Modern Healthcare It Case Study

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Those inflated charges come from a payout that would otherwise go in part to the injured patient, who likely needs the money for ongoing medical care, missed work or a new vehicle.

When people buy health insurance, they expect it to cover them in catastrophic situations like car accidents.

But hospitals often don’t bill patients’ health insurance in those cases, and instead place liens to try to collect higher amounts from auto insurers.

“The hospital in this case figured they would get an additional bonus if they went against my clients and got paid 100%” of charges, Malters said.

Avera officials declined to comment on the ongoing case.


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