Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.The sash supposedly has been ordered, no completion date ,no promise dateJust we will call when it comes inThey did bring out a sash to install and did so, but it was the wrong size and was taken out and the old sash reinstalledThey also broke a lock on the same window, and at present do not know how to order the replacement part! It has gone from bad to worseEIGHTEEN weeks in!! Regards, [redacted]
Good Morning, The coding has been updated and a corrected claim will be submitted to *** for further review and processingThe patient can disregard the received billing statement at this time until claim processing has been completed
I realize this complaint has been closed, but I have more information that needs to be addressed.GHS says my doctor’s office requested the full body CT scan, thus the high cost My doctor’s office just informed me that they only requested an abdominal and pelvic CT scan, and that GHS is in errorThanks,***
MsR***,Thank you for forwarding Mr [redacted] ’s concernsWe have reached out to Mr [redacted] to address his concerns via the contact information you provided below.We very much look forward to speaking with him to assess and resolve his poor experience to his his satisfaction and according to CMS guidelines.Please let me know if I may be of any further assistance.Thank you, againSincerely,Matt M [redacted] , BSN, RNPatient and Family Relations(O) 864- [redacted] (P) 864- [redacted]
The following email (see below) was sent to Mrs [redacted] via MyChart yesterday (02/02/17) at 11:29amMrs [redacted] 's $will not be refunded because she does not have a credit A true credit can only be refunded if you owe no other monies, this is explained in our consent for treatment which I have attached a copy of that was signed by Mrs [redacted] on 12/12/16.~~~~~~~copy of email below~~~~~~~~~~~~~~~~~~~Mrs [redacted] , I apologize for not getting back to you soonerOur refund policy is that no credits are to be refunded if you have any balance owed to [redacted] group or to GHS I have reviewed the charges by Dr [redacted] and compared them to your medical recordsHe charged you for a destruction of a lesion and the allowed amount (that is set by your insurance company, not GHS) is $We are required to bill you what your insurance company tells us to bill you It's coded correctly according to the service provided and that cannot be changed The fee for this service is reasonable and customary for this procedure and a discount was given to you by your insuranceThe remaining balance on your account is $Thank-You, Amy D [redacted] Customer Service Supervisor
We met with Mr*** last week and we are working with our factory to get this resolved We will be getting back with him this week about possible solutions
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID *** and have determined that this does not resolve my complaint. Thank you for the thorough response - it showed much more effort than the previous one - however, there is still information that was left out - specifically points. GHS has breached their own contractual payment plan agreement by mis-allocating my $payments to "oldest accounts first" (which I've learned is their standard practice)This has been admitted by their billing department and (without communication or consulting me further) "refunds" and adjustments were made on my account (per Steve M***'s declaration)As explained over the phone recently, the appeals paperwork which I did not return was for an entirely unrelated incident involving Dr***If you check your records you'll find that I submitted official paperwork to GHS through Patient and Family relations (just as you stated) requesting that Dr L***'s mistake of prescribing me Crestor (a dangerous statin) be removed from my medical recordsI requested this be removed only AFTER getting a second opinion from another doctor that told me my cholesterol levels were perfect - as well as a family NP initially disagreeing with Dr L***'s assessmentHe flippantly denied updating my medical recordsIt was pretty much pointless to "appeal" this since everyone working within GHS have the same attitudeThere is no concern for actually correcting anything or making sure people are taken care of the way they should be, but rather closing cases and passing the buckThe entire system has a general attitude of patient disregard - very much highlighted in my encounters with Dr L*** (and his flippant, pointless denial of updating my medical records) and DrR** (which leads to point 3)The dates mentioned in the response (2/and 2/16) were both ER visits where I saw Dr R**I left on 2/with a prescription from DrM*** that was "life threatening" and interacts with my daily medicationThe second trip I left with prescriptions from DrR** that interacted with my medication and was also "life threatening"The prescription from DrR** was carafate which lines the stomach preventing a large number of daily medications from being absorbed (essentially rendering them useless) This includes the medication prescribed by my my neurologistI believe DrR**'s response was "flags are thrown in the system to indicate drug interactions, but sometimes you have to weigh the pros and the cons"In this case - having a seizure vs prescribing something for his diagnosis of gastritisFurthermore, local working professionals (within GHS) have backed my argument that I should NEVER have been prescribed either of these medications on either visit as they could have very easily led to situations that endangered my life (such as operating a vehicle)Additionally, I've explained these visits to *** *** who has NOW FLAGGED THEIR FACILITIES AS PROVIDING AN INFERIOR LEVEL OF CAREThey informed me this will affect whether *** contracts with themThis can easily be confirmed as well. As to why I didn't show with a meeting (I shouldn't even have to explain myself, but) I had just bought a house, didn't ever receive communication regarding this matter from anybody and felt entirely blown off - much like I still do now.I'm down to have a face to face meeting still - but it will be regarding my bill from 2/which *** has urged me to discuss with the county clerkThey have advised me that while they will be unable to assist directly in legal matters, that their flagging the facility as "inadequate" in direct response to the services provided on 2/will assist my case - along with the "dedicated, kind and thorough" responses that have been documented through this official channel. Steve M*** (who works in the GHS Executive Office - which is fancy talk for the company GHS contracts based in FL) has provided an email along with permission for me to use itHe has informed me that after I originally opened this Revdex.com complaint regarding questions about "where's my money going?" my account is "screwed up"He sees refunds and all types of issues that he was having problems explaining - all of which (of course) were not disclosed to meI had opened this complaint, which had triggered GHS Billing to correct their errors (without communication)I've also requested a complaint billing history (hard copies) from GHS as well as complete EOB from ***Comparing the has already arrived at significant billing issues which *** is looking into now (and those don't necessarily look great considering GHS already attempted to over bill for the 2/visit) *** *** has been very helpful and I feel like they are on my side - combating GHS's complete ineptitudeThey submit bills incorrectlyThey don't listen to patientsThey flippantly disregard requests for medical record adjustments even with proven second opinionsThey prescribe medications that can kill patientsThey cannot answer billing questions correctly - leaving Revdex.com the only option to PULL answers out of them. GHS is a complete failure and nobody wants to suck it up and admit it. Additionally, *** has urged me to contact an insurance protection organization based out of Texas to go after DrR** for what they consider "over-charging" for an ER doctorThey also insisted that I report him to the Medical Examiner
Regards,
*** ***
Mr*** will not answer or return any of our calls or messages We have gone by the home and left a door hanger asking for him to call us backWe would like to get the problem resolved, but given the fact that we are unable to communicate with the customer, we are at an standstill
Please advise *** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***,
and the response did resolve the specific billing issue I had with GHSHowever I don't know whether any changes have been made to the GHS billing process that would prevent similar issues for myself or other customers in the futureThe issue was that the computer phone calls made to me as a customer did not provide sufficient information, and there was no way to contact them for more information at the phone number provided in the message
Regards,
*** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***
The CT was ordered by Internal Medicine due to Hx diverticulosiskidney stonesThe balance on the account is due to the deductible with his insuranceDeductible amount $2074.18Coinsurance $
Revdex.com:
I have reviewed the response made by the business in reference to complaint
ID ***, and have determined that this does not resolve my complaint.
The facility failed to explain the possible expenses and if I had known this is how much they would bill me for, I would have refused the treatmentIt is not a honest practice.
Regards,
*** ***
Thank you for your feedbackI apologize for the delay in installation as well as any gaps in communication that may have occurredIt is my understanding that your project has been brought to completion as of July Should you need anything further, please reach out to me directly
Best regards, *** ***Division Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. I received an automated phone
call last evening (2/27/18) from GHS saying my account balance is overdueThere is no date visible on their response to you, claiming they have corrected their errorEven if it was today, I am skeptical since I got the call asking for payment last nightI want to receive a written statement from GHS detailing their correction of their error
Regards,
*** ***
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.The sash supposedly has been ordered, no completion date ,no promise dateJust we will call when it comes inThey did bring out a sash to install and did so, but it was the wrong size and was taken out and the old sash reinstalledThey also broke a lock on the same window, and at present do not know how to order the replacement part! It has gone from bad to worseEIGHTEEN weeks in!! Regards, [redacted]
Good Morning, The coding has been updated and a corrected claim will be submitted to *** for further review and processingThe patient can disregard the received billing statement at this time until claim processing has been completed
I realize this complaint has been closed, but I have more information that needs to be addressed.GHS says my doctor’s office requested the full body CT scan, thus the high cost My doctor’s office just informed me that they only requested an abdominal and pelvic CT scan, and that GHS is in errorThanks,***
MsR***,Thank you for forwarding Mr [redacted] ’s concernsWe have reached out to Mr [redacted] to address his concerns via the contact information you provided below.We very much look forward to speaking with him to assess and resolve his poor experience to his his satisfaction and according to CMS guidelines.Please let me know if I may be of any further assistance.Thank you, againSincerely,Matt M [redacted] , BSN, RNPatient and Family Relations(O) 864- [redacted] (P) 864- [redacted]
Please know we spoke with patient today, and a resoultion has been agreed by pt and GHSThanks
The following email (see below) was sent to Mrs [redacted] via MyChart yesterday (02/02/17) at 11:29amMrs [redacted] 's $will not be refunded because she does not have a credit A true credit can only be refunded if you owe no other monies, this is explained in our consent for treatment which I have attached a copy of that was signed by Mrs [redacted] on 12/12/16.~~~~~~~copy of email below~~~~~~~~~~~~~~~~~~~Mrs [redacted] , I apologize for not getting back to you soonerOur refund policy is that no credits are to be refunded if you have any balance owed to [redacted] group or to GHS I have reviewed the charges by Dr [redacted] and compared them to your medical recordsHe charged you for a destruction of a lesion and the allowed amount (that is set by your insurance company, not GHS) is $We are required to bill you what your insurance company tells us to bill you It's coded correctly according to the service provided and that cannot be changed The fee for this service is reasonable and customary for this procedure and a discount was given to you by your insuranceThe remaining balance on your account is $Thank-You, Amy D [redacted] Customer Service Supervisor
I have checked patient hospital accounts and we donot have a balance for the patient.Patient need to contact [redacted]
We met with Mr*** last week and we are working with our factory to get this resolved We will be getting back with him this week about possible solutions
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID *** and have determined that this does not resolve my complaint. Thank you for the thorough response - it showed much more effort than the previous one - however, there is still information that was left out - specifically points. GHS has breached their own contractual payment plan agreement by mis-allocating my $payments to "oldest accounts first" (which I've learned is their standard practice)This has been admitted by their billing department and (without communication or consulting me further) "refunds" and adjustments were made on my account (per Steve M***'s declaration)As explained over the phone recently, the appeals paperwork which I did not return was for an entirely unrelated incident involving Dr***If you check your records you'll find that I submitted official paperwork to GHS through Patient and Family relations (just as you stated) requesting that Dr L***'s mistake of prescribing me Crestor (a dangerous statin) be removed from my medical recordsI requested this be removed only AFTER getting a second opinion from another doctor that told me my cholesterol levels were perfect - as well as a family NP initially disagreeing with Dr L***'s assessmentHe flippantly denied updating my medical recordsIt was pretty much pointless to "appeal" this since everyone working within GHS have the same attitudeThere is no concern for actually correcting anything or making sure people are taken care of the way they should be, but rather closing cases and passing the buckThe entire system has a general attitude of patient disregard - very much highlighted in my encounters with Dr L*** (and his flippant, pointless denial of updating my medical records) and DrR** (which leads to point 3)The dates mentioned in the response (2/and 2/16) were both ER visits where I saw Dr R**I left on 2/with a prescription from DrM*** that was "life threatening" and interacts with my daily medicationThe second trip I left with prescriptions from DrR** that interacted with my medication and was also "life threatening"The prescription from DrR** was carafate which lines the stomach preventing a large number of daily medications from being absorbed (essentially rendering them useless) This includes the medication prescribed by my my neurologistI believe DrR**'s response was "flags are thrown in the system to indicate drug interactions, but sometimes you have to weigh the pros and the cons"In this case - having a seizure vs prescribing something for his diagnosis of gastritisFurthermore, local working professionals (within GHS) have backed my argument that I should NEVER have been prescribed either of these medications on either visit as they could have very easily led to situations that endangered my life (such as operating a vehicle)Additionally, I've explained these visits to *** *** who has NOW FLAGGED THEIR FACILITIES AS PROVIDING AN INFERIOR LEVEL OF CAREThey informed me this will affect whether *** contracts with themThis can easily be confirmed as well. As to why I didn't show with a meeting (I shouldn't even have to explain myself, but) I had just bought a house, didn't ever receive communication regarding this matter from anybody and felt entirely blown off - much like I still do now.I'm down to have a face to face meeting still - but it will be regarding my bill from 2/which *** has urged me to discuss with the county clerkThey have advised me that while they will be unable to assist directly in legal matters, that their flagging the facility as "inadequate" in direct response to the services provided on 2/will assist my case - along with the "dedicated, kind and thorough" responses that have been documented through this official channel. Steve M*** (who works in the GHS Executive Office - which is fancy talk for the company GHS contracts based in FL) has provided an email along with permission for me to use itHe has informed me that after I originally opened this Revdex.com complaint regarding questions about "where's my money going?" my account is "screwed up"He sees refunds and all types of issues that he was having problems explaining - all of which (of course) were not disclosed to meI had opened this complaint, which had triggered GHS Billing to correct their errors (without communication)I've also requested a complaint billing history (hard copies) from GHS as well as complete EOB from ***Comparing the has already arrived at significant billing issues which *** is looking into now (and those don't necessarily look great considering GHS already attempted to over bill for the 2/visit) *** *** has been very helpful and I feel like they are on my side - combating GHS's complete ineptitudeThey submit bills incorrectlyThey don't listen to patientsThey flippantly disregard requests for medical record adjustments even with proven second opinionsThey prescribe medications that can kill patientsThey cannot answer billing questions correctly - leaving Revdex.com the only option to PULL answers out of them. GHS is a complete failure and nobody wants to suck it up and admit it. Additionally, *** has urged me to contact an insurance protection organization based out of Texas to go after DrR** for what they consider "over-charging" for an ER doctorThey also insisted that I report him to the Medical Examiner
Regards,
*** ***
Mr*** will not answer or return any of our calls or messages We have gone by the home and left a door hanger asking for him to call us backWe would like to get the problem resolved, but given the fact that we are unable to communicate with the customer, we are at an standstill
Please advise *** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***,
and the response did resolve the specific billing issue I had with GHSHowever I don't know whether any changes have been made to the GHS billing process that would prevent similar issues for myself or other customers in the futureThe issue was that the computer phone calls made to me as a customer did not provide sufficient information, and there was no way to contact them for more information at the phone number provided in the message
Regards,
*** ***
Below are the Charge Summary:Rev Code Description Billed Amount *** Labs $332.30*** CT Scan Body Scan $4600.00*** Pharmacy $50.00 Detailed charges: Code Description Rev Code Amount *** HC Testosterone Free (labs) $162.40*** HC Testosterone Total (labs) $169.90*** HC CT Abdomen & Pelvis w/ contrast (radiology) $4600.00*** Iohexol (pharmacy) $
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***
The collection company Receivable Solutions contacted me and told me that they will be deleting the items from my cresit report
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***
I have reduced the balance by $the cost of the EKG leaving the patient a balance of $as a one time administrative adjustment
The CT was ordered by Internal Medicine due to Hx diverticulosiskidney stonesThe balance on the account is due to the deductible with his insuranceDeductible amount $2074.18Coinsurance $
Revdex.com:
I have reviewed the response made by the business in reference to complaint
ID ***, and have determined that this does not resolve my complaint.
The facility failed to explain the possible expenses and if I had known this is how much they would bill me for, I would have refused the treatmentIt is not a honest practice.
Regards,
*** ***
Thank you for your feedbackI apologize for the delay in installation as well as any gaps in communication that may have occurredIt is my understanding that your project has been brought to completion as of July Should you need anything further, please reach out to me directly
Best regards, *** ***Division Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. I received an automated phone
call last evening (2/27/18) from GHS saying my account balance is overdueThere is no date visible on their response to you, claiming they have corrected their errorEven if it was today, I am skeptical since I got the call asking for payment last nightI want to receive a written statement from GHS detailing their correction of their error
Regards,
*** ***