- Dec 18, 2010
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My wife works for a local doctor, the majority of the doctors business is elderly people on medicare.
A couple of days ago medicare sent the doctor a letter saying some of the procedures he did as far back as 2009 were unnecessary, and medicare wants their money back.
Before the procedures were done, someone from the office called medicare to get pre-approval. Medicare approved the procedures and the surgery was done.
The procedures in question were hip and knee replacements.
Think about that for a minute. Medicare approves procedure, 3 years later wants their money back. Why wait 3 years? Why not deny the procedures when they were pre-approved?
One of the ladies at the office is having to go through the records, and fax everything over to medicare to justify the procedure yet again. The office already did this when the patient was approved for the surgery.
A couple of days ago medicare sent the doctor a letter saying some of the procedures he did as far back as 2009 were unnecessary, and medicare wants their money back.
Before the procedures were done, someone from the office called medicare to get pre-approval. Medicare approved the procedures and the surgery was done.
The procedures in question were hip and knee replacements.
Think about that for a minute. Medicare approves procedure, 3 years later wants their money back. Why wait 3 years? Why not deny the procedures when they were pre-approved?
One of the ladies at the office is having to go through the records, and fax everything over to medicare to justify the procedure yet again. The office already did this when the patient was approved for the surgery.