over billing and underpaying

Last week’s mail brought some unpleasant surprises.

Surprise 1:  A bill from BATH for PT/OT.  Which I paid, in person, during therapy.  Which they already tried to double bill me on once and which I already took the time to call them about.  No date of service on this one so I’ll get to start off with wrangling that info out of the complete, blithering morons who work in their billing office.  This is the 3rd time this particular BATH has tried to double bill me.  Both previous times were their error and I am 100% sure this one is too.

Surprise 2:  New dentist sent me a bill.  For what?  A filling it seems.  I compared the pay out from my insurance and what my payment was to be.  Paid that.  Yep.  And still this mystery bill.  So I get to call them and ask wtf?

Surprise 3:  My husband was sent a request for justification from an outside review agency about “medical treatment” I received in October.  Labs, to be precise.  In addition to alerting me that my insurance company would like to find a way to squirm out of paying for these labs (and, I later learned, for the PT I got in December/January), the letter was all shitty and started with “this is your SECOND notice”.  I called and lit into them, starting with “what is this, 1950?  If you have a question about MY healthcare and MY health, you ask ME.  You address your correspondence to ME.  Not my husband.  I am not a minor.  I am not mentally incapacitated.”  That settled, I know get to call my health insurance company today to ask wtf too.  Fan-frikking-tastic!  One of the things I am interested in knowing is whether they would prefer a person with EDS and chronic pain simply be treated with addictive narcotics for pain rather than attempt to seek healthier alternatives to pain management.  Because that is why I went to PT.  If they deny this claim, I am going to raise 9 kinds of hell.  My state legislature has recently made significant attempts to limit access to narcotic pain medication in a well intended but, I think, ultimately misguided attempt to reduce abuse of prescription drugs. I am pretty certain they would be interested in hearing about how my insurance company is effectively pushing that option like a corner crack dealer.

 

AM OT, PT, OMG

Knowing that you have a PT appointment in the morning is like having to go to gym class.  It’s usually not as bad as you imagined, but it is still something that makes you groan when you get up in the morning.

That was my experience today.  After waking up at 4:00 AM drenched in sweat.  Again.  I fell back asleep finally, then woke up to a frozen iPhone cheerfully blinging at me that it was time to get up.  Unable to just “snooze” it, I did a hard shut down (yep, half asleep even) thinking “oh hah, I don’t have to go to work today, I’m working from home!”  then fell back asleep until husband’s much later alarm went off.  Then I looked at the powerless iPhone still clenched in my hand, and remembered I have gym class…I mean PT today.  Crap.

I’m working from home today and tomorrow.  Right now, I’m taking a break.  A bad break since I should take a full break from the computer when I’m taking a work break, so say the occupational and physical therapists.  They are right, of course.  I’ve been working for the last hour and a half straight, editing calculus figures for a student who is blind.  This means lots and lots of mouse.  So break away from the computer in a moment.  On a related note, I really need to get a better mic for my dragon use.  I have the crap one that comes with it.  I may as well talk through a tin can with a wire plugged into my line in jack.  USB microphone is the way to go.  I had a gorgeous one that I bought at my last job, it was so fancy and nice.  I need one of those.  So I can blog and stuff without hurting the hands.

I am “discharged” from PT and OT, sort of.  I’ve been going for a month.  I’ve definitely made some progress.  Less pain, and better strength.  Baby steps.  PT guy said that we had two options.  We could do today’s evaluation and then continue to add exercises or we could take a break, I can keep doing the exercises he gave me (really just 4 very low impact things for core strength), and then come back for more PT when I’ve built up the strength. I said “I’m leaning towards option B”.  So B it is.  With the caveat that if I have questions or need a refresher, I can call and come in.  That’s cool.  Works for me.  I’m definitely in the baby steps phase.  I was thinking of making some kind of exercise chart.  I need visuals, otherwise I just sort of poop out and go “meh” and don’t do what I should do.  I’m  thinking something with star stickers.  I’ll post a pic if I make one.

In other news, my husband and I bought a couch as our christmas present to ourselves and we just got word that it’s in and can be delivered soon.  Wooo!  We’re probably going to postpone delivery until February since that’s the first weekend slot that’s open.  I am already working at home today and tomorrow this week (medical appointments, more on that in a moment) and I don’t love the idea of taking another day off right away unless I have to.  So, yay!  New couch is coming!

Tomorrow’s appointment is with the dentist.  I get the first of my four metal fillings taken out of my head.  I’m looking forward to moving a step closer to being metal free but not looking forward to the experience or the aftermath of sucking in metal vapor.  I’m going to ask for nasal O2 and advise them to be liberal with the suction.  From what I’ve heard, this helps.  I’m also going to premedicate with a crapload of benadryl and H2 blocker.  And husband is going with me (a) since I’ll be benadryl drunk and (b) in case I have a bad reaction to the metal vapors.  This is the dentist who said “I’m a little worried about anaphylaxis…”  And kudos to her for even considering it.  I figure that since the dental clinic is not only affiliated with, but also mere steps away from, Man’s Greatest Hospital if I’m gonna have a big awful reaction to having these things taken out, I’d rather have it there.