On March 5th the patient was notified by pre-cert staff of no pre-authorization had been received from the physician office. So procedure was reschdueled so that patient would not be liable for the full payment.On March 11th the MRI tech ([redacted]) and [redacted] review the order for the March...
12th procedure. They both agreed that more clinical information was needed to determine whether a MRI was the correct study to be done on this patient. [redacted] contact both the referring physicians office and the patient. Neither party returned the staffs call. When patient arrived on March 12th the staff were able to obtain the clinical info needed and it was determined that an MRI was not need but a CT ET was the test that should be performed. MRI tech contact [redacted] office so that [redacted] could discuss the need for a CT not a MRI. [redacted] was in a colonoscopy procedure and he called back about 9am. The patient was kept informed of every move during this time period of 7-9 am. [redacted] did explain to patient that test ordered would not render the results that were needed and that exposing her to this would not be recommended.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.
Regards,I never received any of those letters. How were they sent? Do they have my correct address? I have never been contacted by a collection agency regarding Greenville ER. As an ER are they not supposed to take anyone regardless of ability to pay? without contacting me they take my taxes. If this is not resolved quickly I will contact my state senator regarding the matter.
[redacted]
Please accept this email as my follow-up on the Revdex.com complaint filed by [redacted]. This matter has been resolved and follow-up has occurred with Ms. [redacted] Please let me know if anything else needs to be completed on my end. Lisa [redacted] O[redacted], MBA, CRCA, CHAMManager, Patient...
I spoke to the Billing Analyst for Package Pricing and she verified that $4000.00 for mother and $630.00 for baby should have been billed for facility fee separately. Patient need to check Credit Card Statement because $278.00 was refunded back to card on 04/14/2016...
confirmation number [redacted]. Patient Balance $123.60 on son's account have been adjusted off as a courtesy.
Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted] and have determined that this does not resolve my complaint.
I have no record of any attempted calls from [redacted] and certainly received no voice mails regarding the change in the procedure. Also, the staff had from Feb. 25 to March 6 to review the requested test and notify me of any change they recommended. Also, after I was notified to reschedule my MRI on March 5th due to preauthorization issues, I contacted my doctors office and was informed that had Greenville Radiology contacted my doctor's office, they had a preauthorization number and I should not have had to reschedule. However, my rescheduling gave Greenville Radiology staff from March 6 to March 12 to review the requested procedure and speak with me and my doctor about any recommended changes. In total Greenville Radiology had 5 business days to notify prior to March 6 and 4 business days to notify prior to March 12. Again, I have no record of any attempts by [redacted] or any Greenville Radiology staff to contact me, and when I spoke with [redacted]'s office they also indicated March 12 was the first they were notified of any recommendations for change in procedure. The delay and negligence on the part of Greenville Radiology to notify me or my doctor's office wasted 2.5 hours of my time and the time of the person gracious enough to accompany me for my appointment, caused increased anxiety and unfavorable symptoms making it a hardship on me as I work and try to go about daily living. It is not fair to me to have to endure this additional stress of the mishandling of my care while faced with the unknowns of a potentially problematic and/or dangerous medical condition. At this point, I am only requesting a simple acknowledgement and apology from Greenville Radiology at the mismanagement of my care in the delay of informing me or my doctor's office of recommended changes for the twice scheduled MRI. I would hate to find out that this type of negligence could cause a detrimental delay in care to myself or anyone else whose life is on the line and timeliness is of the utmost importance in the survival of the patient. "First, do no harm".
Regards,[redacted]
We have researched this and there seems to have been issues in getting a claim filed to the secondary carrier. It is now untimely to file, so as a customer courtsey we will be adjusting the balance to zero. We we be calling the pt to let them know. Thanks.
To answer the patients questions, all statements and letters were sent to the address provided to the hospital at the time of service which was [redacted]. We did not recieve any returned mail. Calls were made to the number given at the time of service which was [redacted]. Multiple message were left on an answering machine and a couple times someone answered and disconnected the call. On 2/6/15 we had an address change to [redacted] and have had no return mail from that address. As for the ER seeing patients regardless of their ability to pay, we do not turn patients away based on their ability to pay. This however does not mean that we the patient will not be billed and all collections procedures will be followed. According to the Tax Set Off program we are required to send the letter to the most currecnt address we have which is what we did. I am not sure what more information I can provide. Feel free to have the patient call me directly at [redacted] if I can provide any additional information
The following email (see below) was sent to Mrs. [redacted] via MyChart yesterday (02/02/17) at 11:29am. Mrs. [redacted]'s $25.00 will not be refunded because she does not have a credit. A true credit can only be refunded if you owe no other monies, this is explained in our consent for...
treatment which I have attached a copy of that was signed by Mrs. [redacted] on 12/12/16.~~~~~~~copy of email below~~~~~~~~~~~~~~~~~~~Mrs. [redacted], I apologize for not getting back to you sooner. Our refund policy is that no credits are to be refunded if you have any balance owed to [redacted] group or to GHS. I have reviewed the charges by Dr. [redacted] and compared them to your medical records. He charged you for a destruction of a lesion and the allowed amount (that is set by your insurance company, not GHS) is $207.45. We are required to bill you what your insurance company tells us to bill you. It's coded correctly according to the service provided and that cannot be changed. The fee for this service is reasonable and customary for this procedure and a discount was given to you by your insurance. The remaining balance on your account is $182.45. Thank-You, Amy D[redacted] Customer Service Supervisor
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. I appreciate the prompt follow up from GHS as well.
Regards,
[redacted]
I have spoken with the patient and the payment referred to was paid to another provider. I have explained and the patient has sent her insurance card to GHS for filing the claim to.
Patient was happy
Account has been adjusted to a zero balance as a one time courtesy. However the charges were correct with a Urinalysis and the lowest level of ER fee. According to the records, patient was greeted at 13.01, triaged at 13.15, history taken at 13.25, urinalysis at 13.55, patient in waiting room...
sipping coffee at 14.20, and at 15.05 patient left[redacted].
This is a facility based office and therefore all deducts and coins apply. as a one time administrative adjust I am adjusting the balance down to the [redacted] copay and removing from credit report. Going forward the charges would stand as this is not considered a free standing office it is billed under...
After reviewing all documents on file, the account is coded according to the physicians order. I cannot change the Dr.'s order. This would be an issue that would need to be addressed with [redacted] Associates (Dr. [redacted] ordering physician). The physician would need to work with medical records...
to have any DX change that may be made to the order. A copy of the actual order can be provided to the patient if needed. At this point the labs were performed as ordered and the charges are correct.
I have spoken to billing regarding this complaint. It appears that this was billed in error, and will be adjusted accordingly. Thank you,[redacted]Patient and Family Relations
The account in question is not for services at Oconee Medical Center The services were recieved at Greenville Memorial Hospital ER. Below is a list of correspondence that was sent to the patient:9/10/13 Letter asking for insurance information, 10/10/13 2nd stmt, 11/9/13 3rd stmt,...
12/9/13 Final stmtDuring time period 12/9/13 - 8/25/14 Multiple collection agencies have attempted to contact the patient by phone and letter with no response. A letter was sent to the patient 8/25/14 making the patient aware we intended to garnish his taxes if the account was not paid. Please let me know if you need additional information or have the patient contact me at [redacted]Thanks[redacted]
Charges will be adjusted off due to untimely to file to patient insurance. Sent reqeust to collection agency to remove from Credit Bureau. I removed account from tax offset.
On March 5th the patient was notified by pre-cert staff of no pre-authorization had been received from the physician office. So procedure was reschdueled so that patient would not be liable for the full payment.On March 11th the MRI tech ([redacted]) and [redacted] review the order for the March...
12th procedure. They both agreed that more clinical information was needed to determine whether a MRI was the correct study to be done on this patient. [redacted] contact both the referring physicians office and the patient. Neither party returned the staffs call. When patient arrived on March 12th the staff were able to obtain the clinical info needed and it was determined that an MRI was not need but a CT ET was the test that should be performed. MRI tech contact [redacted] office so that [redacted] could discuss the need for a CT not a MRI. [redacted] was in a colonoscopy procedure and he called back about 9am. The patient was kept informed of every move during this time period of 7-9 am. [redacted] did explain to patient that test ordered would not render the results that were needed and that exposing her to this would not be recommended.
I need more information in order to locate the account. Please ask patient to provide account number.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.
Regards,I never received any of those letters. How were they sent? Do they have my correct address? I have never been contacted by a collection agency regarding Greenville ER. As an ER are they not supposed to take anyone regardless of ability to pay? without contacting me they take my taxes. If this is not resolved quickly I will contact my state senator regarding the matter.
[redacted]
Please accept this email as my follow-up on the Revdex.com complaint filed by [redacted]. This matter has been resolved and follow-up has occurred with Ms. [redacted] Please let me know if anything else needs to be completed on my end. Lisa [redacted] O[redacted], MBA, CRCA, CHAMManager, Patient...
Account Services Greenville Health System
I spoke to the Billing Analyst for Package Pricing and she verified that $4000.00 for mother and $630.00 for baby should have been billed for facility fee separately. Patient need to check Credit Card Statement because $278.00 was refunded back to card on 04/14/2016...
confirmation number [redacted]. Patient Balance $123.60 on son's account have been adjusted off as a courtesy.
Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted] and have determined that this does not resolve my complaint.
I have no record of any attempted calls from [redacted] and certainly received no voice mails regarding the change in the procedure. Also, the staff had from Feb. 25 to March 6 to review the requested test and notify me of any change they recommended. Also, after I was notified to reschedule my MRI on March 5th due to preauthorization issues, I contacted my doctors office and was informed that had Greenville Radiology contacted my doctor's office, they had a preauthorization number and I should not have had to reschedule. However, my rescheduling gave Greenville Radiology staff from March 6 to March 12 to review the requested procedure and speak with me and my doctor about any recommended changes. In total Greenville Radiology had 5 business days to notify prior to March 6 and 4 business days to notify prior to March 12. Again, I have no record of any attempts by [redacted] or any Greenville Radiology staff to contact me, and when I spoke with [redacted]'s office they also indicated March 12 was the first they were notified of any recommendations for change in procedure. The delay and negligence on the part of Greenville Radiology to notify me or my doctor's office wasted 2.5 hours of my time and the time of the person gracious enough to accompany me for my appointment, caused increased anxiety and unfavorable symptoms making it a hardship on me as I work and try to go about daily living. It is not fair to me to have to endure this additional stress of the mishandling of my care while faced with the unknowns of a potentially problematic and/or dangerous medical condition. At this point, I am only requesting a simple acknowledgement and apology from Greenville Radiology at the mismanagement of my care in the delay of informing me or my doctor's office of recommended changes for the twice scheduled MRI. I would hate to find out that this type of negligence could cause a detrimental delay in care to myself or anyone else whose life is on the line and timeliness is of the utmost importance in the survival of the patient. "First, do no harm".
Regards,[redacted]
We have researched this and there seems to have been issues in getting a claim filed to the secondary carrier. It is now untimely to file, so as a customer courtsey we will be adjusting the balance to zero. We we be calling the pt to let them know. Thanks.
I posted a $25.00 adjustment to the account and the account should be with [redacted]
To answer the patients questions, all statements and letters were sent to the address provided to the hospital at the time of service which was [redacted]. We did not recieve any returned mail. Calls were made to the number given at the time of service which was [redacted]. Multiple message were left on an answering machine and a couple times someone answered and disconnected the call. On 2/6/15 we had an address change to [redacted] and have had no return mail from that address. As for the ER seeing patients regardless of their ability to pay, we do not turn patients away based on their ability to pay. This however does not mean that we the patient will not be billed and all collections procedures will be followed. According to the Tax Set Off program we are required to send the letter to the most currecnt address we have which is what we did. I am not sure what more information I can provide. Feel free to have the patient call me directly at [redacted] if I can provide any additional information
The following email (see below) was sent to Mrs. [redacted] via MyChart yesterday (02/02/17) at 11:29am. Mrs. [redacted]'s $25.00 will not be refunded because she does not have a credit. A true credit can only be refunded if you owe no other monies, this is explained in our consent for...
treatment which I have attached a copy of that was signed by Mrs. [redacted] on 12/12/16.~~~~~~~copy of email below~~~~~~~~~~~~~~~~~~~Mrs. [redacted], I apologize for not getting back to you sooner. Our refund policy is that no credits are to be refunded if you have any balance owed to [redacted] group or to GHS. I have reviewed the charges by Dr. [redacted] and compared them to your medical records. He charged you for a destruction of a lesion and the allowed amount (that is set by your insurance company, not GHS) is $207.45. We are required to bill you what your insurance company tells us to bill you. It's coded correctly according to the service provided and that cannot be changed. The fee for this service is reasonable and customary for this procedure and a discount was given to you by your insurance. The remaining balance on your account is $182.45. Thank-You, Amy D[redacted] Customer Service Supervisor
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. I appreciate the prompt follow up from GHS as well.
Regards,
[redacted]
I have spoken with the patient and the payment referred to was paid to another provider. I have explained and the patient has sent her insurance card to GHS for filing the claim to.
Patient was happy
Account has been adjusted to a zero balance as a one time courtesy. However the charges were correct with a Urinalysis and the lowest level of ER fee. According to the records, patient was greeted at 13.01, triaged at 13.15, history taken at 13.25, urinalysis at 13.55, patient in waiting room...
sipping coffee at 14.20, and at 15.05 patient left[redacted].
This is a facility based office and therefore all deducts and coins apply. as a one time administrative adjust I am adjusting the balance down to the [redacted] copay and removing from credit report. Going forward the charges would stand as this is not considered a free standing office it is billed under...
the facility.
After reviewing all documents on file, the account is coded according to the physicians order. I cannot change the Dr.'s order. This would be an issue that would need to be addressed with [redacted] Associates (Dr. [redacted] ordering physician). The physician would need to work with medical records...
to have any DX change that may be made to the order. A copy of the actual order can be provided to the patient if needed. At this point the labs were performed as ordered and the charges are correct.
I have spoken to billing regarding this complaint. It appears that this was billed in error, and will be adjusted accordingly. Thank you,[redacted]Patient and Family Relations
The account in question is not for services at Oconee Medical Center The services were recieved at Greenville Memorial Hospital ER. Below is a list of correspondence that was sent to the patient:9/10/13 Letter asking for insurance information, 10/10/13 2nd stmt, 11/9/13 3rd stmt,...
12/9/13 Final stmtDuring time period 12/9/13 - 8/25/14 Multiple collection agencies have attempted to contact the patient by phone and letter with no response. A letter was sent to the patient 8/25/14 making the patient aware we intended to garnish his taxes if the account was not paid. Please let me know if you need additional information or have the patient contact me at [redacted]Thanks[redacted]
Charges will be adjusted off due to untimely to file to patient insurance. Sent reqeust to collection agency to remove from Credit Bureau. I removed account from tax offset.