Guest guest Posted October 18, 2004 Report Share Posted October 18, 2004 Hi ! How've you been?! I'm not sure why Dee would be confused because I was definitely still having pain and discomfort three months after my TT/HR. The swelling didn't completely go away for almost a year. I had twinges of pain for at least 6 months after surgery. And sneezing OR coughing was a BITCH for the longest time! I wouldn't be concerned. Sounds perfectly normal to me. Hugs! Tracey > > Okay...for all of you that have had the TT/ HR..or maybe just know > someone who has...I am over three months post op and my upper > stomach still has a little swelling and lots of tenderness. Plus if > I do anything that works my abs, I have considerable disscomfort. > And sneezing still hurts! Is this normal?What can I do to help this > healing along? Should I be worried? The last time I talked to Dee, > she seamed confused that I was still experiencing pain. > > Thanks, > > C. > Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2004 Report Share Posted October 18, 2004 > > Hi ! > > How've you been?! > > I'm not sure why Dee would be confused because I was definitely > still having pain and discomfort three months after my TT/HR. The > swelling didn't completely go away for almost a year. I had twinges > of pain for at least 6 months after surgery. And sneezing OR > ***************** Thank God for this post............lol My hernia repair was a month ago. No tummy tuck but the pain and swelling is still there. anything but stretch pants hurt like a bitch. I cant really wear my clothes yet which really pisses me off............lol. By mid afternoon, I need a nap. I feel like ive aged 50 years. 2 surgeries in one year has really kicked my ass!! vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2004 Report Share Posted October 18, 2004 > Hi ! > > How've you been?! > > I'm not sure why Dee would be confused because I was definitely > still having pain and discomfort three months after my TT/HR. The > swelling didn't completely go away for almost a year. I had twinges > of pain for at least 6 months after surgery. And sneezing OR > coughing was a BITCH for the longest time! I wouldn't be concerned. > Sounds perfectly normal to me. > > Hugs! > Tracey Me too! Sharon in Onyx Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hi Vicki! Honey, you're still a newbie when it comes to recovering from your hernia repair! LOL! You're gonna be fine. Everyone heals at different rates so I can't tell you when it'll get better for you, but you're totally normal as far as your pain level right now. I do sympathize and I hope it gets better soon! Hugs! Tracey > > > > Hi ! > > > > How've you been?! > > > > I'm not sure why Dee would be confused because I was definitely > > still having pain and discomfort three months after my TT/HR. The > > swelling didn't completely go away for almost a year. I had > twinges > > of pain for at least 6 months after surgery. And sneezing OR > > ***************** > > Thank God for this post............lol > > My hernia repair was a month ago. No tummy tuck but the pain and > swelling is still there. anything but stretch pants hurt like a > bitch. I cant really wear my clothes yet which really pisses me > off............lol. By mid afternoon, I need a nap. I feel like ive > aged 50 years. 2 surgeries in one year has really kicked my ass!! > > vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hi Vicki! Honey, you're still a newbie when it comes to recovering from your hernia repair! LOL! You're gonna be fine. Everyone heals at different rates so I can't tell you when it'll get better for you, but you're totally normal as far as your pain level right now. I do sympathize and I hope it gets better soon! Hugs! Tracey > > > > Hi ! > > > > How've you been?! > > > > I'm not sure why Dee would be confused because I was definitely > > still having pain and discomfort three months after my TT/HR. The > > swelling didn't completely go away for almost a year. I had > twinges > > of pain for at least 6 months after surgery. And sneezing OR > > ***************** > > Thank God for this post............lol > > My hernia repair was a month ago. No tummy tuck but the pain and > swelling is still there. anything but stretch pants hurt like a > bitch. I cant really wear my clothes yet which really pisses me > off............lol. By mid afternoon, I need a nap. I feel like ive > aged 50 years. 2 surgeries in one year has really kicked my ass!! > > vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2004 Report Share Posted October 20, 2004 Thanks Tracey! I have been good. Although I am really super busy these days! I am working at a 30 minute workout place like curves called slender lady, I do all the normal stuff and massage here, plus I am full time at Sac State (CSUS). Life is crazy but a good crazy! I never would have had the energy before the DS. I just didn't expect my stomach to be such a pain for so long. Because its all tight now, the slightest swelling or bloating makes things uncomfortable! In the long run I'm sure that is a good thing.Cause I am much more motivated to work out and eat better. How are you doing? C. Sac > > > > Okay...for all of you that have had the TT/ HR..or maybe just know > > someone who has...I am over three months post op and my upper > > stomach still has a little swelling and lots of tenderness. Plus > if > > I do anything that works my abs, I have considerable disscomfort. > > And sneezing still hurts! Is this normal?What can I do to help > this > > healing along? Should I be worried? The last time I talked to Dee, > > she seamed confused that I was still experiencing pain. > > > > Thanks, > > > > C. > > Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2004 Report Share Posted October 20, 2004 , I was supposed to transfer to Sac State this semester but I had complications from the grds and missed my registration appointment. It took me 10 weeks before I started to feel really good again. Now, I can't wait to get to Sac State. In a few more months -- **Wake me up from the nothing that I've become** -------------- Original message -------------- Thanks Tracey! I have been good. Although I am really super busy these days! I am working at a 30 minute workout place like curves called slender lady, I do all the normal stuff and massage here, plus I am full time at Sac State (CSUS). Life is crazy but a good crazy! I never would have had the energy before the DS. I just didn't expect my stomach to be such a pain for so long. Because its all tight now, the slightest swelling or bloating makes things uncomfortable! In the long run I'm sure that is a good thing.Cause I am much more motivated to work out and eat better. How are you doing? C. Sac > > > > Okay...for all of you that have had the TT/ HR..or maybe just know > > someone who has...I am over three months post op and my upper > > stomach still has a little swelling and lots of tenderness. Plus > if > > I do anything that works my abs, I have considerable disscomfort. > > And sneezing still hurts! Is this normal?What can I do to help > this > > healing along? Should I be worried? The last time I talked to Dee, > > she seamed confused that I was still experiencing pain. > > > > Thanks, > > > > C. > > Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2004 Report Share Posted October 21, 2004 I'm glad to hear that your feeling better! So you are starting in the spring? I'd be glad to talk if you want the inside scoop. Just email me privately. C. > , > > I was supposed to transfer to Sac State this semester but I had complications from the grds and missed my registration appointment. It took me 10 weeks before I started to feel really good again. Now, I can't wait to get to Sac State. In a few more months > > > > -- > **Wake me up from the nothing > that I've become** > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2004 Report Share Posted October 23, 2004 Hi ! That's cool that you're working at one of those 30 minute workout places. I would love to go to a gym but it's not possible right now because I never know when I'm going to get home from work. I've been working 10-11 hour days for the last few months. Also, I can't really afford it either. But, one of these days, I will manage it! And you're still going to school full time! You just impress the heck out of me! I know what you mean about your energy level. In fact, I gotta get caught up on the group so I can jump on the treadmill tonight. Then do my arm exercises. I am constantly amazed at how much I can do in a day now. Everything used to be such a drag on my system. I can't properly express how grateful I am for this surgery! The weather has finally cooled down in San Diego County. What a relief! We also got inundated by rain, but that was a good thing. We hadn't had any rain for 183 days and all our lakes and ponds had dried up and after the firestorm last October, things were looking pretty grim. Thank goodness the grounds are moist again! Hope you're having a great weekend! Hugs! Tracey > > > > > > Okay...for all of you that have had the TT/ HR..or maybe just > know > > > someone who has...I am over three months post op and my upper > > > stomach still has a little swelling and lots of tenderness. Plus > > if > > > I do anything that works my abs, I have considerable > disscomfort. > > > And sneezing still hurts! Is this normal?What can I do to help > > this > > > healing along? Should I be worried? The last time I talked to > Dee, > > > she seamed confused that I was still experiencing pain. > > > > > > Thanks, > > > > > > C. > > > Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2005 Report Share Posted February 23, 2005 Some of these symptoms sound like autism, some don't. I don't think any of us can hazard a guess in place of a good diagnostic evaluation. I'd say just tell the doctor what you told us. I've found that if I have alot to say, I write it down in points. I will refer to my list until I discuss all. Your time and money is as important as the doc. You have a right to an answer and not a run around. Are you seeing a developmental pediatrician vs. a regular ped? A developmental ped. will be able to give you a diagnosis, even though they may have to do testing first. Diane need advice Hi! My name is Angie and I have a 3 1/2 year old daughter. she has many delays but we have never been given a proper diagnosis or even the time of day from her Drs. We just got a new ped. and so far she has been great. We have an appointment with a neur next Thursday and would like some advice on how to prepare. Let me explain a little bit if I can. All our fun started when she was 2 and not babbling or even trying to talk. She was evaluated and at the 4-6 month and 6-9 month range all around. She was really behind and did not even make sounds. Her ST had her hearing checked 4 times her first year of ST. That is where we started and this is where we are now. She is in the Early Learning program at our school and receives sppeech 2X a week, OT 1X week. Ashely has global hypotonia, motor planning problems she bites herself, never drawn blood, she cannot or feels very little pain, she does not interact with other children, prefers adults or wants to be by her self, she is very vocal now and we understand about 60-70% of what she says but she will not tell you anything about her day not even with prompting, she can tell you what she wants and does not want, hard to explain, but clearly not what other children her age are doing, she has some problems with her legs, we had some xrays done which showed banding on her bones so they thought she had lead poisoning but her levels were fine so they say she does not. She is very uncoordianted and complains about pain in her legs a lot and falls a lot. She is unresponsive to loud noises, like she cannot hear them. I could go on and on. What does Autism loook like in girls, could this be her problem, any advice would be great. Thnaks Angie Autism_in_Girls-subscribe ------------------------ Autism_in_Girls-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2005 Report Share Posted February 23, 2005 Some of these symptoms sound like autism, some don't. I don't think any of us can hazard a guess in place of a good diagnostic evaluation. I'd say just tell the doctor what you told us. I've found that if I have alot to say, I write it down in points. I will refer to my list until I discuss all. Your time and money is as important as the doc. You have a right to an answer and not a run around. Are you seeing a developmental pediatrician vs. a regular ped? A developmental ped. will be able to give you a diagnosis, even though they may have to do testing first. Diane need advice Hi! My name is Angie and I have a 3 1/2 year old daughter. she has many delays but we have never been given a proper diagnosis or even the time of day from her Drs. We just got a new ped. and so far she has been great. We have an appointment with a neur next Thursday and would like some advice on how to prepare. Let me explain a little bit if I can. All our fun started when she was 2 and not babbling or even trying to talk. She was evaluated and at the 4-6 month and 6-9 month range all around. She was really behind and did not even make sounds. Her ST had her hearing checked 4 times her first year of ST. That is where we started and this is where we are now. She is in the Early Learning program at our school and receives sppeech 2X a week, OT 1X week. Ashely has global hypotonia, motor planning problems she bites herself, never drawn blood, she cannot or feels very little pain, she does not interact with other children, prefers adults or wants to be by her self, she is very vocal now and we understand about 60-70% of what she says but she will not tell you anything about her day not even with prompting, she can tell you what she wants and does not want, hard to explain, but clearly not what other children her age are doing, she has some problems with her legs, we had some xrays done which showed banding on her bones so they thought she had lead poisoning but her levels were fine so they say she does not. She is very uncoordianted and complains about pain in her legs a lot and falls a lot. She is unresponsive to loud noises, like she cannot hear them. I could go on and on. What does Autism loook like in girls, could this be her problem, any advice would be great. Thnaks Angie Autism_in_Girls-subscribe ------------------------ Autism_in_Girls-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2006 Report Share Posted May 3, 2006 Have a home health agency do the visits. They have a bunch of people to do the billing work and get help for this lady. You could help facilitate the change of address and fill out the paperwork and have her simply sign it then send in. A pain. No I have never gone to this level of service. No the system is not fair. Today I was sent two contracts, numerous pages long to accept medicaid rates on a great new insurance program and one request for proposal on an insurance company wanting to bid on this contract. Round file. I would bet that we deal with 20 plus different insurance card types the way it is. You just can not do it all. > > I am doing house calls for a medicare homebound patient. When I > submitted the bill, they denied it because she did not notify her > social security office regarding the change of address (she moved from > a different state). The patient states she is not able to do the change > of address and also that she does not have anybody around smart enough > to do that. She is sick, calls me weekly to see her but refuses to get > in the medical car to come to my office. Medicare would pay for office > visit but not for home visits at this point. I spoke with the medicare > rep and told her that if they don't pay, I will bill the patient and > she told me that I can't do that. The word " sucker " was mentioned in > the conversation (by me) ) and I am absolutely decided to write a > formal complaint to my senator. But until then, what do I do with the > patient ? > Advice ? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2006 Report Share Posted May 3, 2006 She has a visiting nurse also and between the two of us, we managed to keep her out of the hospital for two months now. She used to be in the hospital every few weeks in her old state. I called social security and I will just help her with the change on my next visit. Even so, it will take 2 months before medicare will make the changes in the system and in the meantime I can just keep the hope (of actually getting paid) alive. Social security has a very fancy website where old people can change their address and they also have a fancy phone system that requires a college degree to use it. It is maybe a relief that they will go bankrupt by the time I'll have to adjust my hearing aid to call them. > Have a home health agency do the visits. They have a bunch of > people to do the billing work and get help for this lady. You could > help facilitate the change of address and fill out the paperwork and > have her simply sign it then send in. A pain. No I have never gone > to this level of service. > > No the system is not fair. > > Today I was sent two contracts, numerous pages long to accept > medicaid rates on a great new insurance program and one request for > proposal on an insurance company wanting to bid on this contract. > Round file. > > I would bet that we deal with 20 plus different insurance card types > the way it is. You just can not do it all. > >> >> I am doing house calls for a medicare homebound patient. When I >> submitted the bill, they denied it because she did not notify her >> social security office regarding the change of address (she moved > from >> a different state). The patient states she is not able to do the > change >> of address and also that she does not have anybody around smart > enough >> to do that. She is sick, calls me weekly to see her but refuses to > get >> in the medical car to come to my office. Medicare would pay for > office >> visit but not for home visits at this point. I spoke with the > medicare >> rep and told her that if they don't pay, I will bill the patient > and >> she told me that I can't do that. The word " sucker " was mentioned > in >> the conversation (by me) ) and I am absolutely decided to write > a >> formal complaint to my senator. But until then, what do I do with > the >> patient ? >> Advice ? >> > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 HI Anemaria- I recently ran into just this same problem, did a medicare home visit on a homebound patient whose home state is NY, she was visiting with her daughter in RI. I called medicare after the visit was denied- the rep laughed, said I couldn't do a home visit on a patient whose home state was clearly not RI, BUT she fixed the HCFA so that it went through. She changed a number- I think it may have been place of service, not home (which is ?13) to another number- ?01 - should be something like miscellaneous but SHE WOULDN'T TELL ME what she changed, said " we're not supposed to tell you guys how to bill " . She referred me to the medicare website on how to bill which is a laugh because you really have to pore over that site with a nit comb to get ANY crumb of useful information at all. I will look at the CPT book tomorrow when I'm in the office to see if I can find that number. If worse comes to worse, when the EOB comes back paid, I will let you know what number they used- may take 2 months, but you have up to a year to submit the bills, you should be able to get paid... Lynn > >Reply-To: >To: >Subject: Need advice >Date: Wed, 3 May 2006 15:58:34 -0500 > >I am doing house calls for a medicare homebound patient. When I >submitted the bill, they denied it because she did not notify her >social security office regarding the change of address (she moved from >a different state). The patient states she is not able to do the change >of address and also that she does not have anybody around smart enough >to do that. She is sick, calls me weekly to see her but refuses to get >in the medical car to come to my office. Medicare would pay for office >visit but not for home visits at this point. I spoke with the medicare >rep and told her that if they don't pay, I will bill the patient and >she told me that I can't do that. The word " sucker " was mentioned in >the conversation (by me) ) and I am absolutely decided to write a >formal complaint to my senator. But until then, what do I do with the >patient ? >Advice ? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 Lynn, thank you ! > HI Anemaria- I recently ran into just this same problem, did a > medicare > home visit on a homebound patient whose home state is NY, she was > visiting > with her daughter in RI. I called medicare after the visit was > denied- the > rep laughed, said I couldn't do a home visit on a patient whose home > state > was clearly not RI, BUT she fixed the HCFA so that it went through. > She > changed a number- I think it may have been place of service, not home > (which is ?13) to another number- ?01 - should be something like > miscellaneous but SHE WOULDN'T TELL ME what she changed, said " we're > not > supposed to tell you guys how to bill " . She referred me to the > medicare > website on how to bill which is a laugh because you really have to > pore over > that site with a nit comb to get ANY crumb of useful information at > all. I > will look at the CPT book tomorrow when I'm in the office to see if I > can > find that number. If worse comes to worse, when the EOB comes back > paid, I > will let you know what number they used- may take 2 months, but you > have up > to a year to submit the bills, you should be able to get paid... > Lynn > > >> >> Reply-To: >> To: >> Subject: Need advice >> Date: Wed, 3 May 2006 15:58:34 -0500 >> >> I am doing house calls for a medicare homebound patient. When I >> submitted the bill, they denied it because she did not notify her >> social security office regarding the change of address (she moved from >> a different state). The patient states she is not able to do the >> change >> of address and also that she does not have anybody around smart enough >> to do that. She is sick, calls me weekly to see her but refuses to get >> in the medical car to come to my office. Medicare would pay for office >> visit but not for home visits at this point. I spoke with the medicare >> rep and told her that if they don't pay, I will bill the patient and >> she told me that I can't do that. The word " sucker " was mentioned in >> the conversation (by me) ) and I am absolutely decided to write a >> formal complaint to my senator. But until then, what do I do with the >> patient ? >> Advice ? >> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 Lynn, thank you ! > HI Anemaria- I recently ran into just this same problem, did a > medicare > home visit on a homebound patient whose home state is NY, she was > visiting > with her daughter in RI. I called medicare after the visit was > denied- the > rep laughed, said I couldn't do a home visit on a patient whose home > state > was clearly not RI, BUT she fixed the HCFA so that it went through. > She > changed a number- I think it may have been place of service, not home > (which is ?13) to another number- ?01 - should be something like > miscellaneous but SHE WOULDN'T TELL ME what she changed, said " we're > not > supposed to tell you guys how to bill " . She referred me to the > medicare > website on how to bill which is a laugh because you really have to > pore over > that site with a nit comb to get ANY crumb of useful information at > all. I > will look at the CPT book tomorrow when I'm in the office to see if I > can > find that number. If worse comes to worse, when the EOB comes back > paid, I > will let you know what number they used- may take 2 months, but you > have up > to a year to submit the bills, you should be able to get paid... > Lynn > > >> >> Reply-To: >> To: >> Subject: Need advice >> Date: Wed, 3 May 2006 15:58:34 -0500 >> >> I am doing house calls for a medicare homebound patient. When I >> submitted the bill, they denied it because she did not notify her >> social security office regarding the change of address (she moved from >> a different state). The patient states she is not able to do the >> change >> of address and also that she does not have anybody around smart enough >> to do that. She is sick, calls me weekly to see her but refuses to get >> in the medical car to come to my office. Medicare would pay for office >> visit but not for home visits at this point. I spoke with the medicare >> rep and told her that if they don't pay, I will bill the patient and >> she told me that I can't do that. The word " sucker " was mentioned in >> the conversation (by me) ) and I am absolutely decided to write a >> formal complaint to my senator. But until then, what do I do with the >> patient ? >> Advice ? >> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 Same thing happened to me. Patient's home state is Tennessee, and she has been "visiting" her daughter for over a year. I, too, called Medicare after the denial for the home visit, explained the situation and the phone rep fixed it on the spot and I got paid. SetoSouth Pasadena, CA HI Anemaria- I recently ran into just this same problem, did a medicare home visit on a homebound patient whose home state is NY, she was visiting with her daughter in RI. I called medicare after the visit was denied- the rep laughed, said I couldn't do a home visit on a patient whose home state was clearly not RI, BUT she fixed the HCFA so that it went through. She changed a number- I think it may have been place of service, not home (which is ?13) to another number- ?01 - should be something like miscellaneous but SHE WOULDN'T TELL ME what she changed, said "we're not supposed to tell you guys how to bill". She referred me to the medicare website on how to bill which is a laugh because you really have to pore over that site with a nit comb to get ANY crumb of useful information at all. I will look at the CPT book tomorrow when I'm in the office to see if I can find that number. If worse comes to worse, when the EOB comes back paid, I will let you know what number they used- may take 2 months, but you have up to a year to submit the bills, you should be able to get paid... Lynn > >Reply-To: >To: >Subject: Need advice >Date: Wed, 3 May 2006 15:58:34 -0500 > >I am doing house calls for a medicare homebound patient. When I >submitted the bill, they denied it because she did not notify her >social security office regarding the change of address (she moved from >a different state). The patient states she is not able to do the change >of address and also that she does not have anybody around smart enough >to do that. She is sick, calls me weekly to see her but refuses to get >in the medical car to come to my office. Medicare would pay for office >visit but not for home visits at this point. I spoke with the medicare >rep and told her that if they don't pay, I will bill the patient and >she told me that I can't do that. The word "sucker" was mentioned in >the conversation (by me) ) and I am absolutely decided to write a >formal complaint to my senator. But until then, what do I do with the >patient ? >Advice ? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 Same thing happened to me. Patient's home state is Tennessee, and she has been "visiting" her daughter for over a year. I, too, called Medicare after the denial for the home visit, explained the situation and the phone rep fixed it on the spot and I got paid. SetoSouth Pasadena, CA HI Anemaria- I recently ran into just this same problem, did a medicare home visit on a homebound patient whose home state is NY, she was visiting with her daughter in RI. I called medicare after the visit was denied- the rep laughed, said I couldn't do a home visit on a patient whose home state was clearly not RI, BUT she fixed the HCFA so that it went through. She changed a number- I think it may have been place of service, not home (which is ?13) to another number- ?01 - should be something like miscellaneous but SHE WOULDN'T TELL ME what she changed, said "we're not supposed to tell you guys how to bill". She referred me to the medicare website on how to bill which is a laugh because you really have to pore over that site with a nit comb to get ANY crumb of useful information at all. I will look at the CPT book tomorrow when I'm in the office to see if I can find that number. If worse comes to worse, when the EOB comes back paid, I will let you know what number they used- may take 2 months, but you have up to a year to submit the bills, you should be able to get paid... Lynn > >Reply-To: >To: >Subject: Need advice >Date: Wed, 3 May 2006 15:58:34 -0500 > >I am doing house calls for a medicare homebound patient. When I >submitted the bill, they denied it because she did not notify her >social security office regarding the change of address (she moved from >a different state). The patient states she is not able to do the change >of address and also that she does not have anybody around smart enough >to do that. She is sick, calls me weekly to see her but refuses to get >in the medical car to come to my office. Medicare would pay for office >visit but not for home visits at this point. I spoke with the medicare >rep and told her that if they don't pay, I will bill the patient and >she told me that I can't do that. The word "sucker" was mentioned in >the conversation (by me) ) and I am absolutely decided to write a >formal complaint to my senator. But until then, what do I do with the >patient ? >Advice ? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 Why can't you bill her? It is not covered by her insurance and you can bill for charges that are not covered. Am I missing something? I would probably get the form for her, help her fill it out and mail it for her. That way, you get paid. It will take only a few minutes of your time. But will help her immensely. Message: 14 Date: Wed, 3 May 2006 15:58:34 -0500 Subject: Need advice I am doing house calls for a medicare homebound patient. When I submitted the bill, they denied it because she did not notify her social security office regarding the change of address (she moved from a different state). The patient states she is not able to do the change of address and also that she does not have anybody around smart enough to do that. She is sick, calls me weekly to see her but refuses to get in the medical car to come to my office. Medicare would pay for office visit but not for home visits at this point. I spoke with the medicare rep and told her that if they don't pay, I will bill the patient and she told me that I can't do that. The word " sucker " was mentioned in the conversation (by me) ) and I am absolutely decided to write a formal complaint to my senator. But until then, what do I do with the patient ? Advice ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 You can't bill medicare patients who did not sign an ABN in advance, at least that's what I know. > Why can't you bill her? It is not covered by her insurance and you > can bill for charges that are not covered. Am I missing something? > > I would probably get the form for her, help her fill it out and mail > it for her. That way, you get paid. It will take only a few minutes > of your time. But will help her immensely. > > Message: 14       >   Date: Wed, 3 May 2006 15:58:34 -0500 >   > Subject: Need advice > > I am doing house calls for a medicare homebound patient. When I > submitted the bill, they denied it because she did not notify her > social security office regarding the change of address (she moved from > a different state). The patient states she is not able to do the change > of address and also that she does not have anybody around smart enough > to do that. She is sick, calls me weekly to see her but refuses to get > in the medical car to come to my office. Medicare would pay for office > visit but not for home visits at this point. I spoke with the medicare > rep and told her that if they don't pay, I will bill the patient and > she told me that I can't do that. The word " sucker " was mentioned in > the conversation (by me) ) and I am absolutely decided to write a > formal complaint to my senator. But until then, what do I do with the > patient ? > Advice ? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 cut your losses and discharge her, refer her elsewhere, only provide emergent care, ie, "sounds like you need to go to the emergency department, i recommend you call 911", and document well. why are you torturing yourself like this? LLAnemaria Lutas wrote: You can't bill medicare patients who did not sign an ABN in advance, at least that's what I know.> Why can't you bill her? It is not covered by her insurance and you > can bill for charges that are not covered. Am I missing something?>> I would probably get the form for her, help her fill it out and mail > it for her. That way, you get paid. It will take only a few minutes > of your time. But will help her immensely.>> Message: 14       >   Date: Wed, 3 May 2006 15:58:34 -0500>   From: Anemaria Lutas > Subject: Need advice>> I am doing house calls for a medicare homebound patient. When I> submitted the bill, they denied it because she did not notify her> social security office regarding the change of address (she moved from> a different state). The patient states she is not able to do the change> of address and also that she does not have anybody around smart enough> to do that. She is sick, calls me weekly to see her but refuses to get> in the medical car to come to my office. Medicare would pay for office> visit but not for home visits at this point. I spoke with the medicare> rep and told her that if they don't pay, I will bill the patient and> she told me that I can't do that. The word "sucker" was mentioned in> the conversation (by me) ) and I am absolutely decided to write a> formal complaint to my senator. But until then, what do I do with the> patient ?> Advice ?>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2006 Report Share Posted May 4, 2006 I will. Mostly because she is abusive and my family needs a sane mom. > cut your losses and discharge her, refer her elsewhere, only provide > emergent care, ie, " sounds like you need to go to the emergency > department, i recommend you call 911 " , and document well. > why are you torturing yourself like this? > LL > > Anemaria Lutas wrote: >> You can't bill medicare patients who did not sign an ABN in advance, >> at >> least that's what I know. >> >> >> >> > Why can't you bill her? It is not covered by her insurance and you >> > can bill for charges that are not covered. Am I missing something? >> > >> > I would probably get the form for her, help her fill it out and mail >> > it for her. That way, you get paid. It will take only a few >> minutes >> > of your time. But will help her immensely. >> > >> > Message: 14       >> >   Date: Wed, 3 May 2006 15:58:34 -0500 >> >   From: Anemaria Lutas >> > Subject: Need advice >> > >> > I am doing house calls for a medicare homebound patient. When I >> > submitted the bill, they denied it because she did not notify her >> > social security office regarding the change of address (she moved >> from >> > a different state). The patient states she is not able to do the >> change >> > of address and also that she does not have anybody around smart >> enough >> > to do that. She is sick, calls me weekly to see her but refuses to >> get >> > in the medical car to come to my office. Medicare would pay for >> office >> > visit but not for home visits at this point. I spoke with the >> medicare >> > rep and told her that if they don't pay, I will bill the patient and >> > she told me that I can't do that. The word " sucker " was mentioned in >> > the conversation (by me) ) and I am absolutely decided to write a >> > formal complaint to my senator. But until then, what do I do with >> the >> > patient ? >> > Advice ? >> > >> > >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2006 Report Share Posted May 5, 2006 Actually, my understanding is that ABN's are only necessary for care that might be covered...for example, sometimes Medicare will cover vein sclerotherapy under certain conditions, but not always. So an ABN would be needed to later bill the patient if Medicare says it is cosmetic. However, treatments that are NEVER covered by Medicare don't need an ABN since they are never covered. Of course, it's probably good to warn the patient that they are never covered and they will be required to pay the bill. Lip fillers for cosmetic reasons are not covered, so an ABN would not be needed. At least that is my understanding. http://www.noridianmedicare.com/northwest/partA/docs/BulletinMar05.pdf Notices of Exclusions from Medicare Benefits (NEMB) With the exception of “medical necessity” categorical exclusions, if an item or service is not a Medicare benefit (e.g., routine physicals and tests in the absence of signs or symptoms, routine foot care, dental care), an ABN should not be given. Instead, a Notice of Exclusion from Medicare Benefits (NEMB) may be used. The NEMB may be used, on an entirely voluntary basis, by providers to advise their Medicare patients of the services that Medicare never covers, for which it is not appropriate to use ABNs. The NEMB Form CMS-20007 is available online in English and Spanish at the CMS Beneficiary Notices Initiative (BNI) Web page at http://www.cms.hhs.gov/medicare/bni/ and also at the CMS Medlearn Web site http://www.cms.hhs.gov/medlearn/refabn.asp at the Advance Beneficiary Notice (ABN) Quick Reference Guide Web page, under “Notice of Exclusions from Medicare Benefits (NEMB, Form CMS-20007). For the online replicable copies of Form CMS-20007 forms in PDF format, go directly to: • English CMS-20007 http://cms.hhs.gov/medicare/bni/20007_English.pdf• Spanish CMS-20007 http://cms.hhs.gov/medicare/bni/20007_Spanish.pdf CMS Publication 100-04, Chapter 30, “Financial Liability Protections”, contains detailed information about the types and appropriate usage of notices to both inpatients and outpatients. We urge you to review these instructions and incorporate the information into your processes. ========================= From what I gather, if something is excluded, we aren't supposed to use an ABN, but rather a NEMB...see attached form. http://www.cms.hhs.gov/BNI/Downloads/CMS20007English.pdf It's all confusing to me. Locke From: [mailto: ] On Behalf Of Anemaria LutasSent: Thursday, May 04, 2006 11:03 AMTo: Subject: Re: RE: Need advice You can't bill medicare patients who did not sign an ABN in advance, at least that's what I know. Why can't you bill her? It is not covered by her insurance and you can bill for charges that are not covered. Am I missing something?I would probably get the form for her, help her fill it out and mail it for her. That way, you get paid. It will take only a few minutes of your time. But will help her immensely.Message: 14 Date: Wed, 3 May 2006 15:58:34 -0500 Subject: Need advice I am doing house calls for a medicare homebound patient. When I submitted the bill, they denied it because she did not notify her social security office regarding the change of address (she moved from a different state). The patient states she is not able to do the change of address and also that she does not have anybody around smart enough to do that. She is sick, calls me weekly to see her but refuses to get in the medical car to come to my office. Medicare would pay for office visit but not for home visits at this point. I spoke with the medicare rep and told her that if they don't pay, I will bill the patient and she told me that I can't do that. The word "sucker" was mentioned in the conversation (by me) ) and I am absolutely decided to write a formal complaint to my senator. But until then, what do I do with the patient ? Advice ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2008 Report Share Posted May 8, 2008 Hi Cammie, I haven't posted in quite awhile......but I so related to what you are going through. I'm new to tx too....I will take shot 9 tomorrow......I've had a pretty rough time with it....but I can tell you this....at week 9 I'm in a much better place mentally than I was at week 4......I have good and bad days.....but I try to take advantage of the good days and get done what I need to....then I can just rest on the bad days......I've had a lot of the symptoms you have....and I know they're not fun at all....and I know there will probably be more of them down the road.....but everyone is different.....some have few symptoms and some have them the entire time.....I know there's a lot of people here that can help you with the long-term symptoms......I'm still learning every day.....but one thing I know for sure.....I feel worse on the days that I don't drink enough water.....that is a must have.....so Cammie...hang in there girl.....and I hope that things get better for you soon.....and remember that this is not forever......and we will be healthier for it in the end.....sending you lots of hugs and prayers.... TinaCamie wrote: Hi Everyone,Well, I'm 4 weeks into my treatment, and the Friday's that I have to take the shot, is just a "killer." What I need to know is, are the symptoms going to be this intense for the whole year of treatments?! My eye sockets, eye balls burn, skin crawls, etc. Is this normal? Has anyone else had these problems for the whole time?HELP!!!!!!!!!!CammieThe shortest distance between a problem and a solution is the distance between your knees and the floor. The man who kneels to God can stand up to anything. Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2008 Report Share Posted May 8, 2008 Hi Cammie, Hi Tina, I'm on week 34. The symptons don't stay the same. Like Tina said, everyone's different. The rainbow may be just over the weekend. I had a great weekend, did some gardening and shopping. People said I look good. Those are milestones you can look forward to. Hang in there. Keep your doctor appraised of your sides on your visits. I have had many medical issues develop as a result of treatment, some of them had bad sides themselves. Kim T. Quote Link to comment Share on other sites More sharing options...
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