Dr. Linville, Dr. Barbour, and PAs are great. Issues are with staff. I managed and worked in some of the highest rated medical facilities in this country for years. I still work in the industry, in a different capacity, but I have patients everyday that need prior authorizations. The staff here sent my MRIs to one of their preferred imaging facilities. I scheduled three weeks ahead. Imaging facility had 3 MRIs denied for not meeting medical necessity. Laughable since I need several surgeries and also can't use my left hand and am in excruciating pain from c-spine injuries, hand/wrist injuries, and a knee injury (painful to walk, drive, even at rest). When I call the office no one helps really. When I call the imaging facility, no one helps. I called my insurance, but I do not have time to work on this on my own. I'm paying for this to be done. Barbour Orthopedics states the denials and/or communication from imaging must be lost in "faxes". Absolutely freaking laughable. I know every inch of how a medial office runs. Someone needs to act now, or I'll leave this or practice asap. Call my induce and get the denial notifications if you don't have them!
Also, when I found out about the denials, plus one order never received by the imaging facility, someone should have acted then. I was told my orders were sent to another imaging facility when I notified Barbour Ortho of the denials and non/received order. They were not sent. Never received! Plus a peer to peer review or appeal needs to be done for the denials. I mean, do I need to come do your job? I will and better than any of their employees. I scheduled the MRIs three weeks in advance. Imaging facility submitted prior auths m one week before my spot. Absolutely laughable!
I called the day before my appointment to confirm and they didn't even tell me about the denials, which were several days prior. I did my diligence. If I didn't know the "medical world" as I do, I would have most likely gone for the MRIs. I would have paid an amount they quoted me, which my insurance covers all imaging at 100%. I have zero out of pocket costs.
I would have had to fight to be reimbursed and the imaging facility would have had to attempt a "retro authorization". Not a guarantee of coverage/payment. Be aware of imaging not done at Barbour. Seems like a scam to me at AHI. Barbour ortho needs to hire staff to complete imaging auths on their own. Facilities that pts are referred to, are slow and sorry, but they suck. I'm very upset, severely in pain, and really happy I took a day off work for no reason. Management @ Barbour, please call me. This needs to be discussed. Excuse any typos. I cannot use my left hand to type properly. I continue to suffer daily. Severely! I do not recommend this clinic. read more
