CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 18 0000. ref SDS 13 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Billing Irregularities UCSF Need Referral Coordination Meeting
040902 -
040903 - On 071024 letter to UCSF asked about progress submitting the total
040904 - claimed for clinical trial services. ref SDS 18 EP4W  UCSF was asked
040905 - again to explain the basis of charges, ref SDS 18 EP5T, and UCSF was
040906 - asked for ideas on making interim payment pending resolution of
040907 - Kaiser's failure to perform on the referral agreement. ref SDS 18 EP6P
040909 -  ..
040910 - There was an offer to meet and discuss solutions. ref SDS 18 EP6S
040912 -  ..
040913 - A major challenge managing UCSF's account at this time is credibility
040914 - of communications and irregular billing practices, reviewed previously
040915 - on 071006. ref SDS 9 454M
040916 -
040917 -    1.  Confusing and conflicting charges, reported on 070830.
040918 -        ref SDS 4 WU5N  Billings without any correlation to services
040919 -        provided, e.g., "Account balance transfer......... $1,038.31"
040920 -        for invoice 12593370, shown on 070830. ref SDS 4 WO8M
040921 -
040922 -            [On 071128 Kaiser Appeals Committee approved payment for
040923 -            Millie's care on referral to UCSF. ref SDS 25 JZ5R
040925 -         ..
040926 -    2.  Presenting interim payment proposal for doctor visits based on
040927 -        UCSF marking charges of $110 and variable amount owed by the
040928 -        patient of $22 to $27, which is competitive with patient
040929 -        copayment for doctor visits to Kasier, ref SDS 4 W141, yet it
040930 -        turned out on 071006 UCSF billed doctor visits for additional
040931 -        $300, adding over $4,000 for this matter that UCSF indicated on
040932 -        070830 should be charged at $320. ref SDS 9 PRWW  Millie's
040933 -        leter to UCSF on 071011 reported this new billing discrepency.
040934 -        ref SDS 15 K65P
040936 -         ..
040937 -    3.  Refusing to present a total claim, and instead withholding
040938 -        notice of billings by multiple business units, discovered on
040939 -        071006, ref SDS 9 PRWW, confirmed by UCSF on 071010,
040940 -        ref SDS 13 OH89,
040942 -         ..
040943 -    4.  Withholding the basis of charges, see Millie's request on
040944 -        071010, ref SDS 13 HZ9X, and UCSF response later on 071010.
040945 -        ref SDS 13 OH7R  UCSF repeats refusal today to explain charges.
040946 -        ref SDS 0 SU6R
040948 -         ..
040949 -    5.  Withholding the terms of clinical trial showing what is paid by
040950 -        the clinical trial for which the patient is not responsible,
040951 -        asked in the letter to UCSF on 071010. ref SDS 13 HZ5U
040953 -         ..
040954 -    6.  Overcharging 400% in the billing received on 070830, shown by
040955 -        revised billing dated 070912, reviewed on 070917. ref SDS 6
040956 -        595P
040958 -         ..
040959 -    7.  Collection Agency assignment and loss of credit rating
040960 -        threatened on 071031 for payment of $202.65. ref SDS 22 KK4I
040961 -        No evidence of collection efforts from Kaiser. ref SDS 22 9X7I
040963 -         ..
040964 -    8.  Termination of treatment threatened on 071031 due to delays
040965 -        getting payment from Kaiser of $202.65. ref SDS 22 KM8J
040966 -
040968 -  ..
040969 - Bob responded for UCSF to the letter on 071024, ref SDS 18 UW5J,
040970 -
040971 -    1.  Subject:  [Payment on Account]
040972 -        Date: Fri, 26 Oct 2007 07:53:43 -0700
040979 -         ..
040980 -    2.  Good morning Rod.
040982 -         ..
040983 -    3.  You & Millie assured me that payment in full would be made over
040984 -        a week ago on the Facility accounts listed below.
040985 -
040986 -            [On 071027 responded to UCSF letter today. ref SDS 19 MH4L
040988 -         ..
040989 -        12593370  O BUCK ,MILDRED   03/01/07  01/21/1936     $ 202.65
040990 -        12763636  O BUCK ,MILDRED   04/05/07  01/21/1936     $ 162.12
040991 -        12764302  O BUCK ,MILDRED   05/03/07  01/21/1936     $ 283.96
040992 -        12997805  O BUCK ,MILDRED   07/19/07  01/21/1936      $ 27.88
040993 -        12997886  O BUCK ,MILDRED   06/07/07  01/21/1936      $162.12
040994 -        12997900  O BUCK ,MILDRED   07/05/07  01/21/1936      $173.39
040995 -        12997919  O BUCK ,MILDRED   08/02/07  01/21/1936      $202.65
040996 -        12652072  O BUCK, MILDRED   02/22/07  01/21/1936      $ 22.26
040998 -         ..
040999 -    4.  I am holding you to your word that prompt payment would be made
041000 -        on these accounts *.  It is not acceptable to wait for the
041001 -        Kaiser hearing.
041003 -  ..
041004 - UCSF letter has a footnote below for the "*" in this part of the
041005 - letter.
041007 -  ..
041008 - UCSF's position is incorrect, as shown in the footnote below.
041009 - ref SDS 0 VX8O
041010 -
041011 -            [On 071027 letter to UCSF reports Millie's consistent
041012 -            history of meeting commitments, and explain UCSF
041013 -            representation on record in this case is erroneous and
041014 -            incomplete. ref SDS 19 MH6X
041016 -             ..
041017 -            [On 071030 UCSF says disregard demand for payment in 1 week
041018 -            of disputed UCSF billings pending dispute resolution by
041019 -            Kaiser on paying for referral services. ref SDS 21 WZ5J
041021 -             ..
041022 -            [On 071031 Millie receives notice dated 071026 UCSF has
041023 -            scheduled assignment to a collection agency for payment of
041024 -            account 12493370 in the amount of $202.65, ref SDS 23 KK4I,
041025 -            reviewed on 070830, ref SDS 4 4P8K, and revised again on
041026 -            070917, ref SDS 6 MK4H; there is no indication of UCSF
041027 -            collection efforts against Kaiser who ordered the work; and
041028 -            in a separate notice the next day on 071027 UCSF threatens
041029 -            that Millie's treatment for cancer ordered on referral by
041030 -            Kaiser will be terminated if UCSF does not receive payment
041031 -            from Millie, which is owed by Kaiser. ref SDS 23 KM8J
041033 -             ..
041034 -            [On 071128 Kaiser Appeals Committee approved payment for
041035 -            Millie's care on referral to UCSF. ref SDS 25 JZ5R
041036 -
041037 -
041039 -  ..
041040 - 1 Week UCSF Demands Payment Unsubstantantiated Claims
041041 - UCSF Demands Payment in 1 Week Fails to Justify Amount Claimed
041042 -
041043 - Bob's letter for UCSF continues...
041044 -
041045 -    5.  UCSF Medical Center has provided Millie with Itemized
041046 -        Statements that detail what the services received were,
041047 -        spreadsheets that showed original charges, Medicare payments &
041048 -        Contractual Adjustments & patient responsibility.  Payment in
041049 -        full is expected within one week.
041051 -  ..
041052 - The letter to UCSF on 071024 offered to meet so that UCSF can explain
041053 - its claim, ref SDS 18 EP6S, updating and correcting work during the
041054 - meeting on 070830. ref SDS 4 0001
041056 -  ..
041057 - UCSF demand for payment in 1 week refuses a meeting to explains
041058 - charges that substantiate claim against Millie.
041059 -
041060 -            [On 071027 patient requests meeting so UCSF can present
041061 -            claim, and explain charges. ref SDS 19 CG6H
041062 -
041063 -            [On 071029 UCSF refuses to meet; claims suffering from
041064 -            delay by patient "stringing out payments. ref SDS 20 6N6K
041065 -
041067 -  ..
041068 - Payment is not due until UCSF shows Millie owes payment for medical
041069 - services performed on referral from Kaiser to pay any costs not
041070 - covered by the clinical trial agreed in correspondence between Kaiser
041071 - and UCSF on 061230. ref SDS 1 3X6K  This was confirmed by the doctor
041072 - at Kaiser on 070119, ref SDS 2 4R4M, and was confirmed recently by the
041073 - doctor at UCSF on 070906. ref SDS 5 UK5M
041074 -
041075 -            [On 071031 UCSF notice treatment for cancer ordered by
041076 -            Kaiser will be terminated, ref SDS 23 KM8J; further notice
041077 -            UCSF making referral to collection agency for payment of
041078 -            $202.65 on Kaiser referral. ref SDS 23 KK4I
041080 -  ..
041081 - UCSF itemized statements do not detail clinical trial services for
041082 - which Millie is charged coinsurance, do not show the rate being
041083 - charged, and do not show the patient is not being charged for the cost
041084 - of work covered by the Clinical Trial, as noted by Bob during a
041085 - meeting at UCSF on 070830. ref SDS 4 WU5N
041087 -  ..
041088 - UCSF must resolve billing irregularities listed on 071006, ref SDS 9
041089 - 454M, and reviewed again today. ref SDS 0 X18J
041091 -  ..
041092 - Bob's letter for UCSF continues...
041093 -
041094 -        Payment can be made over the phone (415 673 1113) with a credit
041095 -        card or checks for these accounts can be mailed to my
041096 -        attention(address listed below).  The checks should be made
041097 -        payable to UCSF Medical Center.  These accounts go back to
041098 -        February of this year.  As I mentioned before, UCSF Medical
041099 -        Center does have a Charity Care program if paying these bills
041100 -        is a financial hardship.
041102 -         ..
041103 -    6.  Millie will receive a refund if Kaiser determines that Millie's
041104 -        financial responsibility to UCSF is less than currently stated.
041106 -  ..
041107 - UCSF delays and irregularities in billing practices does not show
041108 - convincing evidence of ability to perform on promised refunds.
041109 - ref SDS 0 X18J
041110 -
041111 -            [On 071030 UCSF not honoring request for new account
041112 -            representative; UCSF Kaiser called to get billing
041113 -            information; UCSF tells Millie to disregard prior demands
041114 -            for immediate payment. ref SDS 21 WZ5J
041115 -
041117 -  ..
041118 - UCSF Refuses Explain Charges Refers Patient to Medicare
041119 -
041120 - Follow up ref SDS 13 OH7R.
041121 -
041122 - Bob's letter for UCSF continues...
041123 -
041124 -    7.  Question regarding "the basis of payments" from Medicare need
041125 -        to be addressed to Medicare. Your request for my explanation of
041126 -        how patient liability for account number 12593370 was
041127 -        determined is a question for Medicare, not UCSF.
041129 -  ..
041130 - UCSF errs.  Millie has no questions regarding payments from Medicare
041131 - to UCSF.  Millie asks for the basis of UCSF billings to Millie,
041132 - because review on 070823 showed no correlation between billings and
041133 - services. ref SDS 3 6M46  UCSF confirmed on 070830 there is no
041134 - correlation between charges billed to Millie and services performed by
041135 - UCSF. ref SDS 4 WU5N  On 071010 UCSF maintained customers should
041136 - contact 3rd parties for explanation of UCSF billings. ref SDS 13 OH7R
041137 - also cited above. ref SDS 0 5N9L
041138 -
041139 -
041141 -  ..
041142 - MGBS UCSF Multiple Billings Duplicate Payments by Medicare and Millie
041143 -
041144 - Follow up ref SDS 13 OH89.
041145 -
041146 - Bob's letter for UCSF continues...
041147 -
041148 -    8.  To date, Millie should only be receiving bills/statements from
041149 -        two UCSF billing offices, our Patient Financial Services white
041150 -        bills for facility charges & the pink bills for physician's
041151 -        ProFee(MGBS billing group).  MGBS is in the process of
041152 -        preparing a spreadsheet for the services Millie received from
041153 -        the physicians.
041155 -  ..
041156 - On 070830 the UCSF accounting department on Harrison Street in San
041157 - Francisco represented amounts in a new spreadsheet received during a
041158 - meeting as the total UCSF claim to a particular date. ref SDS 4 FS4J
041159 - UCSF claimed total amount owed from 070130 to 070607 was $4,254.12.
041160 - ref SDS 4 L19H  UCSF also identified with ink pen notations on the
041161 - spreadsheet the amount claimed against Millie for doctor visits.
041162 - ref SDS 4 VT5W
041163 -
041164 -            [On 071031 Millie receives notice dated 071026 UCSF plans
041165 -            referral to collection agency for payment of $202.65 on
041166 -            Kaiser referral account 12493370, ref SDS 23 KK4I, revised
041167 -            070830, ref SDS 4 4P8K, and revised again on 070917,
041168 -            ref SDS 6 MK4H; no indication of UCSF collection efforts
041169 -            against Kaiser; separate notice dated 071027 and also
041170 -            received 071031 UCSF says Millie's treatment for cancer
041171 -            ordered by Kaiser will be terminated if UCSF does not
041172 -            receive payment of $202.65. ref SDS 23 KM8J
041174 -             ..
041175 -            [On 071101 Nancy Baird with MGBS called to request
041176 -            assistance with billing for professional services; she
041177 -            plans to contact Paula about facilitating UCSF billings for
041178 -            referral from Kaiser. ref SDS 24 5R5H
041180 -  ..
041181 - Since on 071006 UCSF submitted new invoices for additional charges
041182 - during the same period beginning 9 months earlier, and further claims
041183 - entitlement to additional charges for doctor visits, UCSF must resolve
041184 - uncertainty and confusion in billings by certifiying its total claim
041185 - from all business units, as requested in Millie's letter to UCSF on
041186 - 071011. ref SDS 15 K64T
041187 -
041199 -            ..
041200 -        •  Tomorrow, I will pay $1,194.52 at the Business Office on the
041201 -           ground floor at UCSF 1600 Division Street, as you instructed
041202 -           for the prior payment on September 6th..
041204 -  ..
041205 - Bob cites in this footnote Millie's letter on 071010 promising to pay
041206 - UCSF, ref SDS 13 HZ7W, and requested explanation from UCSF that double
041207 - billings discovered on 071006, ref SDS 9 PRWW, were a mistake.
041208 - ref SDS 13 HZ9X
041209 -
041210 -            [On 071027 letter to UCSF reports Millie's consistent
041211 -            history of meeting commitments, and explain UCSF
041212 -            representation on record in this case is erroneous and
041213 -            incomplete. ref SDS 19 MH6X
041215 -  ..
041216 - UCSF's response letter on 071010 notified that duplicate billings by
041217 - multiple business units were not a mistake, and that Millie would get
041218 - more invoices that have been withheld for past work. ref SDS 13 OH89
041220 -  ..
041221 - Millie therefore told UCSF the next day on 071011 that she would delay
041222 - interim payment until clafification of UCSF's total claim could be
041223 - discussed with the doctor in a meeting scheduled for 071018.
041224 - ref SDS 15 K69X
041225 -
041226 -
041227 -
041228 -
041229 -
041230 -
041231 -
0413 -