Elena Gurova, M.D.

Complaint: ***
I am rejecting this response because: Yes I did in fact ask for a reimbursement on more than one occasionFirst time being in person to the secretary after explaining the situation and asking to speak with *** *** *** was not able to speak to me and the secretary told me that it was the patients responsibility to submit the physicians form and that they were not liableI asked for *** *** to call me regarding the matter and was told that she would call me and I never received a call, I gave her about a week before I called them back and again asked to speak with her regarding a reimbursement and was not able to speak with her and did not receive a call backI would need to double check my phone records but I'm almost certain I called an additional time as wellI'm rejecting this response solely because I NEVER suggested that they should write off my coinsurance/deductible in exchange for the $200, that seems wrong and hardly legal on so many levels and I don't want to accept this response and seemingly agree to thatI do however have the proof they asked for (which I told them about and offered already) and will provide that to the office and when I am reimbursed I will accept and close this complaint
Regards,
*** ***

Patient came to our office on 1/15/and presented an email from her employerAs per her request, patient received check for $in less than minutesMeasures are taken to ensure timely forms completion in the futureIn regards, to the ER referralAs per CDC guidelines, symptoms (headache, fever, nausea, etc) which start 1-days after swimming in freshwater during summer could be related to Primary amebic meningoencephalitis caused by Naegleria fowleri infectionPer CDC, "...People die 1-days (median days) after symptoms beginPrimary amebic meningoencephalitis is difficult to detect because the disease progresses rapidly so that diagnosis is usually made after death.."As per CDC guidelines, AM and Naegleria fowleri infection can be diagnosed in the laboratory by detecting 3: Naegleria fowleri organisms in cerebrospinal fluid (CSF), biopsy, or tissue specimens, or Naegleria fowleri nucleic acid in CSF, biopsy, or tissue specimens, or Naegleria fowleri antigen in CSF, biopsy, or tissue specimens References Visvesvara GSAmebic meningoencephalitides and keratitis: challenges in diagnosis and treatmentCurr Opin Infect Dis2010;23(6):590-da Rocha-Azevedo B, Tanowitz HB, Marciano-Cabral FDiagnosis of infections caused by pathogenic free-living amoebaeInterdiscip Perspect Infect Dis2009;2009: As a primary care physician, I do not have facility setup or equipment to diagnose rare infectious diseases with nonspecific initial symptoms, thus making diagnosis on clinical grounds difficultSince Primary amebic meningoencephalitis is a potentially fatal disease, for the benefit of the patient, she was referred to the Emergency Department

The patient did not ask for $200 reimbursement. Neither patient presented any proof of penalty imposed by her employer. The patient suggested we write off her coinsurance/deductible in exchange of $200 employee penalty for not completing her annual wellness checklist. As you know, federal and...

state laws as well as payor contracts generally prohibit waiving cost-sharing absent genuine financial hardship. If patient presents evidence of penalty imposed by her employer due to our staff member missing items on her job wellness health questionnaire, we will reimburse her the employee penalty.