1. KESMA Flame Lily

    1. KESMA Flame Lily

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    Brooklyn Center, MN

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    Metro Therapy Special Children's Clinic

    Metro Therapy Special Children's Clinic

    (1 review)

    We are a family new to navigating the speech therapy world. We went to Metro Therapy hoping they…read morecould help our one-year-old daughter with early language development. Instead, we were left with serious concerns about the clinic's billing practices, transparency, and ethical treatment. Our daughter was one year old when she began receiving routine 30-minute speech therapy for a speech delay and early language development. During some sessions, her therapist incorporated a clinic-owned iPad with the freely downloadable SoundingBoard app. We had absolutely no idea that the occasional use of an iPad during these sessions was being treated and billed as a separate therapeutic service for the use of a speech-generating device or that it could result in a separate charge to our family. From our perspective, the iPad was one of many therapy tools being rotated into sessions. We often saw an iPad, a laptop, toys, books and other activities being used and rotated during therapy. Nothing about the way the iPad was introduced or used led us to believe that it represented a separate, specialized service that would generate an additional charge. Our daughter also did not require a dedicated communication device. She was one year old and receiving therapy for early language development and gap. She has no diagnoses of apraxia or any other reason for a device. We did not understand that occasional exposure to an iPad with a free communication app was being treated as a separate specialized AAC service. The distinction was especially confusing because we had seen other patients at the clinic using what appeared to be dedicated AAC devices, with much more advanced programs that they relied upon for communication. We had no reason to believe that occasional use of a clinic-owned iPad with a free app was being classified and billed in the same way. We were therefore shocked to discover that Metro Therapy had submitted separate charges for a speech-generating-device service in addition to the regular speech therapy charges. The biggest problem: we were never told. We repeatedly asked Metro's office manager about the expected out-of-pocket cost of our daughter's speech therapy after going a period of time without receiving bills. After several inquiries, we were given information about the cost of the speech therapy sessions and our expected responsibility. We were never told that use of the clinic's iPad could result in a separate SGD-related charge. Had we known, we would have asked important questions: What separate service was being provided? Why was it medically necessary? How was it different from the speech therapy we were already paying for? And what would it cost us? Instead, we discovered these additional charges only after insurance processed the claims and the resulting patient responsibility appeared on our bill. And this was not a small charge. The disputed charges associated with the speech-generating-device service were submitted to our insurance for more than $2,600 and ultimately represented well over half of our out-of-pocket responsibility. That is a substantial financial obligation -- not a minor billing difference -- that we had no idea we were accumulating while our daughter was receiving what we understood to be routine speech therapy. When we questioned the charges, Metro Therapy told us that they did not have a signed acknowledgment of the financial policies, but stated that the policies had been provided to us during an initial meeting with a Patient Liaison. That does not match our recollection of what occurred. We never met with anyone from a Patient Liaison during the initial evaluation. Our interactions were with the therapist, and we were never informed that the occasional use of an iPad could result in thousands of dollars in additional charges. Our concern is not simply that we received a bill we did not expect. It is that a highly specialized service and substantial additional financial obligation were never explained to us before the charges were incurred. We believe families deserve to know what they are being charged for, what services are considered separate from their child's regular therapy, why those services are being provided, and what their potential financial responsibility will be. We are sharing our experience because we believe other families deserve the opportunity to ask these questions before unexpected charges accumulate. We are continuing to seek clarification from the clinic and our insurance company. Parents should not have to discover after the fact that an ordinary-looking therapy tool used during their child's session was being billed as a separate specialized service. Transparency should come before the bill -- not after it.

    From the owner: At Metro Therapy we provide individualized pediatric occupational therapy, pediatric speech…read moretherapy, pediatric physical therapy and pediatric feeding therapy sessions for your loved ones. We also offer early intervention, social skills classes, community education and teletherapy at your Fridley, Minnesota location. All of our therapists have extensive experience assessing and treating children in order to help them reach their individualized pediatric therapy goals. We work with psychologists, other medical professionals, social workers, teachers, school therapists and other community based providers in order to meet your child's needs at home and within the community.

    Legacy Home Care - Locally-owned, top-rated home care for your loved ones

    Legacy Home Care

    (1 review)

    Legacy Home care will not return my unused deposit, nor will they drop a double billing of $70…read more They owe me $170 total. I have notified them by phone five times, I started keeping track of the phone calls after that. 5/8/18 left a message at 4:00, and 5/16/18 at 2:00pm. They have made promises to send me a corrected bill, and have yet to fallow through. I have sent them two certified letters, one on 6/1/18 to business manager Tanya Castillo and Gasna Akselrod NO RESPONSE! I have contacted The Better Business Bureau, they have sent three requests to Legacy Home Care and have not received a reply. Can you believe that?? My wife died April 2nd 2018, I've been asking for a refund for the services that were unused since the middle of April. I'm 84 years old, I receive less than $1200 a month in Social Security a month. The $170.00 is not anything they want to deal with, it's small change. Not to ME! It's 20% of my Social Security check! I've tried the State office which licenses Legacy Home Care, they do not offer help on billing issues. What do I do? If anyone has had similar experiences, or can offer any kind of advice it would be greatly appreciated. Richard Johnson 612-919-5577 Rvictorjohnson@yahoo.com

    From the owner: Legacy Home Care is a private pay home care agency serving 21 counties in the Twin Cities. We offer…read morea broad array of home care options including nursing services, caregiver services, home therapy services, social work services, and more. Our flexible care options range from hourly, live-in, to overnight services, tailored to meet the unique needs of older adults and their families. With a strong clinical background and over 12 years of experience, we provide 24/7 assistance and personalized in-person consultations to ensure safe and comfortable home care. Visit our website for a detailed service map and more information on all 477 cities within our service area. Trust Legacy Home Care to keep your loved ones safe and comfortable at home.

    KESMA Flame Lily - c_and_mh - Updated September 2026

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