Geneva Eye Clinic LTD

An appointment was scheduled for 11/20/for [redacted] [redacted] was a new patient to our office and at the time the appointment was made his mother indicated he was having some blurred vision During my conversation with Mrs [redacted] on 1/15/she admitted she made the appointment for blurred vision As I told her during this conversation, If your insurance company allows a yearly "well visit" that needs to be communicated at the time the appointment is made The patients appointment was scheduled with DrKatherine [redacted] who is a board certified Ophthalmologist As with any new patient in our practice, past medical history, past surgical history and social history are always discussed during the exam and play a role in the decision making process Mrs [redacted] made a comment stating we should not be allowed to ask a question regarding health history We are a health care facility and for any new patient it would be negligent not to ask While we did not make the past medical diagnosis of "Alice in wonderland syndrome", it was discussed during the visit As medical providers everything discussed during an examination is documented as required by federal regulations The diagnosis of [redacted] syndrome was not put down as the primary diagnosis however because it was discussed during the exam it was listed just as we would any past medical history The charge for that days service would have not changed regardless of this diagnosis Medical billing is not determined by how many diagnosis are listed.My billing manager and myself have had a total of conversations with Mrs [redacted] and I have also spoke with her husband on one occasions regarding this matter These charges were not denied by the insurance company, however allowed and applied towards their deductible During my conversation with the patient's father on 3/25/2016, he stated if he new he would have to pay out of pocket he would have never come to the office He indicated that our staff should have checked the exact amount his insurance would pay before the child was seen I explained that the office does verify insurance eligibility to make sure the patient has a valid policy however it is there responsibility to educate themselves on what there insurance plan allows Mr [redacted] requested for "The owner" to contact him Because out practice is owned by out physicians equally I spoke to Dr***, the provider who saw his son Dr [redacted] was well aware of the situation as I had brought it to her attention in the past and as she previously informed us she will not fraudulently alter her documentation regarding this appointment in order for the insurance company to pay for the service.The patient's mother left a voice mail on Saturday, April 30, with her credit card information to pay the balance in full This was run and posted to the patients account

Complaint: [redacted] I am rejecting this response because: he has NEVER had blurred vision this was made as a YEARLY appointment just as I make a yearly Doctor appointment every yearThere was no reason that the diagnosis code should be anything but a regular appointmentI called to pay because I was FORCED TO TO AVOID COLLECTIONSWE HAVE PERFECT CREDIT BECAUSE WE PAY BILLS WE OWETHERE IS NONREASON THE DIAGNOSIS CODE AHOULD HAVE BEEN ANYTHING BUT A REFULAR VISIT FOR AN APPOINTMENT WHICH IS COVERED YEARLY AND WHY I SCHEDULED YEARLYNOT A DIAGNOAIS FOR AOMETHING YEARS AGOTHERE WERE NO ADDITIONAL SERVICES DONE AND IF THERE WERE MY PERMISSION WAS NEVER GIVEN AS I WAS THERE THE WHOLE TIME WITH MY SONTHIS IS A BUSINESS THAT TAKES ADVANTAGE OF CUSTOMERS Sincerely, [redacted]

An appointment was scheduled for 11/20/15 for [redacted].  [redacted] was a new patient to our office and at the time the appointment was made his mother indicated he was having some blurred vision.  During my conversation with Mrs. [redacted] on 1/15/2016 she admitted she made the...

appointment for blurred vision.  As I told her during this conversation, If your insurance company allows a yearly "well visit" that needs to be communicated at the time the appointment is made.  The patients appointment was scheduled with Dr. Katherine [redacted] who is a board certified Ophthalmologist.  As with any new patient in our practice, past medical history, past surgical history and social history are always discussed during the exam and play a role in the decision making process.  Mrs. [redacted] made a comment stating we should not be allowed to ask a question regarding health history.  We are a health care facility and for any new patient it would be negligent not to ask.  While we did not make the past medical diagnosis of "Alice in wonderland syndrome", it was discussed during the visit.  As medical providers everything discussed during an examination is documented as required by federal regulations.  The diagnosis of [redacted] syndrome was not put down as the primary diagnosis however because it was discussed during the exam it was listed just as we would any past medical history.  The charge for that days service would have not changed regardless of this diagnosis.   Medical billing is not determined by how many diagnosis are listed.My billing manager and myself have had a total of 4 conversations with Mrs. [redacted] and I have also spoke with her husband on one occasions regarding this matter.  These charges were not denied by the insurance company, however allowed and applied towards their deductible.  During my conversation with the patient's father on 3/25/2016, he stated if he new he would have to pay out of pocket he would have never come to the office.  He indicated that our staff should have checked the exact amount his insurance would pay before the child was seen.  I explained that the office does verify insurance eligibility to make sure the patient has a valid policy however it is there responsibility to educate themselves on what there insurance plan allows.  Mr. [redacted] requested for "The owner" to contact him.  Because out practice is owned by out physicians equally I spoke to Dr. [redacted], the provider who saw his son.  Dr. [redacted] was well aware of the situation as I had brought it to her attention in the past and as she previously informed us  she will not  fraudulently alter her documentation regarding this appointment in order for the insurance company to pay for the service.The patient's mother left a voice mail on Saturday, April 30, 2016 with her credit card information to pay the balance in full.  This was run and posted to the patients account.

Complaint: [redacted]
I am rejecting this response because: he has NEVER had blurred vision this was made as a YEARLY appointment just as I make a yearly Doctor appointment every year. There was no reason that the diagnosis code should be anything but a regular appointment. I called to pay because I was FORCED TO TO AVOID COLLECTIONS. WE HAVE PERFECT CREDIT BECAUSE WE PAY BILLS WE OWE. THERE IS NONREASON THE DIAGNOSIS CODE AHOULD HAVE BEEN ANYTHING BUT A REFULAR VISIT FOR AN APPOINTMENT WHICH IS COVERED YEARLY AND WHY I SCHEDULED YEARLY. NOT A DIAGNOAIS FOR AOMETHING YEARS AGO. THERE WERE NO ADDITIONAL SERVICES DONE AND IF THERE WERE MY PERMISSION WAS NEVER GIVEN AS I WAS THERE THE WHOLE TIME WITH MY SON. THIS IS A BUSINESS THAT TAKES ADVANTAGE OF CUSTOMERS
Sincerely,
[redacted]