Pitfalls of Multi-Payer Health Insurance|Medical Insurance Advocate, Adria Gross, Authors Bookadria
Medical Insurance Advocate, Adria Gross, Authors Book on Pitfalls of Multi-Payer Health Insurance
President of MedWise Insurance Advocacy Details the Woes of American Medical Insurance and Ways to Counter These Issues; Book Available on Amazon.com for US and Canada Markets
MONROE, N.Y., November 9, 2015 – Consumers concerned about the rising cost of health care need to be armed with the knowledge and tools that will empower and educate them. To that end, Adria Gross, FIPC, founder and president of MedWise Insurance Advocacy, has written a book titled “Solved! Curing Your Medical Insurance Problems.” It was co-authored with Douglas Winslow Cooper, Ph.D., published by Outskirts Press, and was released on Amazon in mid-September.
The book, which has been praised by consumer advocate Ralph Nader, details the challenges surrounding hard-to-decipher medical bills, unexpected medical expenses and the difficulties patients have in navigating the convoluted American health insurance system. Gross has 25 years of experience in the insurance field and holds the Federation of Insurance Professionals Certification; she has helped clients recoup millions of dollars in unreimbursed medical expenses or reduced clients’ medical bills since starting her company in 2011. Cooper, a retired physicist and environmental engineer, has personal experience fighting insurers and winning millions of dollars of continuing medical insurance coverage for his invalid wife.
“Solved! Curing Your Medical Insurance Problems” offers helpful insights into how patients can spot overcharges by medical providers and underpayments or incorrect denials by their health insurers. It is filled with tips on how to reduce the odds that a health insurance claim will be rejected, how to handle a rejection, and how to successfully manage an erroneous billing situation or appeal an unfavorable insurance reimbursement decision.
”Unexpected medical bills can lead to bankruptcy and destroy lives,” said Gross. “My mission is to help people avoid being cheated by medical practitioners and facilities, and short-changed by their insurance plans, especially at a time when they are especially vulnerable after medical treatments or hospital stays.”
Among the many issues Gross and Cooper take on in their book are:
- Reasonable and customary charges – understanding them and why it’s important to do so.
- Understanding exactly what is covered by your plan, and what’s not.
- How to prepare to reduce your medical bills before a hospitalization.
- Common causes of medical billing errors and what to do about them.
- Getting coverage for an out-of-state emergency surgery or overseas medical procedure.
- Deciphering a medical bill’s procedure codes to determine if correct.
- Medicare rules for inpatient and outpatient status – the difference between these could cost patients thousands of dollars in unanticipated medical expenses.
- How to prevent overcharging on hospital bills.
“The goal is to give patients the confidence and understanding to advocate for themselves as much as possible—and win,” said Gross.
“Solved! Curing Your Medical Insurance Problems” is available on Amazon.com in paperback at http://amzn.to/1FGChwG. For more information about Adria Gross’s insurance advocacy services for individuals and attorneys, visit medicalinsuranceadvocacy.com.
As a nationwide medical insurance advocate, MedWise Insurance Advocacy in Monroe, New York, supports individuals and their families, and elder law and personal injury attorneys on medical claim matters, from resolving medical bills and denied health insurance claims to handling medical lien claims and medical letters of appeal. Founded by Adria Gross, a New York State-licensed insurance broker and consultant, and certified medical billing, coding, and claims consultant, MedWise Insurance Advocacy is a division of MedWise Billing, Inc., a medical billing and credentialing practice. As part of her practice, Gross uses her expertise to uncover discrepancies in diagnostic or procedure coding, or discover the loopholes through which insurance companies are attempting to deny a claim. Ms. Gross’s clients are primarily in New York, New Jersey, Connecticut, and Pennsylvania, but she can take cases anywhere in the United States.