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Jul 04, 2011 at 11:15 AM
#1
I have not received any bills from my doctors since April. So, I called and found out why. Medicare is withholding payment to all doctors who submit claims via mail (or paper as they call it) until they switch to electronic submission. It will take up to one year to complete this process. During this time, doctors have the right to not accept patients who are on Medicare.
Gotta make me wonder what's really up. 
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Legendary
Member Since Aug 2007
Location: West of Tampa Bay, East of the Gulf of Mexico
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Jul 04, 2011 at 11:32 AM
#2
I believe it may be part of Medicare's new anti-fraud procedures they recently put in place.
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who reads this, anyway?
Member Since Oct 2006
Location: Appalachia
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Jul 04, 2011 at 11:59 AM
#3
Doctors can refuse patients with medicare or any particular insurance. When my Gyn doc retired I had a heck of a time finding a doc that would accept medicare.
__________________ The purpose of life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make some difference that you have lived and lived well. anonymous |
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Grand Member
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Jul 04, 2011 at 11:59 AM
#4
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__________________ "To err is human, to forgive is devine." by Alexander Pope |
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Legendary
Member Since Aug 2007
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Jul 04, 2011 at 05:59 PM
#5
I haven't looked it up to see, but I also wonder if it is part of the Affordable Care Act?
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Wandering soul
Member Since Apr 2010
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Jul 05, 2011 at 09:00 PM
#6
Just as an FYI, it took one of my provider's 6 weeks and another 8 weeks to get switched over from the initial paperwork to being able to submit their first electronic claims. Payment followed in the normal time thereafter. Since then claims and payment have been in good time.
__________________  I can be changed by what happens to me. But I refuse to be reduced by it. -M.Angelou Life shrinks or expands in proportion to one's courage. -Anaïs Nin. It is very rare or almost impossible that an event can be negative from all points of view. -Dalai Lama XIV |
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Pandita-in-training
Member Since Sep 2006
Location: Maryland
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Jul 06, 2011 at 02:15 AM
#7
It's part of the Administrative Simplification Compliance Act (ASCA) of nearly 10 years ago, not something new to doctors. It covers "too much" paper (dazzle them with bu&*sh@t).
http://www.cms.gov/ElectronicBilling...%20Reviews.asp __________________ "Never give a sword to a man who can't dance." ~Confucius |
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Jul 06, 2011 at 09:45 AM
#8
Thanks Perna, I guess there must be a deadline now as two of my doctors will not have their claims paid for up to a year.
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