The good news here is that Bob was approved for financial assistance for Outpatient Rehab. That means the hospital (God love them!) is picking up the $80.00 co-pay per visit and so it will cost us nothing!!!!
The bad news is the CODES that the doctor's office submitted for the insurance are still screwed up.... I talked with a woman in the office at Rehab and she said the doctor put down a code for CVA and Rehab doesn't "treat CVA" but treats "the symptoms" and she needed the codes for the exact symptoms to be treated, i.e. "gait" or "balance" etc. So I called the doctor's office and talked to a nurse who looked up Bob's chart but she said the doctor failed to put anything in the chart except for "CVA with right hemiplegia" but she said she would fax the paperwork again with a code for "right hemiplegia". Which she did. Which still, according to Rehab, is the wrong code....
So back and forth we went. With the nurse telling me that Rehab needs to do an evaluation first to decide the proper treatment needed and then, and only then, will she know the exact code to fax. And Rehab telling me that the doctor's office has to fax the right code before they can do an evaluation!
Last week, a woman in the Rehab office had told me that PT was approved, but not OT. This week, I'm told neither were approved yet.
All I can say is AAAAAARGH!
But back to the good news, the woman at Rehab scheduling decided to just "go ahead and get him scheduled and worry about the codes later". So Bob's first appointment is next Tuesday.
So we're off! I think.
Let's hope this all works out.