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Silent Type

(12,266 posts)

33. None of those are life threatening conditions. Let's be honest here. No it's not fantasy that it will happen quickly

Reply to Ms. Toad (Reply #31)

Fri Dec 5, 2025, 11:40 AM

10 hrs ago

with AI. It will as long as doc's office has sense to review the coverage policy for bioengineered skin products and make sure the diagnoses codes match the covered diagnoses codes. It's that simple.

What bioengineered skin product do you think will be denied for someone with hard to heal wounds after cancer surgery?

The new coverage policy for bioengineered skin products will eliminate a high percentage of wound care expenditures that don't help patient and/or takes advantage of the reimbursement system.

Plus, do you even live in those 6 states?

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Medicare's new AI experiment sparks alarm among doctors, lawmakers [View all] marmar Yesterday OP

Kick dalton99a Yesterday #1

They get paid to avoid providing care Bettie Yesterday #2

Isn't it, though! (n/t) OldBaldy1701E Yesterday #5

Traditional WmChris Yesterday #3

Kicking with DISGUST!!!! Faux pas Yesterday #4

One Goal Is Likely To Deny Coverage For Diabetes 2 And Its Related... ColoringFool Yesterday #6

Jeezus. Joinfortmill Yesterday #8

Any use of AI in a customer service context is to be feared. "Speak to a representative" is my answer to what I want to Martin68 Yesterday #7

AI learns that there's a reward for denying coverage. SergeStorms Yesterday #12

AI finds it more cost efficient to let us die faster IronLionZion Yesterday #19

there is help for patients Nigrum Cattus Yesterday #9

Could you please elaborate for those of us who are not inclined to readily click links? mahina Yesterday #13

Wow! Thanks Nigrum Cattus! That's a great source for fighting insurance denials! BComplex Yesterday #16

The problem isn't the availability of an appeal - Ms. Toad Yesterday #20

Arizona is a swing state with lots of retirees IronLionZion Yesterday #10

They will likely never hear about it, or understand it was REPUBLICANS who passed this BComplex Yesterday #17

If they are looking for fraud and corruption instead popsdenver Yesterday #11

They want us dead orangecrush Yesterday #14

Who in the F*** authorized this change?? BComplex Yesterday #15

Medicare has used private contractors to review claims since at least 1980. The pilot program is limited to 6 states Silent Type Yesterday #18

Requiring conservative therapy is a Medicare Advantage/Insurance concept - it has no place in Standard Medicare Ms. Toad Yesterday #21

Absolutly incorrect. Original Medicare has extensive coverage policies. No, the patient won't pay because it'll be Silent Type Yesterday #22

Gotcha. You believe it is appropriate to force me to choose between Ms. Toad 23 hrs ago #25

How many of those services have anything to do with diagnosing or managing cancer? Plus, Silent Type 22 hrs ago #26

It was in my post - a skin graft. Ms. Toad 22 hrs ago #28

There is a new policy on skin substitutes that removes the incentive for doctors making thousands of dollars off Silent Type 21 hrs ago #29

Nonsense. Ms. Toad 20 hrs ago #31

None of those are life threatening conditions. Let's be honest here. No it's not fantasy that it will happen quickly Silent Type 10 hrs ago #33

And just now would you know "none of those were life threatening' Ms. Toad 10 hrs ago #34

Trump's government... LudwigPastorius Yesterday #23

It's bad enough when some employee at an insurance company who is not a doctor IcyPeas Yesterday #24

I love the name - WISeR. It's become a cliche to say that every pronouncement by this administration is Orwellian jls4561 22 hrs ago #27

Crap UTUSN 21 hrs ago #30

who needs a "death panel?" rampartd 18 hrs ago #32