I visited a cardiologist today. Followup from a visit 8 (!) years back, that had noted some minor valve issues that should be rechecked. Yeah, I shoulda gone there 3 years ago.
Came out of the appointment with orders for an echocardiogram, a radioactive stress test, and a venous sufficiency scan.
Front desk insisted they could not all be done at one visit, that insurance wouldn’t let them. They INSISTED.
I made the THREE separate appointments, mentally grumbling, and said I’d call the insurance company to confirm whether I could get them all done in the same visit.
Me to insurance: Imma need these 3 tests, any problem doing 'em all same day?
Insurance: Huh? As long as you’re not receiving DUPLICATE services, no problem
Me to doctor’s office: Insurance says okey dokey
Office: Really? Are you SURE? Did you give them the codes for the procedures? You NEED THEM TO CONFIRM THAT IT’S REALLY OK
Me to insurer: I just called a few minutes ago. Doc’s office is being strange. Here are the codes. Are they really OK to do all on one day?
Insurer: (baffled): Do you mean it’s a safety thing? or they’re just worried about billing? (checks all 3 codes): Well, each one of them says you may have one of that specific service on a specific day. Nothing about having multiple DIFFERENT services each day. You could have them contact us for preapproval - you should do that even if you do them on different days.
Me to doctor’s office: OK. I spoke with the insurer. They said no problem. Really. But of course do a preapproval.
Receptionist: ZOMG ARE YOU SURE??? ARE YOU WILLING TO SIGN SOMETHING SAYING THAT WHEN THE INSURER DENIES THINGS YOU’LL PAY???
Me: (smacking head against steering wheel), Yes. Now can I schedule them now?
When I had a bunch of these tests 8 years ago (carotid doppler instead of the leg vein thingy though), there was no question at all about this. I can’t imagine why there would be. I mean, a full cardio workup would involve numerous tests. And from what I recall, there’s a fair bit of downtime in the 4-hour test, and they do the others during that downtime.
Yeesh. I spent more time arguing with the receptionist and talking with the insurance company, than I did with the doctor.
On the bright side: near the end of the actual visit, a medication change was made that could, conceivably, cause my blood potassium levels to get a bit low (adding a diuretic for a short time). “If you have x symptoms, call me”. I said “So basically, take two bananas and call me in the morning?”. Doc cracked up.