|
|
 |
|
Health Care is an integral part of every families life if not today, possibly tomorrow. Making the right healthcare choice is difficult and confusing for everyone. Each healthcare decision has to be addressed independently and resolved before proceeding to the next one. Your health care choices involve your immediate family, your parents, your friends who ask you for advice, etc. Do you have the answers? Patient Advocate Group creates "partnerships" to maximize your healthcare dollars and ensure you always have a liaison at your side each step of the way. |
Medicare coverage provides complex benefits when used properly and billed correctly by doctors and hospitals. Medicare pays for many services needed by Seniors - hospital, doctor bill charges, wheelchairs, diabetic equipment, scooters, etc all covered under Part A & B of Medicare. Now prescriptions are affordable under the new Prescription Drug Plan (Part D). All Seniors enrolled in Medicare are eligible for the Medicare Drug coverage.
Areas we can assist Seniors and their families are: 
- Enrolling Seniors in the Medicare Prescription Drug Program
- Locating FreeMedication when cost is high
- Resolving claim disputes with Medicare/Medigap carriers
- Assist with Medicare coverage issues
- Locate home health agencies & equipment needed
|
With little time to handle paperwork and resolve insurance disputes, families can easily lose sight of what is important in a time of crisis. Insurance companies require preliminary information to make adequate decisions about what your coverage does and does not pay; insurance companies make errors, lose claims, reject correct claims, etc. Patient Advocate Group has worked for directly for insurance companies in the areas of underwriting, claims, plan administration, and patient advocacy.
We assist with:
- Filing claims & paperwork, handle claim appeals and rejections.
- Review doctor and hospital bills for errors challenging on each incorrect charge.
- Medical bill negotiation with hospitals & doctors to reduce total bills significantly.
- Deal with billing errors and nasty collection agency calls.
- Locate alternative funding if patient unable to pay his bill
- Patient Advocacy
- Negotiate cost of MRI, CT Scans, etc.
|
Many employees lose time at work and at home trying to resolve medical claim/doctor/hospital billing errors. The frustration and time are draining on your time and theirs. We can help you the employer by allowing us to work one on one with these employees to resolve to insurance rejections, outstanding hospital bill balances, or old doctor bill balances. Patient Advocate Group would speak with your employee to discuss their healthcare concerns.
We can also:
|
Doctors' offices are hectic and claim follow thru takes time. Many claims get rejected when presented the first time to an insurance company due to incomplete/incorrect information. Who knows what happens to these same claims when they are returned to the provider’s office. Many are never re-filed resulting in loss of income to the doctor. We can help by following up on each claim ensuring that you are paid in full for all services rendered. Outsourcing these claims to us will ensure that appeals are filed, claims are re-filed etc.
We can :
- Re-file correctly, the unpaid or disputed claims sitting in your bottom drawer
- Check coding on unpaid claims and resubmit them
- Write the appeal letter and get your claim paid
- Correct Medicare claim filing rejections and do Medicare reporting monthly
- Track your claims with insurers to make sure they are being paid in a timely manner
|
Outsourcing your clients medical claims, denials, rejections takes time away from your normal work day. Releasing this work to us, insures timely and accurate response as we resolve the paperwork hassle.
We can handle:
- Claims - Medicare and commercial insurance: claim rejections, appeals & submission to insurers
- Claim settlements
|
|
Patient Advocate Group
Partnering to Maximize Your Healthcare Dollars |
|
|
