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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
Verified account
@sarahkliff

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Sarah KliffVerified account

@sarahkliff

Senior Policy Correspondent @voxdotcom. Running a year-long project on emergency room billing. Help out by sharing your bill!

Washington, DC
erbills.vox.com
Joined January 2009

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    1. Sarah Kliff‏Verified account @sarahkliff May 23

      A question sort-of related to my story today: I’m having a baby in a few weeks. My OB is in-network. My hospital is in-network. But I’m not sure about the anesthesiologist — largely because I don’t know who he or she will be! How can do I avoid a surprise bill?

      149 replies 51 retweets 286 likes
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      Sarah Kliff‏Verified account @sarahkliff May 23

      My current plan is to try calling the hospital to see if they’ll give me a list of anesthesiologists who work in labor and delivery, and then checking that list with my insurance. Will it work? Who knows! I will keep y’all updated.

      1:29 PM - 23 May 2018
      • 5 Retweets
      • 101 Likes
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      22 replies 5 retweets 101 likes
        1. New conversation
        2. Sarah Kliff‏Verified account @sarahkliff May 23

          The other wrinkle here is I don’t really have control over which anesthesiologist is on-call when I’m at the hospital. Anyway, situations like these seem to put the consumer in a pretty tough situation.

          19 replies 5 retweets 140 likes
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        3. Sarah Kliff‏Verified account @sarahkliff May 23

          I write about health care for a living. I have access to a lot of experts in medical billing. But I still don’t have a great idea how to figure out if the anesthesiologist I’ll see will be in my network or out of it.

          41 replies 50 retweets 267 likes
          Show this thread
        4. End of conversation
        1. Seth Trueger‏ @MDaware May 23
          Replying to @sarahkliff

          I’ve heard those lists aren’t even accurate/up to date

          2 replies 0 retweets 0 likes
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        1. Ben‏ @be_nMD May 23
          Replying to @sarahkliff

          Most anesthesiology departments are staffed by a single group, and often have a single group contract for all docs within the practice. It would be highly unusual for one to individually be nonparticipating. Also: check the pediatricians, that’s always a big unexpected one

          0 replies 0 retweets 3 likes
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        1. Ameet Kini, MD, PhD‏ @AmeetRKini May 23
          Replying to @sarahkliff

          If your doctor orders lab tests that are not performed at your hospital, they may be sent to an out-of-network lab. Some of these labs "direct-bill" patients, and then this would be an out-of-network expense that can't be predicted or controlled 😠 What a mess!

          0 replies 0 retweets 1 like
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        1. Alex Ruoff‏Verified account @Alexruoff May 23
          Replying to @sarahkliff

          The hospital where my son was born advised me to ask the anesthesiologist who shows up if he's in my network and go from there. My wife threatened me with bodily harm if I did anything to prevent him from doing his work when she learned about this.

          0 replies 0 retweets 1 like
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        1. New conversation
        2. Noman‏ @itnor1 May 23
          Replying to @sarahkliff

          Wondering if you can write on the admissions forms above your signature that you only agree to pay in-network costs, take a picture of the forms, and keep for future reference if needed. Say you didn't agree to pay it if you get charged out of network

          1 reply 0 retweets 0 likes
        3. Dara Bonakdar‏ @darabonakdar May 23
          Replying to @itnor1 @sarahkliff

          One good tactic though is to demand to see an in-network staff member and refuse to sign anything and threaten to walk out until they write it in the agreement. You'd be surprised that while hospitals/clinics act thick-skinned, in the end, they'll usually cave. #freemarket

          0 replies 0 retweets 1 like
        4. End of conversation
        1. Krystal Peak‏ @KrystalPeak May 30
          Replying to @sarahkliff

          Sarah, can you share the prenatal/pregnancy books and articles you’ve found the most helpful and enlightening. You briefly mentioned one in the lead discussion. We’d love to know.

          0 replies 0 retweets 0 likes
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        1. Kat Fletcher‏ @kfletcherwrites May 24
          Replying to @sarahkliff

          Ours was in network during the work-day, but out of network at 2am when we actually needed him. Utter madness.

          0 replies 0 retweets 0 likes
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        1. New conversation
        2. Terry Lorch  😈‏ @DocTerryLorch May 23
          Replying to @sarahkliff

          Most anesthesiologists don’t participate with insurance anyhow. Because they don’t have to. Captive audience. Literally. They can paralyze you.

          1 reply 0 retweets 0 likes
        3. Sarah Sorlien‏ @SarahSorlien May 24
          Replying to @DocTerryLorch @sarahkliff

          That is not true for hospital based practices. It is usually a requirement of the hospital contract with the anesthesia group. I have worked for several mid-atlantic groups and we always take every insurance.

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. Mere‏ @MereMere74 May 23
          Replying to @sarahkliff

          Ask if they use nurse anesthetists. I’ve never worked in OB, but in surgery, there’s usually 1 or 2 Anesthesiologists (MD’s) that oversee the nurse anesthetists. It’s the nurse anesthetists that are actually the ones working in surgery. It’s quite surprising to get 2 bills.

          0 replies 0 retweets 0 likes
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        1. Jack O’Lantern Infante  🎃‏ @John_Infante May 23
          Replying to @sarahkliff

          The anesthesiologist for my wife’s c-section normally did cardiac surgeries at another local hospital in the same health system. So I would consider that a point against it working.

          0 replies 0 retweets 0 likes
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        1. Vote November 6th‏ @pop_popculture May 23
          Replying to @sarahkliff

          Why is the responsibility on the patient?? The *providers* should figure this shit out and coordinate accordingly. #fail #healhcare

          0 replies 0 retweets 0 likes
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        1. Zack Pace‏ @zpace_benefits May 23
          Replying to @sarahkliff

          Contractually, I recommend requesting & reviewing the health plan’s summary plan description. It should outline the rules governing these hidden provider situations. Depending on who negotiated the document, you might be pleasantly surprised re the terms.

          0 replies 0 retweets 0 likes
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