Hello
Guest

Sponsored Links


Topic: medical coding errors  (Read 1559 times)

0 Members and 1 Guest are viewing this topic.

  • *
  • Posts: 5642

  • Liked: 672
  • Joined: Sep 2015
medical coding errors
« on: June 06, 2021, 09:08:42 PM »
Of course, medical billing coding errors. They had to happen, right? They miscoded my initial Medicare appointments, so they were denied. I'm going to have to raise the roof to get this fixed, I'll bet. Upside of NHS is you never have to deal with this - whatever incompetence there is administratively, you never see it.  ::)

Thank goodness I have legal insurance. I sure hope I don't have to use it. Definitely not paying hundreds of dollars for something that should have been free. >:(


  • *
  • Posts: 3902

  • Liked: 716
  • Joined: Nov 2012
  • Location: Eee, bah gum.
Re: medical coding errors
« Reply #1 on: June 06, 2021, 09:23:12 PM »
I’ve had that happen to me twice, that I know of. Each time it saved me hundreds once corrected, which makes me suspect that it has happened at times I never spotted.

 For a number of years our company had an agent from the insurance company come to the office once a week to answer questions and she also gave the occasional talks where she would ask that when we received our EOBs that we check for errors since miscoding cost the company lots of money. (Our company was self insured and used BCBS to manage all the claims). But the EOBs are impossible to understand as they never spell out in English what each line item means or even list the codes so one can look them up. 
Dual USC/UKC living in the UK since May 2016


  • *
  • Posts: 5642

  • Liked: 672
  • Joined: Sep 2015
Re: medical coding errors
« Reply #2 on: June 07, 2021, 12:56:11 PM »
Yeah, fortunately I can look on the medicare website and see the charges as they are billed and/or paid. When I first contacted this doctor's office I asked for the correctly termed exam, and the receptionist had never heard of it. I told them the name again and they were supposed to have checked what they needed to do. When I got there I reminded them it was not an "annual wellness visit" but the "Welcome to Medicare" visit, which is free with an EKG thrown in at no charge. So they billed it as an "annual wellness visit" anyway. Which is not allowable in the first year.

Sigh. I have the correct codes to give them (why the hell ~I~ should have to be the one to get those???) if they can't sort it out. Left an electronic message for the doctor over the weekend pointing the problem out and asking that it be resubmitted with the correct coding. It's too bloody hot to go outside today (we're under a severe heat warning) and I have to wait for the dishwasher repair guy to come anyway, so I will give the doc a chance to see the message and then get on the phone to billing if I haven't heard anything by noon. Have a specialist appointment mid-afternoon (have to leave the a/c - ewwwww!) and would like to get this sorted out before then.



Sponsored Links





 

coloured_drab