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Learned a hard lesson
#1
I have had type 1 diabetes for 12+ years and always thought I could handle most anything that came along with that diagnosis. September 17th I found out that I wasn't as smart as I thought. I woke with persistent high blood sugar readings that I could not get down in spite of several corrections with the insulin pump and several injections with a syringe. In addition to the high BGs my body started making ketones. I tested for ketones and the meter said "high".

I was afraid so I asked my husband to drive me to the local ER so I could get help. The ER doctor did blood tests and they discovered I had severe low blood sodium in addition to the ketones. The ER doctor called my GP and she instructed him to admit me via ambulance to the main hospital in a nearby town.

Since the doctor ordered the ambulance I was under the assumption that the insurance which is Medicare and a secondary insurance, would cover it. Nope, not true. We got a bill yesterday for $1600 USD for the ambulance ride which was about 10 miles. I told the nurse at the local hospital....."please let my husband drive me to the main hospital.....and she said "No, it isn't hospital policy."

Number one, I should not have gone to the ER and number two I should not have accepted an ambulance ride. We figure the ambulance ride was over $100 per mile which makes for a hard lesson learned. Oh-jeez
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#2
Ouch! I'd protest the bill. Appeal the non-payment of it.
PaulaO2
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Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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#3
Man o man - When I drove an ambulance I was paid $6 an hour. granted this was in the mid 80's.

Okay, so I "bing'd" it. https://www.medicare.gov/coverage/ambula...vices.html

Excerpt: Medicare coverage depends on the seriousness of your medical condition and whether you could’ve been safely transported by other means.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie

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#4
Could it be that the emergency room/billing dept. did not code the paperwork properly.
If they insisted that you be transported by ambulance, then it was medically necessary.

I know it's a pain in the tush, but I would fight this.

I've noticed that Medicare is refusing services of any kind that are billed incorrectly by the so called billing coders/experts. One wrong code, and it's denied.

It leaves you, the patient, stuck in the middle trying to solve it. Unsure
OpalRose
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How to Organize and Post ScreenShots

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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#5
(10-10-2015, 03:35 PM)AlanE Wrote: Man o man - When I drove an ambulance I was paid $6 an hour. granted this was in the mid 80's.

Okay, so I "bing'd" it. https://www.medicare.gov/coverage/ambula...vices.html

Excerpt: Medicare coverage depends on the seriousness of your medical condition and whether you could’ve been safely transported by other means.

I asked the ER nurse if my husband could drive me to the main hospital in a nearby town and she said "No, because it is NOT hospital policy." And yet hospital policy will not be paying the bill, I will. My ambulance ride cost me over $100 a mile...pretty fancy prices for a 'ride'. The EMT did absolutely nothing, not a blood pressure check or anything else. I'm disappointed the hospital ER did not give me an option of driving there by personal car. Dont-know

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#6
Well, not to play arm-chair-quarterback here but they can't force you to go by ambulance. Sad They have no authority to do this. If you are able to walk out, they can't stop you. They are covering their butt in case of a lawsuit so give them one. Call one of those "we don't charge you a dime unless we win" lawyers.


Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie

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#7
The hospitals are practicing risk management.

You have to know when to say no. That starts the moment you step out of their door.

They always make me ride in a wheelchair after having a colonoscopy, even though I have sat and stood in the recovery room for an hour or more. I comply since it's their turf. Then I'm told I won't be allowed to drive so I'll need someone to pick me up. I comply, since it's still their turf. Then when my wife loads me into the car, I slide over to the drivers side and away we go. We're back on my turf and I drive much better than my wife.

Dude
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#8
I have had the pleasure of insurance policies where they automatically denied anything and everything until you put up a fight, and then they would pay. I've had others who would pay routine stuff, but automatically deny anything not routine --- until you put up a fight, and then they pay. I hope you will go ahead and put up a fight Smile
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#9
I got a bill for my July 17th EMT run. I was sweating whether Medicare would cover it -- they did. Just because you get a bill does not mean MC will not cover it.

(Side Note: When I read the title of this thread I was reminded of my hard learned lesson: Never marry a woman with adult kids at home -- they never leave!)

Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
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#10
(10-10-2015, 11:36 PM)justMongo Wrote: I got a bill for my July 17th EMT run. I was sweating whether Medicare would cover it -- they did. Just because you get a bill does not mean MC will not cover it.

(Side Note: When I read the title of this thread I was reminded of my hard learned lesson: Never marry a woman with adult kids at home -- they never leave!)


Buy them a suitcase, and a one way ticket to anywhere! Laugh-a-lot
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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