My DH is on Va and Medicare. The facility accepted your card and is a provider. In an emergency/trauma setting you have no choice over who the attending physician is. That decision is the hospital's. They as an approved provider would be responsible for any lapse. Charging you for something that they failed to code correctly is illogical. Doesn't really matter if the attending physician is a provider, all they should really have to do is code it correctly. If I'm not mistaken in an emergency room setting if the facility is a provider the rest really isn't so much about names as just codes and numbers pertaining to actions and treatments. If they require a name then the supervising physician who should be a provider would be all that is necessary to be listed. In most hospitals they are all interchangeable for billing purposes. This is entirely the hospital's bad.
We just got denied an ER bill by the VA because the nurse in the local ER evidently failed to notate the name of the referring person at the VA ER who referred us to the trauma center at the University hospital ER because the VA ER was understaffed on a holiday weekend. So, how's that for confusing. VA is his primary, so I can pretty much bet Medicare is gonna stamp it denied as well because protocol was not followed. So, I've got do my own tail chasing as well. Health care... hate it hate it hate it. There has got to be a better way. Actually there is. The poor and indigent have no co-pays, no denials, no deductibles, no premiums, no bills, just whip out the card and everything is 100%.. of course they won't keep getting that if we don't keep working....
__________________ lorelei,
wife to gerry  , momma to bear  , baxter  ,baby  and bug |