Day 811 - James Has the Sillies 🤪 & Denial from Insurance 🤬
Tuesday, March 21st, 2023 James had physical therapy at the house in the morning and we took him off the vent for it. We tried to get him to practice standing but he wasn't very interested. Mom has been trying really hard to remove stress. 🧘🏻♀️ But nothing can get a medical mom more riled up than getting a denial from insurance. 😡 Today we received a notice of adverse benefit determination saying that they are not covering James' hospital stay for RSV. The paragraph that this Medicaid doctor typed out explaining the "rationale" behind the denial is ridiculous. "There is no documentation of continued breathing problems after your child arrived at the hospital. Your child got better quickly and went home". Not only did the ER doctor highly suggest getting admitted for overnight observation but James left the hospital on oxygen and has been back on the ventilator since discharge. The amount of text messages, phone calls, emails, faxes involved to submit an...