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- Feb 27, 2010
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Often much of the debate on healthcare reform boils down to an opinion over whether a person trusts government or not. Personally, I do not trust government. As an example let me relate my story about attempting to get payment for my services as an anesthesiologist.
After noticing that my Medicare payments had appeared to not be coming in, I contacted my billing company. My billing company contacted Medicare. My billing company had numerous telephone contacts, faxes, application forms sent back to Medicare. After months of this, Medicare then claimed none of this communication actually occured, (despite my billing company producing faxes documenting the communication).
Finally, my billing company asked if I could conference call with Medicare to try to get information. Finally we were able to conference with a Medicare representative (this was no small feat to speak to an actual person). After identifying myself as the physician and explaining the problem (No payments received for months), the representative explained that she could give me NO information. She could not explain why she could not even give information to the physician for whom billing was being done. After we persisted in explaining the insanity of the situation (whose privacy are they trying to protect), the Medicare rep then finally relented somewhat to tell us that someone had filled out a Medicare form using an extra space somewhere in the form so that they could not process the form. When we asked if we could simply resubmit another corrected form, we were told no. That we needed to know who actually filled out the form. Once again, I pointed out that the billing was being done for me, but she refused to allow us to correct the form without knowing the name of the billing company person who actually filled out the form (What difference does this make?). The billing company person then went through a guessing game, until after several tries she named the correct person.
At this point, she told us what form needed to be resubmitted. I thought things were almost done-boy was I wrong. So after getting the form, filling it out, we waited, and waited, and waited. Months go by. My billing company has been calling Medicare, but were told that it is being reviewed. Medicare would not give out the name, telephone or contact info of the analyst reviewing the form. Finally, we are lucky and get the email address of the analyst reviewing the form. About a month later, the analyst informs us that the form we submitted has expired, and that another form must be filled out and submitted.
After filling out another form and submitting it we are told that another piece of information on the form does not match their records, and must be resubmitted. Bottom line after over six months, countless telephone calls, faxes, emails, certified mails, they finally say that there records are correct.
If I had any choice in accepting Medicare, do you think I would still take it? Medicare knows that Anesthesiologists are a hospital-based practice, and are obligated to accept medicare payments by their contracts with hospitals. Therefore, IMHO, since Medicare knows they can screw anesthesiologists they do.
After noticing that my Medicare payments had appeared to not be coming in, I contacted my billing company. My billing company contacted Medicare. My billing company had numerous telephone contacts, faxes, application forms sent back to Medicare. After months of this, Medicare then claimed none of this communication actually occured, (despite my billing company producing faxes documenting the communication).
Finally, my billing company asked if I could conference call with Medicare to try to get information. Finally we were able to conference with a Medicare representative (this was no small feat to speak to an actual person). After identifying myself as the physician and explaining the problem (No payments received for months), the representative explained that she could give me NO information. She could not explain why she could not even give information to the physician for whom billing was being done. After we persisted in explaining the insanity of the situation (whose privacy are they trying to protect), the Medicare rep then finally relented somewhat to tell us that someone had filled out a Medicare form using an extra space somewhere in the form so that they could not process the form. When we asked if we could simply resubmit another corrected form, we were told no. That we needed to know who actually filled out the form. Once again, I pointed out that the billing was being done for me, but she refused to allow us to correct the form without knowing the name of the billing company person who actually filled out the form (What difference does this make?). The billing company person then went through a guessing game, until after several tries she named the correct person.
At this point, she told us what form needed to be resubmitted. I thought things were almost done-boy was I wrong. So after getting the form, filling it out, we waited, and waited, and waited. Months go by. My billing company has been calling Medicare, but were told that it is being reviewed. Medicare would not give out the name, telephone or contact info of the analyst reviewing the form. Finally, we are lucky and get the email address of the analyst reviewing the form. About a month later, the analyst informs us that the form we submitted has expired, and that another form must be filled out and submitted.
After filling out another form and submitting it we are told that another piece of information on the form does not match their records, and must be resubmitted. Bottom line after over six months, countless telephone calls, faxes, emails, certified mails, they finally say that there records are correct.
If I had any choice in accepting Medicare, do you think I would still take it? Medicare knows that Anesthesiologists are a hospital-based practice, and are obligated to accept medicare payments by their contracts with hospitals. Therefore, IMHO, since Medicare knows they can screw anesthesiologists they do.