www.lindameckler-author-artist.com
I have worked in medical insurance billing for almost thirty years. I have said repeatedly that the insurance companies practice medicine.
In an article in the AARP June Bulletin 2022, there is an article that does indeed prove what I have said.
This article states that when Medical Providers see their patients and require pre-authorization for testing, or surgery Medicare denies it.
Federal Investigators reviewed a week of these inquiries in 2019 and found that those denied 13% should have been authorized under the original Medicare rules. 85,000 requests that year were wrongfully denied.
What about the years before and after 2019?
Do not take for granted when something is denied that is denied permanently.
A medical appeal can always be sent to Medicare. If a medical provider requests pre-authorization for a test, surgery, etc. that means the patient needs it. If the patient does not receive the care needed, you can use your imagination as to the result.
Thank you for reading my article. My books Medicare and Other Health Insurance and Appeal and Collection Letters for Medical Providers are on www.amazon.com
Copyright Linda Meckler 2022
If you have medical insurance or do not have insurance it can become a horror story when the medicine you need costs out in space.