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beatuplunchbox Preferred member

Joined: 26 Apr 2008
Posts: 107
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Posted: Thu May 01, 2008 4:48 am Post subject:
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In descussion with people involved in the EMS, it has been brought to my attention that on medical transports that involves inter-facility medical transports, some hospitals that are affiliated with other larger hospital are bypassing the closest appropriate facility that could handle the procedures that needed to be preformed are sending people that are on Medicare to their affiliate.
Therefore, the Pt has to be informed that a NEMB (Need For Exclusion of Medicare Benefits) form has to be made aware to the Pt. This form explains to the pt that the difference in the mileage to the closest appropriate facilty to the affiliate hosp will be the resposibility of the pt.
These are hundreds of dollars that are coming out of retirees pockets!
The majority of the time the pt was not even given the option or even know that they have a say so in their destination choice. The NEMB form does not come into to play until the EMS service has already been scheduled for the transport and shows up at the discharging facility and they have to explain to the pt and receive the signature saying that they will assume responsibilty for the difference in payment.
This in their oppinion is a very poor inconveinience to the Pt, being transported more miles (50 or more) and a very unnecessary expense from people that can't afford this charge. This could be as much as $10 an additional mile on top of a base price for ambulance services.
This to me is hospital systems intentionally bilking seniors. |
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