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Re: Medicare Payments Cuts, Was Blues Paying 'Second Procedure' From: Anna Meenan, MD (annam@uic.edu) Mon Mar 18 09:48:33 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Wfevans: "Re: Medicare Payments Cuts, Was Blues Paying "Second Procedure"" Previous message: Douglas J Krell MD: "Re: Blues paying 'second procedure' for Postpartum t/l" In reply to: DoctorJoe@aol.com: "Re: Medicare Payments Cuts, Was Blues Paying 'Second Procedure'" Don't know who did the initial determination. She'd been "disabled" since she was a teenager. i finally picked up the phone and called the adjudicator and said "Now look here....." and she told me the family was saying she "sometimes had no appetite". I asked her do they always take the family's word over the physician's? I believe I finally got her terminated. She quit coming to my office, anyway. -- Anna Meenan, MD At Mon, 18 Mar 2002, DoctorJoe@aol.com wrote: > >In a message dated 3/18/02 9:06:37 AM, annam@uic.edu writes: > ><< I delivered a Medicare pt. once. A healthy young woman who was >"disabled" by depression. Took 20 mg of Prozac a day, always went off >of it when she was pregnant and did fine for nine months, and then >always wanted back on it when the baby was out. She had a husband with >a job and some sort of health insurance. I repeatedly filled out forms >for renewal of her "disability" coverage telling SSI that she was no >more disabled than you or I and they kept renewing her. She got >disgusted when Medicare wouldn't pay for her annual exams. >> > >These are the freeloaders that ruin the system. On the other hand, it shows >you how screwed up the system is, if 20 mg of Prozac can be a determinate >that you're "disabled"... WHO is the doctor who signs off on that? What >doctor sends a report in that a patient who is functional on a pill a day is >"disabled?" > >Joe P. Next message: Wfevans: "Re: Medicare Payments Cuts, Was Blues Paying "Second Procedure"" Previous message: Douglas J Krell MD: "Re: Blues paying 'second procedure' for Postpartum t/l" In reply to: DoctorJoe@aol.com: "Re: Medicare Payments Cuts, Was Blues Paying 'Second Procedure'"

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