Monday, July 28, 2014

Cross Our Fingers

Continuing the roller coaster that is life, Dad begins physical therapy again on August 4th. In conversations with Dr. Biswas, Dad’s PCP, the receptionist and director of the rehab facility, it has been determined that the progress Dad had been making should be enough to warrant an added modifier to his claims alerting Medicare that although he reached his yearly cap, he is still making progress and physical therapy is still needed. In other words, we’re going to take a risk and cross our fingers that everything works out.
I bill Medicare claims for a living, for one the largest hospitals in Maine. This is not to be confused with Medicaid, which is state run (in Maine it’s called Mainecare). Below are three helpful hints to remember…

1.       Make a Phone Call: Call the Medicare Coordination of Benefits phone number from the moment of eligibility. Anytime, any of your information changes, call that same number and update your status. You have no idea how helpful this is for you and the people processing your bills.

2.       Stagger Appointments: While it may be more convenient for you to try and cram as many different doctor visits into one day, you are creating a nightmare. Split up your appointments. See the retinologist on a Monday and the Urologist on a Wednesday. They are two separate specialities.

3.       Do Same Day Lab Work: If you need lab work done by the cardiologist you just saw, go get the labs done that same day. Don’t go for lab work related to a gynecologist visit after you’ve been to a vascular Doctor.