Am just seeking advice on how to go about getting medical bills which are now in collections paid.
Here we go I was injured back in 1998-99. To date I have thousands and I bean thousands of bills dating back to 1999 which remain unpaid and are now in collections. These bill to say the least have completely destroyed my credit.
I have faxed every single bill to the MCO and what they tell me is they were submitted with the wrong ICD-9 and or diagnosis code. These treatments and expenses are all related to the allowed conditions of my claim.
MCO is telling me they will resubmit with instructions to change codes, but they also state that it is my responsibility to call and or tell the billing parties to bill under the correct code. I am not a medical billing expert nor have I worked in this Field so how is one to know this?
Now on to what I believe is happening between the MCO and BWC. These bills in question (ones MCO state were submitted incorrectly). I think what they do is keep shuffling these bills back and forth for the time in which MCO has to pay until they have reached the 2 year statute of limitations in which the MCO has to pay such expenses.
I think there should be someway to go after the MCO for not paying expenses related to my claim and diagnosis codes. Maybe under the RICO ACT, Fraud. I would like input from other IW's if they are having the same problems. Since the MCO has not paid the expenses does the MCO and BWC have the right to have in their possession medical records for these unpaid expenses?
I think this would be a great subject for OIWCO to have on the website as this is another example of how the IW is being financially hurt and screwed.
The MCO in question is Medical Administrators Inc. Please let me know if anyone has had the same issues with this MCO. Maybe a Class Action suit can be filed.