The Workplace

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over the mountain
05-27-2010, 04:09 PM
WC is a nightmare, claims go on forever, the medical providers are corupt, and the attorneys are ambulance chasers. Spitzer pushed through a lot of legislation before he left but the system still needs a lot of work.

yup we dont touch em anymore.

matty i have a lil secret for you. doctors reduce their bills to the client after we settle and you cut the check. lol like you dont know that already thoo. but thats it, thats the only unwritten trick we have.

FD - your probably ref to CPT codes, which as collusus touches on, the more CPT codes a client/patient has, the more a computer printout shows the injuries and treatment, the more they will get paid.

we used to write out the treatments rec'd in our demands but found that adjusters werent reading and considering every treatment all the time. with CPT codes, the adjuster just plugs in the codes or counts them and the adjuster has a full data-code driven idea of the treatment. is my understanding of this correct?

so freakin ready to blow a hole thru the door and get outta here. co workers are dropping like flies.

MTK
05-27-2010, 04:48 PM
Does the system in NY require getting pre approvals and the use of codes for ever procedure done on a patient?

Any treatment over $1000 requires pre-auth. The CPT codes are required for billing purposes only.

saden1
05-27-2010, 04:52 PM
Oh and what's up with women wanting the heat turned up in the workplace? It's 77 degrees up in this bitch.

dmek25
05-27-2010, 06:40 PM
saden, you crack me up :)

MTK
05-27-2010, 07:05 PM
Oh and what's up with women wanting the heat turned up in the workplace? It's 77 degrees up in this bitch.

I used to work in a bank with all women and I fought with them every day over the damn A/C. They liked it stifling hot. I loved it when customers complained because I could turn to the women and say see, it's too damn hot in here.

Daseal
05-27-2010, 07:36 PM
Seriously. Girls like it way too hot. We have one girl in my house, and she turned the freaking HEAT on. My room is always way hotter than the rest and I like it COLLLDDDD.

Rainy Parade
05-27-2010, 08:46 PM
cant live with 'em
cant kill 'em

tryfuhl
05-27-2010, 09:36 PM
I'm guessing its been a few years sense you have done any auto claims because that system is pretty common today.

After thinking about it I'm very surprised that you don't have some type of program as a guide as to what should be paid to doctors and others providing a service. How do you know when a doctor is charging the correct amount when you get a customers bill?

yep.. bro in law's family got out of ins work at their body shop because of the requirements and fees from the computerized systems.. restorations mostly now

MTK
05-28-2010, 12:00 AM
I'm guessing its been a few years sense you have done any auto claims because that system is pretty common today.

After thinking about it I'm very surprised that you don't have some type of program as a guide as to what should be paid to doctors and others providing a service. How do you know when a doctor is charging the correct amount when you get a customers bill?

It's called a billing dept., and they use what's called the NY W/C Fee Schedule. There are agreed upon rates for every code.

BleedBurgundy
05-29-2010, 07:24 PM
Is it not very obvious that you don't grill someone for answers when you see them eating lunch at their desk? Sometimes I wish I could just say "mother fucker, don't you see I'm eating my lunch?"

I got co-workers that like to talk about their hobbies a lot. Just because I have a bike doesn't mean I want to hear about you working on a customizing your bike almost every fucking day.


Oh and saying "your moma" out of nowhere and out of context is totally retarded...especially if the co-worker you're saying it to is in his mid 40's.

</rant-complete>

Got to agree with you here, this drives me fucking nuts. Like, I have a fork in my goddamned hand, what is so fucking complicated? It's even better when they walk up on you start asking their questions, and then go, "oh, you're eating lunch, sorry to interrupt" and continue on interrupting. I wait til their finished, then look them dead in the eye for about 20-30 seconds, long enough to be a good uncomfortable silence, and then answer their question before turning back to my lunch without waiting for them to ask follow ups... I

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