So it begins. We can’t afford to pay for citizen testing for the uninsured & @RepMcKinley@BillPascrell@HouseGOP@HouseDemocrats WON’T ENFORCE THE #CARESACT#FFCRA so Insurers will continue to stiff bills & premium paying patients will be used as human shields for COVID19 bills.
What country do we live in where those who can afford to pay stick the bill to those who can afford least to pay? So what happens to the test to treat debacle? It appears the uninsured are left to fend for themselves. And $CI wants to doctors to sue the patients! #caresAct#FFCRA
I hope & pray our government can get it together @JaymeStevenson I watched hours testimony & rules committee meetings of @FrankPallone & @michaelcburgess who said that tests & care would be covered. Instead it’s cancelled. No payments, no testing, no treating. Good Luck Citizens.
I can tell you, those undomiciled patients we tested w/ @NHPublicHealth were essential for safety of @cityofnewhaven Same is true for @CityofBptCT or @CityofStamford or even w/ @NYCMayor in Canarsie. We are dedicated to help those who needed it most. Can only wish Govt was too.
#polybio #longcovid take aways so far? It appears academia is catching up to the theories that doctors like myself are already treating for. This is good.
#longcovid is anyone live tweeting this?
Altered germinal center responses vs Convalescent. Small numbers of individuals it appears which limits discovery.
I used #ChatGPT4 to appeal #Medicare claims to a judge. Here’s how a 🧵
Step one ask “As you are knowledgeable in medical billing, with your expert opinion give me the step by step process to appeal a Medicare claim at all levels”
This will produce a list for each step. Most people don’t know, there are 5 levels of hell (appeal) for a denied Medicare claim. Who denies these? Well, NOT MEDICARE. They outsource it to low level business people AKA MEDICARE ADMINISTRATIVE CONTRACTORS (MACs)incentivized to deny claims. In this case @NGSMedicare You can find your MAC by looking on this website
A lovely little $CI @Cigna thread. Just when you think they can’t get more mafia. Read this little gem. At appeal is a COVID-19 test #COVID19 was mandated to be covered during the pandemic by Congress. Watch @michaelcburgess and @FrankPallone clarify this. @FrankPallone confirms
NO COST FOR COVID TEST AND SERVICE TO THE PATIENT. So, why charge the patient when the law says no cost? Well apparently, if a patient can receive services at NO COST, CIGNA won’t pay. Despite the law mandating coverage for COVID-19 tests during the pandemic. Read closely
There is no coverage for charges that would not have been billed if the person had no insurance and/or
Oh @ConnectiCare Why are you breaking the law? Again and Again. In this case you literally denied due to timely filing. I talked about this since I discovered it in May. So @USDOL are you ever going to enforce these? They literally responded today on the… https://t.co/obVO4gEdAs https://t.co/nZdl19Od9a
It’s not only them $UNH getting in on the game. Responding July 8th but dating it July 10th. We see your games. Does @USDOL @UHC ? @DGlaucomflecken ? Either I travelled to the future or you dated this 7/10/23 to try and game the rules.
@USDOL @UHC @DGlaucomflecken No I am not traveling back to the future 🏎️ $UNH DATED THIS JULY 11th 2023. @USDOL are you paying attention to these games? Today is July 8th. Can you believe this @EdGainesIII ? What about you @mass_marion ?
Hey @propublica here’s a story about a company named $CI using #AI DENIAL BOTS TO DENY COVID 19 TESTS. Mind you FFCRA & CARES ACT mandated covid test payments. I won’t review the law here but suffice it to say @Cigna has violated federal law here. Patients have sued $CI and we… twitter.com/i/web/status/1…
But here is where the plot gets interesting @Cigna uses medical management decision to deny a federally mandated and @US_FDA APPROVED COVID-19 test called @BioFireDX using Medical Coverage Policy 0530. Yes, Yes insurer violating Federal law while @USDOL or @HHSGov doesn’t hold… twitter.com/i/web/status/1…