WHAT TO DO IF YOU ARE STUCK WITH A BIG U.S. HOSPITAL BILL: Raymond Rupert MD. MBA. Rupert Case Management Inc.

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THE PROBLEM:

A number of Canadians end up in hospitals in the U.S. Many of them are either uninsured or under-insured. The result is that they end up stuck with a big hospital bill.

The bills are a lesson in humility. One night in the ER results in a bill of $32,000.  A fractured femur with 3 days in the hospital is $90,000. A ten day stay in the ICU results in a bill of $350,000.

US hospitals use a confusing pricing structure. The highest rate is reserved for insurers. It is called chargemaster. A metabolic panel is $1400 under chargemaster and $27 according to medicare.

THE SOLUTION:

Rupert Case Management (RCM) has helped individuals with big US hospital bills for over a decade.

RCM’s process includes a detailed audit, a test for clinical relevance ( was the procedure evidence based and necessary) and a comparative analysis followed by collaborative reviews of the bills with the revenue officers at the hospital.

This has resulted in very positive outcomes for RCM’s clients.

CASE STUDY:

Mr and Mrs D. were in Florida for the winter. Mr D. had a big prostate. He required a catheter. The catheter got infected. He got sick and went to the local hospital. He spent one night in the ER. The hospital bill was $32,000 with $15,000 charged for the CT study.

To get started, Mr and Mrs D. purchased RCM’s Priority Call– an extended healthcare benefits card at www.rupertcasemanagement.com/priority

Using RCM’s unique process, we were able to deliver a significant discount. They were very appreciative of our help.  And that’s our job. We help families who are stuck with big US hospital bills.