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The old office is keeping my records from me…
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Hi All
If you’ve read some of my past posts then you know the history, if not here it is in short. I started my journey with Dr. Ahmad at Mather Hospital on Long Island (where I live). After a few appointments/seminars, I just do not feel comfortable moving forward with his practice and I’ve decided to have Dr. Brathwaite at Winthrop do my gastric sleeve. It’s been an uphill battle from the start and the road seems to be getting steeper.
I signed a HIPAA release form (and gave them a detailed list of everything I needed) for Dr. Ahmad to release all my records so I could provide Dr. Brathwaite with the weight history, blood work, pulmonary, psych/nutrition evaluation, endoscopy & pathology report and ultrasound results. Dr. Ahmad’s office told me it would take SIX WEEKS for them to print everything (SIX WEEKS!?!). Luckily I still have 2 months until I can submit for insurance so I figured this wasn’t the worst thing in the world. Then I get an email that the records administrator “had time” and printed everything, it was ready for pick up. Awesome! I headed down to the office that evening to get my files. They gave me my ultrasound, blood work, endoscopy & pathology and pulmonary reports – they did not give me my weight, nutrition or psych evaluation. I went back into the office (I had sat in my car reviewing everything before I went home) and asked for my weight record – the most important part of the whole packet. I was told they “don’t release clinical information”. I told them it was part of my file, I had signed a release and I needed the information. Reluctantly, they printed it – or so I thought. Again, I went to my car to review and found it was SOMEONE ELSES RECORD. It had no name on it, no date of birth, no identifying information other than dates that this person had been weighed…dates that I wasn’t even living in New York for. Again, I walked back into the (now crowded) office and asked for MY weight record. The clerk huffed and puffed and printed the correct record. It wasn’t until I submitted everything to the new office that I realized they had neglected to provide my nutrition and psych evaluation. Dr. Ahmad’s office (the old office) is now not returning my calls/emails.
The other issue I’m having is with the weight record in general. It does not contain any clinical notes, it doesn’t state that the doctor reviewed nutrition and exercise information with me – it looks like a spreadsheet with weight on it. I asked the current office what this could mean for approval and they said they’re going to submit for conditional approval ASAP. They’ll give my insurance company, United Healthcare Oxford, all the information they have so far (with an explanation as to why I started with one doctor and I’m moving forward with another) and they’ll see what they say. With any luck, my insurance will accept the information and will only require my remaining weights and an EKG report.
I’m so afraid that my insurance company will reject all of the information so far and I’ll be back at square one. Has anyone dealt with something similar?