I had a recent case where the medication was not covered on the patient’s health insurance policy. After reaching out to the pharmaceutical company that manufactures that medication, I was so thrilled. I was able to obtain free medication for my client for at least one year. That was a major savings of over $27,000. […]
$27,000 in Medication Expenses Reduced to $0 Read More »
Within the healthcare system, hospital codes play a crucial role in ensuring accurate documentation, billing, and reimbursement for medical procedures. These codes, such as Current Procedural Terminology (CPT) codes and International Classification of Diseases (ICD) codes, provide a standardized language that helps healthcare providers communicate the services rendered and enables insurance companies to process claims
I recently had a bill that included multiple procedures on the same day of service with the same provider. When I reviewed the bill from the billing company, they would not look into that making changes on the medical bill. They, they keep on thinking to themselves, they wanna get their money, and they’re usually
Multiple Medical Procedures at No Cost Due to This Read More »
Dealing with claim rejections can be a frustrating and overwhelming experience for individuals seeking healthcare coverage. However, the emergence of medical insurance advocacy has provided a powerful solution to help patients navigate the complexities of the insurance system and overcome claim rejections. This article explores how medical insurance advocacy can turn the tables on claim
Claim Rejections? No Problem: How Medical Insurance Advocacy Can Turn the Tables Read More »
When the federal No Surprise Act was effective on January 1st, 2022, land ambulances were not included. So that means that the air, the l uh, the land ambulances are still allowed to charge you whatever their heart desires. I recently worked on a bill where the ambulance company had gouged the patient, and believe
Federal No Surprise Act Does Not Include Land Ambulances Read More »
Access to quality healthcare is a fundamental right, yet numerous barriers can hinder individuals from receiving the care they need. Insurance complexities, claim denials, and limited understanding of coverage options are just a few of the challenges patients face. However, insurance advocates emerge as powerful allies, bridging the gap in healthcare by breaking down barriers
How Insurance Advocates Bridge the Gap in Healthcare Read More »
Air ambulance became part of the federal no surprise Act, January 1st, 2022. An air ambulance is always considered to be an emergency, and now they have legal limitations on how much they’re allowed to charge an individual. I had a recent phone call involving this exact matter. If you ever are in a situation
Air Ambulance Has Legal Limitations for Charges Read More »
If possible, before your services are rendered, request whether a medical provider is out of network or in-network, you want this in writing. Otherwise, you might be paying the medical provider bill rather than your insurance company. It’s always best to see an in-network provider. https://vimeo.com/833822575?share=copy Contact Adria
Didn’t Use an In-Network Insurance Provider? Read More »
I was handling Insurance on an older billing for a family of five one of the children wound up in a New York City Hospital. And they were being billed a lot of money by the surgeon and just so happened that the surgeon did not take any insurance. They knew this in advance, but
Saved Over $20,000 in Medical Bills for Doctor Outside of Network Read More »
I worked on a case where the wife was the primary insurer through her employer. This was crazy when the wife died the husband was sitting with outstanding bills of over $300,000. It took a lot of time and effort to prove that the family was entitled to the insurance from her employer and the
Having Problems Getting Medical Bills Covered After Age 65? Read More »