Follow up rejection by patient: “I am rejecting this response because: I have now received another bill for a no show appointment and I have phone records to prove that I not only called hours before but also even hours beforeI had questions about my bills Monday and called and said that I won't be coming in if can't get his billing mess resolved.” Answer: As a courtesy, Central Coast Behavioral Health, Incwill waive the No Show fee of $While we will waive the no show fee of $115, the patient is still responsible for all charges incurred by her office visitsShe will be receiving an updated statement with the most recent charges added to the accountWe request payment as soon as possibleIf the patient is unable to make the payment in full, then we can arrange a monthly payment planIt is unfortunate that the patient is upset due to her misunderstanding of her insurance coverage, but our office is legally bound to collect the fees requested by her insuranceIf the payment for Services is not received in a timely manner, then we will have no choice but to send that patient's account to collectionsSincerely, J [redacted] , Business Office Manager Central Coast Behavioral Health, Inc
Complaint: I am rejecting this response because: I have now received another Bill for a no show appointment and I have phone records to prove that I not only called hours before but also even hours beforeI had questions about my Bills Monday and called and said that I won't be coming in if I can't get this billing messed resolvedI receive a phone call Tuesday about my appointment first thing in the morning and I called back and I talked to front desk and told them I won't make itI then talk to the billing person who was extremely rude and let her know as well Tuesday morning that I will not return to this facilitySo I told this office three times that I will not be making it to my appointment, however now that I turned them into the Revdex.com JUST LIKE I SAID I WOULD, they want to give me a $no show feeBy the way, I have only seen two people during my very first appointmentThe other times I saw only one and she is the same one who also took me back every time I don't care what code you use, it's still not correct for my situationI liked this drOffice fine, even recommended them to others until I had to deal with the rude billing person who has horrible customer service and attitudeWho time and time again told me she is an outpatient facility and that is why I must meet my deductible instead of having co-paysHer wordsNot mine Regards, L [redacted] ***
There are a few different complaints within the patient's complaint so we will address them individually.Claim 1: “This business double bills for appointments as if you were taken back twice by two different medical professionals for two different appointments when you are only there for one and
only saw one DR, PA, or NP."Answer: Our office strictly adheres to the requirements set forth in Current Procedural Terminology (CPT), the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programsWe use codes that are appropriate for our office's specialty and which are required by CMS or Private Insurance CompaniesMedical providers' use multiple codes when billing for an office visit, those codes are based on medical necessity and are followed up with documentation in a patient's chartAll claims have one base code for a visit and other codes are added on based on the proceduresThe base code is called an E/M code (i.e992.11-992.15)Any other codes used are considered “acodes”If an insurance company receives a claim that has been “double billed”, the insurance company denies the claim as duplicateWe are only allowed to bill for one office visit per day, so it is not possible for the office to bill a patient for two visits.Claim 2: “They then bill as an outpatient facility (like an urgent care rather than the DrOffice that they are) therefore you have to pay the full amount of two appointments towards your deductible rather than a small co-pay.”Answer: We do not bill as an outpatient facilityWe bill as a provider office, which we areFor each claim we submit, we are required to use a code to determine where the treatment takes placeWe do and have always used the location code Place of Service Codes for Professional Claims code is described as: OFFICE: Location, other than a hospital, skilled nursing facility (SNF), military treatment center, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examination, diagnosis, and treatment of illness or injury on an ambulatory basis-Per HIPAA regulations we are not able to speak about patients in particular, however we car state that many insurance plans have deductibles that are required to be met before a copay is appliedA physician's office has no control over a patient’s deductible, co-pay, or co-insuranceEach patient personally picks those features so they can adjust it to their personal needsAlso, located in all of our new patient packets, there is an insurance release that states, “i understand that I am financially responsible for any coinsurance amount (deductible, co-pay, etc.) and any balance (patient responsibility, self-pay, ett.) for services rendered.” Claim 3: “The worst part is they wait months to bill you for the first time."Answer: insurance companies processes claims within business days and our office generates statements monthly so the time frame in which the statement was received is sufficient.Claim 4: “They also try to get you to come in every month for a prescription refill instead of giving you a prescription with a refill or two."Answer: Per the guidelines of the Drug Enforcement Administration (DEA), Schedule IV prescriptions are “limited to five times in a six month period from date of initial fill, in an amount for all ref#not to exceed day supply.” Per our office policies and procedures, we require all patients that are prescribed Schedule V medications to be seen initially on a monthly basis and once stabilized on a quarterly basis (not to exceed days)It is at the clinician’s discretion whether they recommend a monthly, bi-monthly, or quarterly basis.The patient is therefore responsible for all charges incurred by her office visitsWe request payment as soon as possibleIf the patient is unable to make the payment in full, then we can arrange a monthly payment plan.Sincerely,J*** ***, Business Office ManagerCentral Coast Behavioral Health, Inc
Complaint:
I am rejecting this response because: I have now received another Bill for a no show appointment and I have phone records to prove that I not only called hours before but also even hours beforeI had questions about my Bills Monday and called and said that I won't be coming in if I can't get this billing messed resolvedI receive a phone call Tuesday about my appointment first thing in the morning and I called back and I talked to front desk and told them I won't make itI then talk to the billing person who was extremely rude and let her know as well Tuesday morning that I will not return to this facilitySo I told this office three times that I will not be making it to my appointment, however now that I turned them into the Revdex.com JUST LIKE I SAID I WOULD, they want to give me a $no show fee.By the way, I have only seen two people during my very first appointmentThe other times I saw only one and she is the same one who also took me back every time I don't care what code you use, it's still not correct for my situationI liked this drOffice fine, even recommended them to others until I had to deal with the rude billing person who has horrible customer service and attitudeWho time and time again told me she is an outpatient facility and that is why I must meet my deductible instead of having co-paysHer wordsNot mine
Regards,
L*** ***
There are a few different complaints within the patient's complaint so we will
address them individuallyClaim 1: “This business double bills for appointments as if you were taken back twice by two different medical professionals for two different appointments when you are only there for one and only saw one DR, PA, or NP."
Answer: Our office strictly adheres to the requirements set forth in Current Procedural Terminology (CPT), the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programsWe use codes that are appropriate for our office's specialty and which are required by CMS or Private Insurance CompaniesMedical providers' use multiple codes when billing for an office visit, those codes are based on medical necessity and are followed up with documentation in a patient's chartAll claims have one base code for a visit and other codes are added on based on the proceduresThe base code is called an E/M code (i.e992.11-992.15)Any other codes used are considered “acodes”If an insurance company receives a claim that has been “double billed”, the insurance company denies the claim as duplicateWe are only allowed to bill for one office visit per day, so it is not possible for the office to bill a patient for two visitsClaim 2: “They then bill as an outpatient facility (like an urgent care rather than the DrOffice that they are) therefore you have to pay the full amount of two appointments towards your deductible rather than a small co-pay.”
Answer: We do not bill as an outpatient facilityWe bill as a provider office, which we areFor each claim we submit, we are required to use a code to determine where the treatment takes placeWe do and have always used the location code Place of Service Codes for Professional Claims code is described as: OFFICE: Location, other than a hospital, skilled nursing facility (SNF), military treatment center, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examination, diagnosis, and treatment of illness or injury on an ambulatory basis-
Per HIPAA regulations we are not able to speak about patients in particular, however we car state that many insurance plans have deductibles that are required to be met before a copay is appliedA physician's office has no control over a patient’s deductible, co-pay, or co-insuranceEach patient personally picks those features so they can adjust it to their personal needsAlso, located in all of our new patient packets, there is an insurance release that states, “i understand that I am financially responsible for any coinsurance amount (deductible, co-pay, etc.) and any balance (patient responsibility, self-pay, ett.) for services rendered.”
Claim 3: “The worst part is they wait months to bill you for the first time."
Answer: insurance companies processes claims within business days and our office generates statements monthly so the time frame in which the statement was received is sufficientClaim 4: “They also try to get you to come in every month for a prescription refill instead of giving you a prescription with a refill or two."
Answer: Per the guidelines of the Drug Enforcement Administration (DEA), Schedule IV prescriptions are “limited to five times in a six month period from date of initial fill, in an amount for all ref#not to exceed day supply.” Per our office policies and procedures, we require all patients that are prescribed Schedule V medications to be seen initially on a monthly basis and once stabilized on a quarterly basis (not to exceed days)It is at the clinician’s discretion whether they recommend a monthly, bi-monthly, or quarterly basisThe patient is therefore responsible for all charges incurred by her office visitsWe request payment as soon as possibleIf the patient is unable to make the payment in full, then we can arrange a monthly payment planSincerely,
J*** ***, Business Office Manager
Central Coast Behavioral Health, Inc
Complaint: 11446607
I am rejecting this response because: I have now received another Bill for a no show appointment and I have phone records to prove that I not only called 24 hours before but also even 48 hours before. I had questions about my Bills Monday and called and said that I won't be coming in if I can't get this billing messed resolved. I receive a phone call Tuesday about my appointment first thing in the morning and I called back and I talked to front desk and told them I won't make it. I then talk to the billing person who was extremely rude and let her know as well Tuesday morning that I will not return to this facility. So I told this office three times that I will not be making it to my appointment, however now that I turned them into the Revdex.com JUST LIKE I SAID I WOULD, they want to give me a $115 no show fee.
By the way, I have only seen two people during my very first appointment. The other times I saw only one and she is the same one who also took me back every time. I don't care what code you use, it's still not correct for my situation. I liked this dr. Office fine, even recommended them to others until I had to deal with the rude billing person who has horrible customer service and attitude. Who time and time again told me she is an outpatient facility and that is why I must meet my deductible instead of having co-pays. Her words. Not mine.
Regards,
L[redacted]
Follow up rejection by patient: “I am rejecting this response because: I have now received another bill for a no show appointment and I have phone records to prove that I not only called 24 hours before but also even 48 hours before. I had questions about my bills Monday and called and said that I won't be coming in if can't get his billing mess resolved.”Answer: As a courtesy, Central Coast Behavioral Health, Inc. will waive the No Show fee of $115. While we will waive the no show fee of $115, the patient is still responsible for all charges incurred by her office visits. She will be receiving an updated statement with the most recent charges added to the account. We request payment as soon as possible. If the patient is unable to make the payment in full, then we can arrange a monthly payment plan.It is unfortunate that the patient is upset due to her misunderstanding of her insurance coverage, but our office is legally bound to collect the fees requested by her insurance. If the payment for Services is not received in a timely manner, then we will have no choice but to send that patient's account to collections.Sincerely,J[redacted] , Business Office ManagerCentral Coast Behavioral Health, Inc.
Follow up rejection by patient: “I am rejecting this response because: I have now received another bill for a no show appointment and I have phone records to prove that I not only called 24 hours before but also even 48 hours before. I had questions about my bills Monday and called and said that I won't be coming in if can't get his billing mess resolved.”
Answer: As a courtesy, Central Coast Behavioral Health, Inc. will waive the No Show fee of $115. While we will waive the no show fee of $115, the patient is still responsible for all charges incurred by her office visits. She will be receiving an updated statement with the most recent charges added to the account. We request payment as soon as possible. If the patient is unable to make the payment in full, then we can arrange a monthly payment plan.
It is unfortunate that the patient is upset due to her misunderstanding of her insurance coverage, but our office is legally bound to collect the fees requested by her insurance. If the payment for Services is not received in a timely manner, then we will have no choice but to send that patient's account to collections.
Sincerely,
J[redacted] , Business Office Manager
Central Coast Behavioral Health, Inc.
Follow up rejection by patient: “I am rejecting this response because: I have now received another bill for a no show appointment and I have phone records to prove that I not only called hours before but also even hours beforeI had questions about my bills Monday and called and said that I won't be coming in if can't get his billing mess resolved.” Answer: As a courtesy, Central Coast Behavioral Health, Incwill waive the No Show fee of $While we will waive the no show fee of $115, the patient is still responsible for all charges incurred by her office visitsShe will be receiving an updated statement with the most recent charges added to the accountWe request payment as soon as possibleIf the patient is unable to make the payment in full, then we can arrange a monthly payment planIt is unfortunate that the patient is upset due to her misunderstanding of her insurance coverage, but our office is legally bound to collect the fees requested by her insuranceIf the payment for Services is not received in a timely manner, then we will have no choice but to send that patient's account to collectionsSincerely, J [redacted] , Business Office Manager Central Coast Behavioral Health, Inc
Complaint: I am rejecting this response because: I have now received another Bill for a no show appointment and I have phone records to prove that I not only called hours before but also even hours beforeI had questions about my Bills Monday and called and said that I won't be coming in if I can't get this billing messed resolvedI receive a phone call Tuesday about my appointment first thing in the morning and I called back and I talked to front desk and told them I won't make itI then talk to the billing person who was extremely rude and let her know as well Tuesday morning that I will not return to this facilitySo I told this office three times that I will not be making it to my appointment, however now that I turned them into the Revdex.com JUST LIKE I SAID I WOULD, they want to give me a $no show feeBy the way, I have only seen two people during my very first appointmentThe other times I saw only one and she is the same one who also took me back every time I don't care what code you use, it's still not correct for my situationI liked this drOffice fine, even recommended them to others until I had to deal with the rude billing person who has horrible customer service and attitudeWho time and time again told me she is an outpatient facility and that is why I must meet my deductible instead of having co-paysHer wordsNot mine Regards, L [redacted] ***
There are a few different complaints within the patient's complaint so we will address them individually.Claim 1: “This business double bills for appointments as if you were taken back twice by two different medical professionals for two different appointments when you are only there for one and
only saw one DR, PA, or NP."Answer: Our office strictly adheres to the requirements set forth in Current Procedural Terminology (CPT), the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programsWe use codes that are appropriate for our office's specialty and which are required by CMS or Private Insurance CompaniesMedical providers' use multiple codes when billing for an office visit, those codes are based on medical necessity and are followed up with documentation in a patient's chartAll claims have one base code for a visit and other codes are added on based on the proceduresThe base code is called an E/M code (i.e992.11-992.15)Any other codes used are considered “acodes”If an insurance company receives a claim that has been “double billed”, the insurance company denies the claim as duplicateWe are only allowed to bill for one office visit per day, so it is not possible for the office to bill a patient for two visits.Claim 2: “They then bill as an outpatient facility (like an urgent care rather than the DrOffice that they are) therefore you have to pay the full amount of two appointments towards your deductible rather than a small co-pay.”Answer: We do not bill as an outpatient facilityWe bill as a provider office, which we areFor each claim we submit, we are required to use a code to determine where the treatment takes placeWe do and have always used the location code Place of Service Codes for Professional Claims code is described as: OFFICE: Location, other than a hospital, skilled nursing facility (SNF), military treatment center, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examination, diagnosis, and treatment of illness or injury on an ambulatory basis-Per HIPAA regulations we are not able to speak about patients in particular, however we car state that many insurance plans have deductibles that are required to be met before a copay is appliedA physician's office has no control over a patient’s deductible, co-pay, or co-insuranceEach patient personally picks those features so they can adjust it to their personal needsAlso, located in all of our new patient packets, there is an insurance release that states, “i understand that I am financially responsible for any coinsurance amount (deductible, co-pay, etc.) and any balance (patient responsibility, self-pay, ett.) for services rendered.” Claim 3: “The worst part is they wait months to bill you for the first time."Answer: insurance companies processes claims within business days and our office generates statements monthly so the time frame in which the statement was received is sufficient.Claim 4: “They also try to get you to come in every month for a prescription refill instead of giving you a prescription with a refill or two."Answer: Per the guidelines of the Drug Enforcement Administration (DEA), Schedule IV prescriptions are “limited to five times in a six month period from date of initial fill, in an amount for all ref#not to exceed day supply.” Per our office policies and procedures, we require all patients that are prescribed Schedule V medications to be seen initially on a monthly basis and once stabilized on a quarterly basis (not to exceed days)It is at the clinician’s discretion whether they recommend a monthly, bi-monthly, or quarterly basis.The patient is therefore responsible for all charges incurred by her office visitsWe request payment as soon as possibleIf the patient is unable to make the payment in full, then we can arrange a monthly payment plan.Sincerely,J*** ***, Business Office ManagerCentral Coast Behavioral Health, Inc
Complaint:
I am rejecting this response because: I have now received another Bill for a no show appointment and I have phone records to prove that I not only called hours before but also even hours beforeI had questions about my Bills Monday and called and said that I won't be coming in if I can't get this billing messed resolvedI receive a phone call Tuesday about my appointment first thing in the morning and I called back and I talked to front desk and told them I won't make itI then talk to the billing person who was extremely rude and let her know as well Tuesday morning that I will not return to this facilitySo I told this office three times that I will not be making it to my appointment, however now that I turned them into the Revdex.com JUST LIKE I SAID I WOULD, they want to give me a $no show fee.By the way, I have only seen two people during my very first appointmentThe other times I saw only one and she is the same one who also took me back every time I don't care what code you use, it's still not correct for my situationI liked this drOffice fine, even recommended them to others until I had to deal with the rude billing person who has horrible customer service and attitudeWho time and time again told me she is an outpatient facility and that is why I must meet my deductible instead of having co-paysHer wordsNot mine
Regards,
L*** ***
There are a few different complaints within the patient's complaint so we will
address them individuallyClaim 1: “This business double bills for appointments as if you were taken back twice by two different medical professionals for two different appointments when you are only there for one and only saw one DR, PA, or NP."
Answer: Our office strictly adheres to the requirements set forth in Current Procedural Terminology (CPT), the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programsWe use codes that are appropriate for our office's specialty and which are required by CMS or Private Insurance CompaniesMedical providers' use multiple codes when billing for an office visit, those codes are based on medical necessity and are followed up with documentation in a patient's chartAll claims have one base code for a visit and other codes are added on based on the proceduresThe base code is called an E/M code (i.e992.11-992.15)Any other codes used are considered “acodes”If an insurance company receives a claim that has been “double billed”, the insurance company denies the claim as duplicateWe are only allowed to bill for one office visit per day, so it is not possible for the office to bill a patient for two visitsClaim 2: “They then bill as an outpatient facility (like an urgent care rather than the DrOffice that they are) therefore you have to pay the full amount of two appointments towards your deductible rather than a small co-pay.”
Answer: We do not bill as an outpatient facilityWe bill as a provider office, which we areFor each claim we submit, we are required to use a code to determine where the treatment takes placeWe do and have always used the location code Place of Service Codes for Professional Claims code is described as: OFFICE: Location, other than a hospital, skilled nursing facility (SNF), military treatment center, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examination, diagnosis, and treatment of illness or injury on an ambulatory basis-
Per HIPAA regulations we are not able to speak about patients in particular, however we car state that many insurance plans have deductibles that are required to be met before a copay is appliedA physician's office has no control over a patient’s deductible, co-pay, or co-insuranceEach patient personally picks those features so they can adjust it to their personal needsAlso, located in all of our new patient packets, there is an insurance release that states, “i understand that I am financially responsible for any coinsurance amount (deductible, co-pay, etc.) and any balance (patient responsibility, self-pay, ett.) for services rendered.”
Claim 3: “The worst part is they wait months to bill you for the first time."
Answer: insurance companies processes claims within business days and our office generates statements monthly so the time frame in which the statement was received is sufficientClaim 4: “They also try to get you to come in every month for a prescription refill instead of giving you a prescription with a refill or two."
Answer: Per the guidelines of the Drug Enforcement Administration (DEA), Schedule IV prescriptions are “limited to five times in a six month period from date of initial fill, in an amount for all ref#not to exceed day supply.” Per our office policies and procedures, we require all patients that are prescribed Schedule V medications to be seen initially on a monthly basis and once stabilized on a quarterly basis (not to exceed days)It is at the clinician’s discretion whether they recommend a monthly, bi-monthly, or quarterly basisThe patient is therefore responsible for all charges incurred by her office visitsWe request payment as soon as possibleIf the patient is unable to make the payment in full, then we can arrange a monthly payment planSincerely,
J*** ***, Business Office Manager
Central Coast Behavioral Health, Inc
Complaint: 11446607
I am rejecting this response because: I have now received another Bill for a no show appointment and I have phone records to prove that I not only called 24 hours before but also even 48 hours before. I had questions about my Bills Monday and called and said that I won't be coming in if I can't get this billing messed resolved. I receive a phone call Tuesday about my appointment first thing in the morning and I called back and I talked to front desk and told them I won't make it. I then talk to the billing person who was extremely rude and let her know as well Tuesday morning that I will not return to this facility. So I told this office three times that I will not be making it to my appointment, however now that I turned them into the Revdex.com JUST LIKE I SAID I WOULD, they want to give me a $115 no show fee.
By the way, I have only seen two people during my very first appointment. The other times I saw only one and she is the same one who also took me back every time. I don't care what code you use, it's still not correct for my situation. I liked this dr. Office fine, even recommended them to others until I had to deal with the rude billing person who has horrible customer service and attitude. Who time and time again told me she is an outpatient facility and that is why I must meet my deductible instead of having co-pays. Her words. Not mine.
Regards,
L[redacted]
Follow up rejection by patient: “I am rejecting this response because: I have now received another bill for a no show appointment and I have phone records to prove that I not only called 24 hours before but also even 48 hours before. I had questions about my bills Monday and called and said that I won't be coming in if can't get his billing mess resolved.”Answer: As a courtesy, Central Coast Behavioral Health, Inc. will waive the No Show fee of $115. While we will waive the no show fee of $115, the patient is still responsible for all charges incurred by her office visits. She will be receiving an updated statement with the most recent charges added to the account. We request payment as soon as possible. If the patient is unable to make the payment in full, then we can arrange a monthly payment plan.It is unfortunate that the patient is upset due to her misunderstanding of her insurance coverage, but our office is legally bound to collect the fees requested by her insurance. If the payment for Services is not received in a timely manner, then we will have no choice but to send that patient's account to collections.Sincerely,J[redacted] , Business Office ManagerCentral Coast Behavioral Health, Inc.
Follow up rejection by patient: “I am rejecting this response because: I have now received another bill for a no show appointment and I have phone records to prove that I not only called 24 hours before but also even 48 hours before. I had questions about my bills Monday and called and said that I won't be coming in if can't get his billing mess resolved.”
Answer: As a courtesy, Central Coast Behavioral Health, Inc. will waive the No Show fee of $115. While we will waive the no show fee of $115, the patient is still responsible for all charges incurred by her office visits. She will be receiving an updated statement with the most recent charges added to the account. We request payment as soon as possible. If the patient is unable to make the payment in full, then we can arrange a monthly payment plan.
It is unfortunate that the patient is upset due to her misunderstanding of her insurance coverage, but our office is legally bound to collect the fees requested by her insurance. If the payment for Services is not received in a timely manner, then we will have no choice but to send that patient's account to collections.
Sincerely,
J[redacted] , Business Office Manager
Central Coast Behavioral Health, Inc.