tag:blogger.com,1999:blog-18943510.post8776867411524556787..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: No Longer Living in DenialsDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-18943510.post-53928159132787432182013-01-31T12:44:19.128-06:002013-01-31T12:44:19.128-06:00I saw this on MassDevice and apologize for not com...I saw this on MassDevice and apologize for not commenting sooner. Was great to read a kindred spirit's musings since this is what we do for a living (I've got a LOT of Dr. Rossi's denials!) Your post hopefully has led others to empower patients to appeal these unreasonable decisions and fight for the care they need. Continued success! Keep fighting! We will.Walter Lindstromhttp://www.patientappealspecialists.comnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-10174111472743291582012-12-20T17:42:25.736-06:002012-12-20T17:42:25.736-06:00I once was on a jury probably 15 years ago with a ...I once was on a jury probably 15 years ago with a woman who used to work for HandyAndy (the now defunct big box store)at their customer desk. She now worked for HMO Illinois approving claims, and she said: "They give me the rules and I apply them!" She had barely a high school education. I'll never forget my horror, especially since at that time that was my insurance! This is a suesweeneynoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-5294971384970594692012-12-20T16:27:16.212-06:002012-12-20T16:27:16.212-06:00Thanks, Wes.
Good job as usual.
Thanks, Wes. <br /><br />Good job as usual.<br /><br />Art Fougner MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-18607409321507986342012-12-20T15:24:20.024-06:002012-12-20T15:24:20.024-06:00Art-
When a denial is received, it is reviewed an...Art-<br /><br />When a denial is received, it is reviewed and if all coding and procedural numbers cross-checked and confirmed, it is resubmitted for payment. If the payment is denied a second time and the issue cannot be resolved in the accounts receivable office, they are then brought to the attention of the doctor to assure there were not problems from our end. This process of denials and DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-2544700800891474922012-12-20T08:20:41.079-06:002012-12-20T08:20:41.079-06:00Wes
The denial is dated March 1? What transpired ...Wes<br /><br />The denial is dated March 1? What transpired between March and now?<br />Enquiring minds want to know.Art Fougner MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-17852084521145886172012-12-20T07:41:59.367-06:002012-12-20T07:41:59.367-06:00This is routine for CIGNA, I'm leaving them ne...This is routine for CIGNA, I'm leaving them next month, no "renewal" here!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-16545314690620260212012-12-19T20:27:14.133-06:002012-12-19T20:27:14.133-06:00First, as a part-time employee at my healthcare-as...First, as a part-time employee at my healthcare-associated hospital, there are not other insurance options for employees and since I have three dependents, I really do have to have some sort of 'coverage' in case I'm the one with the need for the 3D mapping or whatever. Also, it's not just 'Cigna'. I'm sure that it's all of the insurance companies run by MBAs and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-40945434318608209342012-12-19T14:59:40.980-06:002012-12-19T14:59:40.980-06:00you go, Wes!you go, Wes!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-43976871575461039632012-12-19T14:20:12.438-06:002012-12-19T14:20:12.438-06:00Yup, sounds like Cigna.
-SCRN (link tweeted)Yup, sounds like Cigna.<br /><br />-SCRN (link tweeted)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-74585013602259291442012-12-19T12:51:35.602-06:002012-12-19T12:51:35.602-06:00I wonder how much mere pocket change Rossi is bein...I wonder how much mere pocket change Rossi is being paid for these "opinions."vanderleunhttps://www.blogger.com/profile/10296245324443413545noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-52668928244963985082012-12-19T12:42:11.558-06:002012-12-19T12:42:11.558-06:00OMG - Dr Wes, You are my hero. OMG - Dr Wes, You are my hero. Margaret Polaneczky, MDhttps://www.blogger.com/profile/05703900345318537263noreply@blogger.com