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Re: [IP] Re: Disgusted with Medtronic



Pam - thank you as always for putting Medicare requirements in the proper
light.

On Wed, Mar 7, 2018 at 7:56 PM, Pam Brown <
email @ redacted> wrote:

>  Yes, the problem is with Medicare. Unfortunately the reason Medicare makes
> everyone go through such hoops (30 days of logs, endo visits every 3
> months,
> etc.) is because of the billions of dollars Medicare (i.e., taxpayers)
> lose each
> year due to fraud. DME, especially test strips, are one of the prime fraud
> targets. All those strips and sensors, etc., from eBay and Amazon
> marketplace
> are likely black market supplies that the seller got from Medicare. In
> fact on
> another forum people were saying that the strips they bought from Amazon
> sellers
> came with a label on them that said Medicare. That is illegal and is
> insurance
> fraud, in this case Medicare fraud.
>
>   Besides the cost to taxpayers, the other result is that we have all these
> hoops and frustrations trying to get our supplies. I'm sure Medtronic is
> extra
> cautious because they're so big that they're more likely to be audited
> than a
> smaller supplier. Also different regions of the country have different
> Medicare
> administrative contractors (MACs) who are the ones responsible for
> processing
> the claims, enforcing the Medicare rules, etc. Some of these MACs have
> stricter
> requirements than others, so your experience partly depends on where you
> live.
> Pam
>
> Sent from my iPad
>
>  > On Mar 7, 2018, at 9:09 AM, insulin-pumpers-digest
> <email @ redacted> wrote:
> >
> > John, I agree. Medicare has been enforcing rules for obtaining pump
> supplies
> > and requiring more physical documentation to be given by suppliers. May
> be
> > picking on the larger companies.
> > What I have just experienced is Medicare wouldnb t let Medtronic send my
> > supplies without a copy of my 30 day log. My Endocrinologist only
> downloads 2
> > weeks at every 90 day visit. They wouldnb t supply Medtronic with my
> logs. My
>  > eyesight is low. Written logs look almost unreadable. Medtronic helped
> me to
> get
> > my logs and will send my supplies.
> > I am 79 and long term user of Medtronic pump supplies.
> > Sent from my iPhone
> > Phyllis
> .
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