One of the issues I hear so much is people have no idea how to challenge a bill. I worked for two insurance companies that not only taught me all the steps on how to deny a claim, but I learned how to challenge a bill, handle appeals, and either overturn the cases or minimize […]
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That cold dread washing over you as you read the denial letter isn’t just disappointment—it’s a profound sense of injustice. When facing a prior authorization denial what to do next feels like an impossible question, a fight against a faceless corporate giant that holds your health in its hands. This moment of paralysis is exactly
Prior Authorization Denial, What to Do Next Read More »
When you know you have been billed much more than you should have, please call midwives. All too often people are taken advantage of on their medical bills. We recently decreased a bill from $1,200 down to $55. Remember, I’m here to help you. Thank you. https://vimeo.com/1117099552?share=copy
Was Your Medical Bill Much Higher Than it Should Have? Read More »
Hospital price transparency helps Americans know the cost of a hospital item or service before receiving it. Starting January 1st, 2021, each hospital operating in the United States was required to provide clear, accessible pricing information online about the items and services they promote in two ways. The first was as a comprehensive machine-readable file
How to Shop and Compare Hospital Costs Read More »
That gut-wrenching moment you open a medical bill and see a number so staggering it feels like a typo isn’t an accident. Understanding the difference between in-network and out-of-network charges is the only defense you have against a system that profits from your confusion. This isn’t just about healthcare; it’s about protecting your financial future
Difference Between in-network and out-of-network Charges SCAM Read More »
You know, insurers are becoming increasingly adept in using technology to deny payment of medical claims and pressure their company physicians to deny care during prior authorization reviews. Doctors are reporting spending increasing amounts of time on the phone with insurance company physicians over denials of care for their patients, even when a pre-authorization is
Was Your Medical Claim Denied Even After pre-Authorization? Read More »
I recently had a phone call involving a person who fell down two flights of stairs. They had 25 stitches in their head. The case involved a hospital in California, and after entering through the emergency room, the insurer felt it was not medically necessary for her to be at the hospital. The bills were
ER Medical Bill Not Medical Necessary? Read More »
That thick envelope from a hospital or clinic arrives, and your stomach plummets. It’s a feeling of pure dread—a mix of confusion, frustration, and helplessness. For too long, understanding my rights as a patient with medical bills has felt like an impossible code to crack. You’re left staring at a staggering number, with no clear
Understanding My Rights as a Patient with Medical Bills NOW Read More »
I hope you’re having a great day today. Well, let me tell you this one. Wow. You get stung by a bee and you have difficulty breathing. You got swelling of your throat or tongue, you got a rapid pulse, you are dizzy or fainting. Please go directly to the emergency room. I had a
Bee Sting Leads to Emergency Room Bill Not Covered by Insurance Read More »
Have you ever been billed multiple times for the same procedure for the same date of services? I recently was able to reduce the bill from $7,200 down to1,200. That’s the savings of $6,000 since they were billed so many times for the same day of service with the same procedure codes. Please call me if you need help. I’m here
Duplicate Bills from Same Procedure? Read More »