Neutrality: Preference of patient insurance company should not get in the way of decision-making. Staying neutral is a must to show favoritism is unethical. A healthcare professional is required to follow ethical procedure not matter the relationship to the patient. (MB Guide)
Honesty:
Violation of guidelines, stealing, coding services unperformed, unbundling procedures, and so on are unaccepted and in most cases, intolerable. When an unethical medical problem is performed, either by a colleague, patient, or other physicians it needs to be reported to the employer. (MB Guide)
Patient Rights:
Patients have the right to be treated with dignity. Treat them and their loved ones with kindness. All patients have the right to privacy. Use discretion …show more content…
Insurance companies have stricter criteria to meet before paying for hospitalizations. Even claims such as the example above clearly warrant hospitalizations. Nonetheless, patients can require transparency in billing practices. Consumers can request price transparency and a consult explaining the breakdown of costs. Another preventive measure to keep costs low is to avoid seeking treatment from HCOs that frequently conduct unnecessary testing which drives costs. Additionally, similar to any other product of service, patients are encouraged to shop around and compare health care service, costs, and outcomes. Furthermore, consumers can get a price breakdown before treatment to plan ahead for billing receipt. Lastly, a patient can seek advice from a credible medical billing advocate for any billing discrepancies or …show more content…
New followed up to see how Mr. Tai Chi was fairing with his bill. Mr. Tai Chi is still perplexed about the billing process. Of course, Mr. Tai Chi did the right thing and paid his bill, however, he was stunned when he received the bill for removing Jeremiah 's stitches which were only a twenty-dollar fee. The small fee is a contradiction when compared to several thousand dollars in emergency room charges. Ms. New and Mr. Chi discussed the dilemma and came to the resolution that it could benefit the HCO and patients, at the time of the emergency room visit, the emergency level status reduces. Then the diagnosis code could lower in status, resulting in lower HCO and patient out-of-pocket costs. Once the medical team realizes that the admittance is not urgent, they could change the situation. Thus, however, may cause conflict between providers and payers to find a balance to give the best care while keeping costs low.
Lessons
Honesty:
Violation of guidelines, stealing, coding services unperformed, unbundling procedures, and so on are unaccepted and in most cases, intolerable. When an unethical medical problem is performed, either by a colleague, patient, or other physicians it needs to be reported to the employer. (MB Guide)
Patient Rights:
Patients have the right to be treated with dignity. Treat them and their loved ones with kindness. All patients have the right to privacy. Use discretion …show more content…
Insurance companies have stricter criteria to meet before paying for hospitalizations. Even claims such as the example above clearly warrant hospitalizations. Nonetheless, patients can require transparency in billing practices. Consumers can request price transparency and a consult explaining the breakdown of costs. Another preventive measure to keep costs low is to avoid seeking treatment from HCOs that frequently conduct unnecessary testing which drives costs. Additionally, similar to any other product of service, patients are encouraged to shop around and compare health care service, costs, and outcomes. Furthermore, consumers can get a price breakdown before treatment to plan ahead for billing receipt. Lastly, a patient can seek advice from a credible medical billing advocate for any billing discrepancies or …show more content…
New followed up to see how Mr. Tai Chi was fairing with his bill. Mr. Tai Chi is still perplexed about the billing process. Of course, Mr. Tai Chi did the right thing and paid his bill, however, he was stunned when he received the bill for removing Jeremiah 's stitches which were only a twenty-dollar fee. The small fee is a contradiction when compared to several thousand dollars in emergency room charges. Ms. New and Mr. Chi discussed the dilemma and came to the resolution that it could benefit the HCO and patients, at the time of the emergency room visit, the emergency level status reduces. Then the diagnosis code could lower in status, resulting in lower HCO and patient out-of-pocket costs. Once the medical team realizes that the admittance is not urgent, they could change the situation. Thus, however, may cause conflict between providers and payers to find a balance to give the best care while keeping costs low.
Lessons