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Price fixing on durable medical supplies

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We just received our most recent denial of payment for durable medical goods

for a MVA. (ice pack, cervical support pillow, neck brace, etc.)

Denial is pending receipt of an invoice proving how much we paid for it.

We are tempted to tell the insurance carrier to first prove how they arrived

at their premium costs (HAHA!), or to tell us honestly if they ask physical

therapists, hospitals, and MD's to prove what they paid for supplies resold

to patients for care.

We ask them to note that we provide an added service to their insured by

having the supplies in stock and showing the patient how to use them.

We then explain that our intake form tells the patient that our arrangement

is between the patient and us and they are responsible for payment.

We further inform them that our fees are reasonable and are not negotiable.

We wonder to them whether requiring this information is an attempt to

restrain trade, fix prices, participate in racketeering of some sort.

We then suggest that they therefore pay the reasonable bill for the goods

used in the patient's care or in the strictest professional meaning and

heartfelt intent of the term that they do not hesitate to " bite us " .

Anyone else dealing with this?

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

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