Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 Hi all, We seem to get this question coming up time and time again. I'm sure it must be difficult to use the group's archive function. I've tried to use it myself with little success. I therefore suggest, before people outside the US go nuts with this constant qustion, that someone knowledgeable to write up the codes into a Word document and upload it to the files section of the group. Actually, i may even publish it in a future issues of CMT, so everyone can have free access to it. Wouldn't that be a lot easier. Attilio www.chinesemedicinetimes.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 On Tuesday 06 February 2007 11:57 am, wrote: > We seem to get this question coming up time and time again. I'm sure it > must be difficult to use the group's archive function. I've tried to > use it myself with little success. I therefore suggest, before people > outside the US go nuts with this constant qustion, Hi Attilio! If only it were something that could be settled. Unfortunately, the insurance companies keep changing the codes, both to force claim submitters to /buy the book and also to provide a continuing basis to get out of paying claims. There is no ethics when there is that much money changing hands. I have even heard of people using the new code and having that denied. Then resubmit with the old code and that be denied as well. The insurance companies want you to get tired and give up. Then they get to keep the money for themselves. There is even a thirty day limit to submit the bill, but no limit on how long it takes them to pay! The only thing wrong with the old codes is that people got to know how to use them, then the insurance had to pay. Can't have that! -- Regards, Pete http://www.pete-theisen.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 Why am i not surprised? Ok, i've got another solution. Why doesn't someone write a column on the insurance codes for my online journal; Times. Every two months the person would write about the new codes and tips n tricks on getting your money out of the insurance companies. How's that sounds? Any takers? Attilio www.chinesemedicinetimes.com Chinese Medicine , Pete Theisen <petetheisen wrote: > > On Tuesday 06 February 2007 11:57 am, wrote: > > > We seem to get this question coming up time and time again. I'm sure it > > must be difficult to use the group's archive function. I've tried to > > use it myself with little success. I therefore suggest, before people > > outside the US go nuts with this constant qustion, > > Hi Attilio! > > If only it were something that could be settled. Unfortunately, the insurance > companies keep changing the codes, both to force claim submitters to > /buy the book and also to provide a continuing basis to get out of > paying claims. There is no ethics when there is that much money changing > hands. > > I have even heard of people using the new code and having that denied. Then > resubmit with the old code and that be denied as well. The insurance > companies want you to get tired and give up. Then they get to keep the money > for themselves. There is even a thirty day limit to submit the bill, but no > limit on how long it takes them to pay! > > The only thing wrong with the old codes is that people got to know how to use > them, then the insurance had to pay. Can't have that! > -- > Regards, > > Pete > http://www.pete-theisen.com/ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 Pete, The AMA is the one who owns the cpt codes and not the insurance companies although at times it seems that they are one in the same (conflict of interest big time). Denial for acupuncture could be for several reasons and one is that the provider's state statutes might not mandate payment. In other words, an LAc might not be the provider of choice mandated by legislation to get paid for acupuncture. I know it sounds weird but we have had to deal with our lack of identity and under utilization as a result of being forced to ask other providers for prescriptions for auto care (PIP) in MN. In many states, insurance companies have a 30 day window, as well, in order to pay or deny the claim. Otherwise, by law, you can charge them interest on this. I worked in the insurance industry, on behalf of various hospitals, and saw many attempts by insurance companies to try to get out of paying legit claims. There were also times when the hospital messed up and had to eat the bill. It is issues like this where we need more education and less speculation. Mike W. Bowser, L Ac : petetheisen: Tue, 6 Feb 2007 12:29:46 -0500Re: US Insurance Codes On Tuesday 06 February 2007 11:57 am, wrote:> We seem to get this question coming up time and time again. I'm sure it> must be difficult to use the group's archive function. I've tried to> use it myself with little success. I therefore suggest, before people> outside the US go nuts with this constant qustion,Hi Attilio!If only it were something that could be settled. Unfortunately, the insurance companies keep changing the codes, both to force claim submitters to /buy the book and also to provide a continuing basis to get out of paying claims. There is no ethics when there is that much money changing hands.I have even heard of people using the new code and having that denied. Then resubmit with the old code and that be denied as well. The insurance companies want you to get tired and give up. Then they get to keep the money for themselves. There is even a thirty day limit to submit the bill, but no limit on how long it takes them to pay!The only thing wrong with the old codes is that people got to know how to use them, then the insurance had to pay. Can't have that!-- Regards,Petehttp://www.pete-theisen.com/ _______________ Live Search: Better results, fast http://get.live.com/search/overview Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2007 Report Share Posted February 7, 2007 On Tuesday 06 February 2007 5:27 pm, mike Bowser wrote: > Pete, > > The AMA is the one who owns the cpt codes Hi Mike! I had heard/read this somewhere but perhaps not so clearly stated, thanks for that. Curious that the AMA would be writing our billing codes but perhaps I ought not go there. I have had the thought of suggesting to my state representative that health insurance companies doing business in our state should be required to pay for any form of healthcare licensed by the state with no shenanigans. That ought to get every rep in the house a free meal on the insurance lobby's dime to vote that down, perhaps a free meal with a young, cute escort for company! What do you think? -- Regards, Pete http://www.pete-theisen.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2007 Report Share Posted February 7, 2007 Like the dinner thing, though doubt it will get far. The ideas you are making are part of a larger strategy known as universal coverage and the type we are advocating in MN is a single payer system. I am glad to hear of other professional interest as this is how we can become more involved with needed changes for our patients and also provide more acupuncture care to needed populations. I would like mine blond (just kidding). Mike W. Bowser, L Ac ________________________________ > Chinese Medicine > petetheisen > Tue, 6 Feb 2007 19:56:08 -0500 > Re: US Insurance Codes > > On Tuesday 06 February 2007 5:27 pm, mike Bowser wrote: > > Pete, > > > > The AMA is the one who owns the cpt codes > Hi Mike! > I had heard/read this somewhere but perhaps not so clearly stated, thanks for > that. Curious that the AMA would be writing our billing codes but perhaps I > ought not go there. > I have had the thought of suggesting to my state representative that health > insurance companies doing business in our state should be required to pay for > any form of healthcare licensed by the state with no shenanigans. That ought > to get every rep in the house a free meal on the insurance lobby's dime to > vote that down, perhaps a free meal with a young, cute escort for company! > What do you think? > -- > Regards, > Pete > http://www.pete-theisen.com/ > _______________ Get the new ! http://get.live.com/messenger/overview Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2007 Report Share Posted February 8, 2007 On Wednesday 07 February 2007 1:29 pm, mike Bowser wrote: > Like the dinner thing, though doubt it will get far. The ideas you are > making are part of a larger strategy known as universal coverage and the > type we are advocating in MN is a single payer system. I am glad to hear > of other professional interest as this is how we can become more involved > with needed changes for our patients and also provide more acupuncture care > to needed populations. I would like mine blond (just kidding). Hi Mike! I guess I wasn't clear. My comment assumed that the insurance lobby would oppose the idea of expanding the list of things they have to pay for and would ply the members of the legislature with food, drink and, uh, *entertainment* to induce a " no " vote on the issue. That's if they don't just outright bribe them with cash > > On Tuesday 06 February 2007 5:27 pm, mike Bowser wrote: > > > Pete, > > > > > > The AMA is the one who owns the cpt codes > > > > Hi Mike! > > I had heard/read this somewhere but perhaps not so clearly stated, thanks > > for that. Curious that the AMA would be writing our billing codes but > > perhaps I ought not go there. > > I have had the thought of suggesting to my state representative that > > health insurance companies doing business in our state should be required > > to pay for any form of healthcare licensed by the state with no > > shenanigans. That ought to get every rep in the house a free meal on the > > insurance lobby's dime to vote that down, perhaps a free meal with a > > young, cute escort for company! What do you think? -- Regards, Pete http://www.pete-theisen.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2007 Report Share Posted February 8, 2007 I know what you mean. The CEO pay for 05' was reported for the HMO's and no wonder why things are the way they are. These guys are making obsene amounts (multi-millions). That is enough on this as it is not related closely to OM. Thanks for allowing me to digress. Back to OM ! Mike W. Bowser, L Ac ________________________________ > Chinese Medicine > petetheisen > Thu, 8 Feb 2007 01:02:14 -0500 > Re: US Insurance Codes > > On Wednesday 07 February 2007 1:29 pm, mike Bowser wrote: > > Like the dinner thing, though doubt it will get far. The ideas you are > > making are part of a larger strategy known as universal coverage and the > > type we are advocating in MN is a single payer system. I am glad to hear > > of other professional interest as this is how we can become more involved > > with needed changes for our patients and also provide more acupuncture care > > to needed populations. I would like mine blond (just kidding). > Hi Mike! > I guess I wasn't clear. My comment assumed that the insurance lobby would > oppose the idea of expanding the list of things they have to pay for and > would ply the members of the legislature with food, drink and, uh, > *entertainment* to induce a " no " vote on the issue. > That's if they don't just outright bribe them with cash > > > On Tuesday 06 February 2007 5:27 pm, mike Bowser wrote: > > > > Pete, > > > > > > > > The AMA is the one who owns the cpt codes > > > > > > Hi Mike! > > > I had heard/read this somewhere but perhaps not so clearly stated, thanks > > > for that. Curious that the AMA would be writing our billing codes but > > > perhaps I ought not go there. > > > I have had the thought of suggesting to my state representative that > > > health insurance companies doing business in our state should be required > > > to pay for any form of healthcare licensed by the state with no > > > shenanigans. That ought to get every rep in the house a free meal on the > > > insurance lobby's dime to vote that down, perhaps a free meal with a > > > young, cute escort for company! What do you think? > -- > Regards, > Pete > http://www.pete-theisen.com/ > _______________ Live Search: Better results, fast http://get.live.com/search/overview Quote Link to comment Share on other sites More sharing options...
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