Guest guest Posted February 23, 2005 Report Share Posted February 23, 2005 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 Quote Link to comment Share on other sites More sharing options...
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