Monday, October 24, 2011

The Healthcare Abyss

Our healthcare system is so messed up the paperwork alone will put you in cardiac arrest.  My only advice is keep impeccable records.  My blog has actually provided me with information at times to help fight my way through the billing maze.  I recently received a denial for payment for my brother for an ER visit February 17, 2011.  I was able to find all the information I needed right in my journal to appeal the denial.  They were billing for an ambulance ride he did not take and a hospital stay when he was actually denied admission.  Sooooooooooooo keep records. Not just copies of EOB's and bills but your own hand written documentation.

Ron actually received a denial from his insurance for a bill submitted by the provider 2 years after services rendered.  The insurance company denied the claim because it wasn't submitted in a timely manner.  Ron was informed he was not responsible to pay it either.  I have a feeling this will end up being a battle.  Ron is supposed to get another CT scan from the same provider in November.  I'm betting they refuse to do it because their is an outstanding bill.  They will hold him hostage and refuse to do the scan until he pays the bill....even though under their contract with the insurance company they failed to submit according to their agreement. I can't imagine how many elderly people are ripped off just because they are unable to understand all the insurance jargon thrown at them.  It just makes you mad doesn't it?

5 comments:

Mitzi said...

I totally get what you are saying. You have echoed my thoughts well. How do the elderly wade through all the bills they get. I recently was billed for something that was 2 years old too. I threw it away.
I love reading your blog. I guess I'm what's called a lurker. I don't write my own blog-just read others.

oklhdan said...

Thanks for the comment Mitzi....I guess we are all in this healthcare mess together!

MerCyn said...

The health cares system is a mess. The billing and admin costs are out of sight - imagine if all that time energy and MONEY was spent on patient care how different things might be...

Betty said...

I agree it's all confusing, but your problems seem to be with the local providers not reporting correctly or in a timely manner. The "system" can't work correctly if the correct information isn't provided.

oklhdan said...

Oh, I agree Betty.