What’s the “Cost” of a Mesh Implant: Are Mesh Victims Re-Victimized?
October 8, 2014
Implant codes are attached to a patient’s operating room report/chart and submitted to the insurance company and how the hospital and the surgeon gets paid.
CMS (Medicare/Medicaid) determines the payment schedule (usually the lowest price paid to the hospital and surgeon for the implant). Private Insurance payments are usually (90% of the time higher than Medicare/Medicaid) payments. An implant is unique in that it’s paid back (depending on the contract) 4-6 times the cost of the implant at 80%. Confused yet?
Here’s an example:
We need to be addressing the entire problem which includes the FDA, the device makers, the private insurance carriers and the hospitals; but you know who shouldn’t have to keep paying for a broken system? The Victims. #CleanUpYourMeshFDA