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Re: Blue Cross

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Hi All,

I have traditional BC/BS and I have no trouble getting treatment, but I live

in Michigan and of course there isn't any lyme disease here. I am fearful if

they ever declare it an endemic state that the insurance companies will

follow " STEERE's advice. It is a catch22. Although I do have aperson in my

support group on state medicaid and has been approved for IV " S the second

time around.

Sheesh! my typing is bad......could it be lyme??

take care all,

Connie, MI

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  • 1 year later...

I remember 10 years ago fresh out of WSCC. I had a patient with stomache

pain. His history indicated that it was not a dangerous situation requiring

an expensive and worthless upper GI so I adjusted him. (I only knew how to

adjust dorsals at the time.)

He got better!

I billed Blue Cross and they denied payment.

I called the adjuster and she told me to change it to Thoracic Sprain and

she would be happy to pay. I changed it and viola! the claim was paid.

One more nail in the database coffin showing that chiropractors only treat

sprains and strains. DD and BJ must have been turning over in their

subterranean adjustatoriums.

(The solution was so simple. Now if we could just convince the Isralis that

if they would just close their country and cease to exist, there would be

peace in the middle east.)

--

Dr. Abrahamson

Caution: parts of the above message are indended for HUMOR and in no way

reflect the views of the author, the listserve or anyone with any sense.

Any relation to any person in the message living or dead or a combination of

the two i.e. heavily involved with managed care, is purely coincidental.

> From: " lumsden " <lumsden@...>

> Date: Wed, 17 Oct 2001 02:48:18 -0700

> < >

> Subject: Blue Cross

>

> More joy from the front lines today. Had a claim rejected because I diagnosed

> anxiety disorder in a patient who plainly had it, then diagnosed cervical and

> thoracic hypertonus as secondarys. They refused payment because " anxiety

> disorder " is not a chiropractic diagnosis. My assistant was coached to

> re-bill and leave off the Anxiety stuff and they would likely pay. Geeze, I

> think the sides of this box are coming in! Steve Lumsden

>

>

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I think I now have anxiety disorder.

scott s.

Blue Cross

More joy from the front lines today. Had a claim rejected because I diagnosed anxiety disorder in a patient who plainly had it, then diagnosed cervical and thoracic hypertonus as secondarys. They refused payment because "anxiety disorder" is not a chiropractic diagnosis. My assistant was coached to re-bill and leave off the Anxiety stuff and they would likely pay. Geeze, I think the sides of this box are coming in! Steve Lumsden

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Steve;

Did anyone advise you just what a " chiropractic diagnosis " is

in the first place, and what guidelines they used to make the

determination?

Les

At 02:48 AM 10/17/01 -0700, lumsden wrote:

More joy

from the front lines today. Had a claim rejected because I

diagnosed anxiety disorder in a patient who plainly had it, then

diagnosed cervical and thoracic hypertonus as secondarys. They

refused payment because " anxiety disorder " is not a

chiropractic diagnosis. My assistant was coached to re-bill and

leave off the Anxiety stuff and they would likely pay. Geeze, I

think the sides of this box are coming in! Steve

Lumsden

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Dear Steve,

Perhaps we aren't looking at this correctly. Perhaps the insurance company is giving the DC credit and acknowledgement for what we have preached and known anecdotally all along, and that is that the primary and only diagnosis for a Chiropractor relates only to the concept that the cause and cure of all dis-ease or disease lies within the spine. So, maybe we should erase any ideas of other primary diagnoses and stick to the mantra that we have chanted for so very long that 'when the

spine's in line, everything's fine'.

Finally, someone heard us !

Sharron Fuchs dc

(certainly not as witty as dr. abrahamson could write, but a touch of cynicism none the less.)

Re: Blue Cross

I think I now have anxiety disorder.

scott s.

Blue Cross

More joy from the front lines today. Had a claim rejected because I diagnosed anxiety disorder in a patient who plainly had it, then diagnosed cervical and thoracic hypertonus as secondarys. They refused payment because "anxiety disorder" is not a chiropractic diagnosis. My assistant was coached to re-bill and leave off the Anxiety stuff and they would likely pay. Geeze, I think the sides of this box are coming in! Steve Lumsden

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Yea right,... " and the world would live as one. " Steve

Blue Cross

> >

> > More joy from the front lines today. Had a claim rejected because I

diagnosed

> > anxiety disorder in a patient who plainly had it, then diagnosed

cervical and

> > thoracic hypertonus as secondarys. They refused payment because

" anxiety

> > disorder " is not a chiropractic diagnosis. My assistant was coached to

> > re-bill and leave off the Anxiety stuff and they would likely pay.

Geeze, I

> > think the sides of this box are coming in! Steve Lumsden

> >

> >

>

>

>

>

>

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Excellent point Les, but a circular path of inquiry I am sure. It really should be pressed though. The trouble is you really have to sue them at some point, but possibly the Insurance Commissioner could be of help...Steve

Re: Blue Cross

Steve;Did anyone advise you just what a "chiropractic diagnosis" is in the first place, and what guidelines they used to make the determination?LesAt 02:48 AM 10/17/01 -0700, lumsden wrote:

More joy from the front lines today. Had a claim rejected because I diagnosed anxiety disorder in a patient who plainly had it, then diagnosed cervical and thoracic hypertonus as secondarys. They refused payment because "anxiety disorder" is not a chiropractic diagnosis. My assistant was coached to re-bill and leave off the Anxiety stuff and they would likely pay. Geeze, I think the sides of this box are coming in! Steve Lumsden

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Steve;

What, you mean we aren't dealing with men and women of good will at the

insurance companies? You are probably right that at some point a

suit would be necessary to resolve the question. I think the same

may be true of the spreading problem of insurers misappropriating the

medicare guideline regarding bundling every chiropractic service in the

universe as inclusive to 9894X series codes. Soon they'll be

telling us we can't charge for x-ray exams as they are " preparatory

to the 9894X service " . I'd like to see the insurance industry

bundling issue addressed in a suit.

Les

At 07:09 AM 10/18/01 -0700, lumsden wrote:

Excellent

point Les, but a circular path of inquiry I am sure. It really

should be pressed though. The trouble is you really have to sue

them at some point, but possibly the Insurance Commissioner could be of

help...Steve

Re: Blue Cross

Steve;

Did anyone advise you just what a " chiropractic diagnosis " is in the first place, and what guidelines they used to make the determination?

Les

At 02:48 AM 10/17/01 -0700, lumsden wrote:

More joy from the front lines today. Had a claim rejected because I diagnosed anxiety disorder in a patient who plainly had it, then diagnosed cervical and thoracic hypertonus as secondarys. They refused payment because " anxiety disorder " is not a chiropractic diagnosis. My assistant was coached to re-bill and leave off the Anxiety stuff and they would likely pay. Geeze, I think the sides of this box are coming in! Steve Lumsden

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  • 6 years later...
Guest guest

Annette,

Did you do this on your own or did you need to hire an attorney? The next

logical step for me is to file with the State Insurance Commissioner's Office

but I'm concerned about doing this on my own. Your experience with this would

be greatly appreciated!!

Annette <radznsc@...> wrote: Blue Cross was

horrible to me. I fought for close to a year to get my

Xolair approved. After denial, appeal, denial, I finally had to file

a claim against them with the government medical review board. They

found in my favor and forced BC to pay. Health Net on the other hand

has been a good company to work with, even if the premiums are

incredibly high.

__________________________________________________

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