I have to tell you this story. You have a traumatic brain injury and you wind up being in a coma for two months. Your commercial insurer informs your family that you will. They will definitely cover you, but after you leave the facility, you get a bill for over $300,000, which the provider claims […]
Coma Patient with a $300,000 CoPay? Read More »
Understanding the differences between hospital-based billing and professional billing is crucial for patients navigating the complex healthcare system. These billing methods can significantly impact your medical expenses and how services are charged. Unpacking Hospital-Based Billing Hospital-based billing, also known as institutional billing, pertains to charges incurred for services provided within a hospital setting. This includes
Why Hospital Based Billing vs Professional Billing Matters Read More »
You know, Medicare Advantage is often touted as as beneficial, but most people believe it to be a scam. It’s particularly, particularly harmful to those with severe health issues. These plans often deny necessary care and delay treatments, jeopardizing patient health. Ultimately, the United States healthcare system’s reliance on private insurers and their administrative complexities
The Colonoscopy That Was Almost Not Covered Read More »
I hope this never happens to you. You have a really bad injury to your big toe. You go to a podiatrist who explains to you that the bill should be no more than $2,000. You go home and what do you do? You get a bill in the mail for 6,500, not 2000. I
$6,000 Podiatry Bill Reduced to $750 Read More »
In today’s intricate healthcare landscape, patients often find themselves overwhelmed by medical jargon, insurance complexities, and administrative hurdles. To effectively manage these challenges, many individuals choose to hire a medical billing advocate. These professionals serve as dedicated allies, guiding patients through the healthcare system to ensure they receive appropriate care and support. Understanding the Role
Hire a Medical Billing Advocate to Cut Hidden Costs 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 »
I had a recent case where this person went from a rehab to a hospital and back to another rehab. Again, this was a case where the commercial insurers are throwing people outta rehabs due to their limited time period of coverage. Everyone has. Everyone who has an advantage plan for Medicare is continuously thrown
Thrown Out of Rehab While on Medicare Read More »
Patients often find themselves overwhelmed by medical jargon, insurance complexities, and administrative hurdles. To effectively manage these challenges, many individuals choose to hire a healthcare advocate. These professionals serve as dedicated allies, guiding patients through the healthcare system to ensure they receive appropriate care and support. Understanding the Role of a Healthcare Advocate A healthcare
Why You Should Hire a Healthcare Advocate Today 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 to 1,200. 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
Duplicate Bills from Same Procedure? Read More »
Hello, my friends, one of my clients had a very severe burn when hot grease splashed on their wrist and they went to an urgent care, received a bill for over $15,000. When I looked at the procedure codes and was able to determine what the correct fees should have been according to those procedure
$15,000 Medical Bill for Severe Burns Reduced Read More »