SOS: Speaking of Seniors - Hospital Ignored Medicare Ruling

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hospital_signOn January 28, 2015, I wrote a letter to a hospital to stop its attempt to collect $120.40 from a senior citizen client. I can show you the body of the letter without disclosing the details. Here is the body of the letter that I wrote to the hospital.

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Dear Representative,

On January 7, 2015, I sent you a letter to inform you that our client brought a bill from your firm to our office for our review. I told you that we requested DUPLICATE MEDICARE SUMMARY NOTICE forms from Medicare and asked you to allow a reasonable amount of time to receive and review those documents.

The Medicare Summary Notice form should have exactly the same information as the Medicare EOB form which your firm received from Medicare. The information on the Medicare Summary Notice form that we now have states that OUR CLIENT DOES NOT OWE YOU $120.40!

The footnotes on the Medicare Summary Notice for the charge of $120.40 state “Payment is included in another service received on the same day”; the patient “DOES NOT HAVE TO PAY THIS AMOUNT”; and “If you have already paid it, you are entitled to a refund from this provider”.

Your firm ignored the details of the Medicare EOB and tried to bill a senior citizen for $120.40 despite Medicare’s ruling that you could not do so. Someone at your firm needs to be retrained on how to read and enter information from a Medicare EOB.

Please, correct your records to show that our client OWES NOTHING ON THIS BILL and send a new bill to our client which states that fact.

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The help that I gave this client was FREE OF CHARGE. The owners, managers, and staff of this insurance agency really do care about our senior citizen clients. We “go the extra mile” to protect them from other people’s mistakes that could cost our clients money. Does your insurance agency give this high standard of service to its senior citizen clients? If not, why not?


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Woodrow Wilcox is the senior medical bill problem solver at Senior Care Insurance Services in Merrillville, Indiana. That is the largest senior citizen oriented insurance agency in the Midwest. For over six years, Woodrow Wilcox has helped senior citizens with medical bill problems with Medicare and VA clinics. He has saved senior citizens over $1 million in wrongful charges. For more health care articles by Wilcox, visit www.medicareproblems.net or www.woodrowwilcox.com. © 2013 Woodrow Wilcox. Re-published here with the permission of the author.
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