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USACS Management Group LTD

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USACS Management Group LTD Reviews (5)

Please be advised that your letter dated June 7, 2016 regarding a complaint filed by [redacted] was forwarded to me for review. There are actually two issues in [redacted] complaint that involves two different dates of service. I have spoken to [redacted] regarding her complaints and I believe we...

have resolved each one in a satisfactory manner. I will address each one separately and give you a brief summary. Parties Involved [redacted] received emergency room ("ER") services by Emergency Medicine Physicians of Rockingham County, PLLC ("EMP") at [redacted]. To define the relationship of the parties involved, EMP is a physician group that provides emergency services at [redacted] is separate and distinct from the hospital. EMP physicians are not employed by the hospital. Issue #1 - Billing to Collections In her complaint, [redacted] states that EMP "sent my medical bill to a collections agency a week before the bill was due". When I spoke to [redacted] I explained that her most recent ER visits on February 7, 2016 (two visits on the same date) were not sent to a collections agency. In fact, her ER visit on February 5, 2014 is the claim that was sent to collections on March 29, 2016 for the amount of $195.32. She seemed to accept my explanation and acknowledged that her insurance was paying for the ER visits on February 7, 2016. Currently, one claim has been paid by her health insurance company leaving a zero balance. The other visit is still pending with the health insurance company and is not in collections. Issue #2 - Not seen on date of service [redacted] also states in her complaint, "They also billed me for an emergency room visit I did not make two years ago...". Although she does not list the specific date of service, [redacted] and I have discussed this situation and she is referring to the ER visit on February 5, 2014. [redacted] insists that she was not treated in the emergency room on this date. While she agrees that she was treated at [redacted]l during this time period, she is contesting the actual date. To verify the exact date of service, I called [redacted] and spoke to two different people in two different departments on two different occasions. Each of them confirmed that she was admitted to the hospital on February 5, 2014 through the emergency room. Since the hospital is the owner of the medical records, I advised [redacted] to pursue this conflict of treatment dates with the hospital. In conclusion, [redacted] agreed that she was treated by EMP and that she still owes the balance due for the ER visit, regardless of the visit date. The total amount due for the ER visit on February 5, 2014 was $220.32. [redacted] sent a payment of $25.00 on November 12, 2014, leaving the balance of $195.32. She advised me that she would be sending in payment of $195.32 shortly to close out this account. Thank you for bringing this matter to our attention. If you need any further information, I can be reached at [redacted]

Please be advised that I have received your email dated September 19, 2017 regarding the complaint filed by [redacted] is upset with the billing from [redacted] in the amount of $556.31. She is requesting an adjustment for the emergency room services rendered...

to her son, [redacted]d, on July 7, 2017 [redacted] - [redacted] C[redacted].To define the parties involved, [redacted] is a national group practice of emergency medicine clinicians. [redacted] is a founding partner of [redacted] provides emergency room services at [redacted] is separate and distinct from the hospital. [redacted] physicians are not employed by the hospital.When a person goes to the emergency room, the hospital's registrationdepartment gathers the patient's demographic information which includes insurance coverage. The patient's demographic sheet is then sent to [redacted] along with their medical chart for coding and billing purposes. The data that we received fo[redacted] stated "Self-Pay", meaning that he had no insurance coverage.When [redacted]s received our first billing, she contacted our office on July 31, 2017 to give us her insurance information. [redacted] billed the insurance carrier, who promptly processed [redacted] claim applying $556.31 towards his deductible. Because of federal Anti-Kickback laws, [redacted] cannot offer a discount for patientresponsibility amounts. [redacted]s should contact our Patient Services department to make a payment or to set up a payment plan, so that her account does not roll to a collections agency. The phone number for Patient Services is [redacted].Since [redacted] states that this charge is causing her a financial hardship, she may want to contact the hospital regarding financial assistance. If she meets the hospital's guidelines, then [redacted] will also adjust her billed amount. If approved, she must notify [redacted]S as soon as possible.[redacted] takes patient's complaints seriously. Thank you for bringing this matter to our attention and giving us a chance to review this account. If you need any further information, I can be reached at [redacted]Sincerely,[redacted]

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.No remedy was made and the compliance officer spent a great deal of time on the phone restating my words and trying to confuse me.  As I have stated previously, I entered [redacted] hospital that day expecting to be treated by a [redacted] Hospital physician knowing that my insurance and emergency room deductible would cover my entire visit.  I was defrauded and at no time, was I made aware of treatment from a third party physician.  Immediately after I was treated(Pinky snapped in place), I was given percocet and waited for about 50 minutes until signing exit paperwork.  At this time, I was high from the percocet to the point where my fiancé took pictures of me in the hospital because it was comical.  I was also taking pictures of her.  I have attached multiple photo in this email to give a sense of time frame.  At approximately 7:39PM, you will see a picture of me high from the Percocet in [redacted] hospital.  I did not sign the paperwork until 7:49PM which is listed on the exit paperwork.  I also attached a picture of my finger that was placed in a stint by the EMP physician whom I assumed was a [redacted] Hospital doctor and was given Percocet which was at or before 7:10PM.  The last picture is a picture of my fiancé who walked to the vending machine for me to get me some food 3 minutes before some woman associated with [redacted] Hospital arrived with the paperwork.  You can see a clock on the wall for a time reference point in the background which is the importance of this last picture.  Also, I will attach the emergency room paperwork that clearly states 7:49PM was the time I signed.  The compliance officer at EMP was very rude and did not seem to like the fact that I was going to email the pictures through here.  She wanted me to email them directly to her rather than through the Revdex.com so her and her manager could "take a look at them".  Once again, I was defrauded, and I was never told upon arrival, before receiving treatment, or at exit, that outside physicians would be/had been treating me.  
Regards,
[redacted]

Please be advised that I received your email dated August 21, 2017 regarding the complaint filed by [redacted] is upset with the wording on the USACS statement that she received. The statement was for the emergency room services provided to her by [redacted]...

[redacted] County, LLC (EMP) on June 22, 2017 at [redacted]To define the parties involved, US Acute Care Solutions (USACS) is a national group practice of emergency medicine clinicians. As a founding partner of USACS, EMP provides the emergency room services at [redacted] Center. USACS and EMP are separate and distinct from the hospital. EMP physicians are not employed by the hospital.Many times, USACS will execute an eligibility check with the insurance carrier before submitting a claim. This is a cost saving measure for both the provider and the insurance carrier. If the reply from the eligibility check is that the patient does not have coverage, then the patient is billed. This is our standard process. It is also an accepted procedure in the health care industry.USACS did not bill [redacted] health insurance carrier, because when we did the eligibility check, the reply was that she was not covered. This could happen for a variety of reasons, but we had no reason to believe that we received incorrect information. And so, [redacted] was billed, because she is ultimately responsible for the ER charges.Per [redacted] phone call to our office on August 17, 2017, the issue was resolved and [redacted] was billed. [redacted] promptly sent a payment to USACS and indicated that the patient owed an amount for coinsurance.USACS takes patient's complaints seriously. Thank you for bringing this matter to our attention and giving us a chance to review this account. If you need any further information, I can be reached at 3[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint I[redacted] and find that this resolution would be satisfactory to me.  I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]

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Address: 4535 Dressler Rd NW, Canton, Ohio, United States, 44718-2545

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