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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The Patient Advocate's Handbook Home Page
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