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I think that even in the case of a misdiagnoses, Insurance will pay. It’s not their job to examine the diagnoses, just to pay for whatever is billed if it’s covered. Maybe the only way they wouldn’t pay is for repeated tests like MRI or CAT scans. My husband has had more tests than I can count on all my fingers and toes and his insurance (not Medicaid) has always covered it.
As DeAnna suggests, maybe more details would help.
I think that someone else can answer your questions better that I can. Could you give us more background information about the "misdiagnosis" and whether the patient is in the hospital or in the nursing home or living at home so that we can give you more appropriate suggestions?