Why is cardiac tryout near calcium scoring considered "experimental and unproven by insurance companies not compensated?
My doctor ordered this test, a cardiac ct coronary calcium scoring scan test and insurance says it is "experimental, investigational and unproven" . I want to appeal this next to my insurance co. any info would be appreciated
Answers:
You're going to lose your appeal. Nobody really knows yet what to do next to the information gleaned from the results. Maybe it'll pan out one of these days, but so far it simply isn't established. My personal thinking, for what that's worth, is that this is one test that won't ever jar out to be clinically useful.
Thank you for the examine.
Dr. Finaldx and Dr. de Witt are correct. I'm afraid that your doctor did you a tremendous disservice.
I typically avoid ranting against others doctors, but it annoys the heck out of me when doctors order unnecessary and clinically useless diagnostic tests to satisfy their intellectual curiosity fairly than use sound clinical judgment and decision making contained by rendering patient care. Your case is no different.
I'm afraid your appeal will be soundly rejected. And I would recommend sending your bill to the doctor who ordered it near a thank you note. Source(s): My remote medical training.
As someone who uses a scalpel to cut across coronary arteries each and every day at work, I can support the theory that this is not proven science. There is not satisfactory data to support this, at this point in time.
There is some degree of information suggesting that calcifications contained by coronary arteries puts you in a higher risk category, but that is across broad numbers, and not necessarily true for the individual.
If you discharge to have this test done, you will be one of a myriad number of people whose background goes into forming a scientific data set. There is some small potential of providing you near useful information. I am at an age range when my doctor is recommending it, but as soon as I ask her to show me background, and indicate that I think it is nothing more than junk science, she doesn't press the issue.
I don't know your entire medical history, for this reason cannot recommend in either direction, but then again, you asked my "opinion". You might want to investigate if your doctor have any financial investment in the company that does these tests, or has friends that do.
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Answers:
You're going to lose your appeal. Nobody really knows yet what to do next to the information gleaned from the results. Maybe it'll pan out one of these days, but so far it simply isn't established. My personal thinking, for what that's worth, is that this is one test that won't ever jar out to be clinically useful.
Thank you for the examine.
Dr. Finaldx and Dr. de Witt are correct. I'm afraid that your doctor did you a tremendous disservice.
I typically avoid ranting against others doctors, but it annoys the heck out of me when doctors order unnecessary and clinically useless diagnostic tests to satisfy their intellectual curiosity fairly than use sound clinical judgment and decision making contained by rendering patient care. Your case is no different.
I'm afraid your appeal will be soundly rejected. And I would recommend sending your bill to the doctor who ordered it near a thank you note. Source(s): My remote medical training.
As someone who uses a scalpel to cut across coronary arteries each and every day at work, I can support the theory that this is not proven science. There is not satisfactory data to support this, at this point in time.
There is some degree of information suggesting that calcifications contained by coronary arteries puts you in a higher risk category, but that is across broad numbers, and not necessarily true for the individual.
If you discharge to have this test done, you will be one of a myriad number of people whose background goes into forming a scientific data set. There is some small potential of providing you near useful information. I am at an age range when my doctor is recommending it, but as soon as I ask her to show me background, and indicate that I think it is nothing more than junk science, she doesn't press the issue.
I don't know your entire medical history, for this reason cannot recommend in either direction, but then again, you asked my "opinion". You might want to investigate if your doctor have any financial investment in the company that does these tests, or has friends that do.
Related Questions: