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Marcia: I would ask his M.D. to write a letter saying that your father's condition required ambulance transportation to the hospital and that it was medically necessary for him to travel that way. Have the M.D. send the letter to you and you can forward it on to Medicare. I think the denial of some claims is becoming the norm now, as most people will not challenge it and automatically pay - obviously benefitting the Medicare program. Carole >---------- >From: Marcia Hutcheson[SMTP:[log in to unmask]] >Sent: Monday, October 28, 1996 7:26AM >To: Multiple recipients of list PARKINSN >Subject: denial of medicare claim > >HAve any of you good folks had experience with challenging medicare on a >denial of a claim? They are denying a claim for my dad for ambulance >transportation during a short-term nursing home stay. He was there after >hospitalization for insertion of a feeding tube. The tube became blocked >and the staff could not undo it. They sent him to emergency in an ambulance >to open it back up. Medicare is saying that he should have been driven >there in a car. My mother doesn't drive. Can she challenge this denial in >writing, and if so, what are the chances she will win? Any suggestions >would be appreciated. By the way, he has been home now for 6 weeks with >a feeding tube ( his swallowing difficulties finally became too much - he >couldn't eat and was rapidly losing weight). Me mother is doing well with >taking care of him. Medicare pays for a twice weekly visiting nurse and a >weekly occupational therapist. Thanks for any information. >Marcia [log in to unmask] Dad is 79 PD 10 years. >