Chiropractic Care Center

Dear Sir or Madam:Being in practice for years, this is the first accusation I have ever received (complaint warrented filed against this company about an xray technician not being certified.) and it is in error(My complaint is not in error, all documented)My response to the complaint of patient, wherein she states: "Ireceived services from Chiropractic Care CenterThey never submitted billings to my insurancecompany (my railroad medicare)They filed a lien against me which I never received and they made me pay 100% of thebillingThey made no effort to contact me whatsoever for a year." As to the patient's "desired settlement": "I want 100% of my money returned$1,570.39} and my insurance company (my railroad medicare) billedI will then pay my patient responsibilityIncluded inthis $1,is $which I paid for medical records (provided to at fault insurance ProgressiveThis was billed to Progressive April by this office but was not paid as of July 2015)This was also paid by my insurance company (the at fault insurance Progressive August and has cleared Progressive bank as cashedThis Chiropractic Care Center is double dipping.) The chiropractor has received this payment twice and not refunded the amount to me."The patient did receive care from our clinic for injuries in her collision on6/21/VVe did submit billings to her insurance company (P.I.Ponly) until her policy wasexhausted by all claims submitted by all (incorrect) medical care providers: ( have NO clue where they got this informationThe following list in totally incorrect)StPeters, ER,Radiologist, ambulance, our clinic, etcPatient was advised by our office (I repreatedly informed this office that they had not submitted any billings to my PIP and that soon it would be all used upI also brought them documentation several times and informed them to the effect that the PIP was gone) and herown insurance company that her PIP coverage had been exhaustedVVe did file alien to protect patients outstanding balance due to our clinicFiling a lien is anindustry standard for this specific circumstance (None of the medical professionals I received services from ever have done this!)Patient acknowledged the potentialfiling of a lien in her signing of Policy Regarding Insurance & Financial Obligation"dated June 25, Patients' claim has been released with the Thurston CountyAuditor and she will be receiving a copy of the Release of Lien in the next daybusiness days (this company had not told the truth in the pastI do not believe thisAs of this date I have not received any documentation related to this) As to medical records expense, patient was mailed a check for $to her current address (this company has not told the truth in the past and I do not believe thisEven in this statement no date check was written or date mailed has been disclosedAs of this date I have received nothing, no communication what so ever from them), which is the same address she providedthe Revdex.comThe check has not been cashed, nor has the clinic received the check backas "return to sender" or "address undeliverable" by the US Postal ServiceIf patientdesires, we can put a stop payment on that check and reissue her another check Patient settled with the third party insurance company (this has nothing to do with why this company never submitted any claims to my insurance railroad medicareOn day one 6/25/this office was provided my RR medicare card informationWhy did this office not send any bills to RRMedicare and then send me a bill??? It is as simple as send claims to my insurance RRmedicare and then send me a billBut instead they did nothing but jump to obtaining a lien against me without contacting me what so everI contacted this office monthly asking them when they were going to bill my insurance RRmedicare; at which they told me they would look into it) and this could nothappen until the clinic balance had been paid, which is the sole purpose of the lien.· Patient came in ( I had NO knowledge of any lien as this office never communicated with me at all and told me nothing every month I contacted them to inquire as to when they would be submitting billing to my insurance RRmedicare and send me a bill), argued and ultimately paid the balanceShe then returneddemanding a full refund, arguing that she wanted us to bill Medicare, which we hadalready been in the process of doing over the past several months ( this statement is incorrectJuly 2015, He did not even know what status these bills were inHe stated he would write the $per visit offAfter he left his small office room to go talk with the billing clerk he came back and informed me this office did not have a number in order to bill RRmedicare, but he would look into itWhich I found out was a non-truth, this office had had a number to bill RRmedicare since January Just as I contacted this office monthly I also called RRmedicare monthly to ask if any claims had been submitted by this office; which they told me NO claims had ever been sent to them from this office to date.), without success, as patient had Medicare Railroad coverage which is a branch of Medicare we have never billed beforeBilling is a very involved process ( on the contrary, the process is extremely simple: a phone call to RRmedicare and they would ask this office all the questions to obtain all the information to enroll this office for RRmedicare billingOnce the phone call application is done it takes days to receive a "PTAN" #Then this office can choose to immediately do billing paper mailed or electronic filingsElectronic filing process takes daysThese submitted claims/bills are processed within days)( This office received my RRmedicare card 6/25/and they would have received this PTAN # far in advance for any billing that would have needed to be done.), especially at the Federal level, and the process we are continuing to work through on behalf of this patient (again a non-truthAs to date nothing has been submitted to my insurance RRmedicareI had to submit all this office bills to RRmedicare in order to start the process),specificallyThe clinic has no legal obligation to bill Medicare Railroad on behalf ofpatient (6/25/this office told me they would bill my insurance RRmedicare after PIP was exhausted.), yet we are doing so as a courtesy to this patientMost offices would havesimply refused to process further than what we have (All the medical office/professionals I have gone to have submitted bills to my insurance RRmedicare with NO problemthese offices have been paid by RRmedicare and by me), specifically based on thebehavior of patientHowever, we are committed to following through w\\th our bestefforts to obtain whatever allowed amounts Medicare may or may not pay, and willbe provided to patient as a refund, as this is industry standard and procedure As previously stated, I have been in business for years and my reputation,character and integrity are the most important to mePatient is unaware ormisunderstanding of the processing of claims such as this (on the contrary I explained to this office what they should do for over monthsThis office is so inept and has appauling billing practices.)I have copies of alldocumentations referenced above and can provide them to youPlease contact meif you have any further questions or require any further documentation.Thank you

***Please view attached document [redacted] Dear Sir or Madam: I write in response to patient's 3rd response to the Revdex.com I stand corrected, the correct amount of chiropractic services is actually less than I previously stated; it is $550.03, which is the $710.21, less the medical records of $ No person in our office would have any idea of the balance of patient's PIP coverage, as all of the various providers she saw for care regarding this automobile collision would all be submitting their claims for paymentAs to her statement our office would even say to her: "Yes Medicare covers massages" is completely ridiculous: EVERYONE knows Medicare does not cover massageTo indicate or say our office was keeping track on a visit by visit basis as she alleges is completely not correct and did not happen in this officeThis patient was being seen for an automobile collision NOT RR Medicare Bills could not be submitted without the PTAN numberOnce we had the PTAN number, the bills we submitted were never accepted by RR Medicare Again, RR Medicare never accepted any of the claims we submitted The clinic files a lien in any automobile case where we feel unsure our bill will be paidPatient signed and acknowledged, on June 25, 2014, our Policy Regarding Insurance & Financial Obligation, where it states: that we will file a lien and wait for financial settlement to receive payment for our services Patient did pay her outstanding balance at our clinic because of the lienShe could not receive settlement of her claim against the third party insurance carrier without paying our balance Patient returned to our office demanding a full refund for services she received relating to this automobile collision There were no weeks delayedA check was mailed via certified mail on November 17, 2015, the same day we mailed our response to Revdex.com where in our letter to Revdex.com we indicated we would reissue a new check to patient, along with another copy of the recorded Release of Lien and we didPatient did not sign for the acceptance of this letter untildays later Our office staff does not work for free: to have a round the clock staffing during closed office hours does not happen LIVANTA is authorized by Medicare to review medical services provided to Medicare patients to determine if the care met professionally recognized standards of care: and we didThis patient's claims were for an automobile collision not Medicare Again, patient's referral was NOT for a Medicare claim, it was for an automobile collision This patient received care and treatment by our office for an automobile collision not for Medicare We received correspondence and then had conversations with [redacted] wherein patient continue to come back to her credit card receipt of $1,410.21, which actually included both the $charges in massage, which Medicare does not cover and the $charges for chiropractic Of the $charges, RR Medicare would have paid $Because we told patient we would attempt to bill Medicare and if we received payment from RR Medicare, those monies would be refunded to herAt the very beginning of this, we offered to reimburse patient the amount of money RR Medicare would have paid had they accepted the claim After talking to [redacted] , we wrote and again offered to refund patient $285.25, which is the amounts [redacted] would have paid for covered servicesAs of this date, patient has not accepted our certified letter, so we are just waiting to see what she chooses to do As to patient's statements "CCC has also gone beyond the "scope of practice" is not correct: DrSteven *S***, MD, FACEP, Medical Director of LIVANTA, LLC review of our records found..."the care provided met the professionally recognized standard of care." In conclusion, this patient received chiropractic care and massage therapy services at our clinic for an automobile collision she was involved in and she is responsible for her billThis patient is asking us to provide care to her without reimbursementYou cannot run a business by providing a service and not be paid for those services, and it is not unreasonable to expect to be paidPatient appears to want nothing less than a full refund for the chiropractic care and her massage therapy services she received, which we cannot do It is truly our desire to have resolution with this patient, and have made multiple offers to patient in our efforts to have resolve, without success Thank you

Complaint: ***
It is plain that CCC does NOT have a clue what they talking about and are in direct contradiction of what the chiros in the office said and what the office staff says
It is clear they will never admit they screwed up big time! & that this office has displayed egregious action & totally inept as how to handle billing
I will NEVER accept anything from CCC except $1578.39 the total amount returned to me that I paid & owed me(and even stated and according to Medicare)
This office is so delusional!
I will repeat everything I have stated in the past and provided documentation to!
All CCC wants to do is lie & I for one have provided documentation for all my statements, unlike what CCC has not done

Dear Sir or Madam:Being in practice for 28 years, this is the first accusation I have ever received (complaint warrented filed against this company about an xray technician not being certified.) and it is in error(My complaint is not in error, all documented). My response to the complaint of patient, wherein she states: "Ireceived services from Chiropractic Care Center. They never submitted billings to my insurancecompany (my railroad medicare). They filed a lien against me which I never received and they made me pay 100% of thebilling. They made no effort to contact me whatsoever for a year."
As to the patient's "desired settlement": "I want 100% of my money returned$1,570.39} and my insurance company (my railroad medicare) billed. I will then pay my patient responsibility. Included inthis $1,570 is $160 which I paid for medical records (provided to at fault insurance Progressive. This was billed to Progressive April 2015 by this office but was not paid as of July 2015). This was also paid by my insurance company (the at fault insurance Progressive August 2015 and has cleared Progressive bank as cashed. This Chiropractic Care Center is double dipping.).
The chiropractor has received this payment twice and not refunded the amount to me."The patient did receive care from our clinic for injuries in her collision on6/21/14. VVe did submit billings to her insurance company (P.I.P. only) until her policy wasexhausted by all claims submitted by all (incorrect) medical care providers: ( have NO clue where they got this information. The following list in totally incorrect)St. Peters, ER,Radiologist, ambulance, our clinic, etc. Patient was advised by our office (I repreatedly informed this office that they had not submitted any billings to my PIP and that soon it would be all used up. I also brought them documentation several times and informed them to the effect that the PIP was gone) and herown insurance company that her PIP coverage had been exhausted. VVe did file alien to protect patients outstanding balance due to our clinic. Filing a lien is anindustry standard for this specific circumstance (None of the medical professionals I received services from ever have done this!). Patient acknowledged the potentialfiling of a lien in her signing of Policy Regarding Insurance & Financial Obligation"dated June 25, 2014. Patients' claim has been released with the Thurston CountyAuditor and she will be receiving a copy of the Release of Lien in the next 10 daybusiness days (this company had not told the truth in the past. I do not believe this. As of this date I have not received any documentation related to this).
As to medical records expense, patient was mailed a check for $160.18{Check No. 18629} to her current address (this company has not told the truth in the past and I do not believe this. Even in this statement no date check was written or date mailed has been disclosed. As of this date I have received nothing, no communication what so ever from them), which is the same address she providedthe Revdex.com. The check has not been cashed, nor has the clinic received the check backas "return to sender" or "address undeliverable" by the US Postal Service. If patientdesires, we can put a stop payment on that check and reissue her another check.
Patient settled with the third party insurance company (this has nothing to do with why this company never submitted any claims to my insurance railroad medicare. On day one 6/25/14 this office was provided my RR medicare card information. Why did this office not send any bills to RRMedicare and then send me a bill??? It is as simple as send claims to my insurance RRmedicare and then send me a bill. But instead they did nothing but jump to obtaining a lien against me without contacting me what so ever. I contacted this office monthly asking them when they were going to bill my insurance RRmedicare; at which they told me they would look into it) and this could nothappen until the clinic balance had been paid, which is the sole purpose of the lien.· Patient came in ( I had NO knowledge of any lien as this office never communicated with me at all and told me nothing every month I contacted them to inquire as to when they would be submitting billing to my insurance RRmedicare and send me a bill), argued and ultimately paid the balance. She then returneddemanding a full refund, arguing that she wanted us to bill Medicare, which we hadalready been in the process of doing over the past several months ( this statement is incorrect. July 2015, He did not even know what status these bills were in. He stated he would write the $6 per visit off. After he left his small office room to go talk with the billing clerk he came back and informed me this office did not have a number in order to bill RRmedicare, but he would look into it. Which I found out was a non-truth, this office had had a number to bill RRmedicare since January 2015. Just as I contacted this office monthly I also called RRmedicare monthly to ask if any claims had been submitted by this office; which they told me NO claims had ever been sent to them from this office to date.), without success,
as patient had Medicare Railroad coverage which is a branch of Medicare we have
never billed before. Billing is a very involved process ( on the contrary, the process is extremely simple: a phone call to RRmedicare and they would ask this office all the questions to obtain all the information to enroll this office for RRmedicare billing. Once the phone call application is done it takes 45 days to receive a "PTAN" #. Then this office can choose to immediately do billing paper mailed or electronic filings. Electronic filing process takes 7 days. These submitted claims/bills are processed within 14 days)( This office received my RRmedicare card 6/25/14 and they would have received this PTAN # far in advance for any billing that would have needed to be done.), especially at the Federal level,
and the process we are continuing to work through on behalf of this patient (again a non-truth. As to date nothing has been submitted to my insurance RRmedicare. I had to submit all this office bills to RRmedicare in order to start the process),specifically. The clinic has no legal obligation to bill Medicare Railroad on behalf ofpatient (6/25/14 this office told me they would bill my insurance RRmedicare after PIP was exhausted.), yet we are doing so as a courtesy to this patient. Most offices would havesimply refused to process further than what we have (All the medical office/professionals I have gone to have submitted bills to my insurance RRmedicare with NO problem. these offices have been paid by RRmedicare and by me), specifically based on thebehavior of patient. However, we are committed to following through w\\th our bestefforts to obtain whatever allowed amounts Medicare may or may not pay, and willbe provided to patient as a refund, as this is industry standard and procedure.
As previously stated, I have been in business for 28 years and my reputation,character and integrity are the most important to me. Patient is unaware ormisunderstanding of the processing of claims such as this (on the contrary I explained to this office what they should do for over 13 months. This office is so inept and has appauling billing practices.). I have copies of alldocumentations referenced above and can provide them to you. Please contact meif you have any further questions or require any further documentation.Thank you.

[redacted]Please view attached document[redacted]
 
Dear Sir or Madam:
I write in response to patient's 3rd response to the Revdex.com.
1. I stand corrected, the correct amount of chiropractic services is actually less than I previously stated; it is $550.03, which is the $710.21, less the medical records of $160.
2. No person in our office would have any idea of the balance of patient's PIP coverage, as all of the various providers she saw for care regarding this automobile collision would all be submitting their claims for payment. As to her statement our office would even say to her: "Yes Medicare covers 18 massages" is completely ridiculous: EVERYONE knows Medicare does not cover massage. To indicate or say our office was keeping track on a visit by visit basis as she alleges is completely not correct and did not happen in this office. This patient was being seen for an automobile collision NOT RR Medicare.
3. Bills could not be submitted without the PTAN number. Once we had the PTAN number, the bills we submitted were never accepted by RR Medicare.
4. Again, RR Medicare never accepted any of the claims we submitted.
5. The clinic files a lien in any automobile case where we feel unsure our bill will be paid. Patient signed and acknowledged, on June 25, 2014, our Policy Regarding Insurance & Financial Obligation, where it states: ... that we will file a lien and wait for financial settlement to receive payment for
our services.
6. Patient did pay her outstanding balance at our clinic because of the lien. She could not receive settlement of her claim against the third party insurance carrier without paying our balance.
7. Patient returned to our office demanding a full refund for services she received relating to this automobile collision.
8. There were no weeks delayed. A check was mailed via certified mail on November 17, 2015, the same day we mailed our response to Revdex.com where in our letter to Revdex.com we indicated we would reissue a new check to patient, along with another copy of the recorded Release of Lien and we did. Patient did not sign for the acceptance of this letter until13 days later.
10.  Our office staff does not work for free: to have a round the clock staffing during closed office hours does not happen.
11.  LIVANTA is authorized by Medicare to review medical services provided to Medicare patients to determine if the care met professionally recognized standards of care: and we did. This patient's claims were for an automobile collision not Medicare.
12. Again, patient's referral was NOT for a Medicare claim, it was for an automobile collision.
13. This patient received care and treatment by our office for an
automobile collision not for Medicare..
We received correspondence and then had conversations with [redacted] wherein patient continue to come back to her credit card receipt of
$1,410.21, which  actually included both the $700 charges in massage,
which Medicare does not cover and the $550.03 charges for chiropractic.
Of the $550.03 charges, RR Medicare would have paid $285.25. Because we told patient we would attempt to bill Medicare and if we received payment from RR Medicare, those monies would be refunded to her. At the very beginning of this, we offered to reimburse patient  the amount of money RR Medicare would have paid had they accepted the claim.
After talking to [redacted],  we wrote and again offered to refund patient
$285.25, which is the amounts [redacted] would have paid for covered services. As of this date, patient has not accepted our certified letter, so
we are just waiting to see what she chooses to do.
As to patient's statements "CCC has also gone beyond the "scope of practice" is not correct: Dr. Steven *. S[redacted], MD, FACEP, Medical Director of LIVANTA, LLC review of our records found..."the care provided met the professionally recognized standard of care."
In conclusion, this patient received chiropractic care and massage therapy services at our clinic for an automobile collision she was involved in and she is responsible for her bill. This patient is asking us to provide care to her without reimbursement. You cannot run a business by providing a service and not be paid for those services, and it is not unreasonable to expect to be paid. Patient appears to want nothing less than a full refund for the chiropractic care and her massage therapy services she received, which we cannot do.  It is truly our desire to have resolution with this patient, and have made multiple offers to patient in our efforts to have resolve, without success.
Thank you.