Inova Fairfax Medical Campus

Below is a breakdown of components of patient's ED visit: Radiological Diagnostic tests- xrays of the hand Emergency Room- general charge for the laceration repair This would be the “facility component” ie: nurses, suture material, injections, lidocaine Emergency Room-general charge for the E & M or evaluation and management of the injury This was coded as a Level for the expertise and complexity of the care Pharmacy- medications used Preventive Care Services- a Tetanus Booster shot Charges are assigned on a point-based symptom and per guidelines from the Centers for Medicaid and Medicare Services (CMS) Thank you

Do not go here on a high deductible planMy wife went in for abdominal pain, got an X ray, spoke with a Doctor and the Doctor's assistant for less than minutesSat in a waiting chair foreverThe doctor was nice, the PA was [redacted] Constipation was the diagnosisBetween the hospital bill (who bills for the facilities and use of the facilities) and the doctors (a separate company employs the doctors), we ended up paying close to $2.5kThe hospital's bill was very expensive but not crazyThe Doctor's bill (a company that iNova chooses) was crazyWe spoke with the doctor and PA for less than minutes combined, and they billed $1.5k, which is more than $4.5k/hourEven adding extra time for reviews of x-rays and paper work, no other industry can bill out at these kinds of ratesThe bill came in several stages which made it even more aggravating/surprisingOne visit will likely require you to shell out a huge chunk of your deductible even for something simple

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Complaint: ***
I am rejecting this response because:
I stop haven't had my question answeredIn my previous pregnancy I had an
epidural, in the second one I didn't in my previous pregnancy I was placed on
drip, in the second one I had no iv went straight to the delivery roomIn my
previous pregnancy I was placed in the triage for Almost an hour, in my second
one I wasn'tIn my first pregnancy my new born underwent the car seat test in
the second one he didn't.I am being billed for a semi private room which was
not my request therefore should not be my cost to n payBottom line my
insurance has not at any time changed. Why my charges are more for the second
delivery makes no senseI will not be making payments to the billed
amountIf these charges were at at all exact why were they not charged to me as
early as the amont of $480?How does the amount come about months later?
Attach different statements
Regards,
*** ***

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because:***
***'s response is dated January 8th I had attempted to resolve the dispute directly with the hospital prior to lodging a complaint with Revdex.com, and this was their response at that time The hospital is not responding to my complaint; they are simply holding the same position that they took when I attempted to work out the dispute with they earlier this yearWhile *** *** was very nice and helpful, the hospital administration refused to even discuss or review the costs with me stating that they felt the prices we 'in line' with no ability from me to provide input or dispute the charge It's absolutely ridiculous that the hospital gets to arbitrarily set the prices without regard for the actual cost or fair market value for such services and with no ability on the patient side to affect such prices I attempted to work with INOVA multiple times to have a direct discussion about the nearly $in 'facility charges' for a simple procedure like receiving stitches and no triage By their own admission, the doctor gets to charge separately, and I received another $bill for the doctors services
I received about 20-minutes of actual care and received bills totalling in the range of $3000, for EIGHT STITCHES Healthcare costs are out of control and hospitals are engaging in abusive billing practices, especially when they refuse to even discuss how they arrive at the arbitrary prices or have a conversation about what the cost for such services should in fact be Until the hospital is ready to have a conversation about a FAIR cost, and adjust the bills according, this dispute will remain open
Regards,
*** ***

Please anyone that reads my review , please take to heart what I am sayingI had NO choice in having to deal with such an unprofessional companyThe Condo Association that I bought into had these horrible unhelpful people in place when I purchasedThe owner Mel *** and one of the nastiest Property managers I've ever met Regina *** are a trur nightmareDo your research before dealing with this CUt rate companyTruley it has been misrible having to deal with these people on any level

On July 11, 2014, *** *** *** in the billing department of Inova Fairfax Hospital contacted patient and explained what needed to be done in order to have Coordination of Benefits occurr between the two insurance carriersPatient understood and will work w/*** *** to resolve

I was hospitalized from 11/-11/and billed $for my stay My issuance did not cover the claim because it's not part of my policyWe pai the bill on 04/06/with my Capital One credit card We then found out VA law now enforces Insurance companies to pay for Mental and Substance abuse United Health care paid INOVA the reduced price and we were supposed to receive back the $ I was again hospitatalized on 04/14/- 04/18/ INOVA knew Iwe had insurance and did not get pre-approval from United Health Care so the claim was denied because "Admission notification was not done causing reduced benefitsPer Provider contract you are not liable for this" INOVA used the money from the 11/claim to pay the 04/14/bill MY wife called INOVA billing and per Paula quoted "You are not getting this money back and there is nothing you can do about it" I called United Health Care and reported it to them and we have all of the documentation printed out They are contacting INOVA and I have contacted them as well and we are waiting on a call back

Patient's breakdown is as follows, the total charges for her first birth in (two accounts) were $13,045.95. the total charges
for her 2nd birth in 2015(three accounts) was $10,951.92. The combined total amount of charges were a higher total for her visit, but insurance left her with more patient responsibility this year, a copay for each account plus deductible, more than likely patient's benefits changed, resulting in a copay for each account
Patient *** ***-Hospital Account *** DOS 7/12/13-7/15/
Total charges 12,
Ins payment -8,
Ins adjustment -3,
Patient *** ***-Hospital Account *** DOS 4/16/15-4/18/
Total charges
Ins payment
Ins adjustment
Self pay balance (towards deductible, copay)
Newborn Patient *** *** ***-Physician Account *** DOS 4/16/15-4/18/
Total charges
Ins payment -
Ins adjustment -
Self pay balance (copay)
Newborn Patient *** *** ***- Hospital Account *** DOS 4/16/15-4/18/
Total charges
Ins payment -
Ins adjustment -
Self pay balance (deductible)
Patient's accounts from her delivery in 2013, does not reflect any deductible amounts owing from any of the insurance remits, so that could be the difference with this year’s birth and amounts owing. Her insurance didn’t change, but the benefits may have causing her to owe towards deductible.
Self pay balance was 250.00(copay)
Newborn Patient *** *** *** - Physician Account *** DOS 7/13/13-7/15/
Total charges
Ins payment -
Ins adjustment -
Self pay balance

[redacted] has been in contact w/our billing departmet at Inova Fairfax Hospital and the billing dept has reached out to **. [redacted] to explain he needs to speak w/his insurance companies in order to be sure they know which insurance company is considered primary. He needs to speak to them to...

coordinate his benefits. Thank you. [redacted]

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because:I have known about the co-ordination benefits issue since
February when I received the first bill from Inova.  I have been in contact with my insurance companies since I received that first bill, and they have been working on a resolution ever since.  The response you received from Inova makes it seem like they are providing me with new information.  This is not the case.  I contacted the
Inova's billing department and made them aware of the issue the day
after I received the bill.  Additionally, I have contacted Inova
multiple times in the past five months, attempting to get a hold placed
on my account while my insurance companies sorted out the problem.My request for a hold on my account has continually been ignored,
and this is the core of my complaint (which is ignored in the response I received).  Instead, I continued to receive
bills from Inova, and my account was eventually sent to a collection
agency.  I was under the impression that, after filing a complaint with
both your organization and the Attorney General (both of which
received responses acknowledging the error) and having phone
conversations with multiple Inova employees who assured me that I would
not receive any more bills until the error was corrected, a hold would
finally be placed on my account.  However, I received yet another bill
in the mail yesterday (07/09/2014) for the incorrect amount and asking
for it to be paid by the end of this month.  From my perspective, absolutely nothing has changed
between now and five months ago.[redacted]

Below is a breakdown of components of patient's 9.21.14 ED visit:
  .      
Radiological Diagnostic tests- 2 xrays of the
hand
2.      
Emergency Room- general charge for the
laceration repair.  This would be the
“facility component” ie: nurses, suture material, injections, lidocaine.
3.      
Emergency Room-general charge for the E & M
or evaluation and management of the injury. 
This was coded as a Level 3 for the expertise and complexity of the
care.
4.      
Pharmacy- medications used.
5.      
Preventive Care Services- a Tetanus Booster shot
Charges are assigned on a point-based symptom and per
guidelines from the Centers for Medicaid and Medicare Services (CMS).
 
Thank you.

Do not go here on a high deductible plan.
My wife went in for abdominal pain, got an X ray, spoke with a Doctor and the Doctor's assistant for less than 20 minutes. Sat in a waiting chair forever. The doctor was nice, the PA was [redacted]. Constipation was the diagnosis.
Between the hospital bill (who bills for the facilities and use of the facilities) and the doctors (a separate company employs the doctors), we ended up paying close to $2.5k. The hospital's bill was very expensive but not crazy. The Doctor's bill (a company that iNova chooses) was crazy. We spoke with the doctor and PA for less than 20 minutes combined, and they billed $1.5k, which is more than $4.5k/hour. Even adding extra time for reviews of x-rays and paper work, no other industry can bill out at these kinds of rates.
The bill came in several stages which made it even more aggravating/surprising.
One visit will likely require you to shell out a huge chunk of your deductible even for something simple.

Review: On 12 June 2013 my wife [redacted] received a bill from INOVA for physical therapies at INOVA Fairfax Hospital during the period from 18 to 30 April 2013. I sent them a letter on 8 July 2013 stating that the billed charges were paid by us as co-oayments at the time of the physical therapies. I included copies of the receipts in the letter. We recently received another bill from INOVA for the same April physical therapies and this time it also included charges for physical therapies for the months May 2013. I have receipts of co-payments for these therapies. I am sending them another letter and this time I'm including my original letter, as well as copies of the May receipts. In the letter I will advise them that I have filed a complaint with your organization. If it is advisable, I will include a Cc: of the letter to the Revdex.com in Washington, DC.Desired Settlement: The desired outcome is that INOVA send another statement acknowledging that these charges were paid at the time the service was provided. Ideally, that they would fix their billing system to more accurately reflect both the amount paid and the actual date that the payment was made.

Review: Last year, I was hospitalized at the Inova Fairfax Hospital for a little over four days. Earlier this year, I received a bill for that stay. However, the Inova Fairfax Billing Department billed me incorrectly. Instead of charging my secondary insurance provider as a secondary insurance provider, they charged them as a primary insurance provider. Thus, both of my insurance providers were charged as my primary insurance provider. This caused my final hospital bill to rise from around $700 to over $4000 (even though the hospital actually received more than what they were owed overall). For the past four months, I have been in contact (via phone calls and finally a written letter) with the Inova Fairfax Billing Department, and was given assurance that this issue would be resolved. However, I received a final notice in the mail today for $4177.36. This means that the Inova Fairfax Hospital has done nothing to correct their error.

Note:

The dates I have provided are estimatesDesired Settlement: Fix the billing error

Business

Response:

[redacted] has been in contact w/our billing departmet at Inova Fairfax Hospital and the billing dept has reached out to **. [redacted] to explain he needs to speak w/his insurance companies in order to be sure they know which insurance company is considered primary. He needs to speak to them to coordinate his benefits. Thank you. [redacted]

Consumer

Response:

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

Review: [redacted]

I am rejecting this response because:I have known about the co-ordination benefits issue since

February when I received the first bill from Inova. I have been in contact with my insurance companies since I received that first bill, and they have been working on a resolution ever since. The response you received from Inova makes it seem like they are providing me with new information. This is not the case. I contacted the

Inova's billing department and made them aware of the issue the day

after I received the bill. Additionally, I have contacted Inova

multiple times in the past five months, attempting to get a hold placed

on my account while my insurance companies sorted out the problem.

My request for a hold on my account has continually been ignored,

and this is the core of my complaint (which is ignored in the response I received). Instead, I continued to receive

bills from Inova, and my account was eventually sent to a collection

agency. I was under the impression that, after filing a complaint with

both your organization and the Attorney General (both of which

received responses acknowledging the error) and having phone

conversations with multiple Inova employees who assured me that I would

not receive any more bills until the error was corrected, a hold would

finally be placed on my account. However, I received yet another bill

in the mail yesterday (07/09/2014) for the incorrect amount and asking

for it to be paid by the end of this month. From my perspective, absolutely nothing has changed

between now and five months ago.[redacted]

Business

Response:

On July 11, 2014, [redacted] in the billing department of Inova Fairfax Hospital contacted patient and explained what needed to be done in order to have Coordination of Benefits occurr between the two insurance carriers. Patient understood and will work w/[redacted] to resolve.

Review: I have called Inova customer service over 6x in the past 5 months. I have inquired a charge of $97.50 against me for services, the likes of which I do not believe that I received. I was told to come back "some time by the end of the month" to have blood taken so I was not fasting. When I did not come back, they charged me an additional $97.50 for the service (which I believe was an automated process that they are not checking into).

Every time I call they deflect responsibility onto the "medical coding department" and they tell ME to call THEM in 10-15 days regarding the nature of the billing. Every time I call back they say the same thing and this has gone on for too long now. They have had sufficient time to seek out the nature of this charge. I keep getting statements in the mail with the $97.50 due but at a later date after each time I call. They tell me that I am not allowed to talk to the medical coding department. I believe they are just holding this over my head despite my repeated attempts to contact them, and my repeated desire to not have a collection agency go after me and my credit score regarding these services that I did not receive.Desired Settlement: I would like this issue to be solved and to find the matter/nature of this charge and an appropriate update in billing if necessary.

I also do not believe that their policy should be to have YOU call THEM back within 10-15 days when you are the customer. They have my cell phone # on file. I've given it to them multiple times as well.

Review: On 12/8/2012 I Incurred a $100 copay

On about 1/08/13 they billed me for $100 copay

On 1/19/13 I paid the $100 copay

In February they sent a bill showing I had only paid $50. and that I owed $50

I called them and sent a copy of the check.

In March they sent a bill showing I paid $50 and $50 was due

I called them and sent a copy of the check.

In April they billed again I called, they said no problem.

In MAY Billed again. Showing $50 paid and $50 due.Desired Settlement: I would like to see $100 copay acknowledged. Not $50 since I paid $100

Review: This was an emergency room visit for a hand laceration that required stitches. No hospitalization was required and the following services were rendered: immunization (no dispute), x-ray (no dispute), and the actual of stitching my hand.

On the bill I received a bill from INOVA, there is a line-item breakdown “Emergency Services” and for “Wound Repair”. I did not receive any emergency service, except for the wound repair itself. This represents a substantial portion of both bills - $672 from INOVAI did not receive this service and it should not be billed to me. I feel that it is a fraudulent billing, as no one can tell me, in detail what this charge entails since I’m already being billing for having my hand stitched separately.

At no time did a doctor ever render ANY kind of services to me, emergency or otherwise. In fact, I was not seen by a doctor until after I had received my sutures and my wound was fully-wrapped. I was REFERRED to a hand specialist to evaluate my hand after I left the emergency room, which I also had to pay for separately. At least that charge is more understandable to me since that was a separate doctor visit at his own office facility.

I am disputing 100% of the ‘Emergency Services” charge, as I only received wound repair, and no other services.. I was not seen or attended by any doctor for nearly 3 hours while I waited to see a person who could stitch up my hand. In fact, my towel, which was wrapped around my hand to stop the bleeding, was taken from me. This caused my hand to begin bleeding again and ended up bleeding on my clothes while waiting. I had to request gauze and a waterproof pad to prevent further bleeding. Ultimately, I cannot pay for services that I did not receive.Desired Settlement: I would like INOVA Fairfax to adjust the amount billed for 'emergency services' as the amount billed is excessive and I did not receive such services, only the 'wound repair'.

Consumer

Response:

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Review: [redacted]

I am rejecting this response because:

[redacted]'s response is dated January 8th. I had attempted to resolve the dispute directly with the hospital prior to lodging a complaint with Revdex.com, and this was their response at that time. The hospital is not responding to my complaint; they are simply holding the same position that they took when I attempted to work out the dispute with they earlier this year.