Beacon Orthopaedics & Sports Medicine

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.? For your reference, details of the offer I reviewed appear below There were numerous CPT codes that I was billed for and when I called billing to discuss all of the CPT codes they told me what they wereI did not have all of the things performed that were billed! Regards, [redacted]

[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 If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.] 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 I received the check and I am happy with the results Thank you for who ever helped my case along I am glad it is resolved and can put it behind me I'm not sure if the result is due to the Revdex.com or if the patient advocate helped to bring this frustration to a close I do hope in the future that the staff at Beacon will acknowledge mistakes and choose to rectify them in a timely manner so as to not give their organization a negative review Regards, [redacted] ***

To Whom it May Concern,Prior to any major medical service, including an MRI, we give the patient financial estimates of their out of pocket costsWe use a? third party software that links to the insurance payers websites that tells us what the possible deductible, copay, coinsurance may beAt the time that this report was ran, [redacted] (his insurance) told us that his deductible was metWe relayed this information to the patientAs stated on the financial agreement signed by the patient, it is his responsibility to check eligibility and benefit levels with his insurance companyThe numbers we provide are only an estimate based on the information the patient's insurance gives us and can change at anytimeWe have no control over what his insurance decides to pay or not payWe must follow what they tell us, which in this case is a deductible amount of There was no intent to deceive the patient in any wayUnfortunately, medical benefits can change on a daily basis depending on what the insurance company doesIt is always the patient's responsibility to contact their insurance company and confirm our estimates

[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? If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply? Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.] 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? I received the check and I am happy with the results? Thank you for who ever helped my case along? I am glad it is resolved and can put it behind me? I'm not sure if the result is due to the Revdex.com or if the patient advocate helped to bring this frustration to a close? I do hope in the future that the staff at Beacon will acknowledge mistakes and choose to rectify them in a timely manner so as to not give their organization a negative review? Regards, [redacted] ***

[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 If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.] 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 Thank you

[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? If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply? Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.] 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.? Thank you

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.? For your reference, details of the offer I reviewed appear below There were charges on my bill that did not happenI received printed paper work time and was charged for it multiple times.? There were also other charges I was billed for and it was lot doneI was told I would have to pay it because paperwork said it was done Regards, [redacted]

The customer in the complaint had surgery with us on 3/9/ Our company policy for surgery is to collect any out-of-pocket cost the patient will be responsible for after the insurance claim is processed At time of surgery, she had a $2,deductible which we collected from her
The patients insurance, Blue Cross Blue Shield, continued to hold the processing of her claim by requesting medical records for the surgeryThe claim was fully processed in August Due to the delay in processing the claim, the patients deductible had already been met On Tuesday, October 25th, Beacon mailed a refund check of $1,(the credit amount on her account) which the customer should receive shortlyWe apologize for any delay in our refund process

See attached document.BEACONOrthopaedics & Sports MedicineTo whom this may concern,Regarding the patient response from ID***,Thank you for bringing up your concerns about your physical therapy visitsWe do not bill patients for therapy paperwork that is brought home with themIf this is related tothe self care/home management charge (***) from the first therapy visit, this chargewas incorrectly billed and has been voidedThe patella mobilization and passive rangeof motion were performed all but one of the visits under the cpt code (***)Thiswas performed by the physical therapist during those visits and therefore is a validchargeIf there is anything else we can do, please let us know. Sincerely,Beacon Orthopaedics and Sports Medicine

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. For your reference, details of the offer I reviewed appear below
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
*** ***There were numerous CPT codes that I was billed for and when I called billing to discuss all of the CPT codes they told me what they wereI did not have all of the things performed that were billed! When I originally talked to the manager they knew all the charges I was disputingWhen he got back to me he basically said, sorry we believe our people not the customerI think I should be reimbursed the $170.I no longer have the bill, I was referring to notes that I made that had the amountThe managers name was Jason

I no longer have the bill, I was referring to notes that I made that had the amountThe managers name was Jason

[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 If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
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 I received the check and I am happy with the results Thank you for who ever helped my case along I am glad it is resolved and can put it behind me I'm not sure if the result is due to the Revdex.com or if the patient advocate helped to bring this frustration to a close I do hope in the future that the staff at Beacon will acknowledge mistakes and choose to rectify them in a timely manner so as to not give their organization a negative review
Regards,
*** ***

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. For your reference, details of the offer I reviewed appear below
There were numerous CPT codes that I was billed for and when I called billing to discuss all of the CPT codes they told me what they wereI did not have all of the things performed that were billed!
Regards,
*** ***

To Whom it May Concern,Prior to any major medical service, including an MRI, we give the patient financial estimates of their out of pocket costsWe use a third party software that links to the insurance payers websites that tells us what the possible deductible, copay, coinsurance may beAt
the time that this report was ran, *** (his insurance) told us that his deductible was metWe relayed this information to the patientAs stated on the financial agreement signed by the patient, it is his responsibility to check eligibility and benefit levels with his insurance companyThe numbers we provide are only an estimate based on the information the patient's insurance gives us and can change at anytimeWe have no control over what his insurance decides to pay or not payWe must follow what they tell us, which in this case is a deductible amount of There was no intent to deceive the patient in any wayUnfortunately, medical benefits can change on a daily basis depending on what the insurance company doesIt is always the patient's responsibility to contact their insurance company and confirm our estimates

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. For your reference, details of the offer I reviewed appear below.There were charges on my bill that did not happenI received printed paper work time and was charged for it multiple times. There were also other charges I was billed for and it was lot doneI was told I would have to pay it because paperwork said it was done.Regards,*** ***

To whom it may concern,I would like to apologize for the inconvenience the patient had to go through. We have spoken to our billing supervisor and are addressing the concern regarding the length of wait time it took to get a hold of a billing representative. The address we have on file
for the patient has been corrected, so it matches what the patient wrote down on their registration. Currently, the patient has no statements that are in collections. Regarding x-rays being taken during a visit, the physician reviews the patient’s history of present illness and examines the injured area. Similar to this patients visit, the physician thought x-ray images were needed in order to correctly diagnose the patientX-ray images rule out more than just broken bones such as structure abnormalities, correct bone alignment, as well as any inflammation that wouldn’t otherwise be recognized without imagingRegarding the patient’s physical therapy visit, the physician wanted the patient to be seen for one therapy evaluation and then start the home therapy exercisesThe reason the physician ordered the one time physical therapy evaluation was to have the therapist look at further patient deficits, allow the therapist to create a customized program specific to the patient, and have the patient demonstrate exercises to the therapist to make sure they are done properly so no further injuries could occur. *** *** *** *** *** *** *** *** *** *** *** *** *** *** If there is anything else needed at this time, please let us know.Sincerely,Beacon Orthopaedics and Sports Medicine

See attached document.To whom this may concern,Regarding the customer ID***Thank you for your responseWhen you originally spoke to the manager, heunderstood your concerns about specific chargesAfter that phone call, he discussedyour concerns with the physical therapist to make sure the charges were accuratelybilledAfter thoughtful discussion and looking at the notes for each visit, it was foundthat the self-care charge (***) was incorrectly billed from the date of service12/26/and was subsequently voidedWith regards to the cpt code *** for manualtherapy, it was found that manual therapy was performed on five of the visits fromdates of service: 12/20/17, 12/26/17, 1/3/18, 1/5/18, and 1/10/18.Your statements have been mailed for each of those five visits where the (***) chargewas billed, as well as documentation from the physical therapist with the servicesperformed at each visitOn that documentation, there is line titled "Manual" thatshows when passive range of motion (PROM) and/or patella mobilization (***) wereperformed.If there is anything else we can do, please let us know. Sincerely,Beacon Orthopaedics and Sports Medicine

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. For your reference, details of the offer I reviewed appear below
Of course PT will say they did it when it was supposed to be doneMy daughter was with me on a few of those times and knows
Regards,
*** ***

BEACON Orthopaedics & Sports MedicineTo whom it may concern,Regarding the patient review from ID***The patient received patella mobilization and passive range of motion in all but one ofher follvisitsPassage range of motion and joint mobilizations are billed underthe manual
therapy change (***)No massage was done, but massage was not billedfor this patientWith the above reasons, the charges for the therapy visits are valid.Sincerely,Beacon Orthopaedics and Sports Medicine

To whom it may concern,I would like to apologize for the inconvenience the patient had to go through.? We have spoken to our billing supervisor and are addressing the concern regarding the length of wait time it took to get a hold of a billing representative.? The address we have on file
for the patient has been corrected, so it matches what the patient wrote down on their registration.? Currently, the patient has no statements that are in collections.? Regarding x-rays being taken during a visit, the physician reviews the patient’s history of present illness and examines the injured area.? Similar to this patients visit, the physician thought x-ray images were needed in order to correctly diagnose the patientX-ray images rule out more than just broken bones such as structure abnormalities, correct bone alignment, as well as any inflammation that wouldn’t otherwise be recognized without imagingRegarding the patient’s physical therapy visit, the physician wanted the patient to be seen for one therapy evaluation and then start the home therapy exercisesThe reason the physician ordered the one time physical therapy evaluation was to have the therapist look at further patient deficits, allow the therapist to create a customized program specific to the patient, and have the patient demonstrate exercises to the therapist to make sure they are done properly so no further injuries could occur.? *** *** *** *** *** *** *** *** *** *** *** *** *** ***? If there is anything else needed at this time, please let us know.Sincerely,Beacon Orthopaedics and Sports Medicine