Skip to main content

Patient Navigators Climb Your Mountain of Medical Bills

To accomplish certain tasks, we need a little help from our friends.  No one can do it all, although many of us are more resourceful than others.  Some folks are adventurous and dive into a new arena with excitement.  They may be tinkerers who aren’t afraid to play with new gadgets.  Sure, they might break some china, but they are apt to widen their skill set and enrich their lives.  Others, eschew this dive bomb approach and prefer to wade cautiously into new experiences.  Their comfort zones are narrower.  They never break the china, but their personal growth is likely more stultified. 

For some activities, we should simply call upon the professionals straight away.  Here are some examples of jobs that we should pay others to do for us.
  • Cut down a huge dead tree on our front yard.         
  • Replace damaged roof shingles.
  • Investigate why smoke is seeping out of the hood of our car.
  • Prepare our last will and testament from www.DIEWITHCASH.com or some similar website.

I realize that not everyone may agree with my examples above.  Many folks, for example, would have no hesitation to scamper up to the roof with a tool belt strapped on to do some reshingling.  Have at it.  If you ever spot a man on my roof, trust me, it’s not me.

If a job needs this tool, then keep your fingers and hire a pro.

There are some activities that we pay others to do, but we shouldn’t have to.  It’s not our fault.  Certain systems are so complex and byzantine that a normal individual simply isn’t equipped.  Why should most of us have to pay someone to figure out how much we owe the government in taxes?  I realize that this absurdity is employment security for the accounting and legal professions, but it indicates to me that the system is broken.  The system should be simple enough that we can calculate our obligations ourselves.

Similarly, shouldn’t understanding and paying medical bills be a simple process, similar to paying all of our other bills?  When I receive a plumber’s bill, leaving aside that his hourly rate might be higher than mine, I can easily understand the itemized services and how the total charge was calculated.  Not so with medical bills.  I’m a practicing physician and I cannot reliably understand my own medical bills. Medical bills occupy a unique universe, which is not governed by reason or logic.  I will assume that every reader has had similar experiences.

We need a modern day Rosetta Stone to decipher our encrypted medical bills.  Of course, we can always call our insurance company directly, which is guaranteed to be as relaxing and fun as undergoing a rigid sigmoidoscopy.  Also, don’t you love the musical phrase, “please listen carefully as our options have changed”?

Enter the new profession of Patient Navigators, an emerging occupation that helps the confused citizenry understand their medical bills.  We all know of many patients who have stacks of bills awaiting payment from physicians, hospitals, radiologists, pathologists, laboratories, emergency rooms, etc.,that would overwhelm the most rugged among us.  Grappling with medical billing is to tread onto a treacherous pool of quicksand with no bottom. Leaving aside the Herculean task of sorting through the morass, there is an inhumanity to expect sick or recovering patients to be forced into this maze of madness.

The existence and growth of the Patient Navigator profession is Exhibit A that medical billing needs to be reformed.  With all of the nonsensical ‘reforms’ that have been forced onto the medical profession, Obamacare missed a target that was overripe for real reform. 





Comments

Popular posts from this blog

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Stop Medical Malpractice: The White Coat Wall of Silence

Photo Credit Leisure Guy, one of my most faithful commenters, opines that I am omitting an important aspect of the tort reform argument. He has implored me repeatedly to read a particular book that I suspect buttresses his views, but this worthy pursuit is simply not near the top of my priority pyramid. Since he’s retired, he enjoys the luxury of burrowing deeply into the base of his priority pyramid. With 4 tuitions to go, retirement is a distant mirage for me. I’m can be a ‘leisure guy’, but only in my dreams. I have written throughout this blog and elsewhere that there are too many frivolous lawsuits against physicians. I have admitted that caps on non-economic damages are not ideal, because they deny some worthy plaintiffs of complete compensation, but I support them because I believe they serve the greater good. I have ranted that there is no effective filter to screen out physicians who should never be invited to the litigation party in the first place. I believe that the...

Prostate Cancer Screening: Stop The PSA Train!

About 10 years ago, my dad was to see his general internist. I have always refrained from giving medical advice to my family, for all of the reasons why doctors should not treat or advise their relatives. But, on this occasion, I did give Dad some unsolicited advice, particularly as I knew that his physician fired the diagnostic testing trigger readily. “Dad, please make sure that he doesn’t check the PSA (prostate specific antigen) test.” Dad indicated that he would convey my concern to his doctor, who ran the test on him anyway. Apparently, he includes the PSA test as a matter of routine on all men over a certain age. Twenty-five years ago as a curious, but skeptical medical student, I learned about prostate cancer. I learned that every man will develop it if he lives long enough. I learned that most cases of prostate cancer remain silent and never interfere with the individual’s life. I learned that the treatment for these cancers involves either major surgery or radiation, both of ...