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My Single Mom Life: Archives

My Single Mom Life: Getting better.

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Getting better.

I am feeling a little bit better today. Things at the PMD went ok.
Doc Moreno had ordered PT on my last visit on the 27th, but I started feeling crappy and never called anyone, so the PMD today, set me up with the PT place next door to them which they do the billing for.
Um, no.
That PT place will be charging me $30 per visit before Medicare pays them.
That's not how it's supposed to work.
So, I called joint Works who I had been going to pre-surgery, and explained the situation to them, and they said they never bill patients before medicare. Then after medicare pays, they send patients a bill and take whatever payments we can afford to pay monthly from our SSDI.
The $30 freaked me out because I have to go 3 times a week for 6-8 weeks. That's a lot of freaking money upfront that I may or may not get back from the PT place.
As it is, the PMD place had been billing me before medicare and now they can resubmit to medicare but won't because they'd have to pay me back. Over $200 so far.
I asked them today if they were going to resubmit, and they said they don't think they can. I told them that I spoke with medicare and they can resubmit for 6 months. I've only had 3 appointments with them so they can totally resubmit. I asked them again if they were going to because I wasn't supposed to be billed ahead of time. They said it was up to the office manager.
I already know what she's going to do about it. Nothing.
I had spoken to her on my last visit before today, and she was all hoity toity pay or leave, even though that's not what they are supposed to do.
So, yeah, I definitely don't want to go to their PT place at all.
I'm off to rest a bit, I need a nap.
Later days.

Comments

If they do not refile and you need your money, which I am sure we all need money, report them to medicare. They frown when things are not done according to procedure.


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