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Thread: Guess Who Has the Highest Medical Claim Rejection Rate?

  1. #11
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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by Agent Ferris View Post
    lol um no they deny more people than all of the private insurance companies combined.
    And is that because the big evil government is trying to pull the plug on grandma, or some other reason? Please, thrill me with your insight. Perhaps you could even respond to my previous post.

    Quote Originally Posted by Agent Ferris
    Are you suggesting that medicare insures more people then all of those private insurance companies combined?
    If the numbers in your graph are accurate, there were three times as many claims filed with Medicare as with all of those private insurance companies combined.
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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by MyOwnDrum View Post
    Doesn't Medicare have a different demographic, consisting of more elderly people? Yes, they are rejected for one more day in the hospital because they actually need to have to go to a nursing home but are waiting for a bed. Yes they are rejected for in-hospital rehab. Yes they are not eligable for an insulin pump under medicare, and elderly have far higher rates of type 2 diabetes.

    They consist of more elderly people, because you can't draw medicare until you're 65. However, those people have been paying into medicare--matched by their employer--their entire working lives. There shouldn't be any reason they're denied treatment. I mean, an individual + his employer will pay literally hundreds of thousands of dollars into that system. Medicare payments are mandated by the government and medicare is going to turn around and deny care? That's BS. I believe that if a person is denied care by medicare, that he should get a refund of every dollar that he ever paid into it and so should his employer(s).


    It just goes to show cocked up government run health care really is.
    Quote Originally Posted by Top Cat View Post
    At least Bill saved his transgressions for grown women. Not suggesting what he did was OK. But he didn't chase 14 year olds.

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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by apdst View Post
    They consist of more elderly people, because you can't draw medicare until you're 65. However, those people have been paying into medicare--matched by their employer--their entire working lives. There shouldn't be any reason they're denied treatment. I mean, an individual + his employer will pay literally hundreds of thousands of dollars into that system. Medicare payments are mandated by the government and medicare is going to turn around and deny care? That's BS. I believe that if a person is denied care by medicare, that he should get a refund of every dollar that he ever paid into it and so should his employer(s).


    It just goes to show cocked up government run health care really is.
    Do you have any evidence at all to identify WHY they were denied care, and what the circumstances of their claims are? Or are you just jumping to whichever conclusion best fits with your preconceived notions of government health care?
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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by Kandahar View Post
    If the numbers in your graph are accurate, there were three times as many claims filed with Medicare as with all of those private insurance companies combined.
    You didn't look at the column that showed the percentage of claims denied. Did you?
    Quote Originally Posted by Top Cat View Post
    At least Bill saved his transgressions for grown women. Not suggesting what he did was OK. But he didn't chase 14 year olds.

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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by apdst View Post
    You didn't look at the column that showed the percentage of claims denied. Did you?
    I did. Now perhaps you'd like to explain to us all what exactly that column means, and what conclusion you can draw from it.
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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by Kandahar View Post
    Did you ever stop to think that maybe this is because Medicare has more sick people?
    And did you ever stop to think that even though medicare covers less people than private insurance companies they still deny more people than private insurance companies?

    35 million people are covered by medicare whereas 200 million people are covered by private insurance companies and yet more people are still denied coverage by medicare.

    Also, what does "denied for reasons other than a claim edit" mean?
    I believe that means if you file the paperwork for the claim incorrectly it is automatically denied and you have to re-file the claim properly.

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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by Kandahar View Post
    Do you have any evidence at all to identify WHY they were denied care, and what the circumstances of their claims are? Or are you just jumping to whichever conclusion best fits with your preconceived notions of government health care?
    It doesn't matter why they were denied. The government forced them to pay into the system. There's no excuse for denying a claim.

    If I'm not happy with my private insurance, I can stop paying them. You don't have that option with medicare. Why not?
    Quote Originally Posted by Top Cat View Post
    At least Bill saved his transgressions for grown women. Not suggesting what he did was OK. But he didn't chase 14 year olds.

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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by Kandahar View Post
    I did. Now perhaps you'd like to explain to us all what exactly that column means, and what conclusion you can draw from it.
    It means that medicare has the highest percentage of denials. That's what it means...
    Quote Originally Posted by Top Cat View Post
    At least Bill saved his transgressions for grown women. Not suggesting what he did was OK. But he didn't chase 14 year olds.

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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by apdst View Post
    It doesn't matter why they were denied. The government forced them to pay into the system. There's no excuse for denying a claim.
    Really? So if I'm an elderly man who goes to a witch doctor who uses a voodoo doll to try to cure me, there's no excuse for Medicare denying my claim?

    Quote Originally Posted by apdst
    If I'm not happy with my private insurance, I can stop paying them. You don't have that option with medicare. Why not?
    Irrelevant to the subject at hand.
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    Re: Guess Who Has the Highest Medical Claim Rejection Rate?

    Quote Originally Posted by apdst View Post
    It means that medicare has the highest percentage of denials. That's what it means...
    OK, great. They have the highest percentage of denials. Congrats, you can read a graph. Now if you aren't going to draw any conclusion from that tidbit, then you have nothing more to add to the conversation.
    Last edited by Kandahar; 10-07-09 at 10:01 PM.
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