They used a billing service MedPro Billing. Per Wickstrom also used them, although I am not sure if he's still using them. I believe other Narconons use them as well. MedPro Billing is owned and run by Melissa Zachariasz, who was charged in 2011 with possession of drugs. This state of FL case is open and pending a calendar call set for Feb 22nd. Here's her mugshothttp://www.lookwhogotbusted.com/fort-lauderdale-fl/zachariasz-melissaHere are the court details Broward County Case Number: 11019310CF10A State Reporting Number: 062011CF019310A88810Court Type: Drug Court Case Type: Drug CourtFiling Date: 11/26/2011 Case Status: PendingCourt Location: Central Courthouse Judge ID / Name: Porth - FR, Ari AbrahamMagistrate ID / Name: N/A BCCN: 0802112 Style: State of Florida Vs. Zachariasz, Melissa Charge Citation/NTA Number Status Offense Date Statute Description Filed On Filed By1 OPEN 11/25/2011 893.03(4)(ee) Possession Of Lorazepam 01/17/2012 Sunrise PDThis may or may not be related to the Narconon case but it sure doesn't paint a good picture.
Ryszard ZachariaszRichard Zachariasz
http://www.revenuerecoverysolutions.com/learn-more/about-our-president/Not sure if there is a connection here, but this company is 15 minutes away from MedPro and the President's bio indicates she's worked elsewhere in the field and is on the board in other companies. Her company handles St. Gregory, which is another non-traditional rehab.
7. Should I be concerned if my billing service is generating claims with billed charges higher than industry averages?Answer: Yes! If your billing service is generating higher-than-industry claim charges, you are susceptible to future charge backs and possible insurance fraud claims. At PRRS, we always protect our clients from any possible charge backs or of being accused of insurance fraud. Billing services tend to only care about their profitability, and that is the main reason for them billing out higher claim charges without consideration for their clients. Remember: Insurance carriers will always hold the provider of services accountable for billing fraud and charge backs. They never go after the billing provider. Yet PRRS’ goal is to be an extension of your financial department, and we do not take risks that would threaten your business.
The goal: "clean" claimsThe package of capabilities offered by behavioral health billing companies, which include not only MedPro, but newer competitors including Medivance (Sunrise, Fla.) and Professional Resource Recovery Solutions (PRRS, Sunrise, Fla.) include billing and collections, behavioral health benefit verifications, and utilization review management. ...According to Scott Delmarr, CEO of PRRS, service conversations usually begin when one organization hears that another is getting a higher level of reimbursement for a particular code or treatment. "Typically, an owner or an executive brings in the results of their billing group and says, 'What's the UCR (usual, customary, and reasonable fee) that you are getting for this procedure?' When we show them and when they see a difference, they think, 'maybe we should try this."
Quote from: BMF on February 01, 2013, 11:01http://www.revenuerecoverysolutions.com/learn-more/about-our-president/Not sure if there is a connection here, but this company is 15 minutes away from MedPro and the President's bio indicates she's worked elsewhere in the field and is on the board in other companies. Her company handles St. Gregory, which is another non-traditional rehab. Mary,Do you know of any connection between these two companies?
Reimbursement expert Zarina R. Delmarr gained industry-wide praise for revolutionizing billing services in the mental health and substance abuse treatment industry. After retiring as president of a nationwide reimbursement firm, Zarina decided her work was not yet complete. The field is evolving, she concluded, and so should its billing service providers.
INSURANCE BILLING INFORMATIONFREEDOM CENTER will automatically provide insurance billing at a service fee of 15% of the recovered amount. We will make every attempt to get reimbursement for the maximum benefit allowable by your insurance company's contractual benefits.In order to correctly process the insurance we will need the insurance information given to us in advance. This is so we have the time needed to prepare for the submission of the claim. Then MedPro billing will create a claim and submit it to the insurance company of the student for processing. MedPro will follow up to ensure they receive it and have all data needed to begin processing the claim. Insurance companies usually take another 30 days before they will even begin to process.Prior approval or precertification by the member may be required in some instances, especially if the treatment program is out of state. It is the guarantor’s responsibility to check with the insurance company on whether this is required. If so, feel free to contact our medical biller with any questions on how to proceed or simply verify approval prior to the student’s arrival.Once the claim has been processed, a check will be sent payable to us for all benefits. The Finance department will deposit the check and a new check will be issued to the guarantor for 85% of the amount received, not to exceed the program fee total. Of course, FREEDOM CENTER cannot guarantee that any insurance company or any other source of funding will pay, but can only make estimations or suggestions based on what information the insurance company provides to us. The responsible party understands that if insurance does not pay they are liable for all fees.If you wish to check status of the claim, you should contact your Insurance Company's customer service department on the back of the card. Should you choose to waive this insurance billing service, please inform us in writing. We will instead, provide you with a claim to process on your own at a fee of $398.00. We assume no responsibility for any and all insurance billing. If insurance does not pay, it is the responsibility of the responsible party to pay the balance due for the program.
Narconon Freedom Center's Contract (bolding is mine):http://www.freedomdrugrehab.com/wp-content/themes/freedomdrugrehab/images/contract.pdfQuoteINSURANCE BILLING INFORMATIONFREEDOM CENTER will automatically provide insurance billing at a service fee of 15% of the recovered amount. We will make every attempt to get reimbursement for the maximum benefit allowable by your insurance company's contractual benefits.In order to correctly process the insurance we will need the insurance information given to us in advance. This is so we have the time needed to prepare for the submission of the claim. Then MedPro billing will create a claim and submit it to the insurance company of the student for processing. MedPro will follow up to ensure they receive it and have all data needed to begin processing the claim. Insurance companies usually take another 30 days before they will even begin to process.Prior approval or precertification by the member may be required in some instances, especially if the treatment program is out of state. It is the guarantor’s responsibility to check with the insurance company on whether this is required. If so, feel free to contact our medical biller with any questions on how to proceed or simply verify approval prior to the student’s arrival.Once the claim has been processed, a check will be sent payable to us for all benefits. The Finance department will deposit the check and a new check will be issued to the guarantor for 85% of the amount received, not to exceed the program fee total. Of course, FREEDOM CENTER cannot guarantee that any insurance company or any other source of funding will pay, but can only make estimations or suggestions based on what information the insurance company provides to us. The responsible party understands that if insurance does not pay they are liable for all fees.If you wish to check status of the claim, you should contact your Insurance Company's customer service department on the back of the card. Should you choose to waive this insurance billing service, please inform us in writing. We will instead, provide you with a claim to process on your own at a fee of $398.00. We assume no responsibility for any and all insurance billing. If insurance does not pay, it is the responsibility of the responsible party to pay the balance due for the program.I'd be interested to hear what others think about the reimbursement of 85% instead of 100%, and also the $398.00 fee for giving the client a claim for them to submit on their own. This seems highly irregular to me. Most people would hear that $398 figure, and say, "ok you file it for me", but in reality, NN can possibly be getting much, much more than that, even if they're honest about the 85%/15% split!Backup copy of contract here: http://alley.ethercat.com/storage/NarcononFreedomCenter-contract.pdf just in case.medprobill.com Administrative Contact: Shaheed, Anelia ashaheed@medprobill.com Med Pro Billing 7200 W McNab Road Tamarac, Florida 33321 United States +1.9545877771 Fax -- +1.9547279859 Technical Contact: Shaheed, Anelia ashaheed@medprobill.com Med Pro Billing 7200 W McNab Road Tamarac, Florida 33321 United States +1.9545877771 Fax -- +1.9547279859http://www.linkedin.com/pub/dwight-gayle/26/4a1/796Dwight GayleMedical Biller at Med pro billing
Its not reimbursement if they are taking 15%. Its scamontolgy. Why take 15%? They are already overcharging and making shit up to milk the insurance companies. Fortunately they are greedy and this always gets people caught. Its only a matter of time....
Just for some perspective, I'm going to toss this link in here:http://www.thefix.com/content/have-you-had-trouble-getting-your-insurance-company-pay-treatmentWear your flame-retardant suits, though; those people in that discussion are not the ladies and gentlemen that we are, and apparently The Fix has no moderators.
So, I decided to google the phone number (954-587-7111) for MedPro (with and without "HIPAA" as another key word) and got 18 businesses and several have the NPI information (why I include the "HIPAA" keyword). So why would so many separate entities have the same phone number (and there are shared fax numbers between some of these)?
1. [PDF] 1730339771 NPI number - HIPAASpace www.hipaaspace.com/Medical_Billing/.../NPI_1730339771.pdf File Format: PDF/Adobe Acrobat - Quick ViewHIPAASpace NPI Form ... 954-587-7771 ... HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government ...2. [PDF] national provider identifier (npi) form - HIPAASpace www.hipaaspace.com/Medical_Billing/.../NPI_1710189634.pdf File Format: PDF/Adobe Acrobat - Quick ViewHIPAASpace NPI Form ... 954-587-7771 ... HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government ...3. DOCTORS GROUP OF THE PALM BEACHES - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.4. RECOVERY PHYSICIAN GROUP OF CALIFORNIA ... - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Phone 954-587-7771. Fax. The provider's official mailing address is: PO BOX 2323 ...5. RECOVERY PHYSICIAN GROUP OF TENNESSEE ... - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Phone 954-587-7771. Fax. The provider's official mailing address is: PO BOX 2323 ...6. PHYSICIANS MEDICAL ASSOCIATES, LLC - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.7. @Florida Rehabilitation Hospital : : Results 1-100 www.e-physician.info/FL-hospitals-rehabilitation-hospital/ Results 1 - 100 – Center For Alcohol And Drug Studies, Inc, 321 Northlake Blvd Suite 214 N Palm Beach FL 33408-5422, 954-587-7771, 283X00000X ...8. Med PRO Billing, Davie FL 33314 www.merchantcircle.com › FL › Davie › 33314 Tel: 954-587-7771. Get Maps, Driving Directions, Phone #, Reviews, for Med PRO Billing in Davie. Search MerchantCircle to Find Local Businesses, Coupons ...9. Precise Business Billing, Davie FL 33324 www.merchantcircle.com › FL › Davie › 33324 Training, Billing, Hippa . Get Maps, Driving Directions, Phone #, Reviews, for Precise ... 954-587-7771. Davie, FL, 33314. 0.0. Associates Investments. 954- 321- ...10. 1710189634 NPI NUMBER - PALM PARTNERS LLC healthprovidersdata.com › NPI Lookup Sep 29, 2011 – ZIP 33444. Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 283X00000X - Rehabilitation Hospital. Specialization ...11. 1730339771 NPI NUMBER - NARCONON OF OKLAHOMA INC healthprovidersdata.com › NPI Lookup Sep 26, 2008 – Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 324500000X - Substance Abuse Rehabilitation Facility ...12. recovery physician group of tennessee llc - Health Providers Data healthprovidersdata.com › NPI Lookup Aug 11, 2008 – ZIP 38115. Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 103TA0400X - Psychologist. Specialization, Addiction ...13. Med Pro Billing - Tamarac, FL (Florida) | (954) 587-7771 www.manta.com/c/mx79rbh/med-pro-billing MedPro has been providing quality nationwide medical billing and patient management solutions for the Mental Health and Substance Abuse community sinc.14. PHYSICIANS MEDICAL ASSOCIATES, LLC - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.15. THE TAJ MEMORIAL HEALTH CENTER - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet .... Practice Phone: 954-587-7771. Practice Fax: 954-252-2346. 1912145525 in HTML ...16. ADDICTION SOLUTIONS BY THE SEA - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Practice Phone: 954-587-7771. Practice Fax: 954-727-9864. 1669631594 in HTML ...17. WADEN E EMERY III MDPA - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet .... Practice Phone: 954-587-7771. Practice Fax: 954-727-9864. 1669631594 in HTML ...18. SERENITY HOUSE DETOX - HIPAASpace www.hipaaspace.com › Healthcare Lookup Services › NPI Lookup 33313-7811. Practice Phone: 954-587-7771. Practice Fax: 954-252-2346. 1871731356 in HTML format HTML | 1871731356 in PDF (Portable Document Format) ...