ShokWaveRider
Give me a museum and I'll fill it. (Picasso) Give me a forum ...
I have a pacemaker and need a "Preventative" checkup every 6 months to make sure there is good battery life left.
Well the Insurance company says it is a Diagnostic Test Not a Preventative Maintenance test and therefore is billed as a "Specialist" Visit!
Well I looked up the Definition of a Pacemaker check and for the most part this is what it says.
"A pacemaker checkup is a safe procedure for patients with a heart disease. It is, in fact, a preventative measure used to make sure that there are no problems with the pacemaker and that the patient can live a normal, healthy life despite an existing heart problem."
I called the facility where I get it done and apparently the Insurance company does NOT have a preventative maintenance code for a Pacemaker checkup and classifies it as a Diagnostic which is billable.
Seems like they are circumventing the Law.
Well the Insurance company says it is a Diagnostic Test Not a Preventative Maintenance test and therefore is billed as a "Specialist" Visit!
Well I looked up the Definition of a Pacemaker check and for the most part this is what it says.
"A pacemaker checkup is a safe procedure for patients with a heart disease. It is, in fact, a preventative measure used to make sure that there are no problems with the pacemaker and that the patient can live a normal, healthy life despite an existing heart problem."
I called the facility where I get it done and apparently the Insurance company does NOT have a preventative maintenance code for a Pacemaker checkup and classifies it as a Diagnostic which is billable.
Seems like they are circumventing the Law.