MOMSACOMIC's Blog

Somtimes The Yellow Nape Makes More Sense

MOMSACOMIC

MOMSACOMIC
Location
New Rochelle, New York, United States of America
Birthday
November 15
Bio
I know every now and then it comes to my mind that time is going. Time seems to be prevalent in determining how we do what with the time we have. Do we spend time with family and friends? Do we get those last minute details done to the last detail for a birthday party, or for a wedding? I actually have both, tomorrow is my one daughters birthday, she will be nineteen. She has a beautiful baby boy who is now 4 months old. He is adorable, and is a pleasure to have around. I am happy to report that my other daughter will be going for 25 in May, and is planning to marry a wonderful man in Sept. of 12. There plans seem to coming along, and I am happy for them. My other son and his wife still live in with us, as things are quite expensive, this is a very common thread it seems in this day and age. Things cost a lot and people are utilizing the most out of coupons, and fixing stuff as opposed to running out and buying more. My oldest son is with a wonderful girl with children from her previous marraige and he has other things hes always into. I would hope that one day when I am not around anymore, my family will remain close. I love Sunday's as they are truly a time for family.

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FEBRUARY 14, 2012 12:03AM

Good for Arnold Diaz (Fox 5 News)

Rate: 1 Flag

     There are too many tell tale signs that continue to keep pointing the finger at how bad we have become at being American. Being American these days is like saying, "I accept anything, and everything." It seems that if you walk into a doctors office, and over charges it's not his fault. Don't try to fight it or argue about it, because likely the medical biller is not able to identify why the code is what it is, but it is. There are very few that are willing to step outside of their comfort zones and take a closer look. But tonights "Ask Arnold's Segement" was from a man from Newton New Jersey. His son sprained his arm and he needed to wear a sling, the sling cost no more than 20.00 dollars at a most pharmacys.

     The doctors office was charging 199.00, the man in question stated, "I was not going to pay 199.00 for the sling, period." He spoke to the doctor, the doctor stated that was the charge according to the code, it went on for another call to his insurance company, but nothing got resolved. That is when the gentleman from Newton decided to call Arnold Diaz and ask what could be done regarding a sling that should cost no more than 20.00, and why he was being charged 199.00, of which his insurance company would pay 111.00. But that wasn't the part that was irking Mr. Diaz or the man who was bieng charged.

     As the story continued, Arnold got the insurance company, and of course these are highly trained people, who could think and talk fast, and make other lay man feel as though they "just might not know what they are talking about." In this case as it continued to be spelled out, the medical code was wrong, as Arnold marched straight into the Department of Medicare in Washington D.C. and asked for clarification of why the man was being charged 199.00 for a sling that cost 20.00 if that? The Washington Medicare office stated that the code was actually for a much stronger brace, and that the code was wrong.

     Well after all the haggling, and the legal research on behalf of the medical office and the medical supplies office and the code and billing department they as  a result had to send other people the letter stating that the code was wrong, and there fore they were sent back the money that people sent in toward the sling, and were given refund checks back. But what I was happy to see, was that some "one" made a difference, rather than being angry, he choose a constructive way of saying, "something is not right with this picture." There is much more of this situation that needs to continue, there are too many costs that spiral out of control and "We the people for the people keep getting pounded."

      I don't recall seeing this anyplace in print in our Constituition, and I don't belive we should. We continue to see sky rocketing premiums and with the job market the way it is, there are going to be many people that will be paying out of pocket to see a doctor, (could you imangine?) Another fine point this brought out, was that the doctors office wasn't too concerned, and neither was the medical billing department, so how many other medical coding issues mistakes keep taking place? As many as tax payers will allow, since most of the medical community belives that inherently the "American people are too comfortable to get up and stop the non-sense." Thank-You to the gentleman from Newton who knew that 199.00 was too much to pay for a sling, and to Arnold Diaz for helping to define how far up the line it took to find the era to  a rather obvious answer.

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You are so right about this. I have fought some of these battles, and retreated from others. It takes incredible perseverance and guts to see this through. Sometimes I am up for it, and when I am, I feel very good.