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I wrote a negative Yelp review and it made my life a nightmare

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Re: I wrote a negative Yelp review and it made my life a nightmare

#251

Post by johnhassan »

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Re: I wrote a negative Yelp review and it made my life a nightmare

#252

Post by conanbatt »

mynameisvlad wrote: post #183
conanbatt wrote: post #151

Earlier quoted context omitted.

Because the dentist will diagnose you first. When someone says they have a headache, you dont know if he needs an MRI that costs thousands of dollars, or aspirin which is cents. And also, each insurance pays differently for the same service. You can always go as a patient to an all cash-clinic, which will have fixed pricing, but then you throw away the benefit of your insurance.

> And also, each insurance pays differently for the same service. Yes, and the provider knows more or less upfront how much each insurance provider will cover. My dentist can handle this just fine for every single procedure and I'm out of network. They've never been wrong. The coverages are fairly standard as are in/out of network fees.

I work in healthcare, I assure you you dont know. Because it depends on the service you are going to provide, the time you have, the procedures you are going to do, and that is done during the visit, no before service.

When a doctor has to file a claim with an insurance,he has to pick between 10s of thousands of codes and then out of different procedures, that have different values based on how much documentation is gathered, that changes per insurance, and then the insurance will renegotiate.

I am in the business, I can tell you its impossible to know what the insurance company is going to pay.

Re: I wrote a negative Yelp review and it made my life a nightmare

#253

Post by hitekker »

JumpCrisscross wrote: post #46

Counterfactual: Dr. Soong is well-rated on ZocDoc. Curious to see how the judge rules.

ZocDoc explicitly limits critical reviews, implicitly removes negative ones, and otherwise enables faking/rating-inflation:

https://www.zocdoc.com/about/blog/for-patients/the-zocdoc-do...

> Please note that we can’t publish claims about the accuracy of a practitioner’s treatment and diagnosis. Those are factual matters, and to verify them would require extensive medical studies.

https://nycdatascience.com/blog/student-works/web-scraping/a...

And so forth.

Re: I wrote a negative Yelp review and it made my life a nightmare

#254

Post by mynameisvlad »

conanbatt wrote: post #252
mynameisvlad wrote: post #183

Earlier quoted context omitted.

> And also, each insurance pays differently for the same service. Yes, and the provider knows more or less upfront how much each insurance provider will cover. My dentist can handle this just fine for every single procedure and I'm out of network. They've never been wrong. The coverages are fairly standard as are in/out of network fees.

I work in healthcare, I assure you you dont know. Because it depends on the service you are going to provide, the time you have, the procedures you are going to do, and that is done during the visit, no before service. When a doctor has to file a claim with an insurance,he has to pick between 10s of thousands of codes and then out of different procedures, that have different values based on how much documentation is…

Please, tell that to my dental office that's been doing just that for over a year for me personally, and I'm sure many more years for everyone else going there. Plus, I'm not even in their network and they can somehow figure it out.

The codes are standardized for different procedures. If you know that you're doing procedure X, Y and Z and are billing against provider A who you've already billed before, then you know more or less how much they're going to pay for those three procedures based on experience and the standard in-network cost for those procedures. It's not like an insurance provider is suddenly going to reimburse half the cost for shits and giggles. Everything is fairly standardized and theres only so many variables you have to deal with.

Re: I wrote a negative Yelp review and it made my life a nightmare

#255

Post by ntunh43hue98 »

Nadya wrote: post #150
TAForObvReasons wrote: post #148

Earlier quoted context omitted.

> "They posted my entire medical record, including notes about my mental health, my bills, my insurance info, my driver’s license, birth date and home address," We are hearing one side of the story here. HIPAA violations have teeth -- potentially 10 years imprisonment for intentional leaks for personal gain -- so a vindictive public action is highly unlikely, and certainly some lawyers would take the case on spec. Es…

Another user, Siphor, went through the documents in a response on another thread [0]. I think the second paragraph adds some important context, especially in regards to the accusations of Mr. Song committing insurance fraud. >The most damning thing in there was that the Doctor tested for HHV-6 (something 100% of humans have) and then charged for it and claimed it was HHV-2 (genital herpes). Theres apparently a lab te…

That's not entirely correct. There are 2 different forms of HHV6. HHV6B is present in almost 100% of the population[1] (but not quite 100%). HHV6A is less frequent in Japan, North America, and Europe. It can also cause problems for infants when they first acquire it. From the same link:

>HHV-6 primary infections account for up to 20% of infant emergency room visits for fever in the United States

The test can be used to assess viral load, which may indicate other issues, I'm told. (I'm not a doctor, though.) If you have a very high viral load of HHV6, it may indicate something else is going on. However, that doesn't mean it was necessary in this patient's case. But the test exists for legitimate reasons.

[1] https://en.wikipedia.org/wiki/Human_herpesvirus_6#Epidemiolo...

Re: I wrote a negative Yelp review and it made my life a nightmare

#256

Post by mnm1 »

hackerman12345 wrote: post #248
mnm1 wrote: post #215

Earlier quoted context omitted.

Obviously throwing money at insurers isn't the solution. We've been doing that for decades. Other countries have already figured out how to provide healthcare for their citizens. America can too if people stop opposing it. Instead, we have movement in the other direction because a lot of people hate others so much they do not want them to have healthcare. That viewpoint is inexcusable in my opinion. Also, your first…

Do you realize that Obamacare is based on throwing more money at insurers - and furthermore wanted to legally require that every American throw a share of money at a for-profit insurer? Is everyone against that really a "person that hates others so much"?

No, I'm talking about healthcare in general not Obamacare and yes, people that oppose healthcare for others do indeed seem to hate others so much that they'd rather them die than have healthcare. I do think that hate comes because of a love for profits and making money off of others who are considered less human. That's basically been the entirety of American history--profiting off the misery, suffering, and oppression of others. You can defend such actions however you want, but it won't ever make them morally defensible.

Re: I wrote a negative Yelp review and it made my life a nightmare

#257

Post by mnm1 »

jexah wrote: post #250
mnm1 wrote: post #215

Earlier quoted context omitted.

Obviously throwing money at insurers isn't the solution. We've been doing that for decades. Other countries have already figured out how to provide healthcare for their citizens. America can too if people stop opposing it. Instead, we have movement in the other direction because a lot of people hate others so much they do not want them to have healthcare. That viewpoint is inexcusable in my opinion. Also, your first…

> Obviously throwing money at insurers isn't the solution > we have movement in the other direction because a lot of people hate others so much they do not want them to have healthcare Last I checked nobody was opposing healthcare discussion and debate, so the "opposing" you're talking about appears to be in reference to Obamacare. Obamacare allowing healthcare providers and insurance companies to game the system mor…

In a proper healthcare system, for-profit insurance companies are not an essential part of the system. No one here is talking about Obamacare, btw.

Re: I wrote a negative Yelp review and it made my life a nightmare

#258

Post by jexah »

mnm1 wrote: post #257
jexah wrote: post #250

Earlier quoted context omitted.

> Obviously throwing money at insurers isn't the solution > we have movement in the other direction because a lot of people hate others so much they do not want them to have healthcare Last I checked nobody was opposing healthcare discussion and debate, so the "opposing" you're talking about appears to be in reference to Obamacare. Obamacare allowing healthcare providers and insurance companies to game the system mor…

In a proper healthcare system, for-profit insurance companies are not an essential part of the system. No one here is talking about Obamacare, btw.

I've yet to see a "proper healthcare system" that doesn't require private insurance. Take Australia for instance, where the healthcare system seems to work pretty well, but only because private insurance options are available. Without private insurance, the public system that is already slow would basically come to a stop, and those that can comfortably afford regular payments for private insurance (most people) that all of a sudden get sick and have to pony up 100k, couldn't do so. Those who don't get sick would be living the dream.

I drew the Obamacare conclusion from the reason in my above response. Nobody is adverse to discussing healthcare solutions, so what are you talking about when you say there is a movement of hate to the degree such that people are actively rejecting the idea of others having access to healthcare?

Re: I wrote a negative Yelp review and it made my life a nightmare

#259

Post by doktrin »

protomyth wrote: post #181
doktrin wrote: post #178

Earlier quoted context omitted.

what's the point of ordering a nonsense lab test? Is a HHV-6 test significantly cheaper than one for HHV-2?

Order a test that comes back almost 100% positive then claim it was another test which requires treatment which generates a profit.

Ok, that's a more extreme form of malpractice than I had in mind. If true, this guy should never practice medicine again.

Re: I wrote a negative Yelp review and it made my life a nightmare

#260

Post by Fej »

droidist2 wrote: post #238
RandallBrown wrote: post #147

Earlier quoted context omitted.

Well technically tabloids are just newspapers of a certain size.

Right, there's a big difference between tabloids like The NY Post, "red tops" like The Sun, and supermarket tabloids like The National Enquirer.

Exactly. Putting the Post in the same basket as the National Enquirer is an insult to Alexander Hamilton.
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