She said for several months she called NAPA and the collections agency, C.tech Collections, of Mount Sinai, New York, to determine why it was billing her husband. Shots - Health News Share your medical bill with us And Medicare supplemental policies, like Greene's plan from Humana, generally do not pay for services if Medicare doesn't cover them, whether because Medicare has not paid its part yet or because the program denied the claim. Medicare requires providers to submit claims within a year of providing their services. But Medicare denied them because they were filed late - nearly 17 months after the surgery. Medicare eventually received the claims from NAPA, months after Bluizer said they started receiving collections letters. What gives: North American Partners in Anesthesia, or NAPA, pursued Greene to pay for his anesthesia care instead of billing Medicare on time, sending the debt to collections before the couple discovered the problem. Total bill: For the anesthesia care, North American Partners in Anesthesia billed $2,965.58: $1,334.51 for a certified nurse anesthetist and $1,631.07 for an anesthesiologist. Anesthesia services were provided by two providers who work for North American Partners in Anesthesia, which is private equity-owned and, with thousands of providers operating in 21 states, identifies itself as among the nation's largest anesthesia staffing companies. Service provider: The operation was performed at Jennersville Hospital in West Grove, Pennsylvania, which closed in December 2021. Medical service: Peripheral artery bypass surgery on Greene's right leg. The patient: Thomas Greene, 74, is covered by original Medicare and a Medicare supplement policy sold by Humana.
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