AR-SA;"> In response to the complaint received from [redacted] : 1.Our podiatrists treat residents at different facilities in the upstate area However, they are independent doctors and are not employed by retirement facilities (in this case [redacted] ) and/or insurance companies 2.This practice does not file any secondary insurance to Medicare unless it is an e-crossover from Medicare, or a plan in which we participate In this case, Medicare patients will be responsible for their co-payments and/or deductibles 3.It is our policy to send to the patient three consecutive monthly statements with any balance owed to the practice by the patient Once all attempts at collections are exhausted, the patient’s account is then placed with an outside collection agency with management’s approvalAfter that time, the patient agrees to pay the cost of collection including a reasonable attorney’s fee, if this account should be placed in the hands of an attorney for collections 4.When our podiatrists go to the facilities Residents are brought down to see the doctor and he/she treats them and take care of their podiatry needs; not only cutting nails but a general foot examination 5.The facility is asked to inform residents and/or responsible parties about the podiatrist’s visits about four times a year and provide to us a signed consent form, stating their consent to be treated and their acknowledgment of financial responsibilities Please note that once the consent is received, there is no need to submit a new one each time, unless there are changes (i.ea letter stating that ptdoes not want to be treated, changes in responsible party, etc) 6.This specific patient was seen by our doctor at the facility in occasions Consent provided to us by [redacted] Copy attached (Completed by facility with verbal consent from [redacted] ) 7.For the first visit on 11/13/2013, a Medicare claim was electronically filed Medicare submitted a payment of $representing 80% of the allowable amount A discount of $was given and the remaining $was sent to [redacted] as a request for payment They submitted $ A statement was sent to patient’s guarantor to which Ms[redacted] demanded to bill a tertiary insurance ( [redacted] ) for the outstanding balance I reminded her during a telephone conversation that our office policy explains that we do not file to secondary/tertiary insurances (See number above) However, as a courtesy I made an exception and submitted an electronic claim to [redacted] [redacted] has denied payment stating that invalid information was received The balance of $is still pending on the account 8.For the second visit on 2/26/2014, a Medicare claim was electronically filed Medicare submitted a payment of $representing 80% of the allowable amount A discount of $was given and the remaining $was sent to [redacted] as a request for payment They submitted $ A statement was sent to patient’s guarantor to which Ms [redacted] demanded to bill a tertiary insurance ( [redacted] for the outstanding balance Again, Ms[redacted] was reminded of our policy that we do not file to secondary/tertiary insurances (See number above) However, again I made an attempt to collect from the tertiary insurance[redacted] has denied payment stating that invalid information was received The balance of $is still pending on the account 9.For the third visit on 5/28/2014, a Medicare claim was electronically filed As of today we have not received payment from Medicare A claim will be submitted to [redacted] for the remaining amount but a claim to [redacted] will NOT be submitted 10.Our office was not ever informed that Ms [redacted] did not want her mother to continue treatment at subsequent visits If she informed [redacted] as she suggests in her complaint, my advice is that she contacts the facility directlyOur doctors are at the facility to take care of the residents that are brought to see him/her If the nurses/aids bring a patient down to see the doctor and there is a consent in our system we have no reason to assume differently 11.Any unpaid balances are responsibility of the patient/guarantor and/or other responsible party 12.Any patient’s guarantor or POA should receive an explanation of benefits from the insurance company stating the approved and paid amounts Ms [redacted] can forward that information directly to her insurance company and request payment It has already been done from our office but the insurance denied further payment Perhaps our system is not set up to submit electronic claims to tertiary insurances but attempts have been made outside of our current office policies If those are not available, Medicare should be able to submit a copy to the POA and our office will be able to print one after a request is submitted 13.The [redacted] has treated the patient, bill the primary insurance, bill the secondary insurance, has attempted to collect from the tertiary insurance, issued a discount/adjustment and now it is time to get paid for the remaining balance A payment plan is available if needed If you have any other questions, please feel free to contact our office at 864- [redacted] Thank you
As a courtesy to our valued patient, we have re-submitted via PAPER CLAIMS to the tertiary insurance. In the past, we submitted electronic claims twice but our system is not set up to file to secondary or tertiary insurances. Our office has made efforts to get this issue resolved. Please give insurance 2-weeks to respond
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID***, and have determined that this does not resolve my complaint.
Never have I signed any form giving permission for The Foot Clinic to treat my mother. Back in November I did give a verbal. I was not notified in February that the doctor was coming, and in May I specifically told them not to let the doctor see her. They had a form for me to sign and I refused. The person I talked to was the activities director and she said she would tell them no. I do not have a problem with Foothills at all. The fact that this person wants to argue and not try to come to a resolution to this problem is very distressing. I can only imagine how an elderly person is treated when trying to resolve an issue. Because of the incorrect filing to ***, there are only days from the filing to file correctly which I'm sure has expired
Regards,
*** ***
AR-SA;">
In response to the complaint received from [redacted]:
1.Our podiatrists treat residents at different facilities in the upstate area. However, they are independent doctors and are not employed by retirement facilities (in this case [redacted]) and/or insurance companies.
2.This practice does not file any secondary insurance to Medicare unless it is an e-crossover from Medicare, or a plan in which we participate. In this case, Medicare patients will be responsible for their co-payments and/or deductibles.
3.It is our policy to send to the patient three consecutive monthly statements with any balance owed to the practice by the patient. Once all attempts at collections are exhausted, the patient’s account is then placed with an outside collection agency with management’s approval. After that time, the patient agrees to pay the cost of collection including a reasonable attorney’s fee, if this account should be placed in the hands of an attorney for collections.
4.When our podiatrists go to the facilities. Residents are brought down to see the doctor and he/she treats them and take care of their podiatry needs; not only cutting nails but a general foot examination.
5.The facility is asked to inform residents and/or responsible parties about the podiatrist’s visits about four times a year and provide to us a signed consent form, stating their consent to be treated and their acknowledgment of financial responsibilities. Please note that once the consent is received, there is no need to submit a new one each time, unless there are changes. (i.e. a letter stating that pt. does not want to be treated, changes in responsible party, etc)
6.This specific patient was seen by our doctor at the facility in 3 occasions. Consent provided to us by [redacted]. Copy attached. (Completed by facility with verbal consent from [redacted])
7.For the first visit on 11/13/2013, a Medicare claim was electronically filed. Medicare submitted a payment of $83.25 representing 80% of the allowable amount. A discount of $29.52 was given and the remaining $21.53 was sent to [redacted] as a request for payment. They submitted $6.29. A statement was sent to patient’s guarantor to which Ms.[redacted] demanded to bill a tertiary insurance ([redacted]) for the outstanding balance. I reminded her during a telephone conversation that our office policy explains that we do not file to secondary/tertiary insurances. (See number 3 above). However, as a courtesy I made an exception and submitted an electronic claim to [redacted]. [redacted] has denied payment stating that invalid information was received. The balance of $14.94 is still pending on the account.
8.For the second visit on 2/26/2014, a Medicare claim was electronically filed. Medicare submitted a payment of $33.26 representing 80% of the allowable amount. A discount of $11.26 was given and the remaining $8.48 was sent to [redacted] as a request for payment. They submitted $5.94. A statement was sent to patient’s guarantor to which Ms. [redacted] demanded to bill a tertiary insurance ([redacted] for the outstanding balance. Again, Ms.[redacted] was reminded of our policy that we do not file to secondary/tertiary insurances. (See number 3 above). However, again I made an attempt to collect from the tertiary insurance.[redacted] has denied payment stating that invalid information was received. The balance of $2.54 is still pending on the account.
9.For the third visit on 5/28/2014, a Medicare claim was electronically filed. As of today we have not received payment from Medicare. A claim will be submitted to [redacted] for the remaining amount but a claim to [redacted] will NOT be submitted.
10.Our office was not ever informed that Ms. [redacted] did not want her mother to continue treatment at subsequent visits. If she informed [redacted] as she suggests in her complaint, my advice is that she contacts the facility directly. Our doctors are at the facility to take care of the residents that are brought to see him/her. If the nurses/aids bring a patient down to see the doctor and there is a consent in our system we have no reason to assume differently.
11.Any unpaid balances are responsibility of the patient/guarantor and/or other responsible party.
12.Any patient’s guarantor or POA should receive an explanation of benefits from the insurance company stating the approved and paid amounts. Ms. [redacted] can forward that information directly to her insurance company and request payment. It has already been done from our office but the insurance denied further payment. Perhaps our system is not set up to submit electronic claims to tertiary insurances but attempts have been made outside of our current office policies. If those are not available, Medicare should be able to submit a copy to the POA and our office will be able to print one after a request is submitted.
13.The [redacted] has treated the patient, bill the primary insurance, bill the secondary insurance, has attempted to collect from the tertiary insurance, issued a discount/adjustment and now it is time to get paid for the remaining balance.
14. A payment plan is available if needed.
If you have any other questions, please feel free to contact our office at 864-[redacted]. Thank you.
AR-SA;"> In response to the complaint received from [redacted] : 1.Our podiatrists treat residents at different facilities in the upstate area However, they are independent doctors and are not employed by retirement facilities (in this case [redacted] ) and/or insurance companies 2.This practice does not file any secondary insurance to Medicare unless it is an e-crossover from Medicare, or a plan in which we participate In this case, Medicare patients will be responsible for their co-payments and/or deductibles 3.It is our policy to send to the patient three consecutive monthly statements with any balance owed to the practice by the patient Once all attempts at collections are exhausted, the patient’s account is then placed with an outside collection agency with management’s approvalAfter that time, the patient agrees to pay the cost of collection including a reasonable attorney’s fee, if this account should be placed in the hands of an attorney for collections 4.When our podiatrists go to the facilities Residents are brought down to see the doctor and he/she treats them and take care of their podiatry needs; not only cutting nails but a general foot examination 5.The facility is asked to inform residents and/or responsible parties about the podiatrist’s visits about four times a year and provide to us a signed consent form, stating their consent to be treated and their acknowledgment of financial responsibilities Please note that once the consent is received, there is no need to submit a new one each time, unless there are changes (i.ea letter stating that ptdoes not want to be treated, changes in responsible party, etc) 6.This specific patient was seen by our doctor at the facility in occasions Consent provided to us by [redacted] Copy attached (Completed by facility with verbal consent from [redacted] ) 7.For the first visit on 11/13/2013, a Medicare claim was electronically filed Medicare submitted a payment of $representing 80% of the allowable amount A discount of $was given and the remaining $was sent to [redacted] as a request for payment They submitted $ A statement was sent to patient’s guarantor to which Ms[redacted] demanded to bill a tertiary insurance ( [redacted] ) for the outstanding balance I reminded her during a telephone conversation that our office policy explains that we do not file to secondary/tertiary insurances (See number above) However, as a courtesy I made an exception and submitted an electronic claim to [redacted] [redacted] has denied payment stating that invalid information was received The balance of $is still pending on the account 8.For the second visit on 2/26/2014, a Medicare claim was electronically filed Medicare submitted a payment of $representing 80% of the allowable amount A discount of $was given and the remaining $was sent to [redacted] as a request for payment They submitted $ A statement was sent to patient’s guarantor to which Ms [redacted] demanded to bill a tertiary insurance ( [redacted] for the outstanding balance Again, Ms[redacted] was reminded of our policy that we do not file to secondary/tertiary insurances (See number above) However, again I made an attempt to collect from the tertiary insurance[redacted] has denied payment stating that invalid information was received The balance of $is still pending on the account 9.For the third visit on 5/28/2014, a Medicare claim was electronically filed As of today we have not received payment from Medicare A claim will be submitted to [redacted] for the remaining amount but a claim to [redacted] will NOT be submitted 10.Our office was not ever informed that Ms [redacted] did not want her mother to continue treatment at subsequent visits If she informed [redacted] as she suggests in her complaint, my advice is that she contacts the facility directlyOur doctors are at the facility to take care of the residents that are brought to see him/her If the nurses/aids bring a patient down to see the doctor and there is a consent in our system we have no reason to assume differently 11.Any unpaid balances are responsibility of the patient/guarantor and/or other responsible party 12.Any patient’s guarantor or POA should receive an explanation of benefits from the insurance company stating the approved and paid amounts Ms [redacted] can forward that information directly to her insurance company and request payment It has already been done from our office but the insurance denied further payment Perhaps our system is not set up to submit electronic claims to tertiary insurances but attempts have been made outside of our current office policies If those are not available, Medicare should be able to submit a copy to the POA and our office will be able to print one after a request is submitted 13.The [redacted] has treated the patient, bill the primary insurance, bill the secondary insurance, has attempted to collect from the tertiary insurance, issued a discount/adjustment and now it is time to get paid for the remaining balance A payment plan is available if needed If you have any other questions, please feel free to contact our office at 864- [redacted] Thank you
As a courtesy to our valued patient, we have re-submitted via PAPER CLAIMS to the tertiary insurance. In the past, we submitted electronic claims twice but our system is not set up to file to secondary or tertiary insurances. Our office has made efforts to get this issue resolved. Please give insurance 2-weeks to respond
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID***, and have determined that this does not resolve my complaint.
Never have I signed any form giving permission for The Foot Clinic to treat my mother. Back in November I did give a verbal. I was not notified in February that the doctor was coming, and in May I specifically told them not to let the doctor see her. They had a form for me to sign and I refused. The person I talked to was the activities director and she said she would tell them no. I do not have a problem with Foothills at all. The fact that this person wants to argue and not try to come to a resolution to this problem is very distressing. I can only imagine how an elderly person is treated when trying to resolve an issue. Because of the incorrect filing to ***, there are only days from the filing to file correctly which I'm sure has expired
Regards,
*** ***
AR-SA;">
In response to the complaint received from [redacted]:
1.Our podiatrists treat residents at different facilities in the upstate area. However, they are independent doctors and are not employed by retirement facilities (in this case [redacted]) and/or insurance companies.
2.This practice does not file any secondary insurance to Medicare unless it is an e-crossover from Medicare, or a plan in which we participate. In this case, Medicare patients will be responsible for their co-payments and/or deductibles.
3.It is our policy to send to the patient three consecutive monthly statements with any balance owed to the practice by the patient. Once all attempts at collections are exhausted, the patient’s account is then placed with an outside collection agency with management’s approval. After that time, the patient agrees to pay the cost of collection including a reasonable attorney’s fee, if this account should be placed in the hands of an attorney for collections.
4.When our podiatrists go to the facilities. Residents are brought down to see the doctor and he/she treats them and take care of their podiatry needs; not only cutting nails but a general foot examination.
5.The facility is asked to inform residents and/or responsible parties about the podiatrist’s visits about four times a year and provide to us a signed consent form, stating their consent to be treated and their acknowledgment of financial responsibilities. Please note that once the consent is received, there is no need to submit a new one each time, unless there are changes. (i.e. a letter stating that pt. does not want to be treated, changes in responsible party, etc)
6.This specific patient was seen by our doctor at the facility in 3 occasions. Consent provided to us by [redacted]. Copy attached. (Completed by facility with verbal consent from [redacted])
7.For the first visit on 11/13/2013, a Medicare claim was electronically filed. Medicare submitted a payment of $83.25 representing 80% of the allowable amount. A discount of $29.52 was given and the remaining $21.53 was sent to [redacted] as a request for payment. They submitted $6.29. A statement was sent to patient’s guarantor to which Ms.[redacted] demanded to bill a tertiary insurance ([redacted]) for the outstanding balance. I reminded her during a telephone conversation that our office policy explains that we do not file to secondary/tertiary insurances. (See number 3 above). However, as a courtesy I made an exception and submitted an electronic claim to [redacted]. [redacted] has denied payment stating that invalid information was received. The balance of $14.94 is still pending on the account.
8.For the second visit on 2/26/2014, a Medicare claim was electronically filed. Medicare submitted a payment of $33.26 representing 80% of the allowable amount. A discount of $11.26 was given and the remaining $8.48 was sent to [redacted] as a request for payment. They submitted $5.94. A statement was sent to patient’s guarantor to which Ms. [redacted] demanded to bill a tertiary insurance ([redacted] for the outstanding balance. Again, Ms.[redacted] was reminded of our policy that we do not file to secondary/tertiary insurances. (See number 3 above). However, again I made an attempt to collect from the tertiary insurance.[redacted] has denied payment stating that invalid information was received. The balance of $2.54 is still pending on the account.
9.For the third visit on 5/28/2014, a Medicare claim was electronically filed. As of today we have not received payment from Medicare. A claim will be submitted to [redacted] for the remaining amount but a claim to [redacted] will NOT be submitted.
10.Our office was not ever informed that Ms. [redacted] did not want her mother to continue treatment at subsequent visits. If she informed [redacted] as she suggests in her complaint, my advice is that she contacts the facility directly. Our doctors are at the facility to take care of the residents that are brought to see him/her. If the nurses/aids bring a patient down to see the doctor and there is a consent in our system we have no reason to assume differently.
11.Any unpaid balances are responsibility of the patient/guarantor and/or other responsible party.
12.Any patient’s guarantor or POA should receive an explanation of benefits from the insurance company stating the approved and paid amounts. Ms. [redacted] can forward that information directly to her insurance company and request payment. It has already been done from our office but the insurance denied further payment. Perhaps our system is not set up to submit electronic claims to tertiary insurances but attempts have been made outside of our current office policies. If those are not available, Medicare should be able to submit a copy to the POA and our office will be able to print one after a request is submitted.
13.The [redacted] has treated the patient, bill the primary insurance, bill the secondary insurance, has attempted to collect from the tertiary insurance, issued a discount/adjustment and now it is time to get paid for the remaining balance.
14. A payment plan is available if needed.
If you have any other questions, please feel free to contact our office at 864-[redacted]. Thank you.