Insurance policies are marketed as safety nets—but they’re built on a foundation of legal language, policy exclusions, and fine print that most consumers simply don’t understand. When illness strikes or treatment becomes necessary, many are shocked to find their claims denied, partially paid, or lost in red tape. What Happens When You Go It Alone? […]
What Advocates for Insurance Benefits Know That You Don’t Read More »
My friends too often when people come to me as they’re realizing that they had been charged $18,000 for a CT scan. When looking at your charges, very often they’re erroneous and you are being gouged on your bill. I recently saved my client tons of money by reducing his CT scan bill of $18,000 down to
CT Scan Bill Reduced from $18,000 to $400 Read More »
Are you sure your bill is accurate? Much too often people are double and triple billed for services. Some of the services are very often not even supposed to be charged. Reach out to MEDWISE for accuracy on your bills. Midwives saves tons of money for people on their medical charges. I recently had a case where one procedure code
Are You Sure Your Medical Bill is Accurate? Read More »
Behind every medical invoice is a complex system few understand—one designed more for compliance and profitability than patient clarity. At the center of it: automated billing codes, contracted rates, and insurance loopholes that often result in charges being passed on to unsuspecting patients. How the System Works (And Why It Doesn’t Work for You) Advocate
Advocate Health Care Billing Secrets Every Patient Should Know Read More »
You know, all too often people call me up with a procedure that they never expected to pay. On our policies, we have WellCare visits, which are usually handled annually. People come to me where they’re being charged for services they should not have been billed at all. All too often, I overturn those cases
Where You Charged for Your Annual Wellness Care Bill? Read More »
You know, sometimes people are so emotional about their condition. I often try to find them support groups and other social support to enable my clients to receive help with their physical and emotional conditions. You might even be interested in my latest book that came out, Apparently Different. These are the type of stories
Can Support Groups Help With Your Medical Condition? Read More »
I work daily with people facing one of the most frustrating aspects of healthcare: the dreaded insurance denial. Receiving a letter stating your medical claim won’t be paid can induce panic, anger, and confusion. You followed the rules, you saw the doctor, maybe you even got pre-approval – yet here you are, potentially facing a
How to Appeal a Medical Claim Denial Read More »
You incur a traumatic brain injury and wind up in a subacute care facility. Now you are no longer making sufficient progress, which I’m really sorry when that happens, and your insurer decides to no longer cover you. I recently had a case where I was able to help the person with their health insurance
Traumatic Brain Injury Medical Bills Read More »
Well, you’re about to have surgery. Everything is scheduled for you in advance. Your insurance company has already approved you, but now at the last minute, you’re being contacted by the surgeon’s office explaining your insurance carrier will not cover you for the surgery. I recently had a case like this and with my advice
What to do if Your Surgeon is Not Covered by Insurance Read More »
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 »