Saturday, July 09, 2005

Reporting fraud billing to insurance company's.

This is one that you may find hard to believe. When Hubby had the eye removed, the anesthenist billed for that, then they billed for a tubal ligation (on a male no less) this billing went to Medicare and to tricare.

I called the anesthenist and told them that they were billing for an impossible procedure and they needed to clean up their records. They agreed that they were in the wrong and would correct the billing, they billed again the following month for the same thing. Now I'm pissed and am going to report them for fraud.

I then called Medicare, they told me that since Medicare didn't pay for the tubal ligation that there wasn't anything they could do. No problem, they didn't pay, don't worry.

I then called tricare, they told me that even if it is fraud, (they paid) that the Dr who did the billing has to call them and tell them they billed wrongly, (like the Dr is going to call and say: hey I didn't do this take your money back. Ya Right. I told the lady at tricare that this was fraud, she said: well if the Dr. doesn't tell us that, there's nothing they can do.

Go figure, they tell you to report fraud, then when you do it's; so what do you want us to do about it.

New bird at hummer feeder.


Is this one messed up road runner or what, he has decided that this is his yard and every so often we see him at the hummer feeder. He is getting so he doesn't seem afraid of us, and usually during the heat of the day makes a day nest under the lemon tree. If I hadn't taken a picture of him on the feeder, I don't think anyone would believe me.

Saturday, July 02, 2005

Not much new here

A front view of the house, it was lavander, but painted it this spring. Don't get me wrong, I like the color lavender, but not my house.

The boat was built by the previous owner, I think it's rather neat.

Not much going on here. Hubby has had 8 treatments so far and haven't noticed any side affects yet. He has a 3 day reprieve, no treatments until Tuesday the 5th.

Yes, it's happened, the roadrunners think that this is their yard and have taken up permanent residence. We have to chase them out of the yard when we are outside, never thought I be one to chase birds away. They get rather upset with me when I hang clothes on the line and actually got verbal, a clacking noise, when we were trying to bar-b-que the other night. Had to turn the sprinklers on to get him-her to leave the yard.