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Ombudsmens alleged investigation is again flawed and inaccurate!The ombudsmen and the clinic have a habbit of being lazy and not getting facts together or being accurate!The ombudsmen failed to account for monies that were paid 02/28/in the amount of $The Ombudsmen statement fails to address *** *** s letter and email I demanded regarding fraud in the billing and again drugs that were billed for but are not shown as used in my medical records!!! Regards,*** ***

Cleveland Clinic January 22nd 2016 Revdex.com Euclid Ave 4th Floor Cleveland OH 44115-2408 Complaint Number: *** Re: *** *** CC# *** Dear Ms***, This letter is in response to the complaint filed with your office, by Mrs
*** with regard to above patient's account. I have reviewed the complaint submitted by Mrs*** and at this time will respond to Mrs***'s individual concernsI would first like to address the payment made in the amount of $58.27, which was paid to our collection agency the *** ***This payment was allocated to ***'s account and applied to date of service 11/05/2014. Secondly, I would further like to address Mrs***'s concern with regard to *** having two billing statementsMrs*** did contact our office in November and this issue was escalated to our statement department to review and reconcile both accountsAs of December 2015, ***'s accounts were combined naming Mrs*** the guarantor allowing only one billing statement to generate. Lastly, after reviewing ***'s account with Cleveland Clinic we find no further balances in collections and all open charges were found to have billed and paid appropriately by the insurance***'s current account balance at this time is $This balance is reflected on the January 20th billing statement mailed to patient's home address. • $for *** *** • $ for *** Once again, my sincere apology for any frustration this may have causedThank you for contacting the Financial Ombudsman office to assist with this patient's concernPlease feel free to contact our office at 216-445-should you require any further assistance. Best regards, Sonya W*** Financial Ombudsman RCM

May 28, 2015Revdex.comEuclid Avenue 4th FloorCleveland, OH 44115-2408Complaint #: ***Patient Name: *** ***Patient Account #: ***Dear *** ***, This letter is in regard to a complaint filed with your office on the above named patient in reference to a bill he
has received from The Cleveland Clinic. A thorough review of the patient’s account has been performed and at this time the patient has a balance of $for the date of service in questionA coding review was performed on the services billed and was found to have been coded correctlyThe patient was scheduled for a follvisit and an exam was not done for a physical.Thank you for contacting the Financial Ombudsman department to assist with your concern Please feel free to contact our office at 216-*** if you require any further assistance. Respectfully, Morgan C***Financial OmbudsmanRevenue Cycle Management, CCHS

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***

I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
Regards,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and as long as the balance due is now $0, I find that this resolution is satisfactory to me.
Regards,
Bethany ***

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. For your reference, details of the offer I reviewed appear below
Dear Sir/ Madame,
I have attached in the initial complaint the estimate the Cleveland
Clinic sent me regarding the surgeries in question, not the past surgeries, and
the letter indicating the reduction of the estimateI have advised the Clinic several
times of the documents aforementioned, but the Clinic chose to not address them
in their responses
Again, the Cleveland Clinic’s response doesn’t explain why our
agreement regarding the surgeries’ price, documented in the initial complaint,
was breached, even though the surgeries were standard and similar to, even much
simpler than, the ones that were performed in Given the balance the Clinic
is asking me to pay (K) in addition to the k I already paid, the
surgeries price turns out to be double the price of the agreement and higher
than even the original estimate (k to k) before it was reduced (to k) after
one year of negotiationsThis is perplexing and unacceptable
As I’m grateful to
Cleveland clinic, I’m still willing to negotiate a balance close to the agreement
price (K)Should the Clinic be interested, they have my contact
Thanks
Regards,
*** ***

M***, Pat11:AM (hour ago)to me ** ***, This patient’s issue was addressed and patient was satisfied

This letter is in response to a complaint filed in your office by *** *** on December 20, The complaint was sent to the Financial Ombudsman department to review and respond back to you.First I would like to take this time to offer my sincere apologies for Ms***’s concerns regarding
procedures performed on December 29, A thorough review of the above referenced account was performedMs*** stated her referring physician provided us with incorrect diagnosis codes, and later requested us to update per the referring physician request However, the code could only be changed on the Colonoscopy since that was a preventive/screening diagnosis This claim was resubmitted to her insurance and recently paid on 12/23/15, and the remaining balance is patient responsibility per her insuranceThe new diagnosis code could not be added to her second procedure Esophagogastroduodenoscopy (EGD) since it was not a preventive procedure but medically necessary The balance remaining on this account is not from the Colonoscopy, but from her second procedure (EGD) Therefore, her insurance applied amounts to her deductible The billing is correct, and her insurance is stating the balance is patient responsibility If the patient has any further questions or concerns on this, she may want to contact her insurance regarding her benefits Once again we sincerely apologize for any inconvenience or difficulty Ms*** experienced while trying to resolve this issueThank you for bringing this matter to our attention Respectfully,*** *** ***Financial Ombudsman Revenue Cycle Management, CCHSCc: *** ***

This letter is in response to the complaint filed with your office with regard to the above patient accounts. A review has been performed on both accounts and it has been determined that Mr*** will be removed from both accounts as guarantorIn addition all charges that have been transferred
to collections will also be transferred from Mr***'s name to mom of above stated patients. Our review also determined that consent forms for treatment for both said patients have been signed on each visit by mom and mom alone, therefore; mom at time of treatment consented to being guarantor of said patient's account balances. In conclusion, Mr*** has been removed as guarantor and will have no remaining liability to the Cleveland Clinic with regard to stated concern filed in this complaintThank you for contacting the Financial Ombudsman office to assist with this patient's concernPlease feel free to contact our office at 216-445-if you require any further assistance. Best regards, *** ***Financial Ombudsman RCM

Here is my response to the Revdex.com concern

After further review of this complaint, I adjusted the balance for past timely filing, and closed it with the agency. We failed to bill the claim to the correct address so patient is not responsible for the chargeIn no way will this impact his credit. Attached letter to you and patient
advises of outcome.Cleveland Clinic May 18, 2016 Revdex.com, Inc. Euclid Ave, 4th Floor Cleveland, OH 44115 RE: *** ** *** *** ID: ***CCF #*** Dear *** ***, This letter is in response to a complaint filed in your office by *** ** *** on May 17, The complaint was sent to the Financial Ombudsman department to review and respond back to you. First I would like to take this time to offer my sincere apologies for Mr*** concerns regarding a charge that was sent to a collection agency. A thorough review of the above referenced account was performedA charge in the amount of $3,was not billed to the correct insurance addressThe service provided was from a date of service of 12/11/and is now past timely filingThe balance has been adjusted from his account and is closed with JP RecoveryIn no way will this prior action impact Mr*** good credit rating. Once again we sincerely apologize for any inconvenience this may have caused Mr***Thank you for bringing this matter to our attention. Respectfully, Sandy F* Financial Ombudsman Revenue Cycle Management, CCHS

*** *** *** *** ** *** *** * ***July 10th, 2017Revdex.comEuclid Avenue 4th FloorCleveland, Ohio 44115-2408Complaint Number: ***Patient Name: Amanda ***Patient Account # *Dear Lou Tekavcic, This letter is in response to the complaint filed in your office by Amanda *** on June 27th, The complaint was sent to the Financial Ombudsman department to review and respond back to you.I would like to offer my sincere apology for the frustration Ms*** has experience, regarding the insurance authorizations approval process prior to a patient’s scheduled appointmentThis can cause unwarranted distress and difficulty.The patient stated in her complaint, that she was scheduled for an upcoming visit on 7/25/and was notified by a PSR that there was insurance coverage issues and her appointment needed to be cancelledIt appears there was some confusion over Ms***s exact insurance benefit plan, and she does not have out of network benefitsUnfortunately, her insurance will not provide her coverage to be seen at the ClinicI contacted a Patient Financial Advocate from the institute and advised her of the complaint filed by Ms***She offered to contact the patient directly and explain the insurance approval process and advise Ms*** her options to be able to continue her medical care at the Clinic as a self-pay patientThe PFA Chrishon *** has attempted to contact the patient several times and Ms*** has not returned her callWe are unable to help this patient if she does not call us backIf Ms*** would like to reach out to Chrishon directly she can be reached at #***. Once again, we sincerely apologize for any inconvenience or difficulty Ms*** has experienced while trying to resolve this issueWe thank you for bringing this matter to our attention. Best regards,Tina ***Financial Ombudsman UnitRevenue Cycle Management, CCHSCc Amanda ***

We will contact the patient to discuss her concerns

March 23, Revdex.com Euclid Ave, 4th Fl Cleveland, Ohio 44115-Attn: *** *** Complaint Number: *** Patient Name: *** *** Patient Account #*** Dear Ms***, This letter is in response to the rebuttal filed with your office by *** ***Although this patient’s level of upset is clearly increasing, his rebuttal contains no new information I apologize that Mr*** feels personally dismissed and rebuffedAt least three Cleveland Clinic employees have now attempted to politely educate him regarding medical insurance billing and to clearly explain our collections policyHopefully, the information provided below will assist Mr*** claims The Cleveland Clinic was not transparent in the billing processOn 2/8/17, he did request and receive an estimate for the cost of an MRI, scheduled 2/15/The same transparency would have been available to Mr*** prior to the EMG procedure scheduled for 2/8/ Mr*** complains that extra services were added onto his accountThis is not correctThe charges sent to Mr***’s insurance exactly reflect the medical services performed on 2/8/ An extensive electro-diagnostic examination of the right lower extremity was completed, CPT A more limited examination of the left lower extremity was also completed, CPT Mr***’s EMG report documents six nerve conduction studies, CPT Mr***’s insurance company is BlueCross BlueShieldThe charges for the medical services Mr*** received 2/8/have been contractually adjusted to allowed amounts which BCBS considers usual, customary and reasonable fees for the medical procedures described above Mr*** has responsibility for a percentage of the usual, customary and reasonable feesThis is called coinsuranceAgain, I urge Mr*** to review his insurance contract directly with BlueCross BlueShield Mr*** complains that The Cleveland Clinic will not “settle” for less than he owes on his coinsurance balancesAgain, I explain that The Cleveland Clinic is contractually obligated, based on our participating provider status, to bill patients for their contractual responsibility The Cleveland Clinic Law Department confirms that to adjust any patient’s contractual obligations could be construed as patient inducement to seek services at The Cleveland ClinicPatient inducement is illegal The laws against patient inducement are the underpinning of The Cleveland Clinic collections policyNo “settlement” to reduce Mr***’s coinsurance amounts will be extended to Mr*** by The Cleveland ClinicThis is a final determination Thank you for allowing me to answer the patient’s rebuttalI remain available to answer questionsMy contact information: 216-445-6968, email at *** Sincerely, Christine J*** Financial Ombudsman Cc: ***, *** Cc: *** ** *** *** *** *** *** *** ** *** *** ***

January 31, Revdex.com Euclid Ave, 4th Fl Cleveland, Ohio 44115-Attn: *** *** Complaint Number: *** Patient Name: *** * *** Patient Account #*** Dear Ms***, This
letter is in response to a billing complaint from Mrs*** * ***, filed in your office on January 30, 2017.This was sent to the Financial Ombudsman department to review and respond back to youI would first like to offer my sincere apology for any frustration this may have caused Mrs***I understand the billing concerns have caused unwarranted distress and difficultyIn my investigation of the patient’s complaint, I have found that the patient was not set up on a payment plan during the time of her receiving the balanceThe balance of $reflected for the first time in the patient’s responsibility on her September 21, billing statementThe patient had made multiple payments which are as follows: 08/24/$15.0010/12/$100.0012/02/$50.0012/27/$50.0001/16/$Per Cleveland Clinic policy the patient has days to either pay the balances in full or set up a payment planOn the 91st day if the balances are unpaid then the system automatically will submit these balances to one of the agencies the clinic is contracted with and have an agreement not to report to the credit bureauThe patient’s balances were placed with our contracted agency, ROIAs I offer my sympathy for the pain the patient is going through during the recovery of open heart surgery, we unfortunately cannot change Cleveland Clinic policyWe can however offer a zero percent interest loan with our affiliate, Commerce bank, for the remaining balanceI would like to offer if the patient wishes to have this set up to contact our department at 216-445-and ask to speak with me directlyI want to again, sincerely apologize for any inconvenience you experienced in trying to resolve this matterThank you for allowing me the opportunity to investigate the above concern Respectfully, Jamie A***, Financial Ombudsman Unit 216-445-Revenue Cycle Management, CCHS Cc: ***, *** * Need help paying your medical bills? Call or go to www.ccf.org/financialassistance for information on our financial assistance policy

Cleveland Clinic June 14, 2017 Revdex.com Euclid Avenue 4th Floor Cleveland OH 44115-2408 Complaint Number: *** Patient Name: *** *** CCF: *** Dear *** ***, This letter is in response to the rebuttal filed with your office by ***
***, with regard to her daughter ***'s account balance with the Cleveland Clinic. I would first like to address *** ***'s concern with regard to ***'s account balance not being billed to MedicaidPer review of patient account notes, Cleveland Clinic has not received the patient's Medicaid billing numberFurther review of patient account notes do show patient's Dad having called into our customer service department on 05/25/2017, but did not have patient's Medicaid informationOur customer service representative did leave a voicemail with message to return our call and provide the Ohio Medicaid informationPer patient account notes, as of today, Cleveland Clinic has yet to receive this information.Additionally, on 05/25/2017; our customer service representative also reached out to *** Insurance to verify coverage and was advised that the patient was not active until 03/01/2017.I would be happy to assist *** *** with this billing concern*** *** may reach out to me directly at to provide me with ***'s Medicaid information. Again, I would like to express my sincere apology for any frustration this has causedThank you for contacting the Financial Ombudsman office to assist with this patient's concern. Best regards,Sonya W*** Financial Ombudsman, RCM Need help paying your medical bills? Call or go to www.ccf.org/financialassistance for information on our financial assistance policy

Cleveland Clinic January 11, 2016 Revdex.com Euclid Ave 4th Floor Cleveland OH 44115 Complaint Number: *** Re: *** *** CCF: *** Dear Ms***, This letter is in response to the complaint filed with your office with regard to the
above patient *** ***. I would first like to extend my sincere apology for any frustration this may have causedA thorough review has been completed of Mr***'s account and it per the review it has been determined that the remaining balance of $is patient liability. When a patient has services rendered the charges are billed using a revenue code specific to the visitThe revenue code describes why the patient was seenMr*** was seen with regard to his medical condition "*** *** with long sleep time"Mr*** was seen in our Sleep Disorder Center by a Certified Nurse PractitionerThe revenue code for Mr***'s medical condition is 327.11, which is what was billedAll charges rendered at Cleveland Clinic Health Systems are billed as outpatient services, unless the patient is admitted as inpatient to the hospital. In conclusion, Mr***'s charge for date of service 06/22/was billed and paid appropriately per contracted rate with *** *** *** ***Patient remaining balance of $applied towards patient deductibleMr*** has made payment in the amount of $and has a remaining patient liability of $50.25. Thank you for contacting the Financial Ombudsman office to assist with this patient's concernPlease feel free to contact our office at 216-445-should you require further assistance. Best regards, Sonya W*** Financial Ombudsman RCM

This concern was thoroughly investigated by the Ombudsman Department and a grievance was filedThe care the patient received was appropriate for the symptoms she presented withA flu swab was completed and returned negativeShe was given suggestions to care for a viral illnessThe patient
requested a bill adjustment which was deniedThe patient remains responsible for the bill

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me. I will however; continue to file complaints with the Revdex.com every time the Cleveland Clinic billing deptmesses up my bills (which amounts to every time I see a Cleveland Clinic doctor)The frequency of billing the wrong insurance company or not billing an insurance company at all is ridiculous and you will see this with continued complaints if they dont overhaul their billing system
Regards,
*** ***