9 But he said to me, �My grace is sufficient for you, for my power is made perfect in weakness.� Therefore I will boast all the more gladly about my weaknesses, so that Christ�s power may rest on me. Posts: 1445 | From Poconos, PA | Registered: Jul 2004
| IP: Logged |
map1131
Frequent Contributor (5K+ posts)
Member # 2022
posted
Pocono, you don't think hospitals would intentionally do anything like this to get more money from patient instead of dealing with Medicare, do you?
I have a list to do that involves horrible healthcare with a sleep study experience I had. The company trying to bill me for $$$ when Medicare says I owe them nothing.
Nothing is what I thought this sleep study company is worth to patient treatment. So I also need to speak to the boss of this facility.
I was herded like a piece of cattle thru this sleep study program. I've never been herded by anyone and I let them treat me like this. Now I've the strength to defend and complain.
Everyone needs to be diligent about knowing your rights at medical facilities and with insurance carriers. They will all be scrambling for our money and honesty isn't one of their character traits.
Pam
-------------------- "Never, never, never, never, never give up" Winston Churchill Posts: 6478 | From Louisville, Ky | Registered: Jan 2002
| IP: Logged |
Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Pocono,
Thanks so much for posting that. And tell all family members, in case you are not conscience when checking it. And get it in WRITING, get a copy, etc. You may have to prove it. -
Posts: 48021 | From Tree House | Registered: Jul 2007
| IP: Logged |
susank
Frequent Contributor (1K+ posts)
Member # 22150
posted
I was researching somethng similar the other day - in regards to Medicare and ER visits.
That scenario looks to have different wording etc.
-------------------- Pos.Bb culture 2012 Labcorp - no bands ever Igenex - Neg. 4 times With overall bands: IGM 18,28,41,66 IND: 23-25,34,39 IGG 41,58 IND: 39 Bart H IGG 40 Posts: 1613 | From Texas | Registered: Aug 2009
| IP: Logged |
Judie
Frequent Contributor (1K+ posts)
Member # 38323
posted
I called medicare to see if my colonoscopy would be covered and they said yes.
The doctor marked "diagnostic" for it. It turns out Medicare will pay for "routine" colonoscopies, but not if you're having a pain and the doc wants to see why!
I got a hefty bill later. No fun. Posts: 2839 | From California | Registered: Jul 2012
| IP: Logged |
posted
This happened to me when I had my gallbladder out. I had complications and they had to keep me three days for an outpatient procedure.
They put me "under observation" so that Medicare never had to pay. Don't know the reason for it but you can bet I will be vocal about it next time!!
-------------------- Faithful
Just sharing my experience, I am not a doctor. Posts: 2682 | From Colorado | Registered: Oct 2009
| IP: Logged |
map1131
Frequent Contributor (5K+ posts)
Member # 2022
posted
faithful, that sucks.
Have you gone lyme crazy on them yet? OMG. How much money are they trying to collect from you?
Pam
-------------------- "Never, never, never, never, never give up" Winston Churchill Posts: 6478 | From Louisville, Ky | Registered: Jan 2002
| IP: Logged |
Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Be mindful that the date you acquire a service is not the same as the date Medicare will receive the bill . . . and Medicare plays all kinds of games with that.
Lots of games have cost some doctors big time because of the date of billing submission / receipt. And Medicare often kicks the submission back for some very small technicality. It can bounce back and forth from doctor's billing clerk to Medicare many times before Medicare actually processes it.
I've had doctors' offices tell me the submitted it but then Medicare will say "no, never got that" -- I do not trust their honesty but the computer system is very much messed up.
They do not go by date of service when figuring the first of the year's deductible, they go by whose bill got accepted first - not submitted, and not even processed as "incoming" - all the billing coding technicalities have to be satisfied - only then can it be accepted for payment processing.
Now, it may not be this way for everyone. Some "regions" may run more smoothly, etc. but do be aware. -
[ 01-31-2014, 05:15 PM: Message edited by: Keebler ]
Posts: 48021 | From Tree House | Registered: Jul 2007
| IP: Logged |
Rivendell
Frequent Contributor (1K+ posts)
Member # 19922
posted
So hard to do all of this when you have "brain fog". To take advantage of people like this is sickening.
surprise
Frequent Contributor (1K+ posts)
Member # 34987
posted
Even us folks not on Medicare, you better believe we are being taken advantage as well.
I get 'double bills' I call, say I just paid this, what is this new charge from a visit 9 months ago??
Oh, um, they say, that's just a computer glitch, you're right, it's paid, disregard...
More than once, and also happened when we had Kaiser- nickel and dimed to death, billing upon billing mistakes...
And for the people that don't catch it?
I could go on and on here. Middle class hardworking folks with American jobs going broke with insane insurance prices, yet my non- working sister, she is not elderly but chooses not to work
The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please send your donations to:
The
Lyme Disease Network of New Jersey 907 Pebble Creek Court,
Pennington,
NJ08534USA http://www.lymenet.org/
UBBFriend: Email this page to someone!
![[Wink]](wink.gif)
![[Big Grin]](biggrin.gif)
![[Frown]](frown.gif)
Printer-friendly view of this topic