tag:blogger.com,1999:blog-26666124.post6569436246932707442..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: On Faxing Forms. May I Rant, please, Just a Little? Unknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-26666124.post-11352460610448259032014-10-06T02:33:25.328-04:002014-10-06T02:33:25.328-04:00I'm sure everyone has insurance horror stories...I'm sure everyone has insurance horror stories, and I have a memorable one. Blue Cross once rejected a claim to my dermatologist, because they said folliculitis did not exist. I said what do you mean it doesn't exist. The customer service rep actually told me that folliculitis is not a legitimate diagnosis. I said it most certainly is, and that I'm pretty sure the dermatologist didn't inject medication into my body just for the hell of it. I told her to google it, and she could read all about it. <br /><br />Well, we don't have a code for folliculitis, she told me. I told her I recommended that she find the code, because I was going to call her every single day until they resolved it. That seemed to do the trick, and they did amazingly find a code. Imagine that. <br /><br />If I had to deal with insurance every day, I think I would end up with a benzo addiction.<br /><br />P-K<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-91419864120231555352014-10-05T15:44:33.719-04:002014-10-05T15:44:33.719-04:00I totally think it is purposely difficult. They ar...I totally think it is purposely difficult. They are hoping you'll give up and it will save them money.<br /><br />My daughter was prescribed an extremely small dose of generic Zoloft about 5 months ago. The paperwork, phone calls and faxes that had to be exchanged between myself, her doctor's office, the pharmacy and the insurance company were beyond ridiculous. Eventually I did give up and said that it just wasn't worth it. So instead of getting the medication approved by her insurance company and only costing me $5/month I'm paying out of pocket $29/month. Ultimately it isn't an expensive medication and dealing with the insurance company was threatening what little sanity I still have. They win. Nicely played insurance company, nicely played.Moody Mommynoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-91007158379516878172014-10-05T11:34:35.829-04:002014-10-05T11:34:35.829-04:00Unless your contract with the payer obligates, you...Unless your contract with the payer obligates, you do not have to fill out a form. You must, however, provide the medical record if requested by the patient. I charge the patient $50 for each prior auth. Prior auth is for payment. Payment is never a medical emergency. Docs who cave in and perform this service for free enable it to continue and reinforce the expectation that we should all do this. <br /><br />Charge the patient.moviedochttps://www.blogger.com/profile/03617061594621924756noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-82328165533384564942014-10-05T09:06:55.377-04:002014-10-05T09:06:55.377-04:00Jesse,
I definitely felt this was going on with m...Jesse,<br /><br />I definitely felt this was going on with my insurance company. I finally got so fed up that I googled the name of the President and email address and sent him my complaint. Next day, I got a call from the assistant stating my claim would be paid after I had previously made 3 calls to no avail. Haven't had a problem with payment since that time.<br /><br />Joel, without "evil" Obamacare, I would be up shit's creek now that I have been diagnosed with sleep apnea. Do you really want to go back to the old days where people can't get insurance with chronic conditions like that? Would you want your patients to be in that position?<br /><br />Yeah, I get that the requirements are horrific for physicians. After my hassles, I can't imagine how you all deal with this BS all the time.<br /><br />But in my opinion, that would have happened whether Obamacare came along or not because insurance companies are simply idiotic in nature and have never been known for their common sense. I feel their motive has always been to deny payments whenever possible.<br /><br />AA<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-42603137969114387812014-10-04T10:53:02.794-04:002014-10-04T10:53:02.794-04:00I agree, Dinah. I have often wondered if insurance...I agree, Dinah. I have often wondered if insurance companies have secret departments that devise ways to slow down approvals, find problems in submitted claims, ask for additional information, all for the purpose of delaying or preventing reimbursement, but cloaking it in "quality." The more hurdles doctors and patients must go over, the greater the number who give up trying. For any given company this is a huge financial gain. jessehttps://www.blogger.com/profile/11077223398907532291noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-55092975586449024092014-10-03T23:13:29.781-04:002014-10-03T23:13:29.781-04:00Feel free to use the No Rx logo:
http://real-psyc...Feel free to use the No Rx logo:<br /><br />http://real-psychiatry.blogspot.com/2014/08/your-patient-is-unable-to-start-your.html<br /><br />That is after all the goal of prior authorization - along with getting you to work for free for at least 20 minutes per call.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.com