Why Hospital Based Billing vs Professional Billing Matters
Understanding the differences between hospital-based billing and professional billing is crucial for patients navigating the complex healthcare system. These billing methods can significantly impact your medical expenses and how services are charged. Unpacking Hospital-Based Billing Hospital-based billing, also known as institutional billing, pertains to charges incurred for services provided within a hospital setting. This includes […]
The Colonoscopy That Was Almost Not Covered
You know, Medicare Advantage is often touted as as beneficial, but most people believe it to be a scam. It’s particularly, particularly harmful to those with severe health issues. These plans often deny necessary care and delay treatments, jeopardizing patient health. Ultimately, the United States healthcare system’s reliance on private insurers and their administrative complexities […]
$6,000 Podiatry Bill Reduced to $750
I hope this never happens to you. You have a really bad injury to your big toe. You go to a podiatrist who explains to you that the bill should be no more than $2,000. You go home and what do you do? You get a bill in the mail for 6,500, not 2000. I […]
ER Medical Bill Not Medical Necessary?
I recently had a phone call involving a person who fell down two flights of stairs. They had 25 stitches in their head. The case involved a hospital in California, and after entering through the emergency room, the insurer felt it was not medically necessary for her to be at the hospital. The bills were […]
Thrown Out of Rehab While on Medicare
I had a recent case where this person went from a rehab to a hospital and back to another rehab. Again, this was a case where the commercial insurers are throwing people outta rehabs due to their limited time period of coverage. Everyone has. Everyone who has an advantage plan for Medicare is continuously thrown […]
Duplicate Bills from Same Procedure?
Have you ever been billed multiple times for the same procedure for the same date of services? I recently was able to reduce the bill from $7,200 down to 1,200. That’s the savings of $6,000 since they were billed so many times for the same day of service with the same procedure codes. Please call […]
$15,000 Medical Bill for Severe Burns Reduced
Hello, my friends, one of my clients had a very severe burn when hot grease splashed on their wrist and they went to an urgent care, received a bill for over $15,000. When I looked at the procedure codes and was able to determine what the correct fees should have been according to those procedure […]
Food Poison $11,000 Medical Bill Down to $1,100
One of my clients had food poisoning. It was so bad that they were collapsing at home and wound up going to an emergency room. The ER did not have a contract with the insurance company, and my client was billed $11,000. I negotiated the bill down and they only needed to pay $1,100 10% […]
Bee Sting Leads to Emergency Room Bill Not Covered by Insurance
You get stung by a bee and you have difficulty breathing. You got swelling of your throat or tongue, you got a rapid pulse, you are dizzy or fainting. Please go directly to the emergency room. I had a case recently where the emergency room wasn’t paid and the insurance company believed that the condition […]
Got a Bill from a Doctor You’ve Never Seen
Have you ever been hospitalized and received a bill for a doctor that you never saw? I recently overturned a case where the doctor was charging over $5,000, and believe it or not, that doctor never saw the patient. When looking at the medical records, we were able to prove that the doctor never performed […]