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Northern Virginia Oral & Maxillofacial Surgery Associates

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Reviews Northern Virginia Oral & Maxillofacial Surgery Associates

Northern Virginia Oral & Maxillofacial Surgery Associates Reviews (8)

[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: [redacted] I am rejecting this response because: The lady who worked in the office and provided me with the cost estimate told me that she would have submitted the $rather than $for sinus augmentation billing if she was in the office during my procedure date Hence, it was NOT just my assumption that I will be charged $for the sinus augmentation During the consultation (i.e., before the procedure), I spent considerable time with the lady that provided me with the estimates reviewing costs, including my insurance limits (I didn't have any discussions with the doctor as stated in the response letter from the office because the doctor appears to be too busy.) The estimate states clearly that total cost of the procedure is $and my insurance limit will not be breached, to which I agreed and signed before carrying on with the procedure Hence, I am very surprised to receive a bill totaling $3340, a 46% increase from the estimate and breaching my maximum insurance limit for the year The response letter suggested that I did not pay more than the estimate they gave me However, I would argue that a 46% increase is a substantial increase than the estimated amount, even though the procedures remained identical In fact, after the "$discount", I paid an additional $while my insurance paid an additional $ Incidentally, I believe, based on the billing history, the "$discount" mentioned in the letter occurred after I first contacted the office regarding the bill Hence, it seemed to me it was more of an after-thought than pre-planned discount arrangement Regards, [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 as Answered] Complaint: [redacted] I am rejecting this response because: the office was called before the appointment was made. The patient should have been told that they didn't accept Medicaid for adults. Also when the Id was presented at the appointment the patient should have been told when his DOB was disclosed on the Id and on the paperwork with his DOB , Nice excuse but completely untrue . The receptionist also said that Medicaid pays for this. This is very suspicious and should be looked at by Medicaid. No more excuses I want my $327.00 that was charged to me fraudulently. Regards, [redacted] ***

September 25, Dear *** ***,I apologize for the delay in getting back to you and the patient regarding their concern for the anesthesia charges performed on Oct3, After review of the patient's concern and their account information, I am going to honor the allowable rate
for the denied anesthesia charge of $257, instead of charging the patient our usual and customary fee of $Virginia State Law does give our doctors the right to charge the patient our regular fee for any procedure denied by a patient's insurance plan, but due to the patient's confusion, I will allow the reduced rateAt this time, the *** ***'s account has been adjusted to balance $0, and no further payment is expected from her at this time.Kelly GPractice Manager

Dear Revdex.com:Our office only participates with Medicaid's Children Plan. According to Medicaid the patient has an “Adult” and not a "Children's plan. The patient was asked to pay for the services that were provided based on the information that Medicaid provided our office.Our office is currently in...

communication with Medicaid to try to resolve the information they have provided us and the patient. We ask that the patient patiently waits as we try to resolve the claim with Medicaid. Please understand that insurance could take over 30days for processing. But, as soon as the claim gets resolved we will be in contact with the patient.If you need additional information please contact our office at ###-###-####.Thank you,Rosa S[redacted] Office ManagerNorthern Virginia Oral & Maxillofacial Surgery Associates

[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 as Answered]
 Complaint: [redacted]
I am rejecting this response because:  the office was called before the appointment was made.  The patient should have been told that they didn't accept Medicaid for adults.  Also when the Id was presented at the appointment the patient should have been told when his DOB was disclosed on the Id and on the paperwork with his DOB ,  Nice excuse but completely untrue .  The receptionist also said that Medicaid pays for this.    This is very suspicious and should be looked at by Medicaid.  No more excuses I want my $327.00 that was charged to me fraudulently.
Regards,
[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. I appreciate your intervention to resolve this issue.  
Regards,
[redacted]

October 2, 2014
Dear [redacted],I have received [redacted]'s complaint, and my response is that his complaint is rude and unwarranted. This patient's account is not in any kind of delinquent standing within our office. The status of his outstanding balance is listed as "insurance...

pending", and according to a conversation with his insurance this week, his claim is still pending. [redacted]'s claim was initially processed incorrectly, which the patient and our billing department are fully aware of, and it was required to be resubmitted for correction. The insurance processed our claim as out of network, which is an error since we are in network providers. They sent payment to the patient directly, and [redacted] has not forwarded that payment to our office. We advised him that once his insurance corrected our claim and processed it as innetwork, he may be required to refund that payment back to his insurance. The patient has spoken with our billing staff regarding his account several times, and it was explained to him that he will continue to receive a monthly statement until the account is paid in full, which is standard for every account still listed with a balance pending. However, we also explained to [redacted] that since we expected his insurance to make payment on his account, no payment was due by him, at this time, until his insurance has processed his claim correctly. If his insurance paid based on the benefit information given to us at the time of his treatment, we did not anticipate that he would have any further co-pay due. This is the current status of his account, and his account is in good standing with our office, [redacted] claimed he understood, so I do not understand the nature of his complaint.There will be no settlement on his account, and statements will continue to be sent to him as long as his account remains unpaid by his insurance. [redacted] needs to be reminded that it is his insurance that has yet to pay for his treatment. His insurance does not guarantee benefits until payment is made on the claim, and any balance not paid is ultimately the patient's responsibility. This is written and explained in our financial policy which [redacted] read, signed, and agreed to at the time of his appointment. If [redacted] needs to be reminded of this document which is now a part of his medical record, I will be more than happy to send him a copy,
Sincerely,Kelly G
Practice Manager

[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:1....

 The lady who worked in the office and provided me with the cost estimate told me that she would have submitted the $650 rather than $1870 for sinus augmentation billing if she was in the office during my procedure date.  Hence, it was NOT just my assumption that I will be charged $650 for the sinus augmentation.  
2.  During the consultation (i.e., before the procedure), I spent considerable time with the lady that provided me with the estimates reviewing costs, including my insurance limits.  (I didn't have any discussions with the doctor as stated in the response letter from the office because the doctor appears to be too busy.)  The estimate states clearly that total cost of the procedure is $2290 and my insurance limit will not be breached, to which I agreed and signed before carrying on with the procedure.  Hence, I am very surprised to receive a bill totaling $3340, a 46% increase from the estimate and breaching my maximum insurance limit for the year.
3.  The response letter suggested that I did not pay more than the estimate they gave me.  However, I would argue that a 46% increase is a substantial increase than the estimated amount, even though the procedures remained identical.  In fact, after the "$225 discount", I paid an additional $388.50 while my insurance paid an additional $436.50
4.  Incidentally, I believe, based on the billing history, the "$225 discount" mentioned in the letter occurred after I first contacted the office regarding the bill.  Hence, it seemed to me it was more of an after-thought than pre-planned discount arrangement.
Regards,
[redacted]

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Address: 7611 Little River Turnpike Suite 101-E, Annandale, Virginia, United States, 22003

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