Wow! I've never heard of this before.
So is Medicare paying the facility portion of the bill, but denying the physician portion?
I hope you have been on the phone with Medicare and your PPO provider to find out how to appeal this.
I'm wondering if this was just coded in-correctly because no one would know what Dr. would be treating them for emergency care.
I think a big percentage of claims denied are due to the coding being wrong.
I really hope this gets straightened out.
I know my Mom is always having to call about her bills! |