Adria Gross - Medical Bill Advocate

Why Hospital Based Billing vs Professional Billing Matters

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 […]

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The Colonoscopy That Was Almost Not Covered

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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

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$6,000 Podiatry Bill Reduced to $750

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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

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Hire a Medical Billing Advocate to Cut Hidden Costs

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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

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ER Medical Bill Not Medical Necessary?

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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

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Thrown Out of Rehab While on Medicare

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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

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Why You Should Hire a Healthcare Advocate Today

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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

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Duplicate Bills from Same Procedure?

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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

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$15,000 Medical Bill for Severe Burns Reduced

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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

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Cut Medical Costs with a Healthcare Billing Advocate

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The U.S. healthcare system is a patchwork of disconnected billing systems, coding procedures, and third-party payment networks. Providers input codes, insurers process them with automated systems, and the patient ends up holding the bag for any mismatches or oversights. Hidden Causes Behind Sky-High Bills CPT and ICD coding errors that inflate charges Out-of-network providers billing

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