[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because:
I stop haven't had my question answeredIn my previous pregnancy I had an
epidural, in the second one I didn't in my previous pregnancy I was placed on
drip, in the second one I had no iv went straight to the delivery roomIn my
previous pregnancy I was placed in the triage for Almost an hour, in my second
one I wasn'tIn my first pregnancy my new born underwent the car seat test in
the second one he didn't.I am being billed for a semi private room which was
not my request therefore should not be my cost to n payBottom line my
insurance has not at any time changed. Why my charges are more for the second
delivery makes no senseI will not be making payments to the billed
amountIf these charges were at at all exact why were they not charged to me as
early as the amont of $480?How does the amount come about months later?
Attach different statements
Regards,
*** ***
Patient's breakdown is as follows, the total charges for her first birth in (two accounts) were $13,045.95. the total charges for her 2nd birth in 2015(three accounts) was $10,951.92. The combined total amount of charges were a higher total for her visit, but
insurance left her with more patient responsibility this year, a copay for each account plus deductible, more than likely patient's benefits changed, resulting in a copay for each account
Patient *** ***-Hospital Account *** DOS 7/12/13-7/15/
Total charges 12,
Ins payment -8,
Ins adjustment -3,
Patient *** ***-Hospital Account *** DOS 4/16/15-4/18/
Total charges
Ins payment
Ins adjustment
Self pay balance (towards deductible, copay)
Newborn Patient *** *** ***-Physician Account *** DOS 4/16/15-4/18/
Total charges
Ins payment -
Ins adjustment -
Self pay balance (copay)
Newborn Patient *** *** ***- Hospital Account *** DOS 4/16/15-4/18/
Total charges
Ins payment -
Ins adjustment -
Self pay balance (deductible)
Patient's accounts from her delivery in 2013, does not reflect any deductible amounts owing from any of the insurance remits, so that could be the difference with this year’s birth and amounts owing. Her insurance didn’t change, but the benefits may have causing her to owe towards deductible.
Self pay balance was 250.00(copay)
Newborn Patient *** *** *** - Physician Account *** DOS 7/13/13-7/15/
Total charges
Ins payment -
Ins adjustment -
Self pay balance
IFMC requested an invoice over
the phone two months ago asking for an invoice with *** ***'s name on the invoice and then we can send to accounts payable
The collection agency rep sent me the proof of paymentWe are billing the patient correctly and cash posting has posted their payments correctly as well. Below is proof of payment $posted on our end on 06/20/to dos 03/23/2016, *** ***$posted on our end on
09/19/to dos 05/04/2016, *** ***$posted on our end on 01/16/to dos 08/03/2016, *** *** Everything has been satisfied except dos 11/03/which would’ve been the next outstanding account. the *** (collection agency) representative will call him back acknowledging the proof of payments and where they were posted
** *** *** ** *** *** *** *** *** *** ** *** *** *** ** *** *** *** *** *** ** *** *** ***
*** *** ***
I have reviewed the response made by the business in reference to complaint ID *** and find that this resolution is satisfactory to me.
***
*** *** ***
*** *** Patient was born at on 09/18/17. Due to the infant birth time, they were unable to discharge at exactly hours of life
(Pediatricians do not send their patients home at midnight due to safety). Additionally, infants need to “pass” the required Critical congenital heart disease screen (CCHD), weight check, transcutaneous bilirubin (TCB) check and complete the state mandated newborn metabolic screening prior to discharge. Unless a provider has these completed, they do not discharge the infant. At hour of life, the first TBC came back at 12, which is considered “moderate-high risk”. Any infant with a TCB over is to draw a serum bilirubin, per policy 9/20/@ 02:Initial serum Bilirubin came with level (moderate-high) 9/20/@ RN reported the results and MD ordered to recheck hours after last draw The next level came back at 10.2, which was still considered moderate-high risks. 9/20/@RN reported the results and MD ordered another serum bilirubin to determine need for phototherapy treatment or if able to discharge patient. The result came back at 10.9, which the MD cleared the infant for discharge and to follow up the next day in the pediatrician office 9/21/17- infant sent to outpatient lab for a stat serum bilirubin to rule out need for treatment Level considered moderate-high again. 10/2/2017- infant back to lab for follow up labs- results within limits neonatal jaundice peaks on day 3-of life. To avoid readmissions to the peds unit, the infant was followed closely as he teetered in the moderate to high risk zone based on his hours of life and gestational age. Our providers err on the side of caution to avoid missed treatment opportunities while the patient is inpatient and readmissions
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
Complaint: [redacted]
I am rejecting this response because:I am rejecting this response because:We have joined in the hospital on 09/18/2017 Morning 9:30 AM, after experiencing the services quality and hospital facilities and the staff response and behavior during the stay till 09/18/2017, we had taken decision this is not the hospital for my baby to be treated. The staff is very rude and their response time is very long, their services are very bad. That is the main reason we asked for the discharge. We were asking for the discharge to join other facility and best doctors who can give best treatment to baby and mother. We have selected the doctors and facility, so we started walking out from the hospital. They took my baby and said us baby will not be discharged. We have the every right to choose the doctor or best facility for my baby. Inova hospital simply forgot patient rights they forcefully gave something which they are saying they give what ever they want no matter of patient interests and choices. Hospital staff behavior is worst in the world, doctors associated with Inova are less experienced. They could discharge us by taking document sign non responsibility and faxing the medical documents to my new provider. Why it is not happened if patient is not interested in Inova services and do not have the trust on Inova staff and doctors, Inova forcefully treated my baby and asking for the money. For Bilirubin tests do I need to pay the $8566. As these tests can be taken outside for $120. They say that on 9/20/17 @1500 result came back at 10.9 which risk is increassed when compared to 9/20/17 @ 02:15 why do they discharged even the risk incressed. All these test results are bt, this is a big scam from Inova.They mentioned that "infants need to “pass” the required Critical congenital heart disease screen (CCHD), weight check, transcutaneous bilirubin (TCB) check and complete the state mandated newborn metabolic screening prior to discharge" why the charges for new born service charges [redacted] $1,438.00 for two days 09/18/17 and 09/19/17. Baby born on 09/18/2017 @11:10 PM. For 50 minutes of service they charged $1,438.00 for the day 09/18/17. On 09/19/2017 they have not given any services unless the BiliRubin tests and again [redacted] they charged $1,438.00 Total bill is for 3529.35 and claimed it for $8566.For Bilirubin tests and HC ADMIN HEP B VACCINE,HC SCREENING NEWBORN METABOLIC,HC CAPILLARY PUNCTURE they charged $8566 this is unethical and unlawful.
Regards,
[redacted]
October 7, 2016 Revdex.com Regarding: Billing Complaint...
Date of Service: 5/17/16 ID [redacted] Dear [redacted]: This letter is to confirm that the billing issue assigned ID [redacted] has been resolved directly with your client. This was accomplished by the Patient Relations Department of Inova Fair Oaks Hospital via multiple phone conversations and actions coordinated with Inova Patient Accounts. The concern was thoroughly investigated and it was determined that the patient was correctly billed. The account was discussed with your client, the father of the patient, and adjustments made in the spirit of community to his satisfaction. Should you have further questions or require assistance at any time, please do not hesitate to call me at ###-###-####. Sincerely, Dawn M. [redacted] MT (ASCP) CPC Director of Patient Relations, Decedent Affairs and Community Inova Fair Oaks Hospital
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response...
made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because:
I stop haven't had my question answeredIn my previous pregnancy I had an
epidural, in the second one I didn't in my previous pregnancy I was placed on
drip, in the second one I had no iv went straight to the delivery roomIn my
previous pregnancy I was placed in the triage for Almost an hour, in my second
one I wasn'tIn my first pregnancy my new born underwent the car seat test in
the second one he didn't.I am being billed for a semi private room which was
not my request therefore should not be my cost to n payBottom line my
insurance has not at any time changed. Why my charges are more for the second
delivery makes no senseI will not be making payments to the billed
amountIf these charges were at at all exact why were they not charged to me as
early as the amont of $480?How does the amount come about months later?
Attach different statements
Regards,
*** ***
Patient's breakdown is as follows, the total charges for her first birth in (two accounts) were $13,045.95. the total charges for her 2nd birth in 2015(three accounts) was $10,951.92. The combined total amount of charges were a higher total for her visit, but
insurance left her with more patient responsibility this year, a copay for each account plus deductible, more than likely patient's benefits changed, resulting in a copay for each account
Patient *** ***-Hospital Account *** DOS 7/12/13-7/15/
Total charges 12,
Ins payment -8,
Ins adjustment -3,
Patient *** ***-Hospital Account *** DOS 4/16/15-4/18/
Total charges
Ins payment
Ins adjustment
Self pay balance (towards deductible, copay)
Newborn Patient *** *** ***-Physician Account *** DOS 4/16/15-4/18/
Total charges
Ins payment -
Ins adjustment -
Self pay balance (copay)
Newborn Patient *** *** ***- Hospital Account *** DOS 4/16/15-4/18/
Total charges
Ins payment -
Ins adjustment -
Self pay balance (deductible)
Patient's accounts from her delivery in 2013, does not reflect any deductible amounts owing from any of the insurance remits, so that could be the difference with this year’s birth and amounts owing. Her insurance didn’t change, but the benefits may have causing her to owe towards deductible.
Self pay balance was 250.00(copay)
Newborn Patient *** *** *** - Physician Account *** DOS 7/13/13-7/15/
Total charges
Ins payment -
Ins adjustment -
Self pay balance
IFMC requested an invoice over
the phone two months ago asking for an invoice with *** ***'s name on the invoice and then we can send to accounts payable
The collection agency rep sent me the proof of paymentWe are billing the patient correctly and cash posting has posted their payments correctly as well. Below is proof of payment $posted on our end on 06/20/to dos 03/23/2016, *** ***$posted on our end on
09/19/to dos 05/04/2016, *** ***$posted on our end on 01/16/to dos 08/03/2016, *** *** Everything has been satisfied except dos 11/03/which would’ve been the next outstanding account. the *** (collection agency) representative will call him back acknowledging the proof of payments and where they were posted
** *** *** ** *** *** *** *** *** *** ** *** *** *** ** *** *** *** *** *** ** *** *** ***
*** *** ***
I have reviewed the response made by the business in reference to complaint ID *** and find that this resolution is satisfactory to me.
***
*** *** ***
*** *** Patient was born at on 09/18/17. Due to the infant birth time, they were unable to discharge at exactly hours of life
(Pediatricians do not send their patients home at midnight due to safety). Additionally, infants need to “pass” the required Critical congenital heart disease screen (CCHD), weight check, transcutaneous bilirubin (TCB) check and complete the state mandated newborn metabolic screening prior to discharge. Unless a provider has these completed, they do not discharge the infant. At hour of life, the first TBC came back at 12, which is considered “moderate-high risk”. Any infant with a TCB over is to draw a serum bilirubin, per policy 9/20/@ 02:Initial serum Bilirubin came with level (moderate-high) 9/20/@ RN reported the results and MD ordered to recheck hours after last draw The next level came back at 10.2, which was still considered moderate-high risks. 9/20/@RN reported the results and MD ordered another serum bilirubin to determine need for phototherapy treatment or if able to discharge patient. The result came back at 10.9, which the MD cleared the infant for discharge and to follow up the next day in the pediatrician office 9/21/17- infant sent to outpatient lab for a stat serum bilirubin to rule out need for treatment Level considered moderate-high again. 10/2/2017- infant back to lab for follow up labs- results within limits neonatal jaundice peaks on day 3-of life. To avoid readmissions to the peds unit, the infant was followed closely as he teetered in the moderate to high risk zone based on his hours of life and gestational age. Our providers err on the side of caution to avoid missed treatment opportunities while the patient is inpatient and readmissions
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
t, this is a big scam from Inova.They mentioned that "infants need to “pass” the required Critical congenital heart disease screen (CCHD), weight check, transcutaneous bilirubin (TCB) check and complete the state mandated newborn metabolic screening prior to discharge" why the charges for new born service charges [redacted] $1,438.00 for two days 09/18/17 and 09/19/17. Baby born on 09/18/2017 @11:10 PM. For 50 minutes of service they charged $1,438.00 for the day 09/18/17. On 09/19/2017 they have not given any services unless the BiliRubin tests and again [redacted] they charged $1,438.00 Total bill is for 3529.35 and claimed it for $8566.For Bilirubin tests and HC ADMIN HEP B VACCINE,HC SCREENING NEWBORN METABOLIC,HC CAPILLARY PUNCTURE they charged $8566 this is unethical and unlawful.
Complaint: [redacted]
I am rejecting this response because:I am rejecting this response because:We have joined in the hospital on 09/18/2017 Morning 9:30 AM, after experiencing the services quality and hospital facilities and the staff response and behavior during the stay till 09/18/2017, we had taken decision this is not the hospital for my baby to be treated. The staff is very rude and their response time is very long, their services are very bad. That is the main reason we asked for the discharge. We were asking for the discharge to join other facility and best doctors who can give best treatment to baby and mother. We have selected the doctors and facility, so we started walking out from the hospital. They took my baby and said us baby will not be discharged. We have the every right to choose the doctor or best facility for my baby. Inova hospital simply forgot patient rights they forcefully gave something which they are saying they give what ever they want no matter of patient interests and choices. Hospital staff behavior is worst in the world, doctors associated with Inova are less experienced. They could discharge us by taking document sign non responsibility and faxing the medical documents to my new provider. Why it is not happened if patient is not interested in Inova services and do not have the trust on Inova staff and doctors, Inova forcefully treated my baby and asking for the money. For Bilirubin tests do I need to pay the $8566. As these tests can be taken outside for $120. They say that on 9/20/17 @1500 result came back at 10.9 which risk is increassed when compared to 9/20/17 @ 02:15 why do they discharged even the risk incressed. All these test results are b
Regards,
[redacted]
We are still investigating the concern and will respond within the next 5 days. Thank you for your understanding and patience.
The balance of $10.54 has been adjusted and the account now has a zero balance.
October 7, 2016 Revdex.com Regarding: Billing Complaint...
Date of Service: 5/17/16 ID [redacted] Dear [redacted]: This letter is to confirm that the billing issue assigned ID [redacted] has been resolved directly with your client. This was accomplished by the Patient Relations Department of Inova Fair Oaks Hospital via multiple phone conversations and actions coordinated with Inova Patient Accounts. The concern was thoroughly investigated and it was determined that the patient was correctly billed. The account was discussed with your client, the father of the patient, and adjustments made in the spirit of community to his satisfaction. Should you have further questions or require assistance at any time, please do not hesitate to call me at ###-###-####. Sincerely, Dawn M. [redacted] MT (ASCP) CPC Director of Patient Relations, Decedent Affairs and Community Inova Fair Oaks Hospital
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response...
made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]