A look at how observation compares to inpatient care for people with Medicare.
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Local Articles in Santa Cruz
In a medical emergency, don't panic. Knowing where to go can save you time, money, unneeded hassle — possibly someone's life.
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Founder Angie Hicks weighs in on a growing demand for concierge-level care.
Clinical Management reviews in Santa Cruz
The bill turned out to be for what I sarcastically called while in the hospital "drive-by docs" who showed up once or twice a day, introduced themselves as "Dr So-and-So with " (which I consider misleading since they are not employees, but employees of ), asked me how I was doing, rarely walked all the way into the room, and rarely stayed more than a minute, sometimes less. There were several different doctors - I don't know how many because I never had a to get to know any of them - and it was clear that in some cases the doctor either had not looked at my chart, or didn't remember what he read because some of them seemed to have no real idea what was going on with me. And for this I was expected to pay $185 per one-minute visit.
I refused to pay the bill on the basis that I was not informed that there would be charges over and above the hospital's normal per rate, or that there would be out-of-network providers involved in my care and that I would be billed for their very questionable "services". I had a reasonable expectation that all my care would be covered as in-network unless informed otherwise.
I also had a legal right "To be fully informed, prior to or at the time of admission and during stay...of related charges, including any charges for services not covered by the Facility's basic per- rate..." (From the California Patient's Bill of Rights). I hold both Hospital and responsible for making certain I was informed there would be extra charges, and that these charges would not be covered by my insurance provider as in-network.
I also informed hospital that they had violated my rights under the federal Patient's Bill of Rights to "receive information about the individual(s) responsible for, as well as those providing, his or her care, treatment, and services". I informed them that I considered it misleading that the doctors introduce themselves as "with ". I should have been informed who these drive-by docs were, and what their true affiliation was with the hospital, and I should have been given an opportunity to refuse to have these outside doctors involved in my care. Since my surgeon or his PA came at least once, sometimes twice a day to check on me, I would have declined the ridiculously overpriced drive-by visits by the Hospitalist doctors who for the most part did absolutely nothing for me except disturb my peace for a few minutes each day.
I did not pay the Hospitalist bill. I told that they should talk to my insurance company, and to about being paid since I had not consented to have them involved in my care, let alone to pay an exorbitant rate for almost nothing. I don't know what the outcome was except that I never received another bill.
In my opinion using these outside contractors who provide very little for far too much money is a very poor patient care practice on the part of , and while most of the doctors were pleasant and cheery (sometimes annoyingly so), they did not seem particularly committed to providing any kind of real care at all.
I have a 12 page statement that goes back to the year ...MoreRead more of this review 2000. They think I owe them money but I don't. They threaten collections action but cannot explain the charges.
Case in point is services performed for my wife on 1/24/11. They charged $1.588.22. Blue Cross discounted this to $527.57 and paid $474.81. The secondary insurance, Cigna, paid $179.63. There should be a credit balance of $126.87 but the Billing Office does not recognize this.
I have sent them dozens of letters asking for an explanation of the balance they say I owe. They have replied with 12-page statements dating from 2000 (the same as I already have) with highlighting, including the services performed on 1/24/11.
The example above in just one of many for me, my wife, and my daughter.”
Hospitalists in Santa Cruz, CA
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