It seems that insurance companies, having too much time on their hands now that AI has taken over, are placing more and more hurdles on accepting Out Of Network invoices for reimbursement, let alone paying them. Let's talk about recognizing...
This submission is reprinted with permission from Dr. Gerda Maissel, MD, BCPA, author of the monthly Substack blog, The Foglight. The First Client: They Are Killing My Wife On the other end of the telephone call, a grown man in his sixties was...
Yes, it exists! and it's quite important in the healthcare system. What is it? Why should you care? Are there helpful tips? Let's explore. A. The Birthday Rule rules 1. Once a new child is added to your household (a new...
A medical biller can play an important role as a patient advocate by acting as a bridge between the patient, healthcare providers, and insurance companies. Here are a few ways a medical biller can assist in advocating for a patient: Clarifying...
Your insurance says that services you thought "preventive" or "preventative" are indeed "diagnostic". What is the difference? Why should you care? Do you truly owe your Doctor that bill? A. The Differences 1. Cost-wise By law, "Preventive...
Cholangiocarcinoma: Your rare cancer isn’t so rare to us World Cholangiocarcinoma Awareness Day is February 20th of each year. This type of cancer is especially dear to my heart, as my brother, and best friend, just recently...
At the request of my specialist, I'm walking down the hallway outside of the exam room. The physician is watching me walk away, turn around and walk back toward him. “I don’t see anything conclusive. You appear to have a normal...
“Medical Necessity” affects your medical care at every level as well as your wallet. Are you aware of what it means exactly? A. CLINICAL POINT OF VIEW “Medical Necessity” is what your Doctor or medical...
Have you noticed the trend? the ads? the number of friends and acquaintances raving about easy, no-hassle, unlimited access to a clinician? It's called "Concierge Medicine" and it is a growing alternative to the US healthcare system, a seductive...
As we age, navigating the complexities of healthcare, long-term care planning, and daily wellness can become overwhelming. Could an independent patient advocate or care manager have helped Gene and Betsy Hackman? We now know that: Betsy...
Written by Matthew Zachary, Influencer of Things | Award-Winning Cancer Maverick • Keynote Speaker • Pioneering Podcaster • Patient Advocacy Champion • Nonprofit Whisperer • Healthcare Visionary Wayne Gretzky once said...
As a nurse advocate, you'll have the opportunity to speak up for vulnerable patients and help them get the care they need. Here’s how you can advocate for them. In a perfect world, nurses would have plenty of time to spend with each patient...
By now you have heard of the concept of patient advocacy, but how do you choose the right one? Perhaps you are struggling with a challenging medical condition and you are looking to get things better managed as soon as possible. So how do you...
This is a topic I have thought about for so long. It is a topic I have struggled with myself, for many years. How do faith and science work together? So many questions arise, such as: Can you have faith and still believe in science? If the medical...
Caring for a loved one can be a full-time job. This may be a parent, child, sibling, partner or friend. It can be both emotionally and physically draining. Especially during the holidays, when everyone tends to have more on their plate...