Xchanging sends the debt collectors

I am furious, frustrated and about to take a baseball bat to my head. Xchanging, well, I guess my case manager from hell, has been refusing to settle a blood test account since 5 September, and as a result I have now received a final notice of the -now long overdue account- stating that if the account is not paid within 7 days (I have 3 days left) the matter will be referred to the debt collectors, yohoo!

As you can clearly see from the request form for the test as prescribed by my treating surgeon, the blood tests were requested for “acute pain and swelling of  R shoulder“. This basically means that we were -and still are- very concerned about an infection in that shoulder (osteomyelytis) and for that bloods are needed to that we can monitor the progress of the infection with infection markers (such as the white blood cell count etc.) Right… So what is there so obscure about this account that Xchanging refuses to pay for it?

As you can see from the final notice account, the bloods were requested (prescribed) on 24 August 2011 and the test was done on 5 September 2011. Interestingly the test was done on the same day as the technetium bone scan I had done, and Xchanging had no problem with paying for the bone scan (also to look for the infection).

My case manager from hell also has a copy of the bone scan results which shows significant crap going on in the entire R shoulder and nowhere else in my body – so to try and pinpoint the blood test on an ‘infection’ elsewhere in my body would be , at the very least, very deceitful. (Mind you they tried it n to deny me the surgery!)

bone scan results: note scan done on 5 September

And, if that’s not enough evidence, Xchanging (my case manager) has also sent me to an IME (Orthopedic surgeon) the day AFTER the blood test and the bone scan. In his report, the IME describes in detail the status of my shoulder, upper limb, elbow, hand, fingers and there is no mention whatsoever of any infection in the finger or anywhere else, but the IME describes a “grumbling infection in the R shoulder”.

Xchanging refuses to pay again for reasonable and necessary medical care

So, tell me why is it that Xchanging refuses to pay for a blood test that:

  • was prescribed by an upper limb specialist surgeon
  • for the sole purpose of evaluation infection in the shoulder
  • but they paid for a bone scan to investigate the infection
  • they paid for a gallium body scan (after some fighting) too for the purpose
  • they recently, after a 2 month delay, finally approved my surgery for biopies, clean out of infection
  • but hey, they refuse to pay for the blood tests -obviously an “unnecessary medical treatment?”

Have a look at this:

my red shoulder

swollen & reddened

Nice, huh… Especially if you see how the redness is progressing / has been progressing over the past 2 months,because Xchanging has been unnecessarily denying and delaying my surgery and treatment. Because of that I have now developed a fever, excruciating pain …I can’t even describe it, I have lost over 6 kilos over the past month and really don’t feel all too good. Thank you, Xchanging! Maybe – should I believe your sick opinion- it’s only a case of psychosomatic disorder and a bit of VALIUM cream may just help, can you send me some to try please 😉

This morning I had to have some more urgent blood tests done to further look at the infection markers given that the shoulder has worsened again over the past few days and I am not sure that I can hang on until next week for the scheduled surgery. I should have the results tomorrow. This time we had no option but to cheat the system and bill Medicare out of FEAR that the bastards would refuse to pay for this account as well – isn’t that terrible and unfair to the tax payers?!

In any case, what I wanted to get off my chest is that, yet again, here’s a beautiful example of another delay, deny, stall process on the part of Xchanging, who, like all other workcover insurances, is required under the law (the Act) to pay for all reasonable medical care and treatment/procedures. Now you tell me the reason(s) why a blood test to evaluate the infection markers in this shoulder is not reasonable!

We all know that any infection, especially a joint infection can potentially spread to the blood stream and make you septic (that’s what they call septiceamia) or blood poisoning and that’s a very serious matter, from which you can die if not treated promptly, hey! But who cares?!

I did include the blood account issue in my complaint to WorkSafe on the 4th of November… haven’t heard a whisper as yet….

Any suggestions?

I have sent a letter off again to my case manager demanding immediate settlement of the account. I have told her that if I do not hear from her my tomorrow lunch time I would, regrettably contact WorkSafe again as I do not want the debt collectors knocking on my door for an account for which I am not responsible.

Why must we deal with such a trivial crap when we are under stress already… I mean I have enough on my plate at the moment with this infection and my upcoming surgery of next week (provided we can wait that long) and dealing with the fear and the consequences of such an infection….

 

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mw
Guest

Look what Xchanging managers do to their staff when they try to help their coustomers, they seen to be aboth any law?

http://www.pirate4x4.com/forum/showthread.php?p=14456193

workcovervictim3
Guest

Thank you, what an eye-popper – we may have to write an article about it!

Ben
Guest

Not talking to my ex about it (at her request) caused her to “not understand” what was going on as much and blame me personally for more of the problems.    I think talking about it is really important, but it also has to be “not the only thing that’s talked about” …. which is hard when it kind of affects everything in your life so dramatically, but make every effort you can for him.

Impossible set of tradeoffs.

Ben.

Ben
Guest

Indeed, correct.   Got inadvertantly junked.  Nicely done 🙂

Ben
Guest
Make the call to live cheaper earlier. At some point your biggest supporter, your defacto, will walk away as it not being worth it any more.  Mine did.  Everyone will.  I thought I’d be different, but unfortunately the world doesn’t work like fairy tales.  People get forced into shielding themselves from the abuse inflicted on you by removing you from their lives.   I’m sure you’ve experineced this already. You have to live within your means for the rest of your life – if the system won’t pay you to live in a house, you have to live on the street. … Read more »
workcovervictim
Guest
Ben, I am very very sad that your partner chose the easy way out. Saying that many many marriages and relationships do break down post accident (workcover / TAC) and that’s a fact. Saying that, my defacto has also been struggling to ‘deal’ with me and my injuries, physical and mental. And I understand that. I am not the same person anymore since the accident (the bubbly, sporty, extremely active, adventurous and independent person) and all the beatings taken from Xchanging, the system, the financial ruin, the failed surgeries etc. I am also a disabled person now who needs a… Read more »
Ben
Guest

(fyi, the “notify me of further comments” button doesn’t seem to work)

Ben
Guest
I’m still going backwards, a little more liquid than you but not much, and still have family support.  Shouldn’t have to pay for it, because it’s a never-ending black hole.  Medical providers never fail to put their prices up year on year consistently above inflation either. Can you do anything to live cheaper — I’m  living homeless to try and stem the flow of money to keep affording to pay for medical out of pocket.  They’ve paid a fraction of my medical expenses, and 1 months loss of earnings, and that’s it, everything else has been out of pocket and… Read more »
Ben
Guest
The stanford prison experiment is an interesting one that shows you put normal people in a position of jailors, and they play the part. The point being, that while it may seem she’s out to get you, she’s probably a lovely person put in a position where it’s her job to abuse, and she’s been given enough “excuses” to justify her behaviour.   Now I understand that’s shitty, but while you’ll probably deny it, if you were in her shoes pre-accident, it’s pretty good money you’d act similarly to her.  (I’m talking statistics, not casting personal aspersion) The point being, I’m… Read more »
workcovervictim
Guest
Ben, I LOVE your comments and find them most enlightening and enriching – please write and vent as much as you want, that’s the purpose of this blog! I am sure that many if not all of our readers equally enjoy your writing, commenting, thoughts and valuable insights into the issues presented. In fact, when I don’t see your name on the blog for more that one day I really miss you! Defacto and me have already moved to the sticks to a very modest and really cheap (pretty crappy/shabby) house. He pays most of the rent but I pay… Read more »
None
Guest

I am very sorry to hear that Xchangiing is treating you so unfairly. This situation is getting out of control.

Can your solicitor now intervene? Are you able to get the interest of local media? Are you able to make an appointment to see your local MP?

WorkSafe Victoria has a lot to answer with regard to how its agent is treating an injured worker.

Please hang in there — these look very much like tactics — unfair tactics by your case manager to kill off your claim.

workcovervictim
Guest
Hi there, thanks for your heart-felt empathy. The going is really tough at the moment with Xchanging and this case manager from hell… I am 110% sure she has a personal vendetta against me. It is even tougher for me to ‘deal’ with this very stressful and most frustrating crap, given my current physical condition – I am having surgery in a few day’s time and I am obviously worried sick about what they’re going to find in there (infection wise) and if they’re going to have to cut out my entire shoulder. There’s not much my lawyer can do… Read more »
workcovervictim
Guest

Right, just spent the entire morning writing my formal complaint letter to WorkSafe. I will publish it later today, need a rest, way too sore 🙁

Ben
Guest
DO NOT SUBMIT IT TO MEDICARE. It’s federal fraud, and if you allow them to force you to submit it to medicare, *you* are the one commiting fraud, and will be up on charges for it, not them. The mess of paperwork to send letters to medicare to tell them which ones were falsely billed to them and then have them send it to xchanging, and them deny it to medicare, and go around in that circle is not worth it.   If you have to, pay for it yourself and SUE THEM IN COURT.  (and most importantly, keep publishing everything… Read more »
workcovervictim
Guest
I just can’t afford it, Ben, I am totally broke and carry a debt of more than $20,000 already that I am trying to “pay off’ by $25 monthly installments! I (hence) have no credit facility and no family support either (you know how it goes). I really struggle to feed myself and keep the (rented) share of the roof over my head. Do you know how stressful it is to have debt collectors in your neck?  It’s not the first time that Xchanging is or has been doing it to me, you know. And in the past I have… Read more »