Insulin dependent? Over 50 units daily?Anyone have a carrier for diabetes and pacemaker implanted?
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Insulin dependent? Over 50 units daily?Anyone have a carrier for diabetes and pacemaker implanted?
No insulinInsulin dependent? Over 50 units daily?
They probably report it to Milliman. I have had to go that route with carriers that are squirrely about discusing the reason for the denial.
Your person may have to wait a couple of weeks until the report is updated, but you can be amazed (and sometimes shocked) at what is in there. It isn't unusual to find bogus claims and diagnosis coding or upcoding "errors"
I don't think they had invented AIDS yet back 40-years ago either. Is it not on there?I think they have. They didn't used to ask about diabetes.
Depending on important details like when was the pacemaker implanted, any battery changes, how many meds for the diabetes, is he or she on a blood thinner, any heart meds, any complications from diabetes etc. etc. etc. this does not have to be a difficult case to write.
I placed a lady with diabetes and a stent with Humana Achieve.Really? Please who does any Diabetes heart Combo please list them
At least a few years ago it was a knockout for everyone
If this has changed this will be a game changer for me
I have tons of people with metformin and a stent, or a pace maker, or an arrythmia
all kinds of situations and some of them minor
But I have not been able to find a carrier to take any once the combo is there, But I have not even tired in 5 years so if this has changed I need to know
I've placed pacemaker cases easier than some stent cases. Look on Toolkit for direction.
I placed a lady with diabetes and a stent with Humana Achieve.