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MBAA 2014
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Understanding the Trauma Activation Fee When a traumatic event occurs, you want the best health care money can buy. However, you expect the cost of that care to be fair and reasonable. ! Former trauma patients are seeing a hefty fee on their medical bills simply for coming through the medical facility doors. This trauma activation fee is not so new to the healthcare system b u t i s re c e n t l y re c e i v i n g m u c h warranted attention because it is showing up with a higher frequency.!
MBAA 2014
A trauma activation fee is a charge that is billed when a medical third party (ambulance) alerts a medical emergency facility or trauma center that a trauma patient is on the way.
This alert allows the medical sta" to prepare supplies and be ready in the trauma area to give their particular concentration of care. A team of health care professionals will meet at a previously designated location within the trauma area prepared with any necessary supplies, such as pre-mixed IV solutions, oxygen and a crash cart, which contains emergency medications and administration supplies. ! Medical doctors, registered nurses, respiratory therapists and technicians, lab technicians, operating room personnel, pharmacy sta" and radiology technicians should be trained to drop everything and respond to a trauma call. Additionally, the OR and ICU units must make sure they are prepared to accommodate trauma victims. Sounds like every department in the hospital, right? It should be. Trauma patients are a big deal and often, the emergency sta" does not know exactly what they are dealing with until the trauma patient arrives and is assessed.!
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MBAA 2014 In addition to the activation fee, the emergency facility is still able to bill for additional emergency room costs and charges from different hospital departments. That means that not only are you paying a fee for representatives to be present from all areas of the facility, you are also paying a fee if you happen to use their service. Read that last sentence again.
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You are rst being charged to let the facility know you are coming and that you are experiencing some form of trauma.
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Second, you are being charged by the facility for whatever costs they would normally charge (emergency room fee, medications, IVs, supplies).
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Third, you are charged by any doctors who see you.
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And fourth, you are charged by any additional departments from which you required assistance, such as radiology for an x-ray or laboratory for blood drawn (plus any supplies used by those departments).
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Medical Recovery Services founder Pat Palmer is frequently seeing these charges in her business, which audits excessive medical bills and often reclaims money for consumers, companies, insurance providers and attorneys. Palmer is seeing trauma activation fees from across the country in excess of $20,000 to $30,000. The formula for creating these fees varies between hospitals and facilities, but there are standards which must be met before a health care facility can charge for a trauma activation. There must have been pre-hospital notification before the patient arrives and the trauma team must have been activated and ready when the patient arrives. According to the Arizona Department of Health Services, a trauma center or medical emergency facility bases its trauma activation fee either on the actual cost (what the trauma event costs the facility plus markup) or on what other facilities are charging their patients. Palmer has seen a flat rate applied to patients bills and she has seen rates based on severity and treatment of trauma event. Interestingly, she has seen vast differences in charges for similar trauma events among facilities in alarmingly close distances of one another.
MBAA 2014
is that these two facilities are located approximately 20 miles apart, yet one facility only charges a third what the other charges. None of these facilities are classified as a level I or even a level II ACS-verified trauma center, according to data provided by the American College of Surgeons.
For an updated list of ACS-veried trauma centers in the U.S., listed by state, please visit this link:
http://www.facs.org/trauma/verified.html
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There is no doubt trauma centers are costly to operate. The cost of surgical coverage and equipment and expenses of medical staff can be extremely high. Specialty staff must be available 24/7. Keeping the OR and ICU available for new traumas costs money (not just the staff, but equipment as well). However, what can justify charging a patient tens of thousands of dollars in addition to regular fees and charges just to walk through the door because their arrival was announced ahead of time, regardless of type or severity of injury? Unfortunately, there doesnt seem to be an end in sight to fees created in hospitals and other healthcare facilities to offset the costs of running that facility, according to data from the longterm budget from the U.S. Congressional Budget provided by the Arkansas Trauma Education and Research Foundation. A 2010 report projects the federal cost of health care will double by 2035.
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Sources:
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"Trauma Finance 101." Arizona Department of Health Services, n.d. Web. 25 Feb. 2014. <http://www.azdhs.gov/bems/documents/trauma/workshop/131115trauma-finance-101.pdf>. Arkansas. Arkansas Trauma Education and Research Foundation. By Deb Brown, RN, BSN, MHA. N.p., Aug. 2013. Web. 25 Feb. 2014. <www.aterf.org/wp-content/ uploads/2013/08/The-Nuts-and-Bolts-of-Trauma-Activation-Fees-by-DebBrown.pdf>. Crain, W., SM Fakhry, R. Maier, and C. Potter. Survey of National Usage of Trauma Response Charge Codes: An Opportunity for Enhanced Trauma Center
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