I received a bill from AMR that was ordered by Hospice when mom went to the Hospice house. From what I know about Hospice is that everything is 100% covered by medicare. But now this bill comes 2 months to the day of my mom's death? Has anyone received bills after your loved one dies and who is responsible for payment if Medicare denies? Mom is gone and the bill is in her name. What do I do?
If we all lived in Canada, this would not be happening to us.
Medicare will only reject coverage if the doctor is not specific enough.
Also, I watch HLN Clark Howard. As long as you didn't sign a form saying that you're responsible, then your mom's debts are hers alone. If they keep insisting you pay, write a letter explaining the situation, make a copy of it, and send it be registered mail (with a return receipt for delivery). Sorry, I get these mixed up - certified or registered. Just remember, any billing that comes along, you are not responsible for it. One caller said that the credit card company kept harrassing him. Even spoke to a family member to tell him to pay. Clark got angry. Later in another episode, he updated us. Clark got the credit card company info, went straight to the top and made a complaint. The bank apologized. And the harrassment ended.
I'd say at least 6 - 10 of them. Most insurance companies, medical practices, etc require a death certificate in order to close a file. Then whenever you get a bill for her, you send them a note stating that she is deceased and attached is an original death certificate and that you are not responsible for any of her debts and that she died in hospice and has no assets. This will probably stop most of the letters and phone calls. The debt collectors can be relentless so you may have to do this more than once. Keep all this in a file so you don't go loco on dealing with it.
The lady on the phone said that it the denial was because of the reason for transport had to be medically necessary. What??!!! Dying wasn't a medical necessary reason for the transport? She was transported to the Hospice House January 4th and died the 9th. Ugh! I hate dealing with this 2 months after the fact.
Msdaisy - if mom is deceased, then the debt is a debt of her estate. So that should mean that her estate goes to probate. Any debtor has to go to probate court and present the debt. When probate is opened, there needs to be published at least 3 times an announcement in the paper in the Legal Notices section, to any and all debtors regarding the deceased probate hearings. If they don't get the bill into the line at probate court for her estate, then it's JUST TOO BAD.
Now if you all don't do probate, it's another issue. But either way:
You are not responsible to pay for anything. It's her debt.
Advance Beneficiary Notices of Noncoverage (ABNs) where the patient agreed to pay if medicare did not pay.
So between the hospital and the company, they apparently decided to write it off I guess. So the next time I was in this same situation with a family member I insisted on seeing the paperwork of the order. I noticed on the paperwork that there was no justification for the request, so I made the discharge nurse get the doctor to put one down so when it went to Medicare it would not be denied for that reason. Then I got a copy of the paperwork in case I had trouble. So months later when it got processed, it was paid this time with no problem. Don't know if you have the same facts but you can try to appeal it with medicare. When you appeal it they do contact the provider and ask for documentation.
there is a publication www.medicare.gov/Pubs/pdf/11021.pdf
that might help you if this is a medicare payment issue.
if the link doesn't work do an internet search for
medicare coverage of ambulance services