Insurance codes are based on P.T. Barnum's axiom o
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Posted On: 06/14/2022 1:25:57 PM
Insurance codes are based on P.T. Barnum's axiom of 'never give a sucker an even break' or is it, 'a sucker is born every minute'. When the system puts you into a stupor (better than a coma!) then the usual experience is a potential nightmare. The dirty business of medical practice lies within and underneath; the netherworld where strange creatures lurk and fester in the shadows - y'know, like bashturds and boneheads but only richer, waaaaaaay richer. The following link gives a decent explanation, if simplified, of the three codes we, BIEL & friends, hope to one day have assigned to us; should the medical device gods so choose. Like OEM partner agreements, once we have one, say CPT, then the others will follow. Anyway, that's the theory.
At the bottom of the article are several more articles referencing insurance codes. Just when you thought you had your shite together and all was peachy-keen honky-dory ... now you have to decipher the bill. What this tells me is what an absolute flippin', giant globulous mass of a bureaucratic cluster-flock our medical system is. If it isn't complexity, it's corruption, or bungling bozos overcharging, or the run-around, or on hold w/ muzak, or disconnected accidently-on-purpose ... gawd, take your pick from your own personal nightmare.
https://www.verywellhealth.com/learn-about-in...rs-1738628
And then we have abbreviations ... lots of 'em ... read 'em and weep ... And I will leave you to c/o the following cuz I don't have the patience. This stuff drives me up a friggin' wall in seconds.
https://abbreviations.yourdictionary.com/arti...-easy.html
https://abbreviations.yourdictionary.com/arti...bbrev.html
So, here's the takeaway. Trying to navigate a system that is not only cumbersome, and nearly opaque, like molasses in January, it is a massive undertaking. Getting insurance codes requires managing an abyss of red tape & trap doors; pitfalls every step of the way. CEO Kelly is working a plan and I believe she will get it done. As I have said before, BIEL is in the politics game. Are we the Mouse to cause an Uproar?
In a tectonic sort of way, the ground is shifting in our favor. We, BIEL, are slowly gaining speed and momentum which, in turn, will fuel demand. With the OEM deals we currently have in place, all the websites, all the countries (37 now?), let alone the deals we don't know, once we secure these damn insurance codes, WE ARE GOLDEN. The foundation is nearly finished as we cautiously await ... pacing back and forth.
So, the next time you feel like venting towards the CEO, remember what she is up against; an unyielding, unforgiving, slow-to-change, woolly mammoth of a bureaucracy w/ lawyers and accountants. She has allies, all smart leaders do, but do not underestimate what is happening here. We shall be the beneficiaries in a very significant way should we prevail, and I think we will. Then let's see who comes a-knockin', if not already.
One final thought. If a medical device, say a back brace (Enovis, SAI), is covered thru insurance (w/ a code) and a PEMF device is then designed into said device, is the 'new' device still covered thru the same insurance? And if that is the case (big IF) does that mean the PEMF device is 'grandfathered-in' and covered by same insurance plan? Or does it happen as a consequence of gettng the insurance code to begin with? See what I mean?
RecoveryRx & USA domestic market ... would luv to know ...
later, WBeacham
At the bottom of the article are several more articles referencing insurance codes. Just when you thought you had your shite together and all was peachy-keen honky-dory ... now you have to decipher the bill. What this tells me is what an absolute flippin', giant globulous mass of a bureaucratic cluster-flock our medical system is. If it isn't complexity, it's corruption, or bungling bozos overcharging, or the run-around, or on hold w/ muzak, or disconnected accidently-on-purpose ... gawd, take your pick from your own personal nightmare.
https://www.verywellhealth.com/learn-about-in...rs-1738628
And then we have abbreviations ... lots of 'em ... read 'em and weep ... And I will leave you to c/o the following cuz I don't have the patience. This stuff drives me up a friggin' wall in seconds.
https://abbreviations.yourdictionary.com/arti...-easy.html
https://abbreviations.yourdictionary.com/arti...bbrev.html
So, here's the takeaway. Trying to navigate a system that is not only cumbersome, and nearly opaque, like molasses in January, it is a massive undertaking. Getting insurance codes requires managing an abyss of red tape & trap doors; pitfalls every step of the way. CEO Kelly is working a plan and I believe she will get it done. As I have said before, BIEL is in the politics game. Are we the Mouse to cause an Uproar?
In a tectonic sort of way, the ground is shifting in our favor. We, BIEL, are slowly gaining speed and momentum which, in turn, will fuel demand. With the OEM deals we currently have in place, all the websites, all the countries (37 now?), let alone the deals we don't know, once we secure these damn insurance codes, WE ARE GOLDEN. The foundation is nearly finished as we cautiously await ... pacing back and forth.
So, the next time you feel like venting towards the CEO, remember what she is up against; an unyielding, unforgiving, slow-to-change, woolly mammoth of a bureaucracy w/ lawyers and accountants. She has allies, all smart leaders do, but do not underestimate what is happening here. We shall be the beneficiaries in a very significant way should we prevail, and I think we will. Then let's see who comes a-knockin', if not already.
One final thought. If a medical device, say a back brace (Enovis, SAI), is covered thru insurance (w/ a code) and a PEMF device is then designed into said device, is the 'new' device still covered thru the same insurance? And if that is the case (big IF) does that mean the PEMF device is 'grandfathered-in' and covered by same insurance plan? Or does it happen as a consequence of gettng the insurance code to begin with? See what I mean?
RecoveryRx & USA domestic market ... would luv to know ...
later, WBeacham
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