Chapter 11

Original Medicare, Private Insurance And Billing Issues

I know what you’re thinking…

Do I really have to know about Medicare and insurance? I’ve already got enough to think about. Just send me the bills. How tough could it be?

If your loved one received goods or services from a medical provider such as a hospital, specialty pharmacy or a home healthcare company and you pay the bills without referring to this chapter, you may never know if:

  • You were overcharged for the good or service.
  • You paid for the same thing twice.
  • You were pressed for a payment not yet owed.
  • A bill was not really Past Due.
  • A bill or a larger part of it might have been covered, had you provided the billing party with additional information.
  • You could have appealed the coverage decision.

This chapter also explains communicating with billing departments and avoiding the “run around” with insurance companies.

With a basic understanding of Medicare and insurance, you will know if the bills have properly gone through Medicare and insurance submission and processing to result in amounts your loved one should owe.

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Foreword

Preface

Contents

Chapter 1 At The Hospital

Chapter 2 Before Leaving The Hospital: Questions To Ask Doctors And Nurses

Chapter 3 Before Leaving The Hospital: Arranging Visiting Nurses And Therapists

Chapter 4 Before Leaving The Hospital: Arranging Home Healthcare Equipment And Supplies

Chapter 5 Extra Equipment At Home

Chapter 6 Staying Organized At Home

Chapter 7 Oxygen Equipment And Respiratory Issues

Chapter 8 Suction Machines And Equipment Troubleshooting

Chapter 9 Antibiotics And Infection Prevention

Chapter 10 Tube Feeding Issues And Tips