The Press-Dispatch
Issue link: https://www.ifoldsflip.com/i/68821
C-10 C-10 Wednesday, June 6, 2012 Health and Wellness Wednesday, June 6, 2012 The Press-Dispatch Ask SHIP: 'There may be a mistake in my medical billing' to file an appeal if you feel there was an error made in your billing to Medicare. You may file an appeal for my last medical treat- ment. It has paid for this same treatment before, so I think there may be a mistake. What should I do? A: You should be able Q: Medicare didn't pay care and want to file an ap- peal, get the Medicare Sum- mary Notice (MSN) that shows the item or service that was denied. You must file the appeal within 120 days receiving the MSN. To file your appeal, fol- ORIGINAL MEDICARE If you have Original Medi- when: • A health care service, supply, or prescription that you think you should get was denied. • A payment for health care services or supplies or a prescription drug you al- ready got was denied. low the instructions on the back of the MSN, or fill out the Redetermination Re- quest Form. • A change to the amount you must pay for a pre- scription drug was de- nied. • A plan stops providing or paying for all or part of an item or service you think you still need. H New rule may save lives healthy this season pends on the kind of Medi- care coverage you have. How you file an appeal de- tion Drug Plan, you have the right to: • Get a written explanation of the coverage made by your plan called a "coverage determmination". With a Medicare Prescrip- peal, SHIP can help. Contact SHIP with this or any other Medicare related questions, at 1-800-452-4800. Keeping your hair be endangered if care is de- layed by going to the nearest trauma care center. In these scenarios, the patient should be taken to the nearest ap- propriate hospital, as deter- mined by the EMS provider protocols. Traumatic injury is the Continued from page C-9 ty is ensuring patients with traumatic injuries receive the lifesaving care they need, when they need it," said Arthur L. Logsdon, di- rector, Trauma and Injury Prevention at the Indiana State Department of Health (ISDH). "Trauma centers utilize specific medical equipment and have skilled medical professionals avail- able to handle the most se- vere, blunt force and punc- ture wounds. Trauma cen- ters are proven to save the lives of those who have suf- fered the most devastating injuries. I am pleased the EMS Commission has vot- ed positively on this rule." In fact, nationally, there number one killer of Hoo- siers under the age of 45. "Our number one priori- ters, as the typical emer- gency department treats broken legs, concussions, back sprains, lacerations, injuries resulting from mo- tor vehicle rear-end crashes and trips on the sidewalk. Trauma center "typi- cal patients" include those with multiple fractures, brain injuries, paralysis, punctured lungs, handgun and stab wounds, car roll- overs and ejections or falls of more than 20 feet. They are verified by the Ameri- can College of Surgeons. Indiana has emergency medical services provid- ers, trauma centers and a trauma registry to track these most severe of inju- ries, but is one of only nine states that do not have an integrated statewide trau- ma system. Indiana has eight veri- fied trauma centers: • Deaconess Hospital, Evansville from hospital emergency rooms in some significant ways. Emergency depart- ments are not trauma cen- is a 25 to 30 percent greater chance of survival when se- verely injured patients are taken to a trauma center versus an emergency room. Trauma centers differ • Parkview Hospital, Fort Wayne • Lutheran Hospital of In- diana, Fort Wayne • IU Health Methodist Hospital, Indianapolis • Wishard Memorial Hos- pital, Indianapolis • IU Health Riley Hospi- tal for Children, India- napolis • Memorial Hospital of South Bend, South Bend • St. Mary's Medical Cen- ter, Evansville of the EMS Commis- sion and the state agen- cies involved in passing this rule," said Senator Wyss. "I wanted to make sure that Hoosiers were being taken to the prop- er destination after suf- fering a traumatic inju- ry. This rule is one more step in the right direction toward patient safety and quality care." The ISDH's Division of Trauma and Injury Pre- vention will conduct a Trauma Listening Tour this summer. The goal is for Hoosiers to learn more about trauma, learn how state and local agencies currently respond to trau- ma, learn how an integrat- ed trauma system could help the state and, most importantly, gather per- sonal stories of how trau- ma has affected those in Indiana. One of the sessions was Trauma Listening Tour, vis- it www.StateHealth.in.gov. R-Fort Wayne, authored Senate Enrolled Act 249 which tasked the EMS Commission with creat- ing a rule to establish pro- tocols for the transporting of trauma patients. "I applaud the work In 2008, Sen. Tom Wyss, see celebrities splashed across the cover of your fa- vorite magazines, you may covet their perfect locks. But we don't all have the time or money to have our hair done professionally ev- ery morning. Luckily, quick and affordable home solu- tions can help you achieve the same look. "You don't need to spend a (StatePoint) When you million dollars to have beau- tiful hair," says Gregory Al- an, a trendsetting celebrity hairstylist. "There are tons of household items you may already own that will really work." Alan, who helps the stars look glamorous from the neck up, offers these tips to anyone hoping to do the same: • Fruit enzymes act to condition hair, leaving it silky and smooth. Try applying a strange but effective combination of mashed ripe bananas and avocado to your scalp and hair shafts. Leave it on for one hour and then rinse thoroughly. • Quit your ordinary sham- poo regimen. These products contain harsh detergents, chemicals and lathering agents held in Evansville on Mon- day, June 4. To learn more about the • Blow dryers, flat irons, curling irons can cause major damage to your hair if used improper- ly. Build-up of products and oils leads to fried, scorched ends. So use these heat-styling tools only on clean, washed hair. that strip color and con- tribute to dryness and hair damage. Go sulfate- free and lather-free with a product like Salon Gra- fix Health Hair Nutri- tion Conditioning Cleans- er to rid the hair of dirt and grease, not its natu- ral oils. While most prod- ucts simply coat hair with glycerin, leaving hair still dirty and greasy, this one is made from 100 percent plant-based ingredients, which gently cleans- es and conditions the hair and scalp. More in- formation can be found at www.healthyhairnu- trition.com. • Avoid the beer belly by spraying the suds on your locks instead. The results can be terrific!! Use a spray bottle to ap- ply beer throughout your towel-dried hair. After blow-drying, you won't have any odor, just shiny, • It's hard to keep your hair looking perfect all day long. For fuss-free main- tenance, invest in a $1 travel hairspray and keep it in your bag so you can touch up on the go. gorgeous hair. • Even though your cleans- ing agent will no longer be stripping your hair of its moisture, you'll still need to give your hair a deep conditioning treat- ment about once a week. Opt for a product de- signed to restore and strengthen your hair, that won't weigh it down, such as Salon Grafix Healthy Hair Nutrition Intensive Hair Repair Masque. Though ideal for all hair types, a re- pair masque is especial- ly beneficial to chemical- ly-treated and heat-styled hair, giving your hair the nutrition it needs to be re- stored to a healthy and natural state, while add- ing shine and keeping the color looking vibrant. Don't let your budget be an excuse for dull, dry locks. With a few low-cost chang- es to your routine, a healthy, naturally beautiful head of hair can be yours. Want Convenient & Compassionate Care? Meet some of your neighbors. A good neighbor is someone who is close to home, a convenient friend that you can count on when you or your family needs help. Just like a neighbor, the healthcare providers at Gibson General Hospital are close and here to help! They know that you want to be treated with support and compassion, welcomed by warm and friendly faces, and be able to visit when you need access to timely healthcare. If you are looking for a convenient and compassionate healthcare provider, talk to your neighbors at Gibson General Hospital. Convenient & Compassionate Healthcare — Just one of the many reasons to choose Gibson General Hospital for your healthcare needs. William Wells, MD Family Medicine 510 N. Main Street Princeton, Indiana 812-386-7001 Michelle Snyder, DO Family Medicine 1808 Sherman Drive, Suite 2209 Princeton, Indiana 812-385-9420 Kwabena Owusu-Dekyi, MD Family Medicine 1808 Sherman Drive, Suite 2209 Princeton, Indiana 812-385-9420 Wendy Tuley, RN, FNP-C Family Nurse Practitioner 1808 Sherman Drive, Suite 2209 Princeton, Indiana 812-385-9254 Mark Carpenter, MD, FACS General Surgery 1808 Sherman Drive, Suite 2209 Princeton, Indiana 812-385-9392 Centered Around You. www.gibsongeneral.com terials each year that should explain how to file a com- plaint, grievance, or appeal. Follow the instructions spe- cific to your plan. ADVANTAGE PLAN Your plan sends you ma- MEDICARE PRESCRIPTION DRUG PLAN MEDICARE • Ask for an exception to a drug if you or your prescribing • Ask for an exception if you think you should pay less for a higher tier drug because it is the best option for you. • Ask for an exception to a coverage rule. believe you need a drug that isn't on your plan's formulary. doctor yu or your doctor must contact your plan by phone or in writing. To do any of these things, your services with a hospi- tal, skilled nursing facility, home health agency, com- prehensive outpatient rehab facility, or hospice are end- ing too soon, you may ask for an expedited appeal to speed up the appeals process. You should call 1-800-Medicare. If you need help filing ap- SERVICES ENDING If you feel coverage of azines, you may covet their perfect locks. But we don't all have the time or money to have our hair done professionally every morning. When you see celebrities splashed across the cover of your favorite mag- The Press-Dispatch