I hope this the right place to post this question. A doctor had performed an ECG, EKG, & aorta duplex without my knowledge during an annual physical. I was misled to believe whatever she was doing was routine and part of the preventative exam. I don't even know how all of these were performed along with a full physical when I was in the exam room for no more than 25-30mins. I was later informed by my ins company that the doc submitted CPT codes for the following symptoms that she claimed I complained about:
'shortness of breath, palpitations, hypertension, & non-rhuematic mitral valve disorder'. I don't have heart issues nor a history of it. My wife went in for an physical the same day and she performed the same tests and submitted same exact symptoms. My wife does not have heart issues or history of it. They are trying to bill us for these tests one year later. Doc office finally gave me part of my medical records. I don't know if any of the results are accurate or even mine. She told both of us during our exams that our hearts were fine. I'm concerned she may have altered or added to my results to validate the symptoms she submitted with claims since ins company is investigating. Can anyone help with interperting these results?
Echo report:
Left atrium: 3.7cm
Right atrium: 2.5cm
Left Ventricle: 3.8cm
Right ventricle: NML
Mitral valve: Normal Excursion
Possible prolapse of posterior mitral leaffet
Aortic Valve: Normal Excursion
Tricuspid valve: Normal Excursion
Left Ventricular Function: 69% NML
Valvular function: Trace ml
On another sheet (looks like copy of printout from machine)
HR: 50 BPM
P Dur: 102 ms
PR int: 144 ms
QRS Dur: 93 ms
QT/QTC int: 379/346 ms
P/QRS/T axis: 79/91/78
RV5/SV1 amp: 1.361/0.774 mV
RV5+SV1 amp: 2.135 mV
RV6/SV2 amp: 1.650/0.806 mV
Diagnosis Information:
811: Sinus Bradycardia
415: Third-degree Atriventeicular Block
203: Right Axis Deviation
I'm not a doctor but after reasearching some of these things, they sound serious. She gave no indication that anything with my heart was wrong during or at the end of my exam.
Also, none of these reports are signed. The echo report looks like something they could have easy filled out after learning of my dispute. Should I ask for the actual 2D images that were taken of my heart? Does anyone know what documents I should ask for to confirm an EKG and the aorta duplex tests were actually done? They did not include my medical chart. No surprise.