Denied Insurance Claim? Don’t Panic
Discovering that your insurance claim has been denied can be disheartening, especially when you’re relying on it to cover medical expenses. However, a denial isn’t necessarily the end of the road. Many denials can be successfully appealed, giving you another opportunity to secure coverage for your medical costs. This blog post outlines the essential steps […]
Couldn’t Pay Insurance Premiums After Brain Surgery
A recent client had brain surgery and they were so sick for a period of time, they couldn’t even read their mail and pay their health insurance, so now they’re at a point that they can back pay, and they reached out to me and when I was able to prove that my client was […]
Prescription Drug Coverage-How it Works in Your Insurance Plan
Understanding how prescription drug coverage works in your health insurance plan can be a bit like solving a complex puzzle. Given the rising cost of medications, it’s crucial to comprehend this component of your healthcare coverage. This blog post aims to demystify the subject, giving you the knowledge you need to navigate prescription drug coverage […]
Case Overturned for Business Owner with No Workers Compensation
I recently overturned a case where my client was the owner of a company and he did not have workers compensation for himself. It’s not required by quite a few states, that the owner of a business not have worker’s comp. So, believe it or not, I was able to lower his medical bills from […]
Understanding “Deductible,” “Co-Pay,” and “Co-Insurance”
Health insurance can be a lifesaver in a medical emergency, but understanding the terms and conditions of your policy can feel like navigating a maze. Terms like “deductible,” “co-pay,” and “co-insurance” often pop up, creating confusion for many policyholders. In this blog post, we’ll demystify these common insurance terms so you can make informed decisions […]
$144,000 Medical Bill Reduced With No Health Insurance Plan
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 […]
What if it Wasn’t Medical Necessary, But You’re Billed?
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 […]
$25,000 Medical Fee Reduced to $1,700 Due to the No Surprise Act
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 […]
Who’s Responsible for Preauthorization for Your Medical Procedure?
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 […]
Outdated CPT Codes May Cost You Thousands
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 […]