Mountain Top Construction

We apologies for the delay in response We will forward this to our Leadership for a review and response as soon as possibleThank you, [redacted]

Today received Revdex.com "complaint" via email from Mom [redacted] addressingsame concerns but feeling " I have received no cooperation", last line in herCustomer Statement of the Problem to Revdex.com Printed and scanned Revdex.com contact topatient chart, informed them it will be addressed with Upper Management,(probably at our weekly meeting next week if not before.) [redacted] *** for anotherhold at CBB Collection AgencyWe will be in touch, hopefully next week sometime after Wednesday Thank you [redacted] ***Patient Financial Services/Customer Services/Lead-BSBAChildren’s Way MC 5002San Diego CA 92123858-966-5915858-966-7598(f)

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 The business is proposing to review my claim but does nothing to resolve itUntil Rady Children's takes responsibility for referring me to services (stitches) my son did not need, by removing the excess charges, this claim will not be resolved.Sincerely, [redacted]

Mr***, We want to acknowledge your letter and apologize for the delay in doing so. Let me find out who this should go to directly and I will let you know as soon as possible. Thank you in advance for your patience. *** *** Patient Financial
Services/Customer Services/Lead-BSBAChildren’s Way MC 5002San Diego CA 92123858-966-5915858-966-7598(f)

September 24, 2015
 
[redacted]
Revdex.com of San Diego, Orange, & Imperial Counties
 
RE:  [redacted]
 
Dear Ms. [redacted],
 
This is in response to the above noted complaint regarding Rady Children's Hospitals’ billing practice for physical therapy. Let me assure...

you that we take complaints of this nature very seriously, investigate them thoroughly and respond accordingly.
 
One of the consumer’s main complaints appears to be that he wasn’t given an accurate estimate of the total cost of his daughter’s treatment before treatment began. Estimates are based on several variables such as how quickly the patient responds to treatment which can’t be determined in advance. We make a diligent attempt to answer any query a patient or guardian might have.  In this case, there are 40 different instances in the past 15 months, where multiple members of this organization spoke to the consumer or reviewed the medical documentation in question. After completing an extensive review by leadership and compliance, it has been determined that fraud was not committed and the charges were billed accurately. Additionally, our reimbursement from Medi-Cal is based on a predetermined rate and is not dependent on the amount billed. Rady Children's Hospital San Diego, follows the billing guidelines as determined by CMS, the Centers for Medicare and Medicaid Services.
 
According to the CMS definition of one-on-one (private) therapy sessions, the therapist can attend to multiple patients giving each patient specific blocks of time. However, many of our orthopedic patients are treated individually (one-on-one) and never by greater than one physical therapist to two patients. These sessions (two-on-one) are supported by a physical therapist extender to ensure patients are always engaged and supported. Additionally, we are proud to offer 60 minute sessions for all our orthopedic patients, whereas less expensive providers may offer 30 minute sessions. Comparative pricing should be consistent with the length of visit.
 
While Rady Children's Hospital Physical Therapy Department now has a nice parent viewing area, we regret that we did not have this available in 2014. Due to limited space and to accommodate the nature of orthopedic rehabilitation activities fully at that time, we had to utilize the gym area for treatment only. We have addressed this need with program relocation, so that parents and siblings can now comfortably wait and watch.
 
Our therapists and the rest of the clinical staff at Rady Children's Hospital San Diego work diligently to bring the best possible medical treatment to the patients within our care.  I apologize that the consumer feels that his child did not get the individual attention he thought she should have received. We hope that therapy she subsequently received elsewhere was helpful.

We apologies for the delay in response.  We will forward this to our Leadership for a review and response as soon as possible. Thank you,  [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.
The business is proposing to review my claim but does nothing to resolve it. Until Rady Children's takes responsibility for referring me to services (stitches) my son did not need, by removing the excess charges, this claim will not be resolved.Sincerely,
[redacted]

Today received Revdex.com "complaint" via email from  Mom [redacted] addressingsame concerns but feeling " I have received no cooperation", last line in herCustomer Statement of the Problem to Revdex.com.    Printed and scanned Revdex.com contact topatient chart, informed them it will be...

addressed with Upper Management,(probably at our weekly meeting next week if not before.)  [redacted] for anotherhold at CBB Collection Agency. We will be in touch, hopefully next week sometime after Wednesday.  Thank you. [redacted]Patient Financial Services/Customer Services/Lead-BSBA3020 Children’s Way  MC 5002San Diego CA  92123858-966-5915858-966-7598(f)