OhioHealth Corporation Hospitals & Clinics

On Friday, January 26th, 2018, a supervisor from the Call Center did make phone contact.  Here is a summary: Apologized for any inconvenience, all associates involved were addressed,  the agency had been notified.  Provided direct phone number and hours for any future...

questions or concerns and will work together regarding billing and balances the patient may have.  A corrected letter will be sent from the collection agency to the patient with the correct date of paid in full from 01/18/2018 to 01/09/2018 and to say this account was not reported to the credit bureau.  A formal letter will follow with all information and resolution.

I am rejecting this response because:I received the itemized detailed descriptions from Riverside
Methodist Hospital (RMH) on September 14, 2015. I am concerned that RMH will
attempt to negatively impact my credit ratings due to their delay in providing
the itemized detailed descriptions 4 months after they were requested. I am in
agreement with the Self Administered Medications charge. I dispute the charges
for Respiratory Services.
I am in agreement with the charge of $27.95 for Self Administered
Medications. A payment for this amount will be forwarded to RHM. I understand
the classification is delineating between what a patient takes through his own
means as opposed to that which is administered by staff. However, the title is
confusing and changing it to something else may prove beneficial.
Never-the-less, this could have been easily cleared up by timely transmittal of
the itemized detailed descriptions.
I do not dispute the Respiratory Services charge for
services rendered February 19, 2015. But, I do find the amount of the charge of
$222.00 excessive for a 5 minute inspection as I have noted previously.  However, for expediency I am willing to
forward a payment for this amount to settle this matter.
However, I completely dispute the Respiratory Services charge
for services rendered February 20, 2015 since I was discharged this date and no
respiratory services rendered that evening regarding my CPAP machine. My CPAP
machine is only used at night and was only used for one sleep cycle, that being
the evening of February 19, 2015. Even though RMH has stated they may charge
for “subsequent [days]” the CPAP was
not used for a sleep cycle on the evening of February 20, 2015. It is normal
for people to sleep from the evening of one day into the morning of the next
day and to consider it one night’s sleep, not two days sleep. For RMH to charge
one night’s sleep as both an initial day and a subsequent day (two days total)
is unethical and amounts to double-dipping. Based on RMH’s logic if they were to
serve me supper at 23:55 hours and I finished my supper at 00:55 hours and was
discharged later that morning RMH would be within their rights to charge me for
2 suppers.  This example correlates well
with what RMH is attempting to charge for and is obviously absurd.
While RMH has finally supplied the much sought after
itemized detailed descriptions, it still took them approximately 4 months to do
so making the claim valid. These disputed items could have been discussed and
resolved much earlier had RMH supplied the requested documentation in a timely
fashion. There should be no negative impact to my credit rating in resolving
this matter since RMH was is the responsible party for impeding the resolution
process. I request written assurance from RMH that they will not report this
negatively to any of the credit reporting agencies.
In summary, the complaint is still valid against Riverside
Methodist Hospital because they did not provide the itemized detailed
descriptions until 4 months after the initial request and I still dispute the
Respiratory Services charge. I will send out a payment of $27.95 for Self
Administered Medications which I am in agreement with.  I dispute the Respiratory Services charge for
services rendered February 20, 2015, but do not dispute the charges for
services rendered February 19, 2015. I am willing to send a payment for $222.00
for Respiratory Services to end this matter if RMH finds this acceptable. I
request written assurance from RMH that they will not report this negatively to
any of the credit reporting agencies.
Regards,
[redacted]

I did not receive a request asking if the complaint had been resolved. I talked with a representative from...

Ohio Health who promised that I would receive in the mail bills and the collection agency action would be stopped. She said there were still several bills that were still being processed. If I receive bills in the mail for these claims I will know that the complaint has been resolved. Until then, it is hard to say.

I reviewed the response made by the business in reference to complaint ID [redacted], and find the resolution is satisfactory to me.

I reviewed the response made by the business in reference to complaint ID [redacted], and find the resolution is satisfactory to me. I really appreciate you doing this for me and this helps me in tremendous ways! Thank you all for being cooperative in this situation and being so kind while I was emitted in the ER. :)
Best Regards, [redacted]

The account number is 904443240
[redacted]

A charge audit/analysis was performed.  The Level 4 emergency room level was changed from a level 4 to a level 3.  This level is supported in the records.  The insurance carrier was billed a corrected claim and they have adjudicated.  The patient responsibility is $1470 based on...

the level 3 er.  As a service recovery, the balance is adjusted to $769, the patient responsibility of a level 2.  The patient has been mailed a financial assistance application to complete and return if seeking assistance with the balance.  Once the application is received back, financial assistance can be determined on the balance.

The accounts have been placed on a hold with the collection agency for 60 days - mid September and will not be placed with the credit reporting agencies during the hold time.  Payment, as promised is expected the first week of September.

Their response is a lie.  I was never told that it would cost me $1,819.39.  I was told it would cost me $331.  Common sense has to prevail here.  There are about 15 other treatments to RA with monthly co-pays from $30 to $150.  Why would anyone agree to pay $1,800 for a treatment?  Is there anyone currently doing this?  The shell game of insurance company/medication/health care provider has to stop.  I walk onto the property of the Health Care Provider to get this service and they need to make this right.

I reviewed the response made by the business in reference to complaint ID [redacted], and find the resolution is satisfactory to me.
Regards [redacted]

Spoke with customer spouse today.  There are no current patient balances to send bills on.  Will review complaint and work on process improvement to prevent future occurrences.

At the time of original complaint, a thorough investigation was performed and found that the original amount provided was an estimate.  Once insurance adjudicated, more patient responsibility was due.  However, account was in a hold status and no statements or calls generated for one...

year.  As a service recovery, the account balance of $923 was adjusted.  Zero patient balance due.  I apologize for any inconvenience this may have caused.

The Remicade program only pays for the medication minus the $5 that is patient responsibility.  The program pays for the copay, deductible and/or coinsurance as assigned by the insurance towards the medication only, minus the $5.The cost of the medication was $3798.59.  The Remicade...

program paid $3793.59, which is minus the $5 that the patient is responsible for. The services not covered by the Remicade program but were left toward the patient's deductible from the insurance were:IV Solutions $68.57Lab Chemistry $12.99Lab Immunology $56.26Lab Hematology $15.15Chemotherapy $1661.42Total: $1814.39 + $5 = $1819.39This has been explained every time the patient has called in. OhioHealth does have a very generous financial assistance program that provides discounts for patients whose income is up to 400% of the federal poverty guideline.  I am not seeing any notes in the system that the patient has pursued or provided any income information for a pre-determination.  We would be happy to discuss this program further if interested.

I reviewed the response made by the business in reference to complaint ID [redacted], and find the resolution is satisfactory to me. I do however request that the follow-up letter also address and acknowledge why the payment from the insurance company was delayed, i.e., waiting for proper claim documentation from OhioHealth and/or an affiliated physicians office. Also I would appreciate it if OhioHealth would note that no funds directly from the patient was ultimately due as the insurance company paid the claim upon receipt of the requested documentations. I have also been in contact with the Collections Agency, and request that they follow-up with a corrections letter as well stating that they did not place any adverse notes and statements with any credit reporting agency. Since they have putting it in writing that the account balance was collected/paid "in full" (which is incorrect as the amount paid by the insurance company was far less than they were attempting to collect) and on a date well past when it was actually direct deposited from the insurance agency to OhioHealth, I would ask that OhioHealth request their collection agency to issue a corrections letter containing factual information. Once again I do request that OhioHealth request on our behalf a letter directly from their collections agencys as well that they did not make any adverse credit notations or comments.

I'm sorry, please allow me to clarify and expand on the answer.  An account will age everyday.  The entire time, it's in the billing cycle, it's aging.  That would not necessarily mean or indicate the account is old, or is in delinquent status.  You are correct, payment within 30 days is appropriate and appreciated.  This would not had impacted care or treatment in any way.

The balance on the account ($46.58) has been adjusted as a service recovery.
Please let me know if there are any further questions or concerns.

I reviewed the response made by the business in reference to complaint ID [redacted], and find the resolution is satisfactory to me. A payment of $249.95 will be mailed out to Riverside Methodist Hospital today, September 19, 2014, closing the account.
Regards,
[redacted]

The account is not aging as patient balances have been satisfied.  Having an account balance does not prevent a patient from being seen or being turned away.

First and foremost, I hope you are returning to good health after your visit to the ER.  Thank you for taking the time to write about the billing experience.  The manner in which the account was processed is correct, however the situation is understood and therefore a refund will...

be submitted to the auto insurance.  Please allow approximately three - four weeks for the refund to be cut and mailed, and time for your carrier to process.

A thorough review was performed on the account.  The charges are valid as services were rendered.  Patient was not told there would not be a charge for her first visit and in fact when presented with the estimate of patient balance, the patient refused to sign.  In a...

good faith effort to resolve this for the consumer, the balance on this account will be adjusted and patient will not be responsible for the balance.