have to follow in order for the insurance/medicare to pay them. If they can't justify certain criteria set up by the companies, then they have no recourse but to discharge because they won't get paid.

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Marie SWE said:

i can totally understand your reaction(shock) i had reacted the same.. its really sick how it works.
But if you dont have insurance but a truckload of money.. and you say.. money is no option, make her well... i bet they would do it then.... Darn system

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Borg 386 said:

Yeah, if you pay out of pocket they'll keep her, but that's going to be expansive.

here's how it works here: The hospitals have an agreement with medicare/insurance. They negotiate a price they will settle for & the hospital accepts that.

Now, if you are paying them without insurance, you will be paying the full price the hospital normally charges.

For example, on one of her bills, the hosp charged $1,283 for the services. The insurance only had to pay them $769 & there was an adjustment of $11. Our payment due was $124.

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