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 Regards, [redacted] He does not live at my address, they put my name on it
Response to letter of complaint:
The physician had documented justification as to why he ordered the tests. He did bill a higher code on the
2nd visit but he had the documentation to support it according to coding guidelines. It sounds as if his symptoms were less initially, which is why all tests were negative during the first visit. During the second visit, the symptoms had worsened and he felt that level was justified. Thank you
***
My husband recently had very serious surgery at MBWe did not choose MBIt was determined by the surgeons scheduleThe entire experience was nothing but positive! The nursing staff was amazing! They were so caring, not just about him but about me as wellThey were the best! We will never use another facility if we have a choiceEven the food was pretty good! Thanks to the greatest nursing staff ever!
On account # [redacted], On 9/15/15, [redacted] screened the patient to see if they would qualify for any programs ([redacted], etc..), it’s notated that patient makes 3700 a month, and has no qualifying dependents, per...
[redacted] patient does not qualify for [redacted].
On 9/18 the patients wife called and stated they do not have insurance and asked for financial assistance, we placed application in the mail.
On 9/29 the patients wife came to hospital to drop off the financial application and documents, [redacted] explained to the patients spouse that it does not appear they qualify for financial assistance based on the income amount per month. [redacted] asked for payment, and patient stated they could only pay 10.00 per month, [redacted] asked about insurance through the ACA (Affordable Care Act), patients wife stated they applied but was told it would be 400.00 a month with a 10k deductible, [redacted] reminded patient of open enrollment anyway.
On 10/26 patient called to see if he could get set up on a monthly payment for 10.00 a month. Patient was informed that on a balance of 9,366.23, 10.00 is not a sufficient enough payment, and the balance is to large to accept a 10.00 a month payment and this amount would not keep it from going to a collection agency.
Patients original balance was 14,455.74, with a self-pay discount, patient’s balance is 9,366.23, patient has paid 30.00 to-date.
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.
Regards,
[redacted]
He does not live at my address, they put my name on it
Dear Sir or Madam:
We have reviewed the billing address for the client below which is [redacted]. All correspondence or bills have been sent to his address, as he is listed as the responsible party. Additionally, there has been no correspondence with our billing dept. from the...
complainant. Unless she can provide documentation that the bills are being forwarded to her due to a change in his address, it is unclear why she would be receiving these bills. Please let me know if there is anything else that we can do. If Mr. [redacted]'s address has been changed please have her submit this information, so that we can complete our inquiry into this complaint.[redacted] Ave.
[redacted], 29323
We have all our documentation where this patient was contacted on numerous occasions with no response. Our official letter was sent to the individual as above.
125); font-size: 11pt; font-family: Calibri, sans-serif;">
I hope this adds some closure to this case.. I appreciate your help and support.
On account # [redacted] its stated multiple times in notes that we were unable to give her an estimate, and only asked her for a “down payment” in the amount of 543.00 to lock in a 25% discount. If she pays on the day of the procedure, or within 10 days of discharge, she would be eligible for the 25% prompt pay discount when/if additional bills were received. This was discussed prior to her surgery.
On the day of her surgery she was asked for her 543.00 payment, and she stated “I can’t pay today, I’m going to pay [redacted] on Monday”. She never called [redacted] to make her 543.00 down payment. Patient called [redacted] in July after she received her bill, and [redacted] again reminded her that she could not give her an estimate of the charges, and that’s the reason she gave her the option to pay 543.00 as a down payment, and reminded her that she never called and paid that amount. Patient then told [redacted] that she would have to make monthly payments, and we provided her the number to the Business Office so a monthly payment could be made.
Patient called back to Business Office on 8/26 and asked for her account to be audited, that request was sent to [redacted]. On 8/26, we extended the 25% discount offer, and patient said she would call back after the audit.
** called patient on 8/28 with audit findings, per [redacted] charges are correct. Patient stated she felt that she was told incorrect amount, she stated that we quoted her 15,000, the Business Office informed that patient that nowhere in the notes does it say a quoted amount. We offered that it could have been the doctors portion that she’s confusing it with, and reminded her again that we have documentation in multiple places that we were unable to give her an estimate of her charges.
On 10/5/15 [redacted] approved a settlement for a 35% discount, leaving patient responsibility at 2655.57. Notes indicate that [redacted] was going to contact patient per email.
No payment has been made on the account to-date. ...⇄
[redacted]
[redacted] The complainant did speak with our business office and unfortunately a thorough review of the account was not performed initially. The complainant did contact the hospital designated line for issues and concerns in June. A thorough review of the...
account was then conducted. An error was discovered. The patient has been refunded $750, all of the monies that were overpaid by our business office. The complainant is satisfied with the outcome. [redacted] 864-[redacted]
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 Regards, [redacted] He does not live at my address, they put my name on it
Response to letter of complaint:
The physician had documented justification as to why he ordered the tests. He did bill a higher code on the
2nd visit but he had the documentation to support it according to coding guidelines. It sounds as if his symptoms were less initially, which is why all tests were negative during the first visit. During the second visit, the symptoms had worsened and he felt that level was justified. Thank you
***
My husband recently had very serious surgery at MBWe did not choose MBIt was determined by the surgeons scheduleThe entire experience was nothing but positive! The nursing staff was amazing! They were so caring, not just about him but about me as wellThey were the best! We will never use another facility if we have a choiceEven the food was pretty good! Thanks to the greatest nursing staff ever!
On account # [redacted], On 9/15/15, [redacted] screened the patient to see if they would qualify for any programs ([redacted], etc..), it’s notated that patient makes 3700 a month, and has no qualifying dependents, per...
[redacted] patient does not qualify for [redacted].
On 9/18 the patients wife called and stated they do not have insurance and asked for financial assistance, we placed application in the mail.
On 9/29 the patients wife came to hospital to drop off the financial application and documents, [redacted] explained to the patients spouse that it does not appear they qualify for financial assistance based on the income amount per month. [redacted] asked for payment, and patient stated they could only pay 10.00 per month, [redacted] asked about insurance through the ACA (Affordable Care Act), patients wife stated they applied but was told it would be 400.00 a month with a 10k deductible, [redacted] reminded patient of open enrollment anyway.
On 10/26 patient called to see if he could get set up on a monthly payment for 10.00 a month. Patient was informed that on a balance of 9,366.23, 10.00 is not a sufficient enough payment, and the balance is to large to accept a 10.00 a month payment and this amount would not keep it from going to a collection agency.
Patients original balance was 14,455.74, with a self-pay discount, patient’s balance is 9,366.23, patient has paid 30.00 to-date.
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.
Regards,
[redacted]
He does not live at my address, they put my name on it
Dear Sir or Madam:
We have reviewed the billing address for the client below which is [redacted]. All correspondence or bills have been sent to his address, as he is listed as the responsible party. Additionally, there has been no correspondence with our billing dept. from the...
complainant. Unless she can provide documentation that the bills are being forwarded to her due to a change in his address, it is unclear why she would be receiving these bills. Please let me know if there is anything else that we can do. If Mr. [redacted]'s address has been changed please have her submit this information, so that we can complete our inquiry into this complaint.[redacted] Ave.
[redacted], 29323
Thank you
[redacted]/ MB Risk Manager
We have all our documentation where this patient was contacted on numerous occasions with no response. Our official letter was sent to the individual as above.
125); font-size: 11pt; font-family: Calibri, sans-serif;">
I hope this adds some closure to this case.. I appreciate your help and support.
On account # [redacted] its stated multiple times in notes that we were unable to give her an estimate, and only asked her for a “down payment” in the amount of 543.00 to lock in a 25% discount. If she pays on the day of the procedure, or within 10 days of discharge, she would be eligible for the 25% prompt pay discount when/if additional bills were received. This was discussed prior to her surgery.
On the day of her surgery she was asked for her 543.00 payment, and she stated “I can’t pay today, I’m going to pay [redacted] on Monday”. She never called [redacted] to make her 543.00 down payment. Patient called [redacted] in July after she received her bill, and [redacted] again reminded her that she could not give her an estimate of the charges, and that’s the reason she gave her the option to pay 543.00 as a down payment, and reminded her that she never called and paid that amount. Patient then told [redacted] that she would have to make monthly payments, and we provided her the number to the Business Office so a monthly payment could be made.
Patient called back to Business Office on 8/26 and asked for her account to be audited, that request was sent to [redacted]. On 8/26, we extended the 25% discount offer, and patient said she would call back after the audit.
** called patient on 8/28 with audit findings, per [redacted] charges are correct. Patient stated she felt that she was told incorrect amount, she stated that we quoted her 15,000, the Business Office informed that patient that nowhere in the notes does it say a quoted amount. We offered that it could have been the doctors portion that she’s confusing it with, and reminded her again that we have documentation in multiple places that we were unable to give her an estimate of her charges.
On 10/5/15 [redacted] approved a settlement for a 35% discount, leaving patient responsibility at 2655.57. Notes indicate that [redacted] was going to contact patient per email.
No payment has been made on the account to-date.
...⇄
[redacted]
[redacted] The complainant did speak with our business office and unfortunately a thorough review of the account was not performed initially. The complainant did contact the hospital designated line for issues and concerns in June. A thorough review of the...
account was then conducted. An error was discovered. The patient has been refunded $750, all of the monies that were overpaid by our business office. The complainant is satisfied with the outcome. [redacted] 864-[redacted]