CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 10 0000. ref SDS 8 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie submitted a letter responding to the letter from UCSF received
040902 - yesterday on 071010, ref SDS 10 925L, which disclosed that UCSF is
040903 - making a review to identify all charges claimed for recovery against
040904 - Millie. ref SDS 10 OH89
040905 -
040906 -    1.  Subject: Coinsurance Payment Deferred
040907 -        Date: Thu, 11 Oct 2007 16:08:02 -0700
040921 -         ..
040922 -    2.  I was up most of the night trying to figure out what to do
040923 -        about this new set of "pink" invoices you described yesterday,
040924 -        which so far claim an additional $2.2K, but that's only through
040925 -        April. [reported UCSF letter on 071010, ref SDS 10 OH89]  By
040926 -        now it must be double, on top of the amounts your department
040927 -        has been billing. [cited in Millie's letter to UCSF on 071010,
040928 -        ref SDS 10 HZ6S, based on receiving new charges from UCSF
040929 -        reported on 071006. ref SDS 6 PRWW]
040931 -         ..
040932 -    3.  I decided to wait and talk to Doctor Rugo next Thursday during
040933 -        my scheduled meeting to find out everything I owe.  I asked Rod
040934 -        to meet with you on August 30th to get a list of all UCSF
040935 -        bills. ref SDS 2 S69H  He came back with a new spreadsheet, and
040936 -        I paid the items you marked for doctor visits.  [On 070907
040937 -        Millie paid UCSF. ref SDS 3 EB3P  I then got a letter from you
040938 -        on September 12, saying the total owed to UCSF was an
040939 -        additional $1,200 through July or so. ref SDS 4 595P  I thought
040940 -        that was the total I had to talk to Kaiser about paying as
040941 -        originally agreed.  Your letter the other day [On 071009]
040942 -        confirmed to pay $1,200. ref SDS 9 N88X  Then you wrote again
040943 -        and said [the next day on 071010] there are more charges for
040944 -        more work. ref SDS 10 4R3I  That's fine.
040946 -         ..
040947 -    4.  I realize there are ongoing charges, but these pink invoices I
040948 -        got out of the blue on Saturday are for work 10 months ago in
040949 -        January through April. [reported on 071006, ref SDS 6 PRWW]
040950 -        That's old business.  What else is out there that I will get in
040951 -        the mail that nobody has had time to mention? ref SDS 6 345N
040952 -
040953 -            [On 071024 letter to UCSF asks about progress on Millie's
040954 -            requests on 071010, and again today clarifying billing
040955 -            procedures, and the total amount owed by all business units
040956 -            for Millie's treatment in clinical trials. ref SDS 11 EP4T
040958 -         ..
040959 -    5.  I know Doctor Rugo doesn't like to talk about bills. [reported
040960 -        in UCSF letter on 070906, ref SDS 3 I49K]  I hate it, but they
040961 -        keep coming and I can't figure them out. [on 070830 UCSF
040962 -        accounting department confirmed that UCSF billings are
040963 -        confusing. ref SDS 2 WU5N]  That's why I think Kaiser and UCSF
040964 -        should be involved, because you financial experts talk the same
040965 -        language. {issue #13 Kaiser should pay for clinical trial costs
040966 -        prescribed by the doctor, reviewed on 070927. ref SDS 5 WW4O
040967 -        You said I should call Medicare [UCSF letter on 071010,
040968 -        ref SDS 10 OH7R}, but I don't know who to call.  Can you give
040969 -        the name and number of the person you deal with at Kaiser's
040970 -        Medicare unit who is calculating payments to UCSF and bills to
040971 -        me?  That would be a big help, if they are not telling you the
040972 -        basis for payments and billings.
040974 -         ..
040975 -    6.  For example, the new pink invoices show charges for lev 5, and
040976 -        lev 4 physician services.  Your letter yesterday or the day
040977 -        before says you have already been paid by Medicare for these
040978 -        charges, and claim recovery of coinsurance from me at the rate
040979 -        of $22 or $27, something like that. [UCSF letter on 071010,
040980 -        ref SDS 10 OH83]  Why then am I being billed these amounts
040981 -        again, and not at $22 nor $27 per visit, but $300 and $400,
040982 -        adding up to at least $2.2K, and I don't know what??
040983 -
040984 -            [On 071026 duplicate billings for doctor visits received on
040985 -            071006, after understanding from meeting at UCSF on 070830
040986 -            that patient had already paid for doctor visits.
040987 -            ref SDS 12 W64F
040989 -         ..
040990 -    7.  I feel UCSF should explain the total I owe, and not hold back
040991 -        for months then give me big bill.  Are there green, yellow,
040992 -        other colored invoices yet to come?  [per above, ref SDS 0
040993 -        K64T,
040995 -         ..
040996 -    8.  In any case, Doctor Rugo noted in her letter on September 6th,
040997 -        this is all very muddy, [... ref SDS 3 UK5M] and so I want to
040998 -        get clarity on what is owed and the basis of charges in order
040999 -        to figure out what to pay.
041000 -
041001 -            [On 071024 letter to UCSF asks about progress on Millie's
041002 -            requests on 071010, and again today clarifying billing
041003 -            procedures, and the total amount owed by all business units
041004 -            for Millie's treatment in clinical trials. ref SDS 11 EP4T
041006 -             ..
041007 -            [On 071026 UCSF responds, ref SDS 12 K49J, and demands
041008 -            payment of its claim against Millie within 1 week.
041009 -            ref SDS 12 SU5V
041011 -             ..
041012 -            [On 071027 patient requests meeting so UCSF can present
041013 -            claim, and explain charges. ref SDS 13 CG6H
041015 -             ..
041016 -            [On 071029 UCSF refuses to meet; claims suffering from
041017 -            delay by patient "stringing out payments. ref SDS 14 6N6K
041019 -             ..
041020 -            [On 071031 UCSF notice treatment for cancer ordered by
041021 -            Kaiser will be terminated, ref SDS 15 KM8J; further notice
041022 -            UCSF making referral to collection agency for payment of
041023 -            $202.65 on Kaiser referral. ref SDS 15 KK4I
041025 -             ..
041026 -            [On 071101 Nancy Baird with MGBS called to request
041027 -            assistance with billing for professional services; she
041028 -            plans to contact Paula about facilitating UCSF billings for
041029 -            referral from Kaiser. ref SDS 16 5R5H
041031 -             ..
041032 -            [On 071128 Kaiser Appeals Committee approved payment for
041033 -            Millie's care on referral to UCSF. ref SDS 17 JZ5R
041035 -         ..
041036 -    9.  By copy, I am giving the doctor a heads up.
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