Learn More - Click Here!

Page 3 of 4 < 1 2 3 4 >
Topic Options
#2157817 - 12/19/17 04:37 PM Re: Colonoscopy Screening [Re: thomasj]
raitchjay Offline
Power Poster

Registered: 10/15/09
Posts: 6972
Loc: OK
Most of the $800 came from the hospital. I've already been on the line with the billing department of the doctor who basically said "doctors don't know anything about billing".
_________________________
I'm fixin' to fix that.

Top
#2157937 - 12/20/17 02:07 PM Re: Colonoscopy Screening [Re: thomasj]
RR Joker Offline
10K Club

Registered: 11/15/02
Posts: 19286
Loc: The Swamp
Yes....it's surely not free and next year, according to our regular insurance here [I'm on a high deductible shocked ] WAY more than it has been...like WAY more~!
_________________________
My opinion only. Not legal advice.

Say you'll haunt me - Stone Sour

Top
#2158029 - 12/21/17 09:08 AM Re: Colonoscopy Screening [Re: thomasj]
basilring Offline
Gold Star

Registered: 03/05/12
Posts: 282
Loc: Spartan Country!
My husbands favorite Gatorade flavor WAS orange.... after his colonoscopy earlier this year, he shudders whenever he sees it.

The funny part, was our 3 year old grandson was at the house during the first couple hours of prep. So, every 10 minutes the timer would go off for him to drink the next batch and I would give it to him (in a closed bottle of course and under supervision) and say "go take this to grandpa". He thought he was just super important and a big helper. And he was :-)
_________________________
Everyone should believe in something. I believe I will head for the beach!

Top
#2158088 - 12/21/17 01:29 PM Re: Colonoscopy Screening [Re: thomasj]
thomasj Offline
Power Poster

Registered: 03/09/01
Posts: 5010
Loc: Pennsylvania
I found out yesterday that I definitely need to have this done again next year. I will have not hesitations and there will be no putting it off. I am thankful that my doctor uses the prep that he does, I can't imagine having to drink huge volumes of nasty tasting prep. I can handle the 10oz bottle of citrus flavored prep and just drink lots of water to help flush out my system.
_________________________
Knowledge is knowing what to say. Wisdom is knowing when to say it.

Top
#2158229 - 12/22/17 11:00 AM Re: Colonoscopy Screening [Re: thomasj]
Sinatra Fan Offline
Power Poster

Registered: 07/19/02
Posts: 5538
Loc: New Jersey
I had my third colonoscopy last December, and it was by far the most pleasant of the three. The prep wasn't bad at all, and everyone at the medical center was super nice and helpful. Since the center is a block from my apartment, I walked over. One of the nurses walked me back home to make sure I arrived without incident. All in all, a thoroughly enjoyable experience.

I'm almost disappointed I don't have to go back for 7 years. grin
_________________________
Management is doing things right; leadership is doing the right things. Peter Drucker

Top
#2158356 - 12/26/17 11:03 AM Re: Colonoscopy Screening [Re: RR Joker]
raitchjay Offline
Power Poster

Registered: 10/15/09
Posts: 6972
Loc: OK
Originally Posted By RR Joker
Yes....it's surely not free and next year, according to our regular insurance here [I'm on a high deductible shocked ] WAY more than it has been...like WAY more~!


My gripe isn't the cost....it's not getting a straight answer....when i ask how much it is going to cost and the answer is "nothing", then i expect nothing to be the cost.
_________________________
I'm fixin' to fix that.

Top
#2158386 - 12/26/17 03:13 PM Re: Colonoscopy Screening [Re: thomasj]
RR Joker Offline
10K Club

Registered: 11/15/02
Posts: 19286
Loc: The Swamp
Yes, that is what happened to me a few years ago. but I just happened to notice how it's changed and now it's going to be way more than it was in the past.
_________________________
My opinion only. Not legal advice.

Say you'll haunt me - Stone Sour

Top
#2159272 - 01/04/18 04:58 PM Re: Colonoscopy Screening [Re: thomasj]
MB Guy Offline
10K Club

Registered: 05/26/04
Posts: 10040
Loc: Way, way south.
Welp, scheduled mine today for 1/22. Same day as my anniversary. Nothing says Happy Anniversary than getting a colonoscopy.
_________________________
Giddy up.

Top
#2159298 - 01/04/18 07:57 PM Re: Colonoscopy Screening [Re: thomasj]
Rocky P Offline
Power Poster

Registered: 06/24/03
Posts: 6506
Loc: South Carolina
At least you'll be hungry for a great meal, afterwards.

Nothing says "I Love You" more than a waffle for 2 at Cracker Barrel.

Top
#2159315 - 01/05/18 08:04 AM Re: Colonoscopy Screening [Re: thomasj]
Skittles Offline
10K Club

Registered: 09/10/02
Posts: 13044
Loc: TN
You're a week after me, MB. I've scheduled mine for MLK day so I won't have to take any PTO.
_________________________
My Opinions Only

Top
#2159340 - 01/05/18 09:14 AM Re: Colonoscopy Screening [Re: thomasj]
Peepers Offline
10K Club

Registered: 07/22/02
Posts: 13991
the best stop after the procedure is Five Guys burgers
_________________________
blah

Top
#2159429 - 01/05/18 02:51 PM Re: Colonoscopy Screening [Re: thomasj]
MB Guy Offline
10K Club

Registered: 05/26/04
Posts: 10040
Loc: Way, way south.
I had a few wisdom teeth out several years ago and had anesthesia for that, and on the way home we stopped for a burger as I was famished but as soon as it arrived at my seat, I got nauseous big time. Hopefully that historical event won't occur again after this anesthesia.
_________________________
Giddy up.

Top
#2159453 - 01/05/18 04:08 PM Re: Colonoscopy Screening [Re: thomasj]
Peepers Offline
10K Club

Registered: 07/22/02
Posts: 13991
nope, your colon will be begging for food and nothing is better than a greasy double bacon cheeseburger, plus a side Cajun fries

you will be surprised just how few bites it takes to put one of those down
_________________________
blah

Top
#2160099 - 01/11/18 10:19 AM Re: Colonoscopy Screening [Re: thomasj]
David Dickinson Offline
10K Club

Registered: 11/28/00
Posts: 17156
Loc: Central City, NE
I wanted to follow up to my last post in which I stated:
They did find and remove a polyp. They'll test it and let me know Jan 8th. I'm not worried. That's why you have these done - early detection, if it is anything.

This week I found out the polyp was benign. I will have another colonoscopy in 5 years (instead of 10) because they found the one polyp. Again, that's why you have these done - early detection, and removal if they find anything.

And again I'll say:
If you're 50+ PLEASE go get this done. I had more anxiety than necessary. It really was a non-event.
_________________________
David Dickinson
http://www.bankerscompliance.com

Top
#2160170 - 01/11/18 01:29 PM Re: Colonoscopy Screening [Re: thomasj]
Soccer Offline
Platinum Poster

Registered: 01/05/10
Posts: 753
Loc: Utopia
Glad you receive a good report.
_________________________
Everything happens for a reason

Top
#2160173 - 01/11/18 01:40 PM Re: Colonoscopy Screening [Re: thomasj]
Island Dreaming Offline
100 Club

Registered: 05/19/09
Posts: 189
Loc: midwest
Dave - glad it was a good report!
_________________________
CRCM

Top
#2160211 - 01/11/18 03:22 PM Re: Colonoscopy Screening [Re: thomasj]
basilring Offline
Gold Star

Registered: 03/05/12
Posts: 282
Loc: Spartan Country!
Great news on your results!
_________________________
Everyone should believe in something. I believe I will head for the beach!

Top
#2160413 - 01/12/18 04:47 PM Re: Colonoscopy Screening [Re: thomasj]
Soonergal Offline
New Poster

Registered: 08/14/14
Posts: 8
My mother in law passed from colon cancer 16 years ago. It was horrible as she only lived 2 months past the diagnosis as it was already stage 4 when they found it. She was 62. The doctors have recommended my husband be tested every 3 years due to family history and they started testing him at 35. He also has had a few polyps removed over this time, so have his brothers when they have been tested. So far the pathology has all been good.

He would agree with all of you that the night before the test is the worst part.

The test for him is scheduled in February of the year it is due and I call it the best Valentine present he could ever give me!

RaitchJay, your doctor is correct.
It should be coded as a preventative screening. Ask for a hard copy of the HCFA 1500 or CMS 1500 form the facility used to bill the claim. You can also ask the billing department what the procedure and diagnosis codes are. The CPT (Current Physician Terminology) code should be 45378 or G0121 (unless you are high risk). the ICD-10 code should be Z12.11 unless there is a family or personal history of polyps.

If your doctor added a modifier to the codes, I believe it's PT but can't remember for sure. This SHOULD only apply to Medicare patients. Can you tell I previously worked in healthcare in a former life?

Let me know if you need help getting the bill worked out.

Top
#2160421 - 01/12/18 05:04 PM Re: Colonoscopy Screening [Re: thomasj]
raitchjay Offline
Power Poster

Registered: 10/15/09
Posts: 6972
Loc: OK
Thanks Soonergal.....i actually did finally get a good answer from my insurance provider.....they paid it. (Not the $650 hospital bill, but the $130 that they initially billed me for on the actual colonoscopy.)
_________________________
I'm fixin' to fix that.

Top
#2160423 - 01/12/18 05:14 PM Re: Colonoscopy Screening [Re: thomasj]
raitchjay Offline
Power Poster

Registered: 10/15/09
Posts: 6972
Loc: OK
Soonergal....you sound like a good person to ask this to.......my doc made it sound like my future colonoscopies, since they found the one polyp this time, would not be defined as 'preventative'....bottom line: it sounded like in the future, i'd be paying much more out of pocket. Is that about right?
_________________________
I'm fixin' to fix that.

Top
#2160445 - 01/13/18 09:57 AM Re: Colonoscopy Screening [Re: thomasj]
Soonergal Offline
New Poster

Registered: 08/14/14
Posts: 8
Depends on the doctor and how he codes the exam. If the polyp was clear, that may just put you at increased risk. There's still a preventive code for that but not many docs use it correctly. I need to pull out my coding books to make sure.

This question leads me to believe that the hospital billing was for lab and pathology services. If that is true, then the hospital is correct. Those services apply to the deductible first and are not part of preventative care.

Top
#2160490 - 01/16/18 08:56 AM Re: Colonoscopy Screening [Re: thomasj]
Skittles Offline
10K Club

Registered: 09/10/02
Posts: 13044
Loc: TN
Had mine yesterday. Sunday was not too pleasant, but the results were good! I'm good for five more years!!
_________________________
My Opinions Only

Top
#2160503 - 01/16/18 10:15 AM Re: Colonoscopy Screening [Re: thomasj]
MB Guy Offline
10K Club

Registered: 05/26/04
Posts: 10040
Loc: Way, way south.
Great info Soonergal, thanks for that, and congrats Skittles, good news.
_________________________
Giddy up.

Top
#2160515 - 01/16/18 11:06 AM Re: Colonoscopy Screening [Re: thomasj]
Soonergal Offline
New Poster

Registered: 08/14/14
Posts: 8
Raitchjay:
I spoke with some of my coding friends over the weekend. You are correct in your assertion that the testing will not be considered preventive going forward with most insurance companies****, even if the doctor tries to bill it that way. Unfortunately, you can expect more out of pocket costs.

****Large self insured companies might be different. That's why my husband's was still covered even after a polyp removal.

Skittles & David: Congrats on your good news!

Top
#2160519 - 01/16/18 11:33 AM Re: Colonoscopy Screening [Re: thomasj]
raitchjay Offline
Power Poster

Registered: 10/15/09
Posts: 6972
Loc: OK
Thanks Soonergal....appreciate the good information.
_________________________
I'm fixin' to fix that.

Top
Page 3 of 4 < 1 2 3 4 >

Moderator:  Andy Z, John Burnett