I’m working on a case that just came to me and the bill’s $144,000 and the client had no health insurance. He doesn’t have any health insurance at all. So very often when you approach the billing department for the medical provider, you will need to discuss the allowable amounts which are normally built because […]
$144,000 Medical Bill Reduced With No Health Insurance Plan Read More »
In today’s complex healthcare landscape, understanding and navigating medical insurance can be overwhelming for individuals and families. However, a beacon of hope exists in the form of medical insurance advocacy. This comprehensive guide aims to unveil the power of medical insurance advocacy, shedding light on its role, benefits, and the transformative impact it has on
Unveiling the Power of Medical Insurance Advocacy: A Comprehensive Guide Read More »
I have to tell you right now I am receiving quite a few clients whose insurance company is saying it wasn’t medically necessary for you to be in the hospital, and you could have been there for two to seven evenings. You go to the emergency room, they admit you to the hospital, and they’re
What if it Wasn’t Medical Necessary, But You’re Billed? Read More »
Access to healthcare is a fundamental human right, yet numerous barriers often impede individuals from receiving the care they need. Medical insurance complexities, claim denials, and limited understanding of coverage options are just a few challenges that hinder access to healthcare services. However, medical insurance advocacy emerges as a powerful force that unlocks access to
Unlocking Access to Healthcare Read More »
I don’t know if anybody heard about this, but January 1st, 2022, a new bill was passed. It’s called the No Surprise Act. It is a national, um, uh, act. Uh, and a doctor has no right to charge you for services if they didn’t tell you in advance that they were outta network and
$25,000 Medical Fee Reduced to $1,700 Due to the No Surprise Act Read More »
Dealing with claim denials can be frustrating and overwhelming for individuals navigating the complex world of medical insurance. However, insurance advocates play a vital role in helping patients understand the claim denial process and advocating for their rights. This article delves into the intricacies of the claim denial process, explores common reasons for denials, and
Understanding the Claim Denial Process: How Advocates Can Help You Overcome Obstacles Read More »
if a provider does not have pre-authorization for services rendered, which are usually the following procedures, surgery when they’re, uh, doing a procedure and they have to put dye in you, MRI, CAT scan, and, and also involving many other services, your claim is going to be denied if you didn’t have pre-authorization. I recently
Who’s Responsible for Preauthorization for Your Medical Procedure? Read More »
In the complex landscape of healthcare and insurance, collaboration is key to overcoming challenges and achieving meaningful change. Medical insurance advocacy is no exception. Collaborative partnerships between medical insurance advocates, healthcare providers, policymakers, and other stakeholders are instrumental in strengthening advocacy efforts, improving patient outcomes, and shaping a more patient-centered healthcare system. This blog post
Strengthening Medical Insurance Advocacy through Partnerships Read More »
Believe it or not, some medical providers are still using outdated CPT or ICD nine codes. A C P T code is the procedure performed and the I C D nine codes are no longer in existence. Now they have these I C D 10 codes and the I C D is your diagnosis. The
Outdated CPT Codes May Cost You Thousands Read More »
Hospital codes, such as Current Procedural Terminology (CPT) codes and International Classification of Diseases (ICD) codes, play a pivotal role in accurately documenting medical procedures and diagnoses. However, using incorrect hospital codes can have significant consequences, including claim denials by insurance companies. This article explores why insurance companies may deny medical claims when incorrect hospital
Why Insurance Companies Deny Medical Claims Read More »