Incentives for Over Providing Services
A fee-for-service medical cost arrangement exists in the United States. The more services doctors perform, the higher their incomes. Just as patients have an incentive to overconsume, doctors have an incentive to overprovide. If you’re having difficulties paying your medical bills, call me. I’m the owner of Medwise. We save individuals thousands of dollars on […]
The Truth: Medical Billing Advocate Success Rates
Evaluating the medical billing advocate success rate for MedWise Insurance Advocate requires looking past the numbers everyone else quotes. You’re facing a mountain of medical debt, feeling cornered by jargon-filled letters and relentless phone calls. The question isn’t just about winning; it’s about how much you truly save and whether the fight is worth the […]
Billing Disputes and Denials of Medical Coverage
I hope you’re having a great day. Think about people’s billing disputes and denials of coverage. What emerges is that many realize positive outcomes when they appeal decisions they perceive to be in error. Yet only half of those who believe that they were erroneously billed or denied care actually challenge the decision or have […]
Who’s Responsible for the Medical Appeal Process?
I hope you’re having a fantastic day. The responsibility of appealing may not be clear between the patients, the providers, or between the employers and the employees, and the documentation requirements to appeal can create additional barriers. As a beneficiary, you have a right to appeal your insurer’s decision. Due to artificial intelligence, all too […]
Read this Guide to Surprise Medical Billing Laws FIRST
That bill you’re staring at feels like a betrayal. This essential guide to surprise medical billing laws is for anyone who has felt that gut punch of a medical bill they never saw coming. You did everything right—you went to an in-network facility—but now you’re facing a financial threat from a ghost provider you never […]
What is Hospital Upcoding
Hospital upcoding, which is claiming a higher level of patient severity in order to obtain a higher insurance payment, is a major issue. One study estimates that increased upcoding relative to a decade earlier was associated with $14.6 billion in hospital payments. I have people calling me about this, where they feel that they were […]
How Top CEOs in Medical Fields Make More Money
You know Americans are sick of the health insurance companies who steal our money and our lives. The more profits that the insurance companies make, the more extra cash is available to distribute to shareholders as dividends and buybacks, and generally the higher the stock price, the greater the potential for higher top executive pay. […]
How to Win at Filing a Complaint Against a Health Insurance Company
The frustration is suffocating. When it comes to filing a complaint against a health insurance company, you’re not just fighting a denial; you’re battling a system designed to exhaust you. The endless phone trees, the vague explanations, the soul-crushing bureaucracy—it feels intentional. This guide isn’t about simply filling out forms. It’s about turning their own […]
Don’t Let Medical Bills Bankrupt Your Family
An illness can destroy an entire family, leaving them bankrupt and homeless, with the repercussions of that sudden fall into poverty echoing down through generations. Most Americans have no idea that the US is quite literally the only country in the developed world that doesn’t define healthcare as an absolute right for all of its […]
How to Challenge Your Medical Bill
One of the issues I hear so much is people have no idea how to challenge a bill. I worked for two insurance companies that not only taught me all the steps on how to deny a claim, but I learned how to challenge a bill, handle appeals, and either overturn the cases or minimize […]