Cornerstone Internal Medicine at Premier

Initial Business Response / [redacted] (1000, 24, 2015/09/01) */ From: Joy K [redacted] Sent: Tuesday, September 01, 10:AM To: 'Revdex.com' Subject: RE: Revdex.com Complaint Case# [redacted] (Ref#XX-XXXXXXXX-XXXXXXXX-XX-XXXX) Mr [redacted] We are prevented from sharing PHI with entities without a need to know that information, or without express written permission from our patientsTherefore, we are not able to share with you the exact information regarding our resolution of this complaintWe have responded to the complainant and will continue to do soThis matter has been thoroughly investigated internally and despite the dissatisfaction with the response, the matter has been resolved and explained to Mr [redacted] We will respond to his most recent letter of August 10, as well Thank you for your contact and please note that we HAVE responded to both you, the Revdex.com and to the complainant, Mr [redacted] Joy K**, RN, BSN, CPHRM Patient Safety Manager

Initial Business Response / [redacted] (1000, 6, 2016/04/05) */ Thank you for the report of this complaintthe Patient Safety team will reach out to this complainant and will address her issues and respond to her directly via telephone and in writing The resolution of this complaint will be reported directly to the complainant Initial Consumer Rebuttal / [redacted] (3000, 8, 2016/04/07) */ (The consumer indicated he/she DID NOT accept the response from the business.) I have already contacted Cornerstone MedicalThey have passed me on to several people all who did not have authorityFinally I spoke to Matthew G**, office manager, in the "office"His response was "it was the insurance companies fault"Interesting since the billing and coding is started at CornerstoneI asked to speak with his supervisor he told me they don't take personal callsI thought this was a business issue? He gave me a number to another locationI am tired of being passed around and not having this charge removedToday I received a call from a rotary system I waited for a person to speak but the system requests information as if I made the callNothing can be resolved this wayNone the less, there is no sign this can be resolved satisfactorily by speaking to them directly Final Business Response / [redacted] (4000, 12, 2016/04/20) */ The coding and billing for services provided have been audited twice for accuracyA detailed letter of explanation has been placed in the mail today to the customerPhysicians must accurately document and bill for the services they provide to the patientsContractual obligations with insurance companies prohibit physicians from providing services and not charging the patientBenefits covered by insurance plans vary by the planThe details of the letter contain PHI and cannot be shared on this sitethe full explanation has been mailed to this customerthe billing and coding for services rendered was found to be correct

Initial Business Response /* (1000, 24, 2015/09/01) */
From: Joy K**
Sent: Tuesday, September 01, 2015 10:03 AM
To: 'Revdex.com'
Subject: RE: Revdex.com Complaint Case# [redacted] (Ref#XX-XXXXXXXX-XXXXXXXX-XX-XXXX)
Mr. [redacted]
We are prevented from sharing PHI with entities without a need...

to know that information, or without express written permission from our patients. Therefore, we are not able to share with you the exact information regarding our resolution of this complaint. We have responded to the complainant and will continue to do so. This matter has been thoroughly investigated internally and despite the dissatisfaction with the response, the matter has been resolved and explained to Mr. [redacted].
We will respond to his most recent letter of August 10, as well.
Thank you for your contact and please note that we HAVE responded to both you, the Revdex.com and to the complainant, Mr. [redacted].
Joy K**, RN, BSN, CPHRM
Patient Safety Manager

Initial Business Response /* (1000, 6, 2016/04/05) */
Thank you for the report of this complaint. the Patient Safety team will reach out to this complainant and will address her issues and respond to her directly via telephone and in writing.
The resolution of this complaint will be reported...

directly to the complainant
Initial Consumer Rebuttal /* (3000, 8, 2016/04/07) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I have already contacted Cornerstone Medical. They have passed me on to several people all who did not have authority. Finally I spoke to Matthew G**, office manager, in the "office". His response was "it was the insurance companies fault". Interesting since the billing and coding is started at Cornerstone. I asked to speak with his supervisor he told me they don't take personal calls. I thought this was a business issue? He gave me a number to another location. I am tired of being passed around and not having this charge removed. Today I received a call from a rotary system I waited for a person to speak but the system requests information as if I made the call. Nothing can be resolved this way. None the less, there is no sign this can be resolved satisfactorily by speaking to them directly.
Final Business Response /* (4000, 12, 2016/04/20) */
The coding and billing for services provided have been audited twice for accuracy. A detailed letter of explanation has been placed in the mail today to the customer. Physicians must accurately document and bill for the services they provide to the patients. Contractual obligations with insurance companies prohibit physicians from providing services and not charging the patient. Benefits covered by insurance plans vary by the plan. The details of the letter contain PHI and cannot be shared on this site. the full explanation has been mailed to this customer. the billing and coding for services rendered was found to be correct.