Where You Charged for a Medical Bill You’ve Already Paid?
You know, I help people to make sure that once they have paid a claim, they never pay it again. Too often people are charged multiple times for one individual bill and they do not realize that they have already paid it. I recently worked with a client who didn’t realize they had paid out $8,000 for […]
Air Ambulance Charges Not Covered
Have you recently received an air ambulance bill for thousands of dollars? All too often people receive air ambulance charges, which should be covered on their policy. I recently overturned an air ambulance bill for $75,000. The laws change in 2020 and they have no right to overbill you at all, please call me. I’m here to help you. […]
New Jersey Medical Billing Advocates Expose Hidden Fees
These professionals serve as your guide through the billing maze. They understand how health systems, insurers, and collection agencies work—and use that knowledge to protect your wallet. Core Functions of a Medical Billing Advocate: Audit Bills for Errors: Line-by-line review to identify overcharges, duplicate services, or incorrect codes Challenge Insurance Denials: File formal appeals with […]
What if the Emergency Room Provider Is Out of Network?
Have you recently received a bill from an emergency room group of providers because they were out of network a week ago? I received a claim for over $26,000 because the providers in the emergency room were out of network. If this happens to you, please reach out to me.I reduce that bill from $26,000 […]
Can You Negotiate Health Care Bills? 7 Tricks That Work
You can negotiate before receiving care, immediately after the bill arrives, or after insurance pays their portion. Q: Can you negotiate a hospital bill even if you have insurance? A: Yes. Especially if your deductible is high or a portion was denied. You can dispute non-covered charges or request a self-pay discount on the remaining […]
Do You Know Your Medical Policy’s Benefits?
Very often people do not realize what the benefits are on their policies. The policy might cover you for other services besides just the bill for a specific procedure code. Please reach out to Med Midwife, so look at your entire policy and explanation of benefits. Many cases where the claims are partially paid and […]
How CPT Code Errors Can Lead to Medical Claim Denials
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 […]
Need a Second Opinion for Orthopedic Surgeon?
Years ago I had a baker cyst on my right knee. I went to an orthopedic doctor who drained my knee three times. The fluid kept on coming back. He recommended that I see an orthopedic surgeon. They were about to do surgery and I met up with a doctor friend of mine who is […]
$52,000 Overturned After 3 Times Denied Medical Claim
I have to tell you many times I have people come to me where they know that their medical bill should be covered. According to the health insurance policy, very often the policy indicates that you should be covered for a certain procedure, but the insurance companies deliberately deny your claim. I was educated on […]
Whats a Zebra in Medical Terms?
One of the chapters in my book, Apparently Different, involves a doctor who, after years of twisting his neck while performing colonoscopies—looking at the patient, then the machine—wound up with a severe condition called Barrett’s esophagus. It took quite a long time to determine his condition. This condition is considered a “zebra,” a medical term […]