roll eyes

[oramar]

It has been four months since I had concious sedation for a colonoscopy. My GI doc gave me the IV med. I have been on the phone many times with my insurance company trying to get them to pay for it. I finally have got them to agree to cover it. (They normally only cover conscious sedation done by anesthesiologist THEY SAY) They tell me in the future I must make sure that it is done by anesthsiologist. That is bull, I spent some time in our GI lab and I never saw a anesthsiologist in there once. The GI lab docs always gave it. When I had my endoscopy done the conscious sedation was administered by my GI doc and I had no billing problems. I did have conscious sedation done by anesthesiologist for my cysto/retro pylo but that was done in OR. What are some of your thoughts on this.

[boggle, ASN, RN]

I have found that the doc's office can sometimes rebill the insurance using a different billing code. Often works. Makes me wonder did they bill under the wrong code in the first place.

Your story reminds me of my old insurance plan. It would pay for pathology to examine the pap smear slide, but not for the doc's exam to obtain the pap smear. I kept waiting for then to issue a do- it - yourself pap smear home kit!!

[micro, RN]

my only reply is the novel

"The Rainmaker" by John Grisham.......a real life lawyer turned author.........

he knows what he is talking about.......

and what a read..............

of course us nurses know what we are talking about also, but insurance is not what it is cracked up to be, but still glad I have it..................

what a sad commentary on life.......

the have's have and the have not's don't.......

and those in the middle fluctuate between having and not having..................

ooops, micro has been swearing off of micro's soapboxes...............