Posted by antennastoheaven on July 9, 2013, at 13:05:45
In reply to The program has not been very useful, posted by antennastoheaven on July 8, 2013, at 0:19:08
I decided to drop out of the program yesterday (Monday). I talked to one of the therapists after the last group session, expressed my concerns with group therapy and the psychiatrist, and she said I should wait to see my psychiatrist and get officially discharged, but if I really wanted to, we could fill out the discharge paperwork today. She warned that the insurance company may not pay the claim if I quit against medical advice, though... which didn't sound right to me.
I actually called the insurance company right after that. They told me they would pay for any days I attended as long as the hospital had pre-authorization. But then they called me back a few minutes later and told me they didn't have pre-authorization for me to be in the program at that hospital. I talked to a representative who looked at the notes, and it turns out that the hospital did call the insurance company like they were supposed to... and the insurance company mistakenly told the hospital that they didn't need to pre-authorize me. Oops. So the hospital company has to re-submit the preauthorization, and the insurance company will allow them to backdate it.
After I got off the phone with the insurance company, I talked to someone else in the hospital and told them about the insurance situation. They insisted I come back today (Tuesday) and talk to the person who deals with insurance companies, who was out for the afternoon.
I went in this morning and talked to the correct person, who was extremely courteous and understanding. She said the insurance company was correct in that they will pay a properly pre-approved claim regardless of the reason the patient discontinues treatment. She filled out just one discharge form for me to sign and take with me, listed the reason as "dropped out to return to individual therapy", got the info for my therapist and psychiatrist and consent to fax them records, and listed all the medications I am taking. They'll send a treatment summary along with the discharge form I signed, and that's all. The process of leaving gracefully was easier than I thought it would be.
Now I just have to get a note to go back to work from the nurse practitioner who filled out the original leave paperwork, and I can get on with my life.
poster:antennastoheaven
thread:1044771
URL: http://www.dr-bob.org/babble/psycho/20130309/msgs/1046864.html