$85,000 Pre-authorized Medical Bill Denied
Good afternoon, my friends, one of my clients had a pre-authorization for radiation due to rectal cancer. The bills were over $85,000, and even though she had pre-authorization, the insurance company did not want to pay it. Since the hospital at the time was out of network. The fact that there was pre-authorization, even though […]
Hospital Billing Advocate Secrets Doctors Don’t Tell You
A hospital billing advocate is a professional who assists patients in reviewing, understanding, and negotiating medical bills to ensure accuracy and fairness. By leveraging their expertise, these advocates help patients navigate the complexities of hospital billing, potentially saving them significant amounts of money and reducing stress. What Is a Hospital Billing Advocate? A hospital billing […]
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 […]
Hire a Medical Billing Advocate to Cut Hidden Costs
In today’s intricate healthcare landscape, patients often find themselves overwhelmed by medical jargon, insurance complexities, and administrative hurdles. To effectively manage these challenges, many individuals choose to hire a medical billing advocate. These professionals serve as dedicated allies, guiding patients through the healthcare system to ensure they receive appropriate care and support. Understanding the Role […]
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 […]
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 […]
Why You Need a Health Insurance Advocate Right Now
It’s easy to confuse titles, but the roles are different—and so are their loyalties. Q: Is a health insurance advocate the same as a broker? A: No. A broker helps you select a plan, while an advocate helps you use the plan you already have. Q: What about a hospital case manager? A: They assist […]
Frustration for Denied Insurance Claims Escalate
Americans are crushed by skyrocketing premiums, crippling the medical debt and denial of care that really this devastates millions of lives. It should be no surprise that frustration has reached a boiling point, igniting a fierce, widespread demand for real systemic change. Ordinary people are clear that insurance companies don’t exist to protect their health, […]
Will COBRA Cover You Over Age 65?
So you’re over 65 years old and you’re working for an employer who has over 20 employees. Now you’re about to retire and you’re applying for Cobra. The question is, will Cobra cover you? Because you are now over the age of 65, please call me and let’s discuss the next steps you should take. […]
Health Advocate Bill Saver Can Slash Your Medical Bills
The health care billing system isn’t just confusing—it’s designed that way. Charges often vary based on your insurance plan, location, and provider contract rates, making it nearly impossible for patients to determine what’s fair. Common Billing Traps: Out-of-network charges from in-network visits CPT coding errors that trigger denied claims or inflated charges Facility fees added […]