LM
Lesley M

1 reviews | Active since Sept 2016

13 Feb 2019, 16:54

Discovery forcing medical professionals to become *********.

I am treating a patient with a PMB condition. We have completed the PMB form as requested by Discovery. They have accepted the ICD 10 code, but are rejecting my tariff codes stating they are not relevant for the treatment, but they are not the ones treating the patient. If this patient does not get proper rehabilitation and treatment of both his shoulder and scapula and neck then his shoulder is not going to lift normally again. He is a young man and needs ongoing treatment of his condition. They just turn around and state that they are not going to pay the treatments and won't accept my codes. We only have a few codes to our disposal, there are no other codes that are relevant for this treatment and if I use other codes then the treatment becomes R100 more expensive, which I do not feel is ethically correct. Discovery is forcing medical professionals to become *********, just so we can get paid for our services.

0
Replies (2)
Discovery Health
Discovery Health's reply14 Feb 2019, 07:46
Official
Dear  LesleyMeyer 

We received your message and we’re looking into the matter.

Regards
Discovery Health Servicing Team 
Discovery Health
Discovery Health's reply18 Feb 2019, 14:51
Official
 
Dear LesleyMeyer  

We have been in touch with you to answer your comments. 

Regards
 Discovery Health Servicing Team