info from ANNA
Joined: 09 May 2003
Posts: 1
Posted: Fri May 09, 2003 9:08 am Post subject: Briefing Book
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Here is a link to a pdf file:<
>anna.inurse.com/legnews/leg
ief.pdf<
>It is a congressional
iefing book prepared by the ANNA. It is the first time I've seen an itimized treatment cost schedule:<
><
>1. Artificial Kidney (Dialyzer) 25.00<
>2. Blood Tubing 5.25<
>3. Normal Saline 1.25<
>4. IV Set 1.50<
>5. Cannulation Needle (2) 3.00<
>6. Gauze, Band-Aids, Tape 5.00<
>7. Routine Lab Tests 3.00<
>8. Water Treatment 7.50<
>9. Dialysate Solutions 5.00<
>10. Professional RN, PCT, SW, RD 100.00<
>11. Heparin (anticoagulant) 2.50<
>12. Administrative overhead 25.00<
>13. Medical Records 10.00<
>14. Maintenance/cleaning 5.00<
><
>TOTAL 199.25<
>
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Glad to see
Joined: 09 May 2003
Posts: 1
Posted: Fri May 09, 2003 12:27 pm Post subject: That the industry is active on board
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First of all Anna is the American Nephrology Nurses Association, which my question is do you bill?<
>Second of all that is only a small portion of your bill. Look at the bill.<
>
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ridgerunner
Joined: 11 Jan 2003
Posts: 101
Posted: Fri May 09, 2003 1:03 pm Post subject: anna
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i do not know where you got your data from but if you are quoting the cost you are a way off. you must be quoting the billing not the true costs to the clinic. example needles cosy 40 cents a piece or 80 cents a pair. tubing about 2 dollars a set. tape a few cents. single use dialyzer less than 15 dollars. in fact the costs for materials for 8 hours slow dialysis is about 30 dollars no reuse and a high flux dialyzer.
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Coil
Joined: 14 Jan 2003
Posts: 27
Posted: Fri May 09, 2003 2:13 pm Post subject: Costs
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We pay less than $25.00 for a high flux synth kidney, and that's in Canadian dollars
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Dude
Joined: 09 May 2003
Posts: 2
Posted: Fri May 09, 2003 2:46 pm Post subject: IV Meds
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I don't see any of the IV meds listed on there. <
>So you get extra charges for EPO, Zemplar, Carnitor, Hectorol, Ferrlicit, Infed, and any others you may recieve while on dialysis. That is why they measure every drop given so they can charge Medicare and your private insurance company. That is where the real profit is.
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sikck of it
Joined: 09 May 2003
Posts: 1
Posted: Fri May 09, 2003 6:39 pm Post subject: Charges?profit
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I too question these charges and just using this outline would like to show profit margin areas in reality!<
><
>1. Artificial Kidney (Dialyzer) 25.00... PATIENT CHARGE/PER TREATMENT FOR 36 TREATMENTS <
>= $900.00- ($15.00 ) A one time purchase actual cost of filter) ==<
><
>$885.00 PURE PROFIT PER PATIENT X 150 PATIENTS = = $$ <
><
>$$$$$ 132,750.00 $$$$$$$$<
> <
>PURE PROFIT EVERY THREE MONTHS!!!!!<
> <
> So what, they get paid for this!<
>2. Blood Tubing 5.25<
>3. Normal Saline 1.25<
>4. IV Set 1.50<
>5. Cannulation Needle (2) 3.00<
><
>6. Gauze, Band-Aids, Tape 5.00 !!Oh yeah !! <
> actual usage .15 cents worth<
>$4.85 X 36 treatments = 174.60 X 150 patients =<
>$$$$$ 26,190.00 $$$$$$ pure profit per 3 months<
><
> THAT IS $$$$ 158,940.00 $$$$$ PER 3 MONTHS FOR <
><
>JUST TWO PROFIT POINTS ( I estimate there are about <
><
>20 TWENTY MORE!)........ **GET IT ? AND THIS <
><
>INCLUDES NOT FOR PROFIT CENTER TOO!***<
><
>**"OH! THE GOVERNMENT DOESN'T PAY US ENOUGH MONEY THAT IS WHY YOUR TREATMENT IS SO BAD!!!"<
><
>****"NOT BECAUSE WE ARE GREEDY LITTLE BLOOD SUCKING ECT... !!!!! <
><
>7. Routine Lab Tests 3.00<
> ****HUGE PROFIT CENTER******<
><
>8. Water Treatment 7.50<
>9. Dialysate Solutions 5.00<
><
>10. Professional RN, PCT, SW, RD 100.00<
>*****HUGHE PROFIT CENTER ***5 EX-HAMBERGER FLIPPERS TO ONE NURSE********(MORE SO IN BAD CLINICS)<
><
>11. Heparin (anticoagulant) 2.50<
>*****HUGHE PROFIT CENTER*******<
><
>12. Administrative overhead 25.00<
>13. Medical Records 10.00<
>14. Maintenance/cleaning 5.00<
><
>TOTAL 199.25<
><
>15. ******IV DRUGS PER TREATMENT********<
> ***GIANT GAPING PROFIT CENTER****** FROM HERE ON OUT KNOW AS THE ****$GGPC$*****<
><
>**OH! POOR LITTLE PICKED ON doctors AND CLINICS THE BIG BAD GOVERNMENT IS TO BLAME FOR YOUR BAD HEALTH CARE NOT US****$GGPC$**WHAT'S THAT?<
><
>
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Disgusted
Joined: 26 Jan 2003
Posts: 45
Posted: Fri May 09, 2003 11:18 pm Post subject: profits
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Let's not forget the major player's also own their own blood labs where our labwork is sent off to, even though they operate under a different name. Received Davita's newsletter urging all patient's to write their congressman to raise the reimbursement rate (I think they are cutting and pasting the same article over and over in every newsletter). Shameless.
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Lin
Joined: 28 Oct 2002
Posts: 337
Posted: Mon May 12, 2003 9:57 am Post subject: Private Insurance
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co. is paying over 13k a month for my txs.. Note I said paid, because last time I mentioned this people doubted it and said although they might be charged this amount could not possibly pay that much. I keep the EOBs, and yes they are getting PAID 13k, so if the above costs are correct United Healthcare is getting screwed! This is why I don't feel sorry for the dialysis companies, nor do I believe they are "strapped" financially! Lin.
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leadsag
Joined: 31 Oct 2002
Posts: 263
Posted: Mon May 12, 2003 11:47 am Post subject: 30 months
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Lin - your unit will love when you hit the 30 months on dialysis mark and Medicare becomes the Primary and your private insurance changes to secondary!!!
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Lin
Joined: 28 Oct 2002
Posts: 337
Posted: Wed May 14, 2003 12:07 am Post subject: If
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they ever figure out a way for dialysis pts. to do dialysis at home cheaper and as good, the units will be hurting; that's my dream! Gee, they can make a cell phone that takes and sends pics, why not a dialysis machine that fits in my pocket lol Lin.
