AMH needs to get its billing system straightened out

Friday, October 19, 2007 10:58 AM EDT

Below is a letter I wrote to Robert Bergan, president of Auburn Memorial Hospital Board:
I am writing you to express both my admiration and thanks to your professional emergency room staff and my shock and dismay at your billing department.

I visited the emergency room on April 5 for a laceration on my hand. I received excellent and prompt care and couldn't be happier with the result. The doctors, nurses, and administrative staff were always courteous and eager to make me feel at ease.

Before I was discharged, a staff member came in to summarize my treatment, insurance information, and billing information, as I was unsure what my co-pay was. I was assured I would receive a bill for the balance.

I received the bill today, over six months after the date of treatment. While I am happy to pay it, I am appalled at the delay of billing.

It is no wonder the hospital had to declare bankruptcy if this is the way the finances are run.

It is also disheartening that an organization as important to the community as Auburn Memorial Hospital (AMH) so recklessly disregards its own fiscal health, putting its very existence in danger, as well as the health of the residents of Auburn and the surrounding communities.

AMH is perhaps our most valuable community asset and should be treated as such.

I do hope steps will be taken to ensure prompt billing in the future.

I would recommend a thorough audit of AMH's entire financial structure, as this seemingly minor delay in billing could be indicative of a much more serious and pandemic problem with your financial department.

Ben Haith

Auburn

The Citizens' Say

There are 5 comment(s)

Ben wrote on Oct 19, 2007 4:26 PM:

" While I have plenty to say about my insurance company, they are very prompt with claims. The claim in question was paid to AMH on April 16. So, unless the USPS sat on the check for five months before delivery, I'd say the blame lies squarely at the AMH billing department. "

atlopinon wrote on Oct 19, 2007 4:12 PM:

" ej. i can respond to all of your comments and just so you know of my knowledge.....I worked at AMH for a good number of years and I left because unlike many who just let the problems build I could here the whispers before the shouting began. The cuts although rough to handle were necessary. You cant build a ship in the middle of the ocean to save the sinking one. You have to plug the holes and make it to shore first. It is sad to see good people go but I'm guessing that if you didnt pay your bills for say 3 months and spent money on unecessary things you would have to sacrafice alot to catch up with your bills. As for the tragedy of a bill that was later than HE thought proper. I handle Medicare paperwork everyday for my department and completly understand the complexity of today's insurance billing. There are yes time limits but there are also means to extend those limits because insurance companies believe it or not understand the weaving roads of peril a medical bill goes through. So your opinion is taken well but the personal attack on my understanding...check your info first. "

interested wrote on Oct 19, 2007 2:58 PM:

" Ben, I work in billing at a Dr's office and I know from experience that some times it may take a while to hear from insurance. Especially if it is an injury because the insurance wants to make sure it is not supposed to be workers comp or billed to motor vehicle insurance. Sometimes when there is more than 1 insurance it can take a while to hear from the secondary because they always say the Eob from the primary is missing. Anything to delay paying. Lighten up a little bit. It could be the insurances fault that it took so long for you to be billed your copay. "

ej2521 wrote on Oct 19, 2007 2:38 PM:

" Altopinion--I have to agree with Ben. The cuts they have made at AMH have been awful at best, and yes I do know first hand about the cuts, considering I work at AMH, I am disheartend at some of the wonderful nurses and managers that were let go. As far as Ben's concersn about billing, he is right that is an unacceptable time frame, considering health insurances have timely filing limits that need to be followed and if you are outside the filling limit your claim gets denied and the member is not liable. Alto --apparently you need to review your informatio before you put your 2 cents in. "

atlopinion wrote on Oct 19, 2007 1:41 PM:

" Ben....I think the mere fact that this is an old story at best and the corrections have been in motion for a LONG time makes your letter lost to an audience that feels like they are witnessing a re-run. They have been audited (self-imposed) they have made managerial changes. They have cut spending without hampering patient care. As far as your bill goes that you think was delayed too long and although you might have no background in medical/insurance billing you make a judgement as to its process and point blame on AMH? And finally, its all to usual for a majority of citizens in Auburn to wait until it affects them to say something. Alot of people have fought hard and made many sacrifices to keep AMH a vital part of the community. Please keep comments that have no merit out of the way of those are busy knowing and doing already. "

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