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  1. #1
    Join Date
    Nov 2019
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    Default Er Bill

    Took my daughter to local hospital ER. ER stated she had to be admitted to hospital. She was then transferred to a hospital with a pediatric floor. At the hospital with the pediatric floor she was placed in ER while awaiting a bed. Now being billed for ER visit when she was only in the ER pending a bed was not in ER for ER visit is this legal?

  2. #2
    Join Date
    Sep 2010
    Posts
    19,666

    Default Re: Er Bill

    Yes. She got services there.

  3. #3
    Join Date
    Jun 2006
    Location
    Massachusetts
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    24,384

    Default Re: Er Bill

    She received enough treatment for them to determine she needed to be admitted. They are allowed to bill for that.

  4. #4
    Join Date
    Nov 2019
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    2

    Default Re: Er Bill

    No she received services from first hospital ER. She was then transferred to a second hospital with a pediatric floor to be admitted they knew she was coming and knew her condtion and stated she was going to the pediatric floor once she got there .When she arrived at the hospital with a pediatric floor they did not have any rooms avaible so they placed her in the ER till a room was avaible. Yes she received services in the second ER the same service she was going to receive on the pediatric floor but only because of no avaible beds. She was never suppose to be in the ER at the second hospital to start with as she had done been diagnosed at the first hospital and was stable and did not need ER care.

  5. #5
    Join Date
    Oct 2006
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    16,185

    Default Re: Er Bill

    Quote Quoting c1234
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    No she received services from first hospital ER. She was then transferred to a second hospital with a pediatric floor to be admitted they knew she was coming and knew her condtion and stated she was going to the pediatric floor once she got there .When she arrived at the hospital with a pediatric floor they did not have any rooms avaible so they placed her in the ER till a room was avaible. Yes she received services in the second ER the same service she was going to receive on the pediatric floor but only because of no avaible beds. She was never suppose to be in the ER at the second hospital to start with as she had done been diagnosed at the first hospital and was stable and did not need ER care.
    Have you contacted the billing department of the second hospital to discuss the issue? I agree that since she didn't need ER services at the second hospital and it was just a wait for a bed to become available on the pediatric floor that its questionable that they charged for emergency services. Sometimes being a little bit of a squeaky wheel with the billing department can get some charges removed. At least talk to them. Its also possible that your insurance company will question the additional charges as well.

  6. #6
    Join Date
    Jan 2006
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    38,867

    Default Re: Er Bill

    Quote Quoting c1234
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    No she received services from first hospital ER. She was then transferred to a second hospital with a pediatric floor to be admitted they knew she was coming and knew her condtion and stated she was going to the pediatric floor once she got there .When she arrived at the hospital with a pediatric floor they did not have any rooms avaible so they placed her in the ER till a room was avaible. Yes she received services in the second ER the same service she was going to receive on the pediatric floor but only because of no avaible beds. She was never suppose to be in the ER at the second hospital to start with as she had done been diagnosed at the first hospital and was stable and did not need ER care.
    in many hospitals the er is a unique department and all services and billing performed in the er is dealt with independently of any other services by the hospital. Due to being held in the er, in such hospitals, it would result in a separate bill from the er department. While I understand your disagreement with the billing, i ask you: would you prefer they allow your daughter to wait in the parking lot and not be tended to by anybody from the hospital? While that suggestion is a bit facetious, Iím trying to make the point that if they didnít hold her in the er, just what would you expect them to do with your daughter until a room was available?

  7. #7
    Join Date
    Oct 2006
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    16,185

    Default Re: Er Bill

    Quote Quoting jk
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    in many hospitals the er is a unique department and all services and billing performed in the er is dealt with independently of any other services by the hospital. Due to being held in the er, in such hospitals, it would result in a separate bill from the er department. While I understand your disagreement with the billing, i ask you: would you prefer they allow your daughter to wait in the parking lot and not be tended to by anybody from the hospital? While that suggestion is a bit facetious, I’m trying to make the point that if they didn’t hold her in the er, just what would you expect them to do with your daughter until a room was available?
    Some hospitals would not hold a patient in the ER pending a bed on the particular floor they needed to be on. Some would hold them in a bed in the hallway of the floor they needed to be on. Some would hold them in a bed on another floor. Some might even have them wait in a waiting room depending on the circumstances. Holding someone in the ER is a bit extreme unless there are no other beds available anywhere in the hospital.

  8. #8
    Join Date
    Jun 2006
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    Massachusetts
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    24,384

    Default Re: Er Bill

    Holding someone in the ER is a bit extreme unless there are no other beds available anywhere in the hospital.

    Without knowing the specifics of the daughter's illness and the conditions in the hospital, I don't know that we're in the position to say what is extreme and what isn't.

  9. #9
    Join Date
    Jan 2006
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    38,867

    Default Re: Er Bill

    Quote Quoting llworking
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    Some hospitals would not hold a patient in the ER pending a bed on the particular floor they needed to be on. Some would hold them in a bed in the hallway of the floor they needed to be on. Some would hold them in a bed on another floor. Some might even have them wait in a waiting room depending on the circumstances. Holding someone in the ER is a bit extreme unless there are no other beds available anywhere in the hospital.
    And that is one reason I included the issue of treatment. If the patient required any treatment while they waited, they needed to be admitted to a department so there would be a place to treat the patient and there would be the processes available to create an account and records file for that patient. It isnít going to happen in a hallway or waiting room. The fact the patient could not be dealt with at the first hospital long enough to wait until a bed was available at the receiving hospital suggests there was a need for ongoing treatment, and probably specialized treatment due to the age of the patient. ergo the er was quite possibly the proper department to hold the patient until a room could be sourced. Otherwise the patient could have remained at the initial hospital, and charged ongoing er rates. In that case, I donít see any savings as the patient would have remained in an er, either the original one or the receiving one, until a bed was available

    remember, the child was brought to the er for a reason. Apparently the parents saw the need for treatment great enough that they couldnít use an urgent care facility or wait for their doctors office to open. The first hospital saw a need for medical transport and admitting to a facility with pediatric specialists. Iím guessing there was an ongoing need for treatment that justified the hold in the er.


    of course, as was suggested, op could speak with hospital administration about the matter. If there was no justification for the hold in the er, the hospital may find a billing adjustment is proper.

  10. #10
    Join Date
    Feb 2014
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    RTR/WDE
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    Default Re: Er Bill

    Quote Quoting llworking
    View Post
    Some hospitals would not hold a patient in the ER pending a bed on the particular floor they needed to be on. Some would hold them in a bed in the hallway of the floor they needed to be on. Some would hold them in a bed on another floor. Some might even have them wait in a waiting room depending on the circumstances. Holding someone in the ER is a bit extreme unless there are no other beds available anywhere in the hospital.
    Where do hospitals in the US do this? I've worked for two different systems and have yet to see/hear of patients waiting in the hallway for a room. They are either held in the ER/ED or placed on a different floor/ward.
    Don't make me quote Monty Python at you.

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