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There was a mole that was approximately right there, said Magnuson as he showed the scar from surgery on his calf.A scar that's now a reminder of the ,337.60 bill his medical provider, Aurora Health Care, charged and his insurance, Anthem, didn't want to cover."The surgery to identify the lymph node, the sentinel node, which ultimately had the cancer cells, which raised it from a Stage 2 cancer to a Stage 3 cancer, was not medically necessary," Magnuson explained.Magnuson said it was "extremely shocking."He explained he has been receiving immunotherapy to treat cancer. But at the same time, Magnuson has been trying to get the procedure that identified his Stage 3 cancer covered by his insurance.Magnuson appealed Anthem's decision twice and each time, he said he received a little more of an explanation as to why it wasn't being covered."The closure of the wound was listed as a complex closure, but based on what the insurance company could see, it was a simple closure," Magnuson said."That means nothing to me before and it means nothing to me now," he continued."I had a wound on my leg and they needed to close it," he said.WTMJ reached out to medical billing expert Pat Willis, asking her how common it was for an insurance company and medical provider to disagree on whether a surgery is complex or simple."No. It's not common," Willis said.When Willis reviewed the medical coding used in Magnuson's case, she discovered something."There's no such thing as an 'intermediate complex' code. There is no such thing. Whoever wrote 'intermediate complex,' that does not exist. It's either 'intermediate' or it's 'complex.' It's not both,” Willis continued.The wording of the coding, according to Willis, was incorrect.WTMJ asked Aurora and Anthem in late August to answer our questions about this case. On September 28, an Aurora spokesperson said:"Our top priority is to provide the highest quality care for those we serve. That includes helping our patients navigate issues related to billing and insurance, which we know can be complex. Federal and state laws prohibit us from commenting further on specific cases." Anthem's spokesperson provided the following statement: 2189
This has kind of opened my eyes quite a bit to things, Goens said. " ... I would say if you have any symptoms like that, make sure you get yourself to the hospital cause it could have got a lot worse. She could not be here right now." Over the weekend, Henderson was moved from the ICU to the progressive care unit. Her family says she has a long road to a full recovery, but her positive attitude inspires them. If you would like to support Henderson and her family on their road to discovery, visit their 507
There was a lot built into it at the beginning of the year -- none of that's materialized, says Kathy Jones, chief fixed income strategist at Charles Schwab. "No infrastructure spending, no tax cuts...it really has flipped the script from where we were at the beginning of the year until now." 293
To now be in a position where we're going to be voting sometime today and to have the response coming out of the White House as it is is discouraging, she said. "Basically, everybody loses." 190
their interest rate policy, preferring to watch as the economy evolves.Powell has tried to caution investors not to read too deeply into the so-called dot plots, which includes forecasts of each member of the policy-setting committee on where they anticipate interest rates will go.At the March meeting, Fed officials downgraded their GDP growth forecast for 2019 to 2.1%, suggesting they may be more worried than previously about slowing domestic and global growth. The slowdown in China, driven in part by an ongoing trade war sparked by President Donald Trump, as well uncertainty surrounding Brexit, threaten the global economy.Central bankers previously estimated the US economy would grow 2.3% this year, significantly lower than the Trump administration's forecast.They also raised their estimates of the country's jobless rate to 3.7% up from 3.5%.The bank also officially laid out plans to end its trillion balance sheet normalization on a monthly basis.Starting in May, the Fed will begin to address its holding of Treasury securities by reducing the cap from the current level of billion to billion per month.Then, at the end of September, the Fed will effectively stop undoing the extraordinary steps it took to prop up the economy for almost a decade after the financial crisis. Fed officials, including Powell, had signaled the Fed would probably take such a step later this year, but no date had been previously set. 1442