Medicare Denials
Wil
Description
Collection
Title:
Medicare Denials
Creator:
Wil
Date:
1/18/2013
Text:
Hello Colleagues and Guests,
There is an issue coming to the forefront among our other issues with
CMS. Jim DeWeese alluded to these recently in one of his posts. There
are claims being denied by CMS physicians or others within CMS, that are
overriding the decisions of multiple treating physicians. As such, these
persons and their clinical decisions become a part of the patients
official medical record and I believe they may also be liable for their
decisions. The patient and the various providers of medical care have a
right to these records in their entirety. However, it is very difficult
to get the name of the person making these decisions within CMS when
claims are denied and it is even harder to get a copy of their signed
written medical report.
I believe this issue needs to be examined in detail and followed up
accordingly. Is anyone out there having success with this issue? If so,
I would like to hear how you are getting these records released.
Thank you.
Wil Haines, CPO
MaxCare Bionics
Avon, IN 46123
There is an issue coming to the forefront among our other issues with
CMS. Jim DeWeese alluded to these recently in one of his posts. There
are claims being denied by CMS physicians or others within CMS, that are
overriding the decisions of multiple treating physicians. As such, these
persons and their clinical decisions become a part of the patients
official medical record and I believe they may also be liable for their
decisions. The patient and the various providers of medical care have a
right to these records in their entirety. However, it is very difficult
to get the name of the person making these decisions within CMS when
claims are denied and it is even harder to get a copy of their signed
written medical report.
I believe this issue needs to be examined in detail and followed up
accordingly. Is anyone out there having success with this issue? If so,
I would like to hear how you are getting these records released.
Thank you.
Wil Haines, CPO
MaxCare Bionics
Avon, IN 46123
Citation
Wil, “Medicare Denials,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/234514.
