Guest guest Posted June 2, 2011 Report Share Posted June 2, 2011 Group. We are an out of network provider for United Health Care. Patients were seen over 12 months ago. UHC is now requesting partial reimbursement for services rendered and paid for at this clinic. Hard to believe, reason stated, they overpaid for services. Have any of you had similar requests? Did you respond? Is there a statute of limitations on such requests? Roll PT Center of Ocean Springs Ocean Springs, MS www.ptcos.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Jim, I want to hire you!!!! I love it!!!! I talked with you many years ago after my friend, Bowe, so graciously gave me your number! As our wars become much greater with insurance companies, I feel like your skills would be an asset that my clinics NEED VERY much:-)!!! I'll be talkin' with ya soon, Cook Ritchie, PT Morehead and West Liberty Physical Therapy & Sports Medicine > > > > Personally I would have a difficult time trying to respond to this letter with any words that are larger than four letters. > > Of course sometimes when I am in a better mood, my thought process is on the high road and I write a response along the lines of: > > " we have a company policy that states all overpayment requests must be made by certified mail, written in swahili and must be received within 90 days of your original payment. " Unfortunately, your request exceeded our policy and therefore, you have exceeded the statute of limitations for requesting a refund. If you believe our policy is unfair, you can make an appeal to the Reimbursement Chair of the Clinic, and they will review your request within 180 days and get back to you. Should you decide that you want to explore this avenue, you will need to submit a page for each CPT code that you feel you paid inappropriately, clearly indicating the patient's name, our account number, the amount we charged, what you actually paid us and how much you feel you overpaid along with a written description from your Medical Director on the validity of the medical necessity of the overpayment refund request. Blah, blah, blah and so forth. Also, make sure your envelope is hermetically sealed..., as failure to do so could make you forfeit your right to this refund. > > Oh..., and good luck, we will be in touch. > > Sorry, sometimes I just write these things for my own amusement, but I hope you find a policy worth implementing somewhere in this email! > > Jim <///>< > > UHC overpayment > > Group. > > We are an out of network provider for United Health Care. > > Patients were seen over 12 months ago. UHC is now requesting partial reimbursement for services rendered and paid for at this clinic. Hard to believe, reason stated, they overpaid for services. > > Have any of you had similar requests? > > Did you respond? > > Is there a statute of limitations on such requests? > > Roll > PT Center of Ocean Springs > Ocean Springs, MS > www.ptcos.com > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Jim, I want to hire you!!!! I love it!!!! I talked with you many years ago after my friend, Bowe, so graciously gave me your number! As our wars become much greater with insurance companies, I feel like your skills would be an asset that my clinics NEED VERY much:-)!!! I'll be talkin' with ya soon, Cook Ritchie, PT Morehead and West Liberty Physical Therapy & Sports Medicine > > > > Personally I would have a difficult time trying to respond to this letter with any words that are larger than four letters. > > Of course sometimes when I am in a better mood, my thought process is on the high road and I write a response along the lines of: > > " we have a company policy that states all overpayment requests must be made by certified mail, written in swahili and must be received within 90 days of your original payment. " Unfortunately, your request exceeded our policy and therefore, you have exceeded the statute of limitations for requesting a refund. If you believe our policy is unfair, you can make an appeal to the Reimbursement Chair of the Clinic, and they will review your request within 180 days and get back to you. Should you decide that you want to explore this avenue, you will need to submit a page for each CPT code that you feel you paid inappropriately, clearly indicating the patient's name, our account number, the amount we charged, what you actually paid us and how much you feel you overpaid along with a written description from your Medical Director on the validity of the medical necessity of the overpayment refund request. Blah, blah, blah and so forth. Also, make sure your envelope is hermetically sealed..., as failure to do so could make you forfeit your right to this refund. > > Oh..., and good luck, we will be in touch. > > Sorry, sometimes I just write these things for my own amusement, but I hope you find a policy worth implementing somewhere in this email! > > Jim <///>< > > UHC overpayment > > Group. > > We are an out of network provider for United Health Care. > > Patients were seen over 12 months ago. UHC is now requesting partial reimbursement for services rendered and paid for at this clinic. Hard to believe, reason stated, they overpaid for services. > > Have any of you had similar requests? > > Did you respond? > > Is there a statute of limitations on such requests? > > Roll > PT Center of Ocean Springs > Ocean Springs, MS > www.ptcos.com > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.