Co-pays in the ER - page 6
We have been told our registration clerks will be starting to collect insurance co-pays from pt's after services are rendered. Just wondering if any other ER's out there are doing this and how it is... Read More
Aug 5, '07Joined: Nov '05; Posts: 485; Likes: 269We hit them up for a co-pay after each visit, if they can't
or won't pay we just "bill them"
Aug 6, '07Occupation: Nurse Manager Specialty: 30 year(s) of experience in Leadership, Psych, HomeCare, Amb. Care ; From: IL ; Joined: Apr '07; Posts: 2,919; Likes: 5,532I was brought to the ER after an auto accident.
The billing person came to my gurney and asked for demographics and for the co-pay. The other driver was clearly at fault, and they don't bill 3rd party insurance comapanies.
"I'm not prepared to pay today (even though I could easily do so), bill me."
That was the end of it.
Aug 7, '07Occupation: RN Specialty: 11 year(s) of experience in ER, Outpatient PACU and School Nursing ; Joined: Jul '06; Posts: 114; Likes: 14our registars can come in after the patient is evaluated by the er doctor. They will ask them for their copayment or tell them how much their bill is so far and can you pay any of that today?
Aug 9, '07Joined: Jun '07; Posts: 6; Likes: 1This is a big problem at our hospital too. Over half of the patients are frequent fliers and no telling what the bill is on all of their er visits. Mngmt is cracking down on nursing staff to make sure the pt sees registration as they walk out of the door. Most of us don't personally walk people to the door and are trying to think of better ways for this to be done. such as registration hand the pt the dc instructions/scripts, them going to the room at time of discharge or when waiting to get results of tests...so far there has been little effort by the registration clerks to do this....
Aug 9, '07Joined: Sep '03; Posts: 6,885; Likes: 12,485Had a patient earlier this week, 23-year old, graduated from college in May, not yet employed and therefore uninsured. Accompanied to ER by his mother. His complaint was legit, although not an emergency.
He & his mother asked several times "how should we handle" getting his Rx filled? I named a few 24-hour pharmacies within a short distance. No, their issue was not access ... but a belief that because he was uninsured, we should provide the supply of abx at discharge. Umm, no.
Also advised that if s/s worsened or he developed xyz s/s he should probably return to the ER.
"If I have to do that, will it be included with today?" Umm, no. It's a whole new ER visit.
Provided referral to obtain new PCP. "But he's uninsured." Umm, well, if you need medical care, even if you're paying for an office visit out of pocket, it's a whole lot cheaper than paying for an ER visit.
"You mean we'll have to pay for this?" They were truly shocked. And understand - the issue was not ability to pay ... but a sense of entitlement.
Discharged, directed to discharge clerk, who hit them up for payment.