Five stars for the billing department. They are incredibly efficient at maximizing revenue. I was billed for a Level 4 high-complexity visit on a day when I spent more time waiting for the police to arrive than actually receiving care. Apparently, calling 911 counts as high-complexity medical decision-making now. They also billed two psychotherapy codes that Medicare says cannot be billed together. That takes talent. If you enjoy surprise bills, creative coding, and the thrill of wondering what you actually paid for, this is the place for you. If you prefer honest billing, check your statements and EOBs and go somewhere else.
I love the patient portal. It is so convenient. You can upload documents like a HIPAA Statement of Disagreement, view your records, and then watch them disappear. It is like magic. One day your files are there, the next day they are gone. No explanation. No notification. Just gone. It is almost like someone does not want you to have a complete record of your own care or exercise your bright-line, black-letter rights, and willing to soak up millions in statutory penalties to spite you for calling out a physician's errors and ommisions that would raise eyebrows at the Office of the Inspector General. Very mysterious. Very convenient. If you like playing hide and seek with your own medical records, this is the practice for you. Otherwise, screenshot everything and keep your own copies.
When I started improving on Spravato, coming in feeling fine, reported that I was doing better, and somehow got billed for the most complex level of care possible for sitting in a chair until the drugs wore off. Every single visit. Level 4. Every time. I did not know that saying I feel "good" constitutes a chief complaint. I guess I am just a mystery to modern psychiatry. The notes were also pretty much identical every visit, which is impressive given how much I was supposedly going through. But my favorite part? They documented my family drama -- who I was mad at, which relative ruined my life -- and called it patient history. That is not biomedical data required by REMS. That is not a physical exam. That is not a vital sign. That is a soap opera, and they billed Level 4 on it. Every single visit. If you want to pay top dollar for copy-and-paste care, this is your spot. Where's my vital signs? They aren't there within the four corners of my chart.
Friendly staff. Clean office. Great bedside manner. Also billed me for services that never happened, used billing codes that are not allowed together, and deleted documents from my patient portal. But hey, they smile and offer encouraging platitudes while doing it. Check your bills, folks. Check your EOBs. Check your portal. Because they are not going to tell you when they are overcharging you, and they are definitely not going to tell you when they delete your records. It does not matter how nice a fraudster is. Check the math.
Five stars for the magic show. They billed me for therapy that never happened, billed a Level 4 visit for a 7-minute emergency response, and then deleted my documents from the patient portal like that was going to fix anything.
Cute. Very cute.
FYI, AdvancedMD runs on Amazon Web Services. What you thought was deleted was not actually deleted. I have the UUIDs. I have the timestamps. I have the screenshots. Insurance companies and data centers keep records for 6 to 10 years under the False Claims Act. What you thought was deleted was archived. What you thought was gone is still subpoenable. What you thought was clever was just a delay.
Good luck with that.
Check your bills, folks. Check your EOBs. Check your portal. And if your documents disappear, do not worry. They are not gone. They are just waiting for the feds to find them. read more
