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Dear Earl,

I have not had a problem with getting my blood work done with Medicare. If

there is something they they say is not medically necessary, they deduct it from

the amount they pay Medicare. I can see why you have a problem with your

secondary. They never have a co-pay if Medicare refused to pay. Every 6 months

is not excessive. You have have gotten someone who doesn't know better, so

maybe this is something your congressman can clear up for you. They are elected

to help you, so don't hesitate to ask for help. Maybe the person who represents

you in congress can find out if there is another code. I was in a hospital and

they didn't have the right code and tried to make me pay for it. I called

Medicare and they told me they would call the hospital and straighten the bill

out. Next day, I had a call from Medicare saying they took care of it and the

hospital called and said they decided I didn't have to pay for it. Another

time, I told the billing clerk and coder to call someone else in the same type

medical office and ask them if they had the same problem and they gave them the

proper code. Good luck. It's almost as bad as someone stealing your identity,

isn't it????

Blessings,

Lottie

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Hi Dottie:  That information you gave should be helpful to a lot of us.  I am

not on Medicare yet, but everything you said makes the most sense I have heard

so far.  I told Earl to check further and to fight it if they insist he has to

pay.  The coding is so important because thats how they determine payment.  I

hope they just coded his testing wrong.  So glad we all have each other here to

get advice and share.

Suzzie

From: Lottie Duthu <lotajam@...>

Subject: [ ] Medicare benefits.

" CML " < >

Date: Saturday, November 15, 2008, 1:42 AM

Dear Earl,

I have not had a problem with getting my blood work done with Medicare. If there

is something they they say is not medically necessary, they deduct it from the

amount they pay Medicare. I can see why you have a problem with your secondary.

They never have a co-pay if Medicare refused to pay. Every 6 months is not

excessive. You have have gotten someone who doesn't know better, so maybe this

is something your congressman can clear up for you. They are elected to help

you, so don't hesitate to ask for help. Maybe the person who represents you in

congress can find out if there is another code. I was in a hospital and they

didn't have the right code and tried to make me pay for it. I called Medicare

and they told me they would call the hospital and straighten the bill out. Next

day, I had a call from Medicare saying they took care of it and the hospital

called and said they decided I didn't have to pay for it. Another time, I told

the billing clerk and coder

to call someone else in the same type medical office and ask them if they had

the same problem and they gave them the proper code. Good luck. It's almost as

bad as someone stealing your identity, isn't it????

Blessings,

Lottie

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