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(CBS Miami)   This is amazing for two reasons. A man's severed fingertip is completely regenerated including the nail using a template made from pig bladder cells. The second is the insurance company is now making medical decisions. Care panels   (miami.cbslocal.com) divider line 11
    More: Cool, florida, pig bladder, Delray Beach, judicial panel  
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6178 clicks; posted to Main » on 17 Sep 2013 at 7:22 AM (44 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-09-17 07:17:24 AM
4 votes:
The second is the insurance company is now making medical decisions. Care panels

Don't blame ObamaCare for that.  This has been going on for years.  On the other hand the insurance companies will say that they're not making decisions.   They're just telling you that they're not going to pay for something that you want, and you agreed to this when you purchased their policy.  If you want something that's not covered, you're welcome to pay for it yourself.
2013-09-17 07:37:51 AM
3 votes:
Health Insurance companies are so resistant to experimental procedures and treatments I'm surprised they pay for other things besides leeches, bleeding, and trepanning.
2013-09-17 08:52:52 AM
2 votes:

Vertdang: Vertdang: Crunchy Frog: Jeebus, some of the comments on that site are just derptastic.

some?

Now that I think about it, it seems like just about all of the major news sources websites comment sections have become the new "opinions" page. Filled with the least educated, derpiest, most completely off-the-wall insane statments that I've ever had the misfortune of reading. Don't these mental midgets have something better to do with their time than expose others to their idiocy?

My current "facepalm so hard I punched my brain through the back of my skull"


See, but it's kind of good in a way. At least his acquaintances and neighbors can know how stupid he really is and stay the fark away from him. Local papers are doing a public service by outing these morons.
2013-09-17 08:21:09 AM
2 votes:

Harvey Manfrenjensenjen: I'm not seeing the problem here. Someone comes in with the tip of their finger bitten off, and there is a relatively standard procedure for that


The problem is that reflexive adherence to standardized procedure, especially when that is driven by a desire to reduce costs rather than improve outcomes, impedes innovation and progress. Example:

Patient: My soon to be exwife just chopped my dick off over an article she saw in Cosmo!

Doctor: Okay we can totally fix that using this new technology which it grow it back and probably leave you with feeling in it too!

Insurance Company: Whoa, whoa, whoa. Hold on there, Tex. The standard procedure is to just tie off the stump and teach him to sit when he pees.
2013-09-17 07:28:51 AM
2 votes:
The real question is: Can the regenerated fingertip unlock his iPhone?
2013-09-17 08:30:54 AM
1 votes:

slykens1: With that out of the way - my company deals with insurance company moronity every day. We concluded long ago (15+ years) that the insurance company's sole "job" is to find ways to deny claims or state they never received them.


Hence RICO.

We send them to the pen forever like the mob they are.
2013-09-17 08:25:24 AM
1 votes:
Some of you guys think you know what you're talking about... I'm getting a kick...

With that out of the way - my company deals with insurance company moronity every day. We concluded long ago (15+ years) that the insurance company's sole "job" is to find ways to deny claims or state they never received them.

Many of these payers have long had medical staff that review the procedure to determine if it was, in their sole opinion, medically necessary. We have a certain speciality or two that we bill for that we take to the point of having a particular insurance company's staff sign off on the treatment plan to ensure it will be paid for and even then we occasionally have to appeal - reminding them they signed off on it. This is beyond authorization to the point where the patient's chart and treatment plan is reviewed with the payer's medical staff, just to get them to pay for something they would have in the first place.

CSB -

Many years ago, before electronic claim submission was even regularly used, we would send a stack of 50 claims or so to a payer in alphabetical order. After a few weeks we would call in to check on these claims and would find that maybe 25 of them would have made it into the payer's system - but that 25 would be made up of various letters throughout the alphabet so it was clear to us they received all the claims - half of them just never made it into the system. Most physician's offices are too busy to follow up and try to find them so the payer wins.

Another kicker is authorizations - God help you if you don't call and get authorization first. Even though the payer would have paid for *everything* you did, if you didn't ask permission first they're not paying you a penny and they're laughing at you for working for free. At least our Medicaid is decent about retroactive authorization - they pay crap but they're generally pretty easy to work with in my state.

With today's electronic systems and claim acknowledgements the reason for not processing claims has changed to missing information. It's funny that all the other claims submitted in that batch were ok tho.
2013-09-17 07:45:25 AM
1 votes:

r1niceboy: Health Insurance companies are so resistant to experimental procedures and treatments I'm surprised they pay for other things besides leeches, bleeding, and trepanning.


Let's not be hasty...leeches don't grow on trees, you know.  The patients can darned well drain their OWN blood.

Trepanning can be outsourced to a local body shop, to keep costs down.  We've got executive bonuses to pay.
2013-09-17 07:39:55 AM
1 votes:
Jeebus, some of the comments on that site are just derptastic.
2013-09-17 07:38:09 AM
1 votes:
It's unfortunate it grows back so blurry.
2013-09-17 03:02:23 AM
1 votes:
Pretty sure insurance companies only make financial decisions.
 
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