Author - aida

Adria Gross of Medwise Insurance Advocacy Honored as “Woman of Achievement” by WCBS Newsradio 880 at Annual Awards Event

Adria Gross, MedWise Billing and MedWise Insurance Advocacy 24 Pawtuxet Avenue Monroe, N.Y. 10950 Media contact: Adria Gross/adria@medwisebilling.com or (845) 238-2532 Adria Gross of Medwise Insurance Advocacy Honored as “Woman of Achievement” by WCBS Newsradio 880 at Annual Awards Event New York Area Business Woman Selected for Leadership, Business Contributions, Commitment to Community by Regional Panel; Has Recovered Nearly $1 Million in Medical Expenses for Clients. Pat Carrol and Adria Gross at the WCBS Awards MONROE, N.Y., December 20, 2013 – Adria Gross, founder and president [...]

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Holding Insurance Companies Accountable | Medical Bill Advocate

Holding Insurance Companies Accountable Under the law, patients have more rights and protections – and more security that their coverage will be there for them when they need it. For example: No more pre-existing condition denials for children: The parents of over 17.6 million children with pre-existing conditions no longer have to worry that their children will be denied coverage because of a pre-existing condition. No more lifetime dollar limits on coverage: 105 million Americans no longer have a lifetime dollar limit on essential [...]

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Wide differences found in what hospitals charge patients for same procedures

Wide differences found in what hospitals charge patients for same procedures By Elise Viebeck – 05/08/13 09:30 AM ET The federal government released stunning figures Wednesday showing dramatic variations in what hospitals charge Medicare for routine procedures.  The Medicare agency reported that medical claims for the same procedure can differ by tens of thousands of dollars, even within the same city — a situation healthcare experts have long lamented. Health and Human Services (HHS) Secretary Kathleen Sebelius said the new data will [...]

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Strengthening Medicare

Strengthening Medicare Nearly 50 million seniors and Americans with disabilities depend on Medicare every day. The health care law makes Medicare stronger and extends the life of the Medicare Trust Fund by eight years. Reducing prescription drug costs in Medicare: Over 6 million seniors and people with disabilities have saved more than $5.7 billion on prescription drugs thanks to the Affordable Care Act. These savings include a one-time $250 rebate check to seniors who fell into the prescription drug coverage gap known as [...]

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Making Care More Affordable

Making Care More Affordable The health care law is bringing down health care costs and making sure health care dollars are spent wisely. • 80/20 Rule: The health insurance companies of 76 million Americans now have to meet the 80/20 rule, or Medical Loss Ratio, where they must spend at least 80 cents of your premium dollar on your health care or improvements to care. If they fail to meet this standard, they must provide a rebate to their customers. Already, [...]

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Increasing Access to Affordable Care

Increasing Access to Affordable Care Millions of Americans have gained new access to more affordable health coverage and care.  • Coverage for young adults: 3.1 million young adults who were uninsured have gained coverage by being able to stay on their parent’s health plan, giving their families peace of mind.  • Access to free preventive services: 71 million additional Americans now receive coverage through their private health insurance plan for many preventive services without cost sharing such as copays or deductibles. That [...]

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How the Health Care Law Benefits You

http://www.healthcare.gov/law/information-for-you/benefits.html How the Health Care Law Benefits You The Affordable Care Act forces insurance companies to play by the rules, prohibiting them from dropping your coverage if you get sick, billing you into bankruptcy because of an annual or lifetime limit, or, soon, discriminating against anyone with a pre-existing condition. All Americans will have the security of knowing that they don’t have to worry about losing coverage if they’re laid off or change jobs. And insurance companies now have to cover your [...]

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Health Insurance Market Reforms: Pre-Existing Condition Exclusions

Health Insurance Market Reforms: Pre-Existing Condition Exclusions Insurers pursue multiple strategies to reduce the cost of covering enrollees with pre-existing conditions, or medical conditions and health problems that existed before the individual enrolled in a health plan. One strategy, the pre-existing condition exclusion, allows insurers to refuse to cover any costs associated with care for a pre-existing condition permanently or over a period of time.Beginning January 1, 2014, insurers in the individual and group markets will be prohibited from imposing pre-existing [...]

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CMS’ Proposed Rules on Observation Status Will Not Help Beneficiaries

medicareadvocacy.org http://www.medicareadvocacy.org/2013/03/28/cms-proposed-rules-on-observation-status-would-not-help-beneficiaries/ CMS’ Proposed Rules on Observation Status Would Not Help Beneficiaries The Center for Medicare & Medicaid Services (CMS) recently issued proposed rules and an interim CMS Ruling to allow hospitals to bill Medicare Part B after a Part A claim is denied. 78 Fed. Reg. 16,632 (March 18, 2013).[1]  These actions address some financial concerns of hospitals about “observation status;” but they do not help beneficiaries at all.  In fact, CMS’s prediction that hospitals will increasingly bill hospital stays under [...]

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