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Wow! What a nice little money-earner ... (Read 1636 times)
Lord Herbert
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Wow! What a nice little money-earner ...
May 13th, 2014 at 9:29am
 
The medical profession really should be hauled before a Royal Commission to uncover the multi-million dollar rorts that these professionals employ to rip-off the taxpayer.

Endemic white-collar crime to the tune of millions each year.

Central to their concerns is the practice of specialists refusing to accept ongoing or "indefinite" referrals. Some specialists only accept "standard" referrals, which expire after 12 months.

It means when a patient returns after 12 months with a new referral, the specialist can bill for another initial consultation, which is double the price of a subsequent consultation.


I didn't know this. I've been helping my cardiologist get rich. Next week I have to get another 'Letter of Referral' from my GP to see the same cardiologist who was instrumental in me having an open-heart operation last year ...

Apparently, without a 'Letter of Referral' from my GP he wouldn't know who I am, or if I'm a genuine prospect for cardiological examination.

And Christ wept.

So many people in high positions fiddling the books and rorting the system.

Ultimately, the taxpayer is billed three times: the double consultation and the visit back to the GP for the new referral.

How it works

Initial attendance (Item 104):
Minimum charge by specialist: $85.55
You get back from Medicare*: $72.75

Subsequent attendance (Item 105):
Minimum charge by specialist: $43.00
You get back from Medicare*: $36.55
* Out of hospital

In 2012-13, specialists charged Medicare almost $600 million for initial and subsequent visits, so specialists could potentially be reaping millions.


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Prime Minister for Canyons
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Re: Wow! What a nice little money-earner ...
Reply #1 - May 13th, 2014 at 10:47am
 
Or it could be considered sufficient renumeration for services rendered. If you werent happy with the cost of your open heart surgery Lord Herbert you can always hand it back.
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In a time of universal deceit — telling the truth is a revolutionary act.

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tickleandrose
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Re: Wow! What a nice little money-earner ...
Reply #2 - May 13th, 2014 at 10:52am
 
Depends on how did you see your specialist.

If you see him privately, then he would charge you for the full price anyway. And it is you who will be getting less medicare refund. 

If you see him publicly, then you help the hospital get some money back from medicare. 

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Rosie
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Re: Wow! What a nice little money-earner ...
Reply #3 - May 13th, 2014 at 11:04am
 
Lord Herbert wrote on May 13th, 2014 at 9:29am:
Initial attendance (Item 104):
Minimum charge by specialist: $85.55
You get back from Medicare*: $72.75

Subsequent attendance (Item 105):
Minimum charge by specialist: $43.00
You get back from Medicare*: $36.55
* Out of hospital



I didn't read all the link you posted but I paid over $200 for my first visit to a specialist earlier this year and just over $100 each time I went to see her after that.  And yes, the last time I saw her she told me I would need a new referral to see her next year. It does look to be a rip off if the only reason for a new referral is to charge the higher fee and not a requirement by medicare.

I'm not complaining because she sent me to see a brilliant surgeon and I am now better than I have been for years.
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Lord Herbert
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Re: Wow! What a nice little money-earner ...
Reply #4 - May 13th, 2014 at 12:04pm
 
Prime Minister for Canyons wrote on May 13th, 2014 at 10:47am:
Or it could be considered sufficient renumeration for services rendered. If you werent happy with the cost of your open heart surgery Lord Herbert you can always hand it back.


Grin Grin Grin

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Lord Herbert
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Re: Wow! What a nice little money-earner ...
Reply #5 - May 13th, 2014 at 12:11pm
 
tickleandrose wrote on May 13th, 2014 at 10:52am:
Depends on how did you see your specialist.

If you see him privately, then he would charge you for the full price anyway. And it is you who will be getting less medicare refund. 

If you see him publicly, then you help the hospital get some money back from medicare. 


I opted out of private health care after 11 years of weekly payments on my payslip.

In 11 years I only once needed to use my private health care credentials ... and then they billed me $240 for a simple job of removing a build-up of wax in my ears. Back home the same day.

Needless to say I cancelled this rort the very next day at the pay office.

Been a happy bulk-biller ever since.

That was MBF ... which had so much money in reserves that the NSW premier of the time ordered them to start giving their clients some REAL benefits for what they had been paying for.




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aquascoot
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Re: Wow! What a nice little money-earner ...
Reply #6 - May 13th, 2014 at 12:13pm
 
the best option is to get the referring GP to give you an "indefinite' referral which means you can see the specialist for life without the need for a new referal
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Lord Herbert
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Re: Wow! What a nice little money-earner ...
Reply #7 - May 13th, 2014 at 12:15pm
 
Rosie wrote on May 13th, 2014 at 11:04am:
Lord Herbert wrote on May 13th, 2014 at 9:29am:
Initial attendance (Item 104):
Minimum charge by specialist: $85.55
You get back from Medicare*: $72.75

Subsequent attendance (Item 105):
Minimum charge by specialist: $43.00
You get back from Medicare*: $36.55
* Out of hospital



I didn't read all the link you posted but I paid over $200 for my first visit to a specialist earlier this year and just over $100 each time I went to see her after that.  And yes, the last time I saw her she told me I would need a new referral to see her next year. It does look to be a rip off if the only reason for a new referral is to charge the higher fee and not a requirement by medicare.

I'm not complaining because she sent me to see a brilliant surgeon and I am now better than I have been for years.


That's great news, Rosie ~ I'm happy for you.  Smiley

I've always gone to Sydney's several university hospitals where the services are free because you are part of the team that's helping to train the post-grads.

I've never had anything but excellent service.

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Lord Herbert
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Re: Wow! What a nice little money-earner ...
Reply #8 - May 13th, 2014 at 12:17pm
 
aquascoot wrote on May 13th, 2014 at 12:13pm:
the best option is to get the referring GP to give you an "indefinite' referral which means you can see the specialist for life without the need for a new referal


It was the cardiologist who told me I must get a new (standard) referral for my next appointment.

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austranger
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Re: Wow! What a nice little money-earner ...
Reply #9 - May 13th, 2014 at 1:12pm
 

     You think that's bad? Try having a look at the contracts of surgeons etc that "service" public hospitals, if you can?
     They get priority of all theatres etc for their private patients, all those costs borne by the public hospital, and they can at any time bypass the public waiting list to do so.
    Do you wonder at the waiting times for serious operations? That's why, they are required to do the public ones as per their contracts, but they get to choose when and who they do. They can opt out at any time without penalty, they are the "gods" of the system, answerable to no-one! Their private patients get priority at all times in wards, services, and everything else, at public expense!
    For this they are paid huge fees, and they as a group generally get to dictate those fees and their remuneration packages, three MONTHS paid leave is almost standard, and of course they are entitled to keep seeing private patients and using up public resources to do so, and be paid for that, while technically " on leave".
     I nurse I knew who worked in Admin at a public hospital once told me that a small group of surgeons and their perks represented over 60% of that hospitals annual budget!  Shocked
       I've been told also that back when the Feds inflicted a parliament etc on the ACT, despite a local referendum that rejected that, then that parliament attempted to put surgeons on straightforward employment contracts, so all the surgeons black-listed Canberra hospitals in retaliation! Shocked
       But it's not about the money, oh no, of course not, just as it's not about the money when there's 1 doctor per 400 in Sydney's northern suburbs compared to 1 for every 4000 in the Western 'burbs, and country practices have to import foreign docs because no Aussie one will work out there Shocked
      Is it any wonder they scrapped the Hippocratic Oath for their graduation ceremony's?
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Rosie
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Re: Wow! What a nice little money-earner ...
Reply #10 - May 13th, 2014 at 1:29pm
 
Lord Herbert wrote on May 13th, 2014 at 12:15pm:
Rosie wrote on May 13th, 2014 at 11:04am:
Lord Herbert wrote on May 13th, 2014 at 9:29am:
Initial attendance (Item 104):
Minimum charge by specialist: $85.55
You get back from Medicare*: $72.75

Subsequent attendance (Item 105):
Minimum charge by specialist: $43.00
You get back from Medicare*: $36.55
* Out of hospital



I didn't read all the link you posted but I paid over $200 for my first visit to a specialist earlier this year and just over $100 each time I went to see her after that.  And yes, the last time I saw her she told me I would need a new referral to see her next year. It does look to be a rip off if the only reason for a new referral is to charge the higher fee and not a requirement by medicare.

I'm not complaining because she sent me to see a brilliant surgeon and I am now better than I have been for years.


That's great news, Rosie ~ I'm happy for you.  Smiley

I've always gone to Sydney's several university hospitals where the services are free because you are part of the team that's helping to train the post-grads.

I've never had anything but excellent service.



We moved to Qld. in 1986 when the kids had flown the nest and we stopped paying for private health cover then.  I don't know how much it would have cost for private health over the past 27 years but I would imagine quite a bit more than we have just forked out for my op which was major surgery.  The surgeon I saw normally operates at the Wesley hospital which is private and according to him around $3,000 a night.  Once a month he operates at the Royal Brisbane which is $330 a night and he decides who he sees at the Royal Brisbane.  I went to see him at the Wesley on 14th February and he operated on me in 15th March at the Royal Brisbane. 
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Rosie
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Re: Wow! What a nice little money-earner ...
Reply #11 - May 13th, 2014 at 2:06pm
 
austranger wrote on May 13th, 2014 at 1:12pm:
Their private patients get priority at all times in wards, services, and everything else, at public expense!


I didn't find that to be true.  I had to wait for a bed just the same as anyone else. I was treated no different to any other patient, the only difference was I had to pay. 

It was quite funny in a strange sort of way how different things are in hospital these days to when I had my kids getting on for 50 years ago.  When I had the kids I was in hospital for a week and not allowed to do anything during that week.  It was a maternity ward so most patients were new mothers.  This time it was a free for all with musical beds so to speak.  After my op I had to wait in the ICU until a bed became available and when it did I found myself in a four bed room with two ladies and one young lad.  One lady was discharged and the other lady kicked up a fuss because she wanted to move into the empty bed near the window.  The nursing staff were brilliant and never once complained and the lady was moved. 

Very soon after that another young lad came into the empty bed.  It wasn't long before the two lads realised they were both in the hospital with the same problem so they had lots to talk about.  About this time I went for a walk down to the coffee shop and when I got back the lady who had been moved to the bed near the window had been moved again, this time to another room. The bed didn't stay empty for long and I will say the nurse asked me if I wanted to move as they were going to have to put another male in the empty bed but I stayed put as I was going home in the morning anyway.

It's a strange world we live in and this would never have happened 50 years ago.

My surgeon was brilliant, the anaesthetist was brilliant, the nursing staff were brilliant and I'm still around to tell the tale.  Maybe I did jump the queue because I went private but that's the way the system works and I make no apologies.
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Lord Herbert
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Re: Wow! What a nice little money-earner ...
Reply #12 - May 13th, 2014 at 3:13pm
 
Rosie wrote on May 13th, 2014 at 1:29pm:
The surgeon I saw normally operates at the Wesley hospital which is private and according to him around $3,000 a night.  Once a month he operates at the Royal Brisbane which is $330 a night and he decides who he sees at the Royal Brisbane.  I went to see him at the Wesley on 14th February and he operated on me in 15th March at the Royal Brisbane. 


I'm now totally confused.

In the past 5 years I've had kidney stones removed on 3 occasions, a couple of colorectal operations, and an aortic valve replacement which had me in hospital for 7 days.

Didn't cost me a brass razoo. I'm over 65 and on public health.

I don't understand why some of you are getting billed for your operations. 

A urologist wanted to remove two stones at his private practice for $5000 ... waiting time: 6 weeks.

I said "No ... I want a letter of reference to go to a university hospital". He argued with me, but finally relented.

I waited ... 6 weeks ... and had the lithotrypsy done at no expense whatsoever. They even gave me sandwiches and soft drinks for free.
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Re: Wow! What a nice little money-earner ...
Reply #13 - May 13th, 2014 at 3:16pm
 
Cause I'm not a burden on society?
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In a time of universal deceit — telling the truth is a revolutionary act.

No evidence whatsoever it can be attributed to George Orwell or Eric Arthur Blair (in fact the same guy)
 
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Lord Herbert
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Re: Wow! What a nice little money-earner ...
Reply #14 - May 13th, 2014 at 3:19pm
 
Rosie wrote on May 13th, 2014 at 2:06pm:
I didn't find that to be true.  I had to wait for a bed just the same as anyone else. I was treated no different to any other patient, the only difference was I had to pay. 


Correct.

That was my experience too.

Expect an apology soon.
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