No, Tricare is the worst. That's why we only have 1 Tricare patient, this guy, my pastor:
Pt scheduled physical exam and medical problems appt with previsit labs
During the exam, addressed his HTN, Hyperlipidemia, Gout, Asthma and refilled his meds.
Also pre visit labs showed fasting glucose over 300, ordered and reviewed AIC, discussed his new diabetes, referred to dietician, started DM meds.
Pt says OBTW, could you freeze this wart? "Sure."
Submitted PE codes, E&M codes, Cryo to wart, with proper modifiers.
Tricare paid for the wart. They said everything else was "incident to.."
We laughed... They were not kidding.
Many phone calls, multiple resubmissions (with exactly the same, proper codes)
1 year later got a check for the original full amount. No explanation. No apology. No interest.
Unfortunately, none of the above stories are foreign to us.
Maybe the fiscal cliff will wake us up to better business decisions.
Dave
FP
