RE: infusion company billing weekly subq

[Guest guest]

, you just may want to call their billing department and ask why

if they send it monthly that you are required to pay a copay weekly.

This seems to be a way for them to increase their revenue and may be a

billing process that is fraudulent. This falls under Hippa, I think, or

other health care reform. See what your response is there, with just

asking why you are paying a weekly copay for something you receive

monthly…..see where that takes you, then you can mention,”fraudulent

billing practices, etc and see what happens. We, as healthcare

professionals have been given info on some of this, and the manner of

billing can be fraud, your facility should have phone numbers posted of

who to call if you suspect fraud/problems. You may want to call that

number also. Hope that helps.

From: S [mailto:tripletsand1@...]

Sent: Tuesday, December 21, 2004 9:30 AM

Subject: infusion company billing weekly subq

I was just wondering for those of you who do subq weekly how your

infusion

company bills it to insurance? Our company sends us a month's supply of

Carimune, but we infuse it ourselves weekly. They are billing weekly,

which

means that we are paying FOUR co-pays per month instead of ONE. This

doesn't seem right when the infusion company is only touching it once a

month. Is this standard? I know we are lucky to have insurance

covering

all of this, but we live on a tight budget! If we can get them to

change

this then I want to try.

Thanks!

Mom to Conner (10, Asperger's, MD, partial seizures, asthma, GERD, and

immunodeficiency-CVID),

Hayden (10, PDD-NOS, IBS and moderate hearing loss/aided),

Evan (10, mild hearing loss/unaided),

and Kelsey - surviving triplet (8, hearing - but not listening!)

This forum is open to parents and caregivers of children diagnosed with

a Primary Immune Deficiency. Opinions or medical advice stated here are

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[Guest guest]

Our company (Accredo) bills every two weeks. They send us two weeks worth

of product and then submit those charges to insurance. I haven't figured

out yet how much a gram it is running. IV ran about 180 to 200 per gram.

Ursula Holleman

mom to (11 yrs old) and Macey (9 yr. old with CVID, Diabetes

Insipidus, colonic inertia)

http://members.cox.net/maceyh

Immune Deficiency Foundation - Peer Contact for GA

http://www.primaryimmune.org

IDF Patient/Family Handbook

http://www.primaryimmune.org/pubs/book_pats/book_pats.htm

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