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On the Mend On the Move Physical Therapy

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On the Mend On the Move Physical Therapy Reviews (8)

Thank you for the information you provided Per HIPPA guidelines, we are not able to discuss specific cases of patients with the general public What we can state is there is only one reason we would not immediately pay a patient back if they had over paid and that is if the patient’s insurance has not paid for all dates of serviceIf we were to pay the patient back without settling all dates of services with the insurance company this could cause more of an issue if it is found that after the insurance pays, the patient actually still owes money or we over paid the patientWe know situations like this are delicate and can cause people to become upset which is why we work diligently to rectify situations like this as quickly as possible Even thought we work very hard to ensure situations like this do not occur, over the past years of being in business we have had a number of insurances that take over a year to reimburse for services rendered even though we have correctly sent in the documentation needed in a timely manner (our company’s policy is to send the claims in within 24-hours)All of our claims are sent in electronically and we always keep records of what we send and when we send itIf there are any discrepancies we document who we spoke with, when we spoke with them and what we spoke with them about In the last year we have had to take a local insurance company to arbitration/court for lack of paymentWe won this case but the entire situation did stress the relationship between On the Mend On the Move Physical Therapy and the patientWe never want to take these steps but all too often the insurance companies deny claims even though they have given our staff authorization for the visits, pay other dates of services for the same person and the same diagnosis codes and continue to deny claims when we give their representatives all documented information Again thank you for bringing this to our attentionWe will continue to work for our patients! Sincerely [redacted] Owner

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below Regards, [redacted] I had a conversation with the [redacted] at one the Mend on the Move on friday April 18thHe was going to scan and email me a copy of a letter from the insurance company right after we got off the phone so I would have a email address to send a billing summary, but as of yet I still have not received the email They seem to have DROPPED THE BALL AGAIN I am sorry that the insurance company is not fully cooperating with PT office however, I am still owed a refund and the insurance company is the entity that owes the money for the two dates of service in question If the insurance paid it would look like this March 1,amount billed $ Amount allowed $ Write off $ insurance owes $ but I have been charged $ this is considered Balance Billing in it is in Violation of their contract with the insurance Company and is unethical I am owed the refund of $for this date of service March 25, Amount billed $ Amount Allowed $ Write off $ Insurance owes $ OTMOTM applied $of my money to that date of service which needs to be refunded $+ $= $that needs to be refunded During my conversation with [redacted] he said this account slipped trough the crack because we went to a newly opened location soon after it opened and they were not fully prepared, sadly visits later they never corrected the situation [redacted] said that they would NOT be refunding the amount owed until the insurance was straightened out, they have been doing that for OVER a year not I do not accept that as an answer to my problem I have called and faxed to request information and it finally took the Revdex.com to get any response Thank you Revdex.com for your assistance

The ball has not been dropped and all information was sent over to the email address *** provided after it was discussed with my billing manager and other owner of the companyA refund has also been sent to her via snail mail
Again per HIPPA we are not able to discuss further details of this matter
We do agree with *** that insurance companies often do not take care of their responsibilities and because of this it often puts small companies like ours in a bad situation
Thank You
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
Regards,
[redacted]
I had a conversation with the [redacted] at one the Mend on the Move on friday April 18th. He was going to scan and email me a copy of a letter from the insurance company right after we got off the phone so I would have a email address to send a billing summary, but as of yet I still have not received the email.  They seem to have DROPPED THE BALL AGAIN.
I am sorry that the insurance company is not fully cooperating with PT office however, I am still owed a refund and the insurance company is the entity that owes the money for the two dates of service in question.  If the insurance paid it would look like this
March 1,2013 amount billed $114.36  Amount allowed $47.00  Write off  $67.36  insurance owes $47.00  but I have been charged $114.36  this is considered Balance Billing in it is in Violation of their contract with the insurance Company and is unethical.
I am owed the refund of $114.36 for this date of service
March 25, 2013 Amount billed $114.36  Amount Allowed $47.00  Write off $67.36  Insurance owes $47.00  OTMOTM applied $32.45 of my money to that date of service which needs to be refunded.
$114.36 + $32.45 = $146.81 that needs to be refunded.
During my conversation with [redacted] he said this account slipped trough the crack because we went to a newly opened location soon after it opened and they were not fully prepared, sadly 12 visits later they never corrected the situation.  [redacted] said that they would NOT be refunding the amount owed until the insurance was straightened out, they have been doing that for OVER a year not  I do not accept that as an answer to my problem.
I have called and faxed to request information and it finally took the Revdex.com to get any response.  Thank you Revdex.com for your assistance

Thank you for the information you provided.
Per HIPPA guidelines, we are not able to discuss specific cases of patients with the general public.
What we can state is there is only one reason we would not immediately pay a patient back if they had over paid and that is if the...

patient’s insurance has not paid for all dates of service. If we were to pay the patient back without settling all dates of services with the insurance company this could cause more of an issue if it is found that after the insurance pays, the patient actually still owes money or we over paid the patient. We know situations like this are delicate and can cause people to become upset which is why we work diligently to rectify situations like this as quickly as possible.
Even thought we work very hard to ensure situations like this do not occur, over the past 8 years of being in business we have had a number of insurances that take over a year to reimburse for services rendered even though we have correctly sent in the documentation needed in a timely manner (our company’s policy is to send the claims in within 24-48 hours). All of our claims are sent in electronically and we always keep records of what we send and when we send it. If there are any discrepancies we document who we spoke with, when we spoke with them and what we spoke with them about.
In the last year we have had to take a local insurance company to arbitration/court for lack of payment. We won this case but the entire situation did stress the relationship between On the Mend On the Move Physical Therapy and the patient. We never want to take these steps but all too often the insurance companies deny claims even though they have given our staff authorization for the visits, pay other dates of services for the same person and the same diagnosis codes and continue to deny claims when we give their representatives all documented information.
Again thank you for bringing this to our attention. We will continue to work for our patients!
 
Sincerely
 
[redacted]
Owner

Thank you for the information you provided.

Per HIPPA guidelines, we are not able to discuss specific cases of patients with the general public.

What we can state is there is only one reason we would not immediately pay a patient back if they had over paid and that is if the...

patient’s insurance has not paid for all dates of service. If we were to pay the patient back without settling all dates of services with the insurance company this could cause more of an issue if it is found that after the insurance pays, the patient actually still owes money or we over paid the patient. We know situations like this are delicate and can cause people to become upset which is why we work diligently to rectify situations like this as quickly as possible.

Even thought we work very hard to ensure situations like this do not occur, over the past 8 years of being in business we have had a number of insurances that take over a year to reimburse for services rendered even though we have correctly sent in the documentation needed in a timely manner (our company’s policy is to send the claims in within 24-48 hours). All of our claims are sent in electronically and we always keep records of what we send and when we send it. If there are any discrepancies we document who we spoke with, when we spoke with them and what we spoke with them about.

In the last year we have had to take a local insurance company to arbitration/court for lack of payment. We won this case but the entire situation did stress the relationship between On the Mend On the Move Physical Therapy and the patient. We never want to take these steps but all too often the insurance companies deny claims even though they have given our staff authorization for the visits, pay other dates of services for the same person and the same diagnosis codes and continue to deny claims when we give their representatives all documented information.

Again thank you for bringing this to our attention. We will continue to work for our patients!

 

Sincerely

 

Owner

The ball has not been dropped and all information was sent over to the email address [redacted] provided after it was discussed with my billing manager and other owner of the company. A refund has also been sent to her via snail mail.

Again per HIPPA we are not able to discuss further details of this matter.

We do agree with [redacted] that insurance companies often do not take care of their responsibilities and because of this it often puts small companies like ours in a bad situation.

Thank You

I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

Regards,

I had a conversation with the [redacted] at one the Mend on the Move on friday April 18th. He was going to scan and email me a copy of a letter from the insurance company right after we got off the phone so I would have a email address to send a billing summary, but as of yet I still have not received the email.  They seem to have DROPPED THE BALL AGAIN.

I am sorry that the insurance company is not fully cooperating with PT office however, I am still owed a refund and the insurance company is the entity that owes the money for the two dates of service in question.  If the insurance paid it would look like this

March 1,2013 amount billed $114.36  Amount allowed $47.00  Write off  $67.36  insurance owes $47.00  but I have been charged $114.36  this is considered Balance Billing in it is in Violation of their contract with the insurance Company and is unethical.

I am owed the refund of $114.36 for this date of service

March 25, 2013 Amount billed $114.36  Amount Allowed $47.00  Write off $67.36  Insurance owes $47.00  OTMOTM applied $32.45 of my money to that date of service which needs to be refunded.

$114.36 + $32.45 = $146.81 that needs to be refunded.

During my conversation with [redacted] he said this account slipped trough the crack because we went to a newly opened location soon after it opened and they were not fully prepared, sadly 12 visits later they never corrected the situation.  [redacted] said that they would NOT be refunding the amount owed until the insurance was straightened out, they have been doing that for OVER a year not  I do not accept that as an answer to my problem.

I have called and faxed to request information and it finally took the Revdex.com to get any response.  Thank you Revdex.com for your assistance

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Address: 713 N Overland Ave 208 N 5th St West, Paul, Idaho, United States, 83347

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