1 reviews | Active since Dec 2014
Discovery Declines Procedure and expects a Dr to be ********* to change codes
My daughter are struggling with severe nose bleeds. Authorisation was obtained for her to see the ENT on which he confirmed the artery must be fixed in theatre because of the severity of the case. Before visiting the ENT bloodtests were done and the are low iron levels due to the loss of blood. The video of the nose bleeds were sent to Discovery with the Motivational letter. Due to 1 word the Dr used Discovery closed the case and are awaiting New Codes. The ICD-10 code are a PMB Code and 2 of the 4 procedure codes have been approved. Discovery expects the Dr to be ********* and change codes for 2 of the procedures. When burning / closing an artery with a Rhinoplasty as procedure for nose bleeds it is evident that no plastic surgery, reconstructive surgery or that it is a cosmetic procedure. Another code they mention shows functional reconstruction. How can an ENT perform these procedures if this is the work of a Plastic Surgeon.
Will Discovery only react when my daughter bleeds to death and get admitted for days?
We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible.
Regards
Discovery Health Servicing Team
We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible.
Regards
Discovery Health Servicing Team
We have been in touch with the member directly to answer the comments.
Discovery Health Servicing Team
We have been in touch with the member directly to answer the comments.
Discovery Health Servicing Team
