Park Avenue Orthotics, Inc.

This patient was seen by an Orthopedic Surgeon for a metatarsal fracture on 6/**/This Surgeon stocks our braces in his office for the convenience of treating his patientsPatients who
presents with any type of foot fracture are put in a Cam W*** boot to stabilize the foot and allow the patient to ambulate with minimal pain while healingIn regards to the cost of the Cam boot, we are a Durable Medical Equipment Provider Accredited by the Board of Certification/Accreditation (BOC) and MedicareTherefore, all of our equipments are billed using Medicare guidelines and fee scheduleThe patient's insurance policy does not include benefits for DME so any braces he would have received from any provider would be deniedWe submitted his claim to his insurance carrier who denied the service as non-coveredPlease note that his policy follows NYS Medicaid fee schedule *** *** *** *** *** ***
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*** *** *** *** *** *** *** Since his insurance did not pay for the service, we discount it to a reasonable amount to cover our cost for the servicePlease note the equipment the patient is claiming he found on *** is not the same as the product he receivedWe purchase from Medicare approved manufactures and their cost has to be approved by the government and the quality of the product has to be superiorAt this time the patient is responsible for the cost of the service, since he did use the boot for weeks until he was healedHe did not complain or try to return the equipment until 11/**/when we received the Explanation of Benefits from his insurance carrier and issued him a statementWe thrive to provide the best care possible to our patientsHowever, insurances are paying less for services and sadly the cost is falling on patientsThank you for your time and understandingLooking forward to your responseSincerely, Naudia R*** Office Manager Park Avenue Orthotics, Inc

I was charged $960 for a brace. They agreed to take $300 for it when my insurance wouldn't cover their fee. The $300 was agreed upon between myself, them and the insurance. Then 6 months later I get a legal collections letter from them for $660! They are either incompetent or they are just hoping that I'll be scared by the letter and pay them money they agreed was not due to them. This firm is a rip-off firm. They are operating under the assumption that health insurance companies just pay whatever is asked - and that is no longer the case.
Watch out for these people. And Doctor Offices, please stop using these people!

This patient was seen by an Orthopedic Surgeon for a metatarsal fracture on 6/**/2015. This Surgeon stocks our braces in his office for the convenience of treating his patients. Patients who presents with any type of foot fracture are put in a Cam W[redacted] boot to stabilize the foot and allow the...

patient to ambulate with minimal pain while healing. In regards to the cost of the Cam boot, we are a Durable Medical Equipment Provider Accredited by the Board of Certification/Accreditation (BOC) and Medicare. Therefore, all of our equipments are billed using Medicare guidelines and fee schedule. The patient's insurance policy does not include benefits for DME so any braces he would have received from any provider would be denied. We submitted his claim to his insurance carrier who denied the service as non-covered. Please note that his policy follows NYS Medicaid fee schedule [redacted]
[redacted]
[redacted] Since his insurance did not pay for the service, we discount it to a reasonable amount to cover our cost for the service. Please note the equipment the patient is claiming he found on [redacted] is not the same as the product he received. We purchase from Medicare approved manufactures and their cost has to be approved by the government and the quality of the product has to be superior. At this time the patient is responsible for the cost of the service, since he did use the boot for weeks until he was healed. He did not complain or try to return the equipment until 11/**/15 when we received the Explanation of Benefits from his insurance carrier and issued him a statement. We thrive to provide the best care possible to our patients. However, insurances are paying less for services and sadly the cost is falling on patients. Thank you for your time and understanding. Looking forward to your response. Sincerely, Naudia R[redacted] Office Manager Park Avenue Orthotics, Inc.

Review: After my insurance refused to pay $350.00 for CAM W[redacted] This company gave me discount of $200.00 and sent me a bill for $150.00 for item which I could by for $31.99 on [redacted] including shippingAfter I disputed this bill, representative told me that they will collect money using collecting agency.PS I have recording of this conversation.[redacted]Desired Settlement: To adjust price to $32.00

Business

Response:

This patient was seen by an Orthopedic Surgeon for a metatarsal fracture on 6/**/2015. This Surgeon stocks our braces in his office for the convenience of treating his patients. Patients who presents with any type of foot fracture are put in a Cam W[redacted] boot to stabilize the foot and allow the patient to ambulate with minimal pain while healing. In regards to the cost of the Cam boot, we are a Durable Medical Equipment Provider Accredited by the Board of Certification/Accreditation (BOC) and Medicare. Therefore, all of our equipments are billed using Medicare guidelines and fee schedule. The patient's insurance policy does not include benefits for DME so any braces he would have received from any provider would be denied. We submitted his claim to his insurance carrier who denied the service as non-covered. Please note that his policy follows NYS Medicaid fee schedule [redacted]

[redacted] Since his insurance did not pay for the service, we discount it to a reasonable amount to cover our cost for the service. Please note the equipment the patient is claiming he found on [redacted] is not the same as the product he received. We purchase from Medicare approved manufactures and their cost has to be approved by the government and the quality of the product has to be superior. At this time the patient is responsible for the cost of the service, since he did use the boot for weeks until he was healed. He did not complain or try to return the equipment until 11/**/15 when we received the Explanation of Benefits from his insurance carrier and issued him a statement. We thrive to provide the best care possible to our patients. However, insurances are paying less for services and sadly the cost is falling on patients. Thank you for your time and understanding. Looking forward to your response. Sincerely, Naudia R[redacted] Office Manager Park Avenue Orthotics, Inc.