In addition, attorneys are often trained negotiators – so even if they are dealing directly with hospitals or insurance companies they may be able to help significantly lower their bills (this isn’t to say that Advocates aren’t trained negotiators, however). We Are California Health Advocates. Appealing Insurance Claim Denials: If your insurance company has denied your claim, an Advocate can walk through the multi-step appeals process – gathering and presenting the right evidence in the right way to increase the chances of success (and helping you to avoid a paperwork filled headache in the process). Medical Malpractice: If you are fighting a bill based on a major error on the part of the medical provider (that is – you think the doctor or hospital committed malpractice in their treatment). : These attorneys can explore and discuss your options, rights, and protections around bankruptcy. MedWise Insurance Advocacy is a division of MedWise Billing, Inc. : if you were injured in an accident and are considering suing someone (usually not the hospital) it may be worthwhile to talk to a personal injury lawyer. ©Resolve Advocates, Inc. | 9 East Wheelock Street | Hanover, NH 03755, : reviewing medical bills for correctness. The map below will help you find the contact information for your State’s CAP. Anyone can represent themselves as such (that doesn’t mean that there aren’t very good advocates out there). The program provides health care coverage to beneficiaries who are more likely to suffer from the coronavirus. to force the hospital to lower their price. They also have experience navigating the complex bureaucracy of hospital and insurance billing systems and speaking the right language (saying the right things to the right people). Bankruptcy Lawyer: These attorneys can explore and discuss your options, rights, and protections around bankruptcy. Is a health insurance consumer advocate and consultant for insured individuals, helping them obtain the money they deserve. They should be willing to spend 15-20 minutes talking through your case and give advice on the best path forward. When not trying to lower healthcare costs he can be found outdoors mountain biking, skiing, or hiking with his dog. If you do not consent, please do not peruse this site. Most hospitals also have financial aid policies to help people on lower incomes (and sometimes with larger bills). Most hospitals also have financial aid policies to help people on lower incomes (and sometimes with larger bills). He received his MBA from Dartmouth’s Tuck School of Business and BA in Philosophy from the College of William and Mary. : If your insurance company is denying care coverage and you think litigation is the right route to go – consider reaching out to insurance lawyers. Patients and consumers can hire an advocate to audit their medical bills, seek out errors and negotiate lower costs. Denied medical bills, or denied medical claims? They may also be able to identify when a hospital adjusting the codes used could get a claim overturned without having to file an appeal. Learn More. Avoid the frustration and upset of trying to understand those medical codes and bills on your own. This can range from charging for services not provided, upcoding, or unbundling to pushing back against. MedWise Interview On American Dream Show, NEW! (845) 238-2532 or e-mail us today. resolve is Open. Negotiating Prices: We talk about this constantly – hospital chargemaster pricing (the rack rate charged to uninsured patients) are absurd and completely disassociated with reality. : If you have court judgements or liens related to an outstanding debt or feel like you’re being harassed by a debt collector – reach out to a Consumer Protections Attorney. Some medical billing advocates will specialize in one area while others have experience in all four areas and will adapt to your given situation. This can range from charging for services not provided, upcoding, or unbundling to pushing back against balance billing. : Many medical device manufacturers and pharmaceutical companies will offer rebates directly to patients for devices used. Unfortunately medical bill negotiation lawyers generally don’t exist – the type of lawyer that may work for you depends on your given situation. CAPs play a critical role in ensuring that consumers are able to find health insurance and are able to access the benefits to which they are entitled. Note that there is no required education to becoming a medical billing advocate. Listen! We have many satisfied clients in the New York Metropolitan area, including all of New York City, Suffolk County NY, Nassau County NY, Westchester County NY, Rockland County NY, Orange County NY, Ulster County NY, Putnam County NY and Dutchess County NY, Pike County PA, Bergen County NJ, Passaic County NJ, Hudson County NJ, Essex County NJ, Morris County NJ, Fairfield County CT. “Woman of Achievement” Award by WCBS Newsradio 880, Click the above logo to be taken to an interview of Adria Gross by CBS news.