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Non-payment By Medicare
posted by Bernard Sam Myers on 28 Oct 2009 at 10:33 amI am 81 years old, sound mind and good health. Medicare refuses to pay for placement of stent in my basilar artery, 90% blocked, as they say it was "not medically necessary". I had brain radiation earlier for Melanoma and I believe this caused me to stagger walk.
I no longer stagger walk following the stent placement. Now I have to fight the idiots at WSP in Wisconsin and try for a re-consideration. My alternative was to NOT have the stent placement and be dead. Medicare people are trying to make up 500 Billion with my help.
Read the news article that this opinion was posted about:
Life Goes On After Stenting Procedure Opens Brain Artery Not Accessible By Surgery - Wingspan Stent Clinical Trial At Cedars-Sinai
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| Not A Reliable Source To Practice Medicine |
| posted by Pawan Jain MD on 01 Nov 2009 at 5:44 pm |
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this is criteria for commercial practice of medicine. no cookbook. Discipline of medicine is very controversial. Milliman criteria are developed to save money for the profit for insurance industry. i have read lot of articales for evidence based medicaine and some of the finding many physician may not agree, even at international level. i have practiced medicine in europe, africa, asia.
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