I replied to a post a few days ago about schools, courts, Residential Treatment Center (RTC)s being run by former difficult children about the problems I had while N* was placed at an Residential Treatment Center (RTC) for 90 days earlier this year. I complained about the $1000 that my insurance/medicaid didnt cover that I may have to come up with. Anyway, Ive been conversing with N*s case manager and his supervisor about the information coming to me in bits and pieces, half-truths, and months after the fact.
Today, I spoke with my insurance company, and Medicaid. Seems that the Residential Treatment Center (RTC) billed the insurance company for $3800 for health services, which included psychiatric evaluation, behavioral health, residential facility, and DETOX. My kid was in a secure juvenile detention facility for the preceding 21 days. There was no need for detox. In fact, drugs have NOT BEEN my kids problem. My insurance paid everything but $1000. Medicaid paid $1900 (half of the billed amount). So far, it seems that the Residential Treatment Center (RTC) MAY have billed for services not provided and received more than 100% of the amount billed. Ugh!
The supervisor is so mad that she is requesting billing info for services rendered from the Residential Treatment Center (RTC) while N* was a resident. We may have uncovered sloppy record keeping at best, or some other insurance fraud type situation at the worst.
Before we ended the call, the supervisor said that at a JJA retreat last week, it was brought up that some felt a parent advisory board or something similar to it, could be beneficial for the people who work with our kids throughout all the facets: Criminal from intake, to arrest, charges, detention, visitation, court hearings, sentencing. If judge determines PRTF/Residential Treatment Center (RTC) intake, insurance, Medicaid, family counseling, medications, schooling, etc. If judge determines incarceration to juvenile correction facility intake, health care, medications, counseling, schooling, etc. She asked if she could pass my name along. I couldnt say yes quick enough. Nothing may come of it, but its something Ive been saying is needed since the first law enforcement involvement I encountered when N* was 13.
Today, I spoke with my insurance company, and Medicaid. Seems that the Residential Treatment Center (RTC) billed the insurance company for $3800 for health services, which included psychiatric evaluation, behavioral health, residential facility, and DETOX. My kid was in a secure juvenile detention facility for the preceding 21 days. There was no need for detox. In fact, drugs have NOT BEEN my kids problem. My insurance paid everything but $1000. Medicaid paid $1900 (half of the billed amount). So far, it seems that the Residential Treatment Center (RTC) MAY have billed for services not provided and received more than 100% of the amount billed. Ugh!
The supervisor is so mad that she is requesting billing info for services rendered from the Residential Treatment Center (RTC) while N* was a resident. We may have uncovered sloppy record keeping at best, or some other insurance fraud type situation at the worst.
Before we ended the call, the supervisor said that at a JJA retreat last week, it was brought up that some felt a parent advisory board or something similar to it, could be beneficial for the people who work with our kids throughout all the facets: Criminal from intake, to arrest, charges, detention, visitation, court hearings, sentencing. If judge determines PRTF/Residential Treatment Center (RTC) intake, insurance, Medicaid, family counseling, medications, schooling, etc. If judge determines incarceration to juvenile correction facility intake, health care, medications, counseling, schooling, etc. She asked if she could pass my name along. I couldnt say yes quick enough. Nothing may come of it, but its something Ive been saying is needed since the first law enforcement involvement I encountered when N* was 13.