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Believe it or not, some medical providers are still using outdated CPT or ICD nine codes.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Outdated CPT Codes May Cost You Thousands Read More »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 »
Have you ever been in a situation where your provider did not send the bill out to the insurance company on time? Insurance company usually demand that they receive the bills for services within 3, 4, 6, 9 or 12 months. So this client was directed and was billed over $75,000. When we discussed this
What If Your Provider Does Not Send Out the Bill on Time to the Insurance Company? Read More »
The healthcare journey can be complex, overwhelming, and emotionally challenging for individuals and families. Amidst the complexities of insurance, medical insurance advocates emerge as a beacon of hope, providing personalized support and compassionate guidance. This article delves into the human side of insurance and highlights the invaluable role of medical insurance advocates in offering personalized
The Human Side of Insurance Read More »
If it’s possible, I highly recommend that you keep track of claims that you have received and paid. It’s always best not to pay your medical provider until you receive the explanation of benefits. Sometimes providers duplicate the bills and occasionally they’re paid twice. I had a case recently where they were paid by the
How to Avoid Paying the Same Medical Bill Twice Read More »