Dual Procedures

S E C T I O N S

What Are Dual Procedures?

What Are Dual Procedures?

A Dual Procedure is when any doctor corrects more than one aliment during a single operation. These type of medical procedures provide the greatest amount of safety for the patient.

Why? Anytime an individual requires any form of anesthetic, there is always some risk of uncertainty. When Dr. Lauersen performed a Dual Procedure he was able to minimize cost and increase patient safety by limiting the number of surgeries required.

Dr. Lauersen's innovative techniques outraged the insurance companies. There were no billing codes in existence to bill the insurance carriers. More than 100 times, Dr. Lauersen and his staff attempted to obtain a billing code for Dual Procedures but the carriers refused to assign the necessary codes for billing purposes.

At the second trial; a representative from one of the insurance companies testified that they do issue codes for Dual Procedures. During my four years of working on this case, all the insurance carriers where called numerous times. Blue Cross Blue Shield told Dr. Lauersen that they could not send him anything in writing. Instead they told the doctor to use this code or that code, whatever code he thought was correct. No codes existed to cover Dr. Lauersens dual procedure treatments. In Court they had a respresentative testify that Dr. Lauersen never requested a Dual Procedure Code which was blantantly untrue.

Throughout his practice; Aetna/U.S. Healthcare would fax Dr. Lauersen surgery confirmations and then refused to pay for any of the operations. This was the beginning of the set-up. The largest case of insurance malfeasence since the Colonial Penn/AARP debacle of the 1970's.

The insurance companies had now found a way to get doctors to work for free. They would request that a patient's entire medical file be turned over to the insurance carrier to evaluate the need for the surgery after they had provided a faxed pre-approval. This was intentional misrepresentation on the part of the insurance carriers to defer making payment and violate patient privacy under HIPPA.


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