What is the "Peer-to-Peer call" ("P2P") ?
AdvimedPRO Blog
by mgbrousse
3w ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   September 12, 2024 The ..read more
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"Out Of Pocket Max": what to know
AdvimedPRO Blog
by mgbrousse
1M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   September 2, 2024 Watch ..read more
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What is "Access to Care" ?
AdvimedPRO Blog
by mgbrousse
1M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   August 26, 2024 Watch the ..read more
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Turning 26? A big deal
AdvimedPRO Blog
by mgbrousse
1M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   August 15, 2024   Turning ..read more
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What does "not covered" mean?
AdvimedPRO Blog
by mgbrousse
2M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   Watch the video ..read more
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"In Network": a quick 411
AdvimedPRO Blog
by mgbrousse
2M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   July 24, 2024 "In Network ..read more
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What does "Experimental" mean?
AdvimedPRO Blog
by mgbrousse
2M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   July 15, 2024 A fair number of claims and authorizations are denied under the term "Experimental". What does it mean? Is there anything you can do? Let's jump in. A. Definition It is equivalent to other terms including: investigational unproven not FDA-approved, or "off-label" not (yet) approved for general use  but that may be being studied  in clinical trials to determine  safety and efficacy used for "research" not for general medicine not al ..read more
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Free Preventive Services: Take Advantage! (Part 2: Adults)
AdvimedPRO Blog
by mgbrousse
3M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   July 9, 2024 Since 2010 and the Affordable Care Act, insurance companies must cover a number of services at no cost to you and your family. These are “preventive” services with a main objective to shift the current state of our healthcare system from curative and reactive to preventive, and saving lives, money and resources. So, are you taking full advantage? A. Basics 1.     Does your plan qualify? ·       If you bought yo ..read more
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What is a "Qualifying Life Event"?
AdvimedPRO Blog
by mgbrousse
4M ago
  By Martine G. Brousse (still not AI) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   June 11, 2024   Whether you meet the guidelines for a “Qualifying Life Event” can make a huge difference: you may be able to purchase or obtain a new health insurance policy outside of the usual Open Enrollment Period or be forced to wait it out. Let’s see how you can qualify and what to do about it.   A.   Definitions   1.     A “Qualifying Life Event” is a change in your personal situation or financial circumstances that ..read more
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What is the MOON notice?
AdvimedPRO Blog
by mgbrousse
4M ago
By Martine G. Brousse (not AI!) "The Medical Bill Whisperer" Patient Advocate, Certified Mediator AdvimedPro   June 5, 2024   Original Medicare and Medicare Advantage beneficiaries should be aware of the MOON notice, as it impacts their status while in a hospital, which in turn determines their ultimate share of cost. If they must be transferred to a Skilled Nursing facility (“SNF”) after a hospital stay, it is even more imperative they get familiar with this notice and what it means.   One of the great things about Medicare, is the many rights its beneficiaries enjoy. And even ..read more
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