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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Grandmother is 79 years old, had Medicaid and Medicare. For some reason the office is still billing her and has sent the bill of $112 to collections. I just saw the letter when visiting her. What can happen if the bill is unpaid?
Wait, the idea behind collections is that "collections" is a company that buys debt for a small % of its face value, and keeps every penny of what they squeeze out of people. One of our companies sold our Accounts Receivable for less than 1% - so the Dr's office has been paid about $1 for the debt and it's no longer their worry.
Just write them a letter and say that as a Medicaid patient, this bill is not valid and thus will not be paid under the Fair Billing Practices Law. After all, Medicaid has full authority over her assets which are less than $2k. And add that the agency is not to contact her again (signed you, agent/POA for her).
The WORST thing that can happen with the unpaid bill in collections is that grandma won't be able to get a new credit card. And what's wrong with that!
Sorry, your question is what will happen if balance not paid...it will go against Gmas credit score. Which could cause a problem when buying a house, car etc. But will that really effect her.
Find outcwho the doctor was. Collections cannot give you a statement all they have is a total to be collected. Call the doctor or facility billing Mom and ask how they handled the billing. If they show Medicare paid but they show no record of Medicaid then supply the info. They may not participate with Medicaid so Gmom owes the balance unless she has a supplimental. If they billed Medicaid there should be no balance. If they partipate in Medicare and Medicaid they cannot charge anything. From what I see in the Medical Field is facilities using separate billing companies. These companies will pass a balance on to collections at least 90 days old.
Like AK said, you need to speak with billing to see why. It could be that this provider does not participate in Medicaid, so bill is for whatever not paid by Medicare. Or they participate in MediCARE but only for those within a MediCARE Advantage plan, and your mom is Original MediCARE not an Advantage plan.
Health insurance can be pretty complex. Some states are requiring the “duals” aka those on Medicare & Medicaid to be in an Advantage or Health Network plan and if they see a MD outside the network / system (even if doc’s office is in the same building as all her other MDs), it won’t be a fully 100% covered service. It gets considered out-of-network and the balance is private pay & not covered by insurance. Try to go through mom’s mail to see if that’s what’s happening as if so it’s just not registering for her that she needs to switch providers. You’ll need to help her find new physicians.
If she was eligible for Medicaid at the time the expenses were incurred, the medical provider cannot bill her. Usually a bill is not sent to collections until it is at least several months old, so check the dates. If she should not have been billed, call the provider's billing person and tell them she was covered by Medicaid and should not be billed. They may ask you to provide documentation of her coverage. It may just be a simple error in entering information into the billing system.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Just write them a letter and say that as a Medicaid patient, this bill is not valid and thus will not be paid under the Fair Billing Practices Law. After all, Medicaid has full authority over her assets which are less than $2k. And add that the agency is not to contact her again (signed you, agent/POA for her).
The WORST thing that can happen with the unpaid bill in collections is that grandma won't be able to get a new credit card. And what's wrong with that!
From what I see in the Medical Field is facilities using separate billing companies. These companies will pass a balance on to collections at least 90 days old.
It could be that this provider does not participate in Medicaid, so bill is for whatever not paid by Medicare.
Or they participate in MediCARE but only for those within a MediCARE Advantage plan, and your mom is Original MediCARE not an Advantage plan.
Health insurance can be pretty complex. Some states are requiring the “duals” aka those on Medicare & Medicaid to be in an Advantage or Health Network plan and if they see a MD outside the network / system (even if doc’s office is in the same building as all her other MDs), it won’t be a fully 100% covered service. It gets considered out-of-network and the balance is private pay & not covered by insurance. Try to go through mom’s mail to see if that’s what’s happening as if so it’s just not registering for her that she needs to switch providers. You’ll need to help her find new physicians.