If you’ve ever looked closely at a medical bill or an Explanation of Benefits (EOB), you’ve likely seen lines filled with five-digit numbers. These aren’t random sequences; they are crucial codes that dictate how, and if, healthcare services get paid. Specifically, many of these are CPT codes, and errors involving them are a significant, yet […]
How CPT Code Errors Can Lead to Medical Claim Denials Read More »
Many people are reaching out to me when everything was scheduled for their surgery, and they undergo the procedure. Six to 12 months later go by, and now the insurer is asking for the money back. There are a lot of different reasons why this is occurring. If this happens to you, please call me.I’m
What If Your Insurer Ask for Their Money Back Read More »
I’ve had many cases in the past five years involving people working after the age of 65. If your employer has less than 20 employees, when you turn 65, there’s a good chance you’re going to have to go directly onto Medicare, part A and part B. I always recommend people to contact Medicare three
What You Need to Know About Insurance Before Turning 65 Read More »
For years, I’ve helped clients navigate the complex world of health insurance. One of the most disheartening moments for any patient is receiving that notice: “Your claim has been denied.” It can feel like a final judgment, leaving you facing unexpected and often significant medical bills. But here’s something I emphasize constantly, based on years
Insurance Claim Denied? Don’t Give Up! Steps to Get Denied Medical Claims Paid Read More »
Feeling lost or outraged when you look at a hospital bill? You’re not alone, and help is here! Watch this crucial interview with Edison Guzman and insurance advocate Adria Gross to uncover the secrets hospitals might not want you to know. Learn exactly what to demand on your bill (using specific codes!) to verify every
Decoding Your Hospital Bill – Understanding CPT Codes, EOBs, and Overcharges Read More »
One of my clients was told he had to have heart surgery. He went through multiple tests and when he went back to the cardiologist, he was recommended multiple times to have heart surgery. It was very confusing since he was able to walk more than three miles a day and never was out of
Heart Surgery Recommendation Was Not Necessary Read More »
As the founder of Medwise Insurance Advocacy, I’ve spent years helping countless individuals navigate the often-turbulent waters of healthcare costs. One of the most common and stressful situations people face is figuring out how to pay medical bills, especially unexpected or large ones. The sticker shock from a hospital stay or complex procedure can be
Struggling with Medical Bills? You Have Options Read More »
Insurance companies very often give you a brochure or it’s like a six to 10 page, so-called policy, which describes what’s covered and what’s not covered on the policy. On that six to 10 page, so-called policy, there will be a list of coverages and exclusions. It’s so important to look at the entire insurance
Do This to Know What’s Covered in Your Policy Read More »
Years ago I had a baker cyst on my right knee. I went to an orthopedic doctor who drained my knee three times. The fluid kept on coming back. He recommended that I see an orthopedic surgeon. They were about to do surgery and I met up with a doctor friend of mine who is
Need a Second Opinion for Orthopedic Surgeon? Read More »
For years, through Medwise Insurance Advocacy, I’ve dedicated my career to helping patients navigate the often confusing and overwhelming world of medical bills and health insurance. If you’ve ever opened a medical bill and felt your heart sink, confused by codes, charges, and jargon you don’t understand, please know: you are certainly not alone. The
Overwhelmed by Medical Bills? You’re Not Alone Read More »