RE: Question? About ER cost and call coverage.

[Guest guest]

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]

Fascinating thought. I say go for it. I no longer admit, so I had not thought about this component of the hospitalist movement. It makes total sense for you to get paid the “fair and reasonable” rate that the hospital is paying the hospitalists. Of course, it makes total cents for them to not want to pay you anything. J Good luck and let us know how the negotiations go! From: [mailto: ] On Behalf Of EglySent: Sunday, February 05, 2012 3:33 AMTo: Subject: Re: Question? About ER cost and call coverage. 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]

Think it makes sense if YOU don't bill for your services.

What does the itemized bill for your child's service account for, if you don't mind posting, and curious what the ER accepts by the insurance.

For Ex, my wife had a vitamin D level, charge was over $200, ins accepted about $30....

Matt in Western PA

Re: Question? About ER cost and call coverage.

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]

U are giving away ur services and it seemsThey don't really care.I think a Hospitalist wouldn't work for Less than 180-200 K dollars a year.If they hire 3 there u go , u know how muchThey are willing to pay for hospital services.I would go and talk to the CEO of the hospitalAbout it.U love me doing Hosp for free but u charged50 dollars tissue box kind of service?Adolfo E. Teran, MD

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]

Medical school- 3rd yr- day 2. " Shit rolls down hill. "

 

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.

--      MD          ph    fax

[Guest guest]

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

[Guest guest]

Rules of house of god.

See http://en.wikipedia.org/wiki/The_House_of_God

Don't read the follow up books though, they are just GROSS!!

Re: Question? About ER cost and call coverage.

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