Everything posted by Crapinon
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Getting old sucks
When my PSA numbers first jumped through the roof I had a female urologist who ended up quitting for the same reason. It made me mad. She was thorough, would explain things out, really seemed to care and she had very small hands.
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Getting old sucks
This applies to trying to correct claims. When a claim is filled out wrong they will ask for the necessary information to process the claim. If they call before the procedure they will get all the information they need to handle it properly. Years ago, I had a bunch of testing done at UTSW. Two days before the testing (scheduled months in advance) UTSW had not even called my insurance company to get approval for the procedure. I had to call UTSW and tell them to call my insurance company for approval. She acted like it wasn't a big deal, when I felt it was kind of important.
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Getting old sucks
Maybe not acting in bad faith but they don't know what they're doing and often ignore the information the processors are requesting. If they send a bill and say "you can figure it out for me" they are doing their patients a disservice. They may be great doctors but they are horrible business people. And you can say whatever you want but insurances are businesses and you have to communicate with them in a language they understand. A lot of the times the doctors will start a procedure without checking with insurance to even see if it's covered. Or if it is covered, are they following the guidelines of both the insurance company and the pharmaceutical company who invented the medicine/process. There a a lot of experimental procedures that have to be done in the correct order not only for billing purposes but also for the safety of the patient. If they call insurance before the procedure, they will give then the guidelines they need to follow. They rarely do. If they would hire someone who knew what they were doing to do the billing it would simplify things. I keep telling my kids they need to leave insurance and go to work for doctors and work in their billing department. My daughter said every job she has applied for in a doctors office (and even some large rehab centers) offer $ 9-12 hour with no benefits. If they were serious they would up their game. We're just going to have to disagree on this. Yes there are good doctors. But there are hundreds of thousands of bad ones too.
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Getting old sucks
Of course there are good doctors who just want the best for their patients. Mine is one of them. He has gone out of his way to protect me from some of the inane rules of insurance. But the insurance companies also have a long list of doctors who refuse to play by the rules and constantly try to scam them out of more money. In the movie Patton, he made the comment (paraphrased) that Americans and Brits are basically the same people separated by a common language. And I think that's what happens in the medical/insurance business. Believe it or not, most insurance claims processors want to side with the patient rather than their own company because they understand the struggles people have with paying for costly medical. But if procedures are not followed correctly by the provider they are powerless to change the claims because the adjusters above them will shoot it all down and write them up. And the processors are not allowed to tell the doctors office how to fill paperwork out properly. They will ask for more information, hoping they get what they need. It's a constant back and forth with the patient in the middle.
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Getting old sucks
- Random thoughts that don't warrant a thread
Actually is was closer to 40 or so in sales and management in FW/Dallas. That doesn't include Houston. The CEO and president were both aggys. The CEO drove a custom Cadillac painted maroon with a white leather interior. The president a custom Lincoln painted white with a maroon interior, They hired 90% from the A&M school of industrial distribution. When they got full aggy control of the company it only took them about 8 years to destroy it. Nice guys but so full of themselves and what they learned in college they were business idiots. Not saying they all didn't wash their hands after peeing, but I heard that statement from several of them.- Getting old sucks
Yeah, my family members who process claims would beg to differ with you on this one.- Random thoughts that don't warrant a thread
Years ago, I worked with a ton of aggys at Briggs Weaver in Dallas, who didn't wash their hands after they pissed. When I called them out on it they all said "we didn't piss on out hands". I told them I didn't want to shake hands with their dicks either so I refused to shake a lot of hands.- Getting old sucks
This happens all the time; there is a set charge for a procedure. But instead of the doctor having a set cost for the whole thing, they a la cart the invoice hoping it will get around the insurance codes. They add separate lines for sutures, bandages, gloves, giving an injection (the cost of the medicine is covered but there is a separate line charge for actually giving the shot, etc. Anesthesiologist get screwed all the time because of the way the hospital bills. You would assume that with a surgery you would need one to proceed but because they appear as a separate line on the bill, they are required to have preauthorization. If the hospital doesn't submit it for preauthorization, their fee can be declined. I know they are correcting this but the games that are played between the insurance companies and doctors/hospital are insane.- Getting old sucks
And doctors forcing people to pay up front, might not be legal. My son-in-law had surgery last year. The surgery center tried to force my daughter to pay for it all upfront. She pulled out the contract and told them to stick it where the sun don't shine because they couldn't do that according to their agreement with the insurance company. When I had my shoulder surgery, they made me pay $50 every rehab visit. When the new year rolled around I handed the desk my credit card to pay for my visit and they pulled up my account. Long story short they overcharged my almost $1800 the previous year and had to cut me a check. If i hadn't ask they wouldn't have paid me until they closed the books at the end of the year. The exact same thing happened with the MRI company. I got a check for $900 a year after I had my MRI because they "accidentally" overcharged me. I can't imagine how much money they bank with overcharges.- Getting old sucks
My daughters and wife work for BCBS. I understand why everyone complains about insurance companies being heartless corporations who just want to collect your money and then not pay for anything. But the reason they fight every bill is because of crap like that. A lot of the doctors they deal with have no business acumen and hire their barely literate niece to run the billing department. They believe they can get around the limits set by insurance companies by submitting outrageously oversized bills, hoping that insurance will miss something and overpay. The submitted bill for my shoulder surgery was $52,000. They ended up settling at $11,000. The doctor still made money or he wouldn't work with my insurance. You can't believe the quack procedures and charges they try to submit. Many not based in any scientific fact but more like medicine by Facebook. The sad part is that all the incompetent quacks/crooks cause such a crackdown that innocent and well meaning doctors get hurt in the process.- Random thoughts that don't warrant a thread
Back in the mid 80's I sold safety equipment to the Miller plant in Fort Worth. They had 10 cent beer machines in the employee lunch/break room. Pop a top for morning break!- Dumbass Shit We See On Facebook
- The Gun Owner’s thread
I would talk to a reputable gun broker before you do anything. And I mean someone who trades in classic weapons. I have a friend that works for a big collector/distributor and a lot of people will bring him guns they had "restored" that destroyed the value of the guns. Even something as simple as trying to reblue a firearm can take away from it's value. Some things, if not original, are better off looking old. And I'm not talking about a gunsmith. They can "fix" anything but that doesn't mean it's the right thing to do or in your best interest. He has plenty of horror stories where a gunsmith "fixed" a firearm only to trash it's value and collectability. They're may have a fee for looking at your collection, but in the long run it could save you a lot of money.- Random thoughts that don't warrant a thread
- Random thoughts that don't warrant a thread
He had to taser her. She was coming at him with a knife (and a walker). https://www.msn.com/en-us/news/world/police-officer-tasers-95-year-old-woman-sparking-outcry-and-inquiry/ar-AA1bobIO- Wives and the Stupid Shit They Say/Do
IDK the feminine mind but I firmly believe that when they buy something that usually comes from a husband or boyfriend, it's because they're thinking "he's not going to get them for me, so I'll get them for myself". Or it's a challenge to see how you'll respond, maybe expecting you to buy enough flowers for a Mafia Don's funeral to prove you care more. And I'm lucky in the purse department. I once told my wife I was going to buy her and my daughters Coach purses for Christmas. She said she would be mad and I was a fool if I spent more than $40 for a purse. And whatever I picked was going to be wrong anyway, because women are too damn particular about what they want in a purse.- Post a pic that makes you say "Holy shit."
A friend of mine's grandmother used to shoot them with a double barrel 12 ga.- Random thoughts that don't warrant a thread
Still available at DQ- Random thoughts that don't warrant a thread
Whenever someone ask me if I speak Spanish, I always tell them "just enough to get me punched/in a fight".- Wives and the Stupid Shit They Say/Do
Not dead! One of his better quotes: "A couple of grand-slammys and the Brewers are right back in it."- Post a pic that makes you say "Holy shit."
Badger going home like "just another good day at the office".- The Gun Owner’s thread
Talked to my buddy. He doesn't know anything about it but he's going to make some calls.- Getting old sucks
My aunt, who was a true Matriarch in our family, had a stroke at 73 because she quit taking her BP meds when they were caused her to gain weight. She didn't tell anyone and lay on the floor for 2 days before they found her after she was hit. She was a big wig at SW Bell and was over the entire panhandle region at one time. Totally senseless all in the name of vanity.- The Gun Owner’s thread
I know a gun importer who has brought stuff like this in before. I'll ask him if he knows anything about them. But if it's coming from Russia, I doubt they will get to the us via any legal method right now. - Random thoughts that don't warrant a thread
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