Now working as a feild based case manager for worker's comp and auto insurance companies. They always want a cost projection.
Does anyone else have to do this? I hate all things financial! I am a nurse not a freaking accountant!!
Anyway, being that I have to dela with it, I am finding it so difficult to obtain information from the hospitals. They say, why do you need this info, this bill was already paid? Or, they don't have all the charges and don't know what other billing co was used, ex anesthesia, surgeons fees (they are copperative at least!) and cost of orthopedic hardware, THAT one is so elusive, they won't give you even a range of prices when you call the companies that manufacture them.
DME equiptment, and home care, PT, all of that is cool, but the hospital's billing procedures is a true problem, and I don't know how to give an accurate cost projection at all.
Can you get copies of the paid itemized bills from the adjusters or the insur co's themselves. Seems a little stupid to ask for info from them, since they want you to give them projections. Right now, I have 3 surgical cases coming up, they want cost projections, and I have no idea how to figure it.
Any ideas? MY sup hasn't been too much help. I have lots of sample reports, all are done so differently, and a small idea of what anesthesia would charge $85/per 15 min unit, but how do I know how many units would be used? I never get this when I call.
I can't seem to find any web sites that list this kind of info. How do you get this info for your cost projections?
When you do cost projections say for a case that was opened to tele CM in Feb, and the person had MRI's, PT, esi's, etc, now will have surgery, do you go back to the former costs and include them, or just from the future on? It doesn't make sense to me to dig into the past fees as these are already known to the insurance company since they must have already paid them, so what do you do?
