Medical Billing Advocacy sets Expand Focus to Attorneys, Businesses, and Physician Practices

Medical Billing Advocacy sets Expand Focus to Attorneys, Businesses, and Physician Practices




A medical billing advocate has the skill to understand medical billing, medical terminology, and insurance explanation of assistance statements. In a perfect world, this should not have to be that hard; especially at a time when health care consumers are faced with medical problems and recovering from illnesses.

In addition to helping individuals, attorneys are struggling to deal with medical bills. They do not have the time, the medical coding experience, nor the software and reference resources to decipher the bills. It becomes much easier for them to contact a billing advocate, who can perform a chart audit, a compliance audit, and provide a fair and reasonable amount for sets provided. This factual information allows the attorney to negotiate based upon a true and accurate cost basis for sets rendered.

Today, the great majority of businesses are self insured up to a certain limit, which method that they pay the claims of their employees until that limit is reached. For those businesses, employing an experienced advocate could impact their bottom line by considerably reducing the cost of the of the claims. Medical billing advocates can discover duplicate charges, unbundled charges, and routine supplies that should not be billed to the patient.

Physicians have to deal with payments issues from insurance companies. Sometimes, there are payment delays caused by a multitude of reasons or claim denials. Although doctors have staff that deal with these issues, sometimes they opt to enlist the sets of a medical billing advocate who may find a way to expedite insurance payments, and clean up their backlog of receivables.

Advocates charge by the hour, or on a percentage basis for recovery, or a hybrid of hourly and percentage. It makes good sense for attorneys, businesses, and physicians to enlist the help of an expert when faced with difficult medical billing issues.




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