• Report: #855355

Complaint Review: Founders HealthCare, LLC

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  • Submitted: Sat, March 17, 2012
  • Updated: Mon, March 19, 2012

  • Reported By: AZ Resident — Fountain Hills Arizona United States of America
Founders HealthCare, LLC
PO Box 40700, Mesa, AZ 85274-0700 Mesa, Arizona United States of America

Founders HealthCare, LLC Preferred Homecare Overcharges Medicare and Insurance for durable medical equipment by almost 250% Mesa, Arizona

*UPDATE Employee: Preferred Homecare Reply

*Consumer Comment: I think you'll find there's no deception or fraud here.

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I was in need of a jr. walking folding wheeled chair, which was prescribed for me and I got from Preferred Homecare. They charged for this item $204.39, while it is at other supply stores available from $65. on:

Junior Dual-Release Walker offers a 300lbs weight capacity. Product ID: 6240-JR HCPCS Code: E0135**
HMESA CODE: 40-10-01-05 $88.50 Source: Pacmedsupplysalem.com/product/mobility_walkers.htm; or this one: www.phc-online.com/Junior_Walker/inv-6292-jr5f.htmDual Release Junior Walker with 5" Fixed Wheels, Invacare 6291-JR5F  Price $89/00   HCPCS Code: E0143; the ones more luxurious with seat are only: Invacare Junior-Adult Walker 5 Inch Fixed Front Wheels Folding Seat 300lb Load - Invacare 6300JRA $65.69; and even more luxurious ones are only:  Medline Transport Wheelchair with Brakes by Medline Price: $150.00 ($150.00 / 1). Thus it is obvious that this company tries to defrauds Medicare and, thus, all of us. Be aware and do not do business with them!  


$65.69; and even more luxurious ones are only:    














 





 



 


This report was posted on Ripoff Report on 03/17/2012 03:18 PM and is a permanent record located here: http://www.ripoffreport.com/r/Founders-HealthCare-LLC/Mesa-Arizona-85274-0700/Founders-HealthCare-LLC-Preferred-Homecare-Overcharges-Medicare-and-Insurance-for-durable-855355. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

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REBUTTALS & REPLIES:
0Author 2Consumer 0Employee/Owner
Updates & Rebuttals

#1 UPDATE Employee

Preferred Homecare Reply

AUTHOR: Preferred Homecare - (United States of America)

Preferred Homecare has been in business in AZ for over 14 years, has been a Medicare-approved supplier of medical equipment for all of that time, and is a member of the Better Business Bureau.  Unfortunately, the Medicare/Insurance Plan billing process was not explained to you so let me explain.



1. We bill Medicare and all insurance plans our retail rate, which for this walker with the billing code of E0143 is $204.39.

2. If we get paid by Medicare, they pay us 80% of $111.31, which is $89.05.

3. We bill the Medicare beneficiary 20% of $111.31, which is $22.26.

4. If we are billing another insurance plan, they have a set reimbursement rate that they pay us, and a set percentage to bill the customer.



As a Medicare provider we are required to:

1. Deliver the product and provide education on the use of the product

2. Accept returns and honor warranties

3. Have appropriate facilities with established hours of operation

4. Have inventory on hand

5. Be accredited

6. Bill Medicare and wait for reimbursement

7. Meet all of Medicare's 30 Supplier Standards.



Internet providers are not required to meet any of these requirements and can therefore sell equipment at a lower cost than Medicare providers. 



Please feel free to contact us at Preferred Homecare should you have any questions.
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#2 Consumer Comment

I think you'll find there's no deception or fraud here.

AUTHOR: Ken - (USA)

This is the way the agreements between Medicare and their suppliers.

To hear the other side of this, I sent a link to this report to Preferred Homecare.
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