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Disputed Charge - Debt Collection

Date: Tue, 10/24/2006 - 08:13

Submitted by Jason C
on Tue, 10/24/2006 - 08:13

Posts: 6 Credits: [Donate]

Total Replies: 14


Hello,

My wife (girlfriend at the time) incurred a medical charge when she did not have insurance.

On a Sunday morning at 5am she called me. Her throat was swollen and hurt so much she could not swallow and had trouble breathing. The only option we had was the emergency room. Without insurance, we were worried about the cost and told the attending nurse as much. When we inquired as to what the cost would be, the attending said that it was at least $100 just to go in and see the doctor and would go up from there depending on what he did.

We told the doctor also that we were worried about the cost and wanted to know before he did anything. He told us he needed to test for strep. We agreed. My wife (girlfriend at the time) was administered a dose of liquid Motrin while the test was made. The doctor came back, told us it was strep, wrote a prescription, and we were on our way.

She got a bill from the doctor, $100+, and she paid it. Then she got a bill from the lab, $40+, and she paid it. We assumed this was the end of the financial obligation as it was explained to us. Next, she got a bill from the Hospital for "administration costs" which were north of $250. We disputed this charge and they sent back a breakdown of costs which included, a room charge, hospital administration fees, and a charge for the liquid Motrin ($7 for one dose!). She wrote a check for the Motrin and sent it back with a dispute of the additional charges. We never heard from them again.

This visit was in Oct. of '02. We just recieved a bill from a collection agency for $253.05 this Sept. '06. The hospital visit was in FL and we now reside in RI and are married. The medical charge has never been reported (or at least does not appear) on her credit report.

What legal recourse does the collection agency have to collect? And what options do we have to further dispute the charge?

--JC


JC, when you disputed the administrative charges with the hospital and wrote the check, you never heard back from them, right??? Do you have the copy of that dispute so that you can show it to the present collection agency and tell that you were waiting for the response. This way you can insist the CA to get the accurate charges from the hospital. The problem may take enough time to get sorted, but if you think it is irrelevant, you may consult an attorney.


lrhall41

Submitted by keystrokes on Tue, 10/24/2006 - 10:08

( Posts: 495 | Credits: )


Thank you for your reply.

No, we never heard back from the Hospital after our last dispute until this most recent correspondence.

Yes we do have a copy of the dispute that we can send to the CA, but I don't think they would be interested in our reasons why we consider this debt unjustified. They most likely would simply check to make sure the Hospital is expecting it.

I was wondering if the time lapse between correspondences combined with the fact that we now live out of state would negate their ability to pursue this matter unless we somehow allow them to. Do you happen to know of any sources for pro-bono legal advice for consumer rights and options regarding debt collection?

--JC


lrhall41

Submitted by on Tue, 10/24/2006 - 13:12

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Triage is not a consideration. We occupied an empty waiting room that morning and the ER was as quite as church.

But, $250 for admission and occupying a room! The two of us together could have enjoyed an entire day in a Disney Theme Park and a wonderful stay in a beautiful resort room -- overnight no less -- for only $200 at full price without discounts!

My contention is that we were aware of our situation. We had no insurance and asked honestly what the visit was going to cost us. If the attending had simply informed us that walking through the doors and sitting on a table for two hours alone would have cost $250 -- we would have looked at each other with wide eyes and simply determined at that point if she could tough it out. If she couldn't, then we would have paid it, because we were informed.

However, she didn't do that. She told us $100 for the doctor and then up from there depending on what he did. So, we paid that exactly. Who's to say that after we pay the $250 to the hospital that we don't get another bill for some other charge and then on and on. Where does it stop? At what point can the consumer in a captialistic society say, "Hold on a minute - at no point did I agree to these charges - at no point was I apprised of these costs!"

This is why our health costs are the way they are. There is no control on the system and the control should lie with the consumer.

But, I digress. Thanks, FYI, for the info on the credit report matter. The issue is apparently vague, and not suprisingly so.

--JC


lrhall41

Submitted by Jason C on Thu, 10/26/2006 - 07:02

( Posts: 6 | Credits: )


JC--sorry to hear about your troubles. I dont think you have a leg to stand on here. collector is not going to care if waiting room was empty, if you were there alone , or anything like that. I hope you sent your dispute letter CMRR. If you didn't, they can say the never received it and how do they kknow you didn't just write it now? know what i mean? I do collections and have heard all the arguements. While I do agree with you about US healthcare costs and the system, I think you will end up very frustrated.


lrhall41

Submitted by on Thu, 10/26/2006 - 07:26

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It was 4 years ago, but I'm pretty sure we were met by the doctor immediately. I believe he did have a nurse with him who may have assisted. But that point is moot.

We asked very pointedly how much it would cost for the visit and were told $100+ just to see the doctor and then up from there. If they have a basic rate of $250 just for being in the ER, triage/admittance/room - or whatever else, that information should have been provided to us, especially after we specifically requested the information.

Why stop at $250, why not $500, $1000 -- why not send 5 separate bills, 10, 20! Why not charge a trash fee for throwing away the swab, the wax paper, the container for the swab!? Why not a percentage of the property taxes for the hospital or the electric bill for keeping the lights on in the room?

If there were additional costs to pay, then fine, not a problem, we'll pay them, but give us the opportunity to make a decision whether or not to pay for those costs, before the service is rendered -- particularly when we pointedly ask how much those costs will be.

The issue is not that we don't want to pay. We did. We paid for the doctor and we paid for the pathology test. We even paid for the Motrin when that came to our attention. We have demonstrated our willingess and intent to pay for the care she received based upon the information we were provided that directly resulted in her decision to be treated. If the Hospital was remiss in disclosing the full amount to us, I don't see how that is our fault. We should not be held financially accountable for their negligence.


lrhall41

Submitted by Jason C on Thu, 10/26/2006 - 19:42

( Posts: 6 | Credits: )


Here's another one for you. Have you noticed that some hospitals bring a scanner in the room with them prior to administering medications, they look at your id band to make sure you are the correct patient and then they scan your id band? That is because that is their way of tracking billing for everything, they scan you to charge you, even for getting a poke for glucometer.


lrhall41

Submitted by WHEREAMI? on Thu, 10/26/2006 - 19:45

( Posts: 5263 | Credits: )


Usually we read everything we sign. Normally what we sign is the disclosure of medical information form - that we understand our rights and responsibilities, yada, yada.

That's a good idea though. If they claim that we agreed to the charges, then I'll ask for copies of the forms she signed when she was admitted. If indeed the forms she signed state clearly the ER charges, then I'll mutter, "d*mn sneaky b*st*rds" under my breath and write the check. If not, or they can't produce them, then back to square one.

Hope your child is doing well, now.


lrhall41

Submitted by Jason C on Fri, 10/27/2006 - 06:38

( Posts: 6 | Credits: )