05-12-2011, 08:27 PM
I have a question for you.
I saw my knee surgeon last March on the knee replacement. This was an approved work comp visit. I was only able to see the doctor because the wc case manager approved the appointment prior to the doctor appointment.
Today I received a bill from the doctor's office billing me for the balance for this appointment. Medicare and Blue Cross & Blue Shild were billed for this appointment and both paid their share.
I have already settled my case with a setaside if approved by CMS, if the seaside is not approved I will then have open medical. (This is how it is detailed in the settlement papers)
My question, what do I do about this bill if the office refused to correct this, isn't this fraud to bill medicare & personal insurance a work comp approved injury.
I've had a history with this doctor's office, they billed me for the TKR, I had a judge's court order granting medical treatment for that one.
It took about a year to get that one taken care of.
Thanks 1171 for your help.
I saw my knee surgeon last March on the knee replacement. This was an approved work comp visit. I was only able to see the doctor because the wc case manager approved the appointment prior to the doctor appointment.
Today I received a bill from the doctor's office billing me for the balance for this appointment. Medicare and Blue Cross & Blue Shild were billed for this appointment and both paid their share.
I have already settled my case with a setaside if approved by CMS, if the seaside is not approved I will then have open medical. (This is how it is detailed in the settlement papers)
My question, what do I do about this bill if the office refused to correct this, isn't this fraud to bill medicare & personal insurance a work comp approved injury.
I've had a history with this doctor's office, they billed me for the TKR, I had a judge's court order granting medical treatment for that one.
It took about a year to get that one taken care of.
Thanks 1171 for your help.