This patient has 2 accounts from 2011 that have been in collections since 2014. Payment plans were set up for $25.00 and this was defaulted numerous time which resulted in second placement collections. These accounts cannot be pulled back from collections and due to the age of the accounts...
internet is no longer an option. The patient can set up with the agency or GHS auto drafts to have the payments come directly each month.
The following email (see below) was sent to Mrs. [redacted] via MyChart yesterday (02/02/17) at 11:29am. Mrs. [redacted]'s $25.00 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 sooner. Our 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 records. He charged you for a destruction of a lesion and the allowed amount (that is set by your insurance company, not GHS) is $207.45. 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 insurance. The remaining balance on your account is $182.45. Thank-You, Amy D[redacted] Customer Service Supervisor
Good Afternoon, I have reviewed the account. The patient did not receive a billing statement until 10/1/2016 because her insurance denied one of the procedures on the claim and the denials department filed an appeal so we were waiting on the appeal decision. The decision was not received until...
9/21/2016 that informed that the denial was upheld. At that time is when the bill was released to the patient’s responsibility. We have recorded payments as the initial payment in the amount of $93.00 was posted on 11/2016 with our extended business service office [redacted] and that is the same company that entered the payment plan. The following payments were posted $93.00 on 12/2016, 1/2017, 4/2017 and the last payment posted was $651.00 on 5/2017. The patient total responsible balance was 1109.30 per the explanation of benefits. With the above payments the remaining outstanding balance is $86.30 which was forwarded to the collection agency [redacted] on 9/7/2017. If the patient has proof of payments for the months of February and March she would have to provide the checks for further payment posting research. At this time the balance remains outstanding and the patient responsible balance.Thanks, Alisa H[redacted]Patient Account AnalystCustomer Service
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. In addition, I would like for GHS to send me a paid in full letter as soon as possible.
Regards,
[redacted]
I HAVE REQUESTED THAT $99.00 BE FILED TO [redacted] STATE .PATIENT DONOT OWE BILL . I HAVE NOTIFIED [redacted] TO NOT CALL PATIENT .I HAVE REMOVED TAX OFFSET FROM ACCOUNT.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.
Portions of the complaint were never addressed (such as why payments I submitted to a payment plan were allocated...
to an account in dispute status). When responding this time, please be more thorough.I do see some changes (re-arranging essentially) of payments/history in my account. Unfortunately, I was not notified of this in any way whatsoever and discovered this myself prior to responding. I've been in contact with Steven M[redacted] (who works for [redacted] Management Specialists) aka the "GHS Executive Office" who was able to access my account and confirm the ABSURD amount of visible errors include. After discussing this complaint with him - and confirming the amount of billing errors within my account - I contacted [redacted]. They suggested I open a fraudulent claim against GHS for "abusive billing". I spoke with someone at their Fraud Report Line who informed me that since services were rendered (although redundantly) they couldn't continue with a fraud claim - but advised me to contact the local magistrate to push this case further - and they would be of assistance.[redacted] has advised at this time that due to the service rendered to me on February 26 (the account which was placed in dispute status by me) they have reflected this in their internal systems with the "quality of care" that GHS provides. I was informed this can ultimately affect if [redacted] decides to continue offering coverage at this location.After obtaining all of this information I contacted Steven M[redacted] again (GHS Billing) and asked if he would be willing to provide me with a statement of the "mess" he saw on his side. I informed him of my full intent to take this to the local magistrate and discuss my situation with the clerk there. He agreed and has sent me the email (attached .txt). All of this information can be easily verified. I would appreciate GHS to take an entire 5 minutes and correct my account with the care and professionalism that all patients and customers deserve.Do not brush this off again as it will resort in a small claims court filing - in which I will present this Revdex.com claim, Mr M[redacted]'s testimony and [redacted]'s assistance in proclaiming your services were inadequate. I will at that point push for full dismissal of this payment plan bill since GHS has breached contractual agreement and forced me to wade through many channels at my own expense(s) to get this corrected.
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.While I agree with the settlement amount, I still have yet been provided a statement from the collection agency so I don't know how or where to send payment. Until that is receiced, no payment will be made. It can be mailed to [redacted] Lane, [redacted] TN 3i119.
Regards,
[redacted]
October 17, 2017 Revdex.com Upstate SC Attn: Ms. Cindy R[redacted] Re: Complaint # [redacted] Thank you for the opportunity to respond to the additional points related to the response dated October 16, 2017. Please see responses below: · Regarding the question about which account balance is credited with the last monthly payments, those payments are going toward the newest account for date of service 3/7/2017. If patients are making payments in MY CHART, the system accepts those payments for the oldest date of service unless the patient specifies otherwise. · Medical Records did confirm that the request for amendment to the chart was received and a portion of the request for changes was approved. · The concern about medications was reviewed as part of the initial complaint by the Emergency Department Medical Director, the Vice Chair for Quality for Family Medicine, and the Director of Pharmacy at the time of the initial complaint. No absolute contraindications were found regarding the medications, but all medications have the potential for interaction and should be monitored. · The invitation to meet to discuss concerns about the overall patient experience is still open. Please let me know if you have additional questions or need further information. Sincerely, Gail S[redacted], MSN, RN, NEA-BC Manager, Patient & Family Relations
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. I was under the impression my Doc just ordered the abdominal CT scan. I can understand that a full body CT scan can cost more than an abdominal CT scan. However, [redacted] only charges $995 for a full body scan. GHS charged ~$5k for the same procedure - still five times higher.You can take my original complaint and replace the "GHS charged 10 times what [redacted] charges" with "5 times", and is still a valid complaint.Otherwise, none of the items in my original complaint have been addressed.
Regards,
[redacted]
Ms. R[redacted],Thank you for forwarding Mr. [redacted]’s concerns. We 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, again. Sincerely,Matt M[redacted], BSN, RNPatient and Family Relations(O) 864-[redacted](P) 864-[redacted]
This patient has 2 accounts from 2011 that have been in collections since 2014. Payment plans were set up for $25.00 and this was defaulted numerous time which resulted in second placement collections. These accounts cannot be pulled back from collections and due to the age of the accounts...
internet is no longer an option. The patient can set up with the agency or GHS auto drafts to have the payments come directly each month.
The following email (see below) was sent to Mrs. [redacted] via MyChart yesterday (02/02/17) at 11:29am. Mrs. [redacted]'s $25.00 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 sooner. Our 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 records. He charged you for a destruction of a lesion and the allowed amount (that is set by your insurance company, not GHS) is $207.45. 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 insurance. The remaining balance on your account is $182.45. Thank-You, Amy D[redacted] Customer Service Supervisor
Good Afternoon, I have reviewed the account. The patient did not receive a billing statement until 10/1/2016 because her insurance denied one of the procedures on the claim and the denials department filed an appeal so we were waiting on the appeal decision. The decision was not received until...
9/21/2016 that informed that the denial was upheld. At that time is when the bill was released to the patient’s responsibility. We have recorded payments as the initial payment in the amount of $93.00 was posted on 11/2016 with our extended business service office [redacted] and that is the same company that entered the payment plan. The following payments were posted $93.00 on 12/2016, 1/2017, 4/2017 and the last payment posted was $651.00 on 5/2017. The patient total responsible balance was 1109.30 per the explanation of benefits. With the above payments the remaining outstanding balance is $86.30 which was forwarded to the collection agency [redacted] on 9/7/2017. If the patient has proof of payments for the months of February and March she would have to provide the checks for further payment posting research. At this time the balance remains outstanding and the patient responsible balance.Thanks, Alisa H[redacted]Patient Account AnalystCustomer Service
The account has been corrected and I will reach out to the patient to let her know.
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. In addition, I would like for GHS to send me a paid in full letter as soon as possible.
Regards,
[redacted]
I HAVE REQUESTED THAT $99.00 BE FILED TO [redacted] STATE .PATIENT DONOT OWE BILL . I HAVE NOTIFIED [redacted] TO NOT CALL PATIENT .I HAVE REMOVED TAX OFFSET FROM ACCOUNT.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.
Portions of the complaint were never addressed (such as why payments I submitted to a payment plan were allocated...
to an account in dispute status). When responding this time, please be more thorough.I do see some changes (re-arranging essentially) of payments/history in my account. Unfortunately, I was not notified of this in any way whatsoever and discovered this myself prior to responding. I've been in contact with Steven M[redacted] (who works for [redacted] Management Specialists) aka the "GHS Executive Office" who was able to access my account and confirm the ABSURD amount of visible errors include. After discussing this complaint with him - and confirming the amount of billing errors within my account - I contacted [redacted]. They suggested I open a fraudulent claim against GHS for "abusive billing". I spoke with someone at their Fraud Report Line who informed me that since services were rendered (although redundantly) they couldn't continue with a fraud claim - but advised me to contact the local magistrate to push this case further - and they would be of assistance.[redacted] has advised at this time that due to the service rendered to me on February 26 (the account which was placed in dispute status by me) they have reflected this in their internal systems with the "quality of care" that GHS provides. I was informed this can ultimately affect if [redacted] decides to continue offering coverage at this location.After obtaining all of this information I contacted Steven M[redacted] again (GHS Billing) and asked if he would be willing to provide me with a statement of the "mess" he saw on his side. I informed him of my full intent to take this to the local magistrate and discuss my situation with the clerk there. He agreed and has sent me the email (attached .txt). All of this information can be easily verified. I would appreciate GHS to take an entire 5 minutes and correct my account with the care and professionalism that all patients and customers deserve.Do not brush this off again as it will resort in a small claims court filing - in which I will present this Revdex.com claim, Mr M[redacted]'s testimony and [redacted]'s assistance in proclaiming your services were inadequate. I will at that point push for full dismissal of this payment plan bill since GHS has breached contractual agreement and forced me to wade through many channels at my own expense(s) to get this corrected.
I posted a $25.00 adjustment to the account and the account should be with [redacted]
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.While I agree with the settlement amount, I still have yet been provided a statement from the collection agency so I don't know how or where to send payment. Until that is receiced, no payment will be made. It can be mailed to [redacted] Lane, [redacted] TN 3i119.
Regards,
[redacted]
October 17, 2017 Revdex.com Upstate SC Attn: Ms. Cindy R[redacted] Re: Complaint # [redacted] Thank you for the opportunity to respond to the additional points related to the response dated October 16, 2017. Please see responses below: · Regarding the question about which account balance is credited with the last monthly payments, those payments are going toward the newest account for date of service 3/7/2017. If patients are making payments in MY CHART, the system accepts those payments for the oldest date of service unless the patient specifies otherwise. · Medical Records did confirm that the request for amendment to the chart was received and a portion of the request for changes was approved. · The concern about medications was reviewed as part of the initial complaint by the Emergency Department Medical Director, the Vice Chair for Quality for Family Medicine, and the Director of Pharmacy at the time of the initial complaint. No absolute contraindications were found regarding the medications, but all medications have the potential for interaction and should be monitored. · The invitation to meet to discuss concerns about the overall patient experience is still open. Please let me know if you have additional questions or need further information. Sincerely, Gail S[redacted], MSN, RN, NEA-BC Manager, Patient & Family Relations
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. I was under the impression my Doc just ordered the abdominal CT scan. I can understand that a full body CT scan can cost more than an abdominal CT scan. However, [redacted] only charges $995 for a full body scan. GHS charged ~$5k for the same procedure - still five times higher.You can take my original complaint and replace the "GHS charged 10 times what [redacted] charges" with "5 times", and is still a valid complaint.Otherwise, none of the items in my original complaint have been addressed.
Regards,
[redacted]
Ms. R[redacted],Thank you for forwarding Mr. [redacted]’s concerns. We 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, again. Sincerely,Matt M[redacted], BSN, RNPatient and Family Relations(O) 864-[redacted](P) 864-[redacted]