Hi @caretakermom, I did not have 24 hour ambulatory BP monitoring at my 4 or 12 mo. visits. My BP is usually good. I live out of state, too, in IA and tx in MN. I had a pre-emptive living donor tx, and didn’t do dialysis thankfully. Billing errors can happen for anyone, but usually for me now and over the years at local providers I can get them resolved.
@gingerw It is great that your phlebotomist is so aware and caught those wrong codes!
My main local lab is where they told me Medicare never pays for Vit D etc. tests and wanted me to sign a waiver saying I would pay full price! I didn’t because they had a contractual relationship with BCBS and are required to accept what they determine my co-pay or co-insurance to be unless it is a non covered charge. I also plan to work past 65 if I am able, as I prefer to be able to keep my private insurance and it will increase my future pension. I took Medicare A & B as I was told if I didn’t they wouldn’t cover the tx meds after I turn 65 under part B. I still pay my BCBS premiums, deductible & co-pays/co-ins, too. Cost of living in IA is much less than CA, and my income is most likely way less and that is why I pay the basic $170.10 per mo. Medicare premium for part B. For me, it is expensive on top of everything else being single. I am thankful to work for the State and to have good benefits. I hope you can get your coding issue solved!