Re: Question? About ER cost and call coverage.

[Guest guest]

Why do the stories never cease to amaze us? We know this stuffand we are still amazed  We know here about  a  second opinion about a pathology -sent out the slides--> $5,000.   I heard about that bill right about the time  a nice woman whose charges I routinely reduce for yrs every single visit, whose kid I have helped enormously  called me up and berated me for charging 12.00 to transfer records to another part of the state and asked me to c all her back( why  for more abuse??) but I did and  she   just went on and on and on) I am glad the munchkin is ok I met your kids in Woodland Park they were cool. Wait! in fact one of them wailed outsdie the pool and I hauled  a  dripping  blonde little thing  into the confernece room to find !

Bill them  tell them you do not work for free Point out the inequitiesNO bill no services.(unless they can recriminate and say it is part of privileges KNow the rules first and if so then bring it up at med staff and say excsue me bad inequity here) -

Jean 

 

IMPs,

 

, my youngest had a high fever and abdominal pain two weeks ago. He was pretty sick, so we took him to our local ER. 

 

Bill was $7800 for 4.5 hours in ER. No radiology bill or physicians bills yet.

 

 

I have been providing call coverage for this hospital for 8 years 24 hours per day 4 days per month for free.

 

Recently, they employed a hospitalist actually 3 to provide 24/7 admitting coverage, but I am still covering for free.

 

Has anyone successfully billed a hospital for covered call? Over the last 8 years and I have provided one full year of hospitalist services, the exact service the 3 hospitalist have provided this year. I am sure they are paid at least $1000/day.

 

 

and I will pay the bill because he could easily have had appendicitis, but we are not sure we will continue to provide free call coverage.  We are thinking $10/hour on call or about $1000/month for 4 DAYS OF COVERAGE.

--      MD          ph    fax

[Guest guest]

I know a local group that the docs get paid $1000/day for call coverage. But they are neurosurgeons, and it is for trauma call only.  And that was about 5 years ago.  Nice gig, if you can get it!

Regular, old " ER backup " used to be part of the deal for Steve (when we lived in OR).  All of the primary care docs were on rotation for it, part of having privileges at the hospital, unless you elected to use the hospitalists, which Steve's group didn't.  That is one of the single-most reasons why we moved from there.

You can't get it, if you don't at least ask.  Worst they can do is say no.  Best you can do is say no back! Pratt

 

IMPs,

 

, my youngest had a high fever and abdominal pain two weeks ago. He was pretty sick, so we took him to our local ER. 

 

Bill was $7800 for 4.5 hours in ER. No radiology bill or physicians bills yet.

 

 

I have been providing call coverage for this hospital for 8 years 24 hours per day 4 days per month for free.

 

Recently, they employed a hospitalist actually 3 to provide 24/7 admitting coverage, but I am still covering for free.

 

Has anyone successfully billed a hospital for covered call? Over the last 8 years and I have provided one full year of hospitalist services, the exact service the 3 hospitalist have provided this year. I am sure they are paid at least $1000/day.

 

 

and I will pay the bill because he could easily have had appendicitis, but we are not sure we will continue to provide free call coverage.  We are thinking $10/hour on call or about $1000/month for 4 DAYS OF COVERAGE.

[Guest guest]

Oooh. Good one Jean. I almost forgot about that one.

" Shit rolls down hill. "

From 'The House of God', br Dr. Shem. Required reading for my med

school. I think it still holds up.

Sent from my iPad

> Medical school-

> 3rd yr-

> day 2.

> " Shit rolls down hill. "

[Guest guest]

I bow my head in deference to my more literary colleague.I need to re- read.So where did S.R.D.H. come from?, how is your brother doing now?Sent from my iPad

Actually this is not a rule of the house of god ,as in age + BUN= lasix dose ( and how many of you have had your EMR support guys call it bun ,as in cinnamon.).,or

they can always hurt you more, or my favorite, other than than the intervention of the low broccoli diet-- there is no body cavity that cannot be reached with a # 14 needle and a good strong arm ok sorry enuf.

happy sunday let us know what happens.

Oooh. Good one Jean. I almost forgot about that one.

" Shit rolls down hill."

From 'The House of God', br Dr. Shem. Required reading for my med school. I think it still holds up.

Sent from my iPad

> Medical school-

> 3rd yr-

> day 2.

> " Shit rolls down hill."

-- MD ph fax