Quote:
Originally Posted by HappyTraveler
Good comment and questions, in total.
I cherry-picked the two parts, above, because it reminded me of what a friend here in TV told me a month ago related to the local health care system mentioned.
The Doctor recommended a certain test for his lungs because of prior work he used to do. But, the patient noticed in the results report that it was stated he had smoked for 25 years. He called and inquired why that was claimed since he only ever smoked for 5 years, long ago.
It was positioned as being helpful to him as far as ensuring the claim being paid. (Iow, smooth talk so they could get the claim paid.) But, he was bothered about his health records now reflecting a very inaccurate smoking history. Hhmm...
|
Then is it the Drs. who are submitting altered claims to assist their patient in getting coverage or the insurance company who bases claims per the information sent to them?
Good luck all right, for the sorting out of the fine details...