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I am a 38 year old professional with bilateral AVN. I am an engineer

and have been researcing hip replacment options for the past year or

so. I just found this site and have been reviewing the posts for the

past few days. What a great source of information!

I was about to start my surgeon search when an interesting or maybee

distressing concept popped into my feeble mind. I had been reading

some new postings when the concept of Dr's offices lying (maybee

misleading) insurance companies has come about. A few years ago, my

sister in law wanted some minor cosmetic surgery. Since elective

surgery was not covered, the Dr's office listed it some special way

so as not raise red flags and get approval. The surgey went fine and

her insurance paid for everything.

A few months later she got a call from her insurance company that

they had conducted a random audit of her hospital and that her

plastic surgeon had been caught improperly " coding " elective surgical

proceedures. A few weeks later, she got a bill from the insurance

company for the cost of the entire surgical proceedure. Well over

25,000 dollars. She had to hire a lawyer and eventually got it worked

down to a reasonable figure.

Has this type of situation been reported with this resurfacing

proceedure? Why do some Dr's offices seem to get approvals all the

time and others are always being denied? Does it vary by state? Boy

does this throw a wrench into the works. I really dont want a

regular hip replacement.

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,

As you quickly learn, insurance approval or more correctly, insurance

denial is a royal pain for most of us. It's a fair statement to

say resurfacing OSs know there's huge exposure for improper

statements on insurance filings and the one's I've been

associated with aren't about to risk their livelihood trying to

fudge it. I haven't seen any reports on this site like your

sister-in-law, but I've only been a member for a year or so. To

answer your question, insurance coverage and coding is something you

need to take up with the individual surgeon or their administrator

and get a comfort level with their process. Of the 9 or so US

surgeons implanting the 'investigational' C+, I don't know that

their insurance approval rates differ that much, but they might

individually share their numbers. The BHR is not investigation but is

not available in the US - you need to go overseas.

A word of caution - one year can be a long time to make your

decision. You should be aware that several people on this site have

reported that once they were diagnosed as needing a resurfacing, they

waited too long and their disease advanced to the point where they

were no longer eligible for resurfacing and had to have a THR. Talk

about throwing a wrench in the works...

Dave

C+ Amsutz, 2.24.98, 3.12.04

> I am a 38 year old professional with bilateral AVN. I am an

engineer

> and have been researcing hip replacment options for the past year

or

> so. I just found this site and have been reviewing the posts for

the

> past few days. What a great source of information!

>

> I was about to start my surgeon search when an interesting or

maybee

> distressing concept popped into my feeble mind. I had been reading

> some new postings when the concept of Dr's offices lying (maybee

> misleading) insurance companies has come about. A few years ago,

my

> sister in law wanted some minor cosmetic surgery. Since elective

> surgery was not covered, the Dr's office listed it some special way

> so as not raise red flags and get approval. The surgey went fine

and

> her insurance paid for everything.

>

> A few months later she got a call from her insurance company that

> they had conducted a random audit of her hospital and that her

> plastic surgeon had been caught improperly " coding " elective

surgical

> proceedures. A few weeks later, she got a bill from the insurance

> company for the cost of the entire surgical proceedure. Well over

> 25,000 dollars. She had to hire a lawyer and eventually got it

worked

> down to a reasonable figure.

>

> Has this type of situation been reported with this resurfacing

> proceedure? Why do some Dr's offices seem to get approvals all the

> time and others are always being denied? Does it vary by state?

Boy

> does this throw a wrench into the works. I really dont want a

> regular hip replacement.

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