Savor the Success - The Premium Business Network for Women Entrepreneurs.

Medical Bill Rescue is a new patient advocacy division of Medical Consulting From A to Z, Inc. which advises consumers on handling unpaid health insurance claims. The company obtains potential solutions by working with your insurance carrier and your medical facility provider. They educate consumers on different types of insurance coverage consisting of Medicare (Parts A, B, C, and D), Medicaid, and Commercial Insurance Options as in Preferred Provider Organization or a Health Maintenance Organization that is best for their specific situation. This company answers your insurance questions when you do not know where to turn to on coverage questions and issues that “just do not look cor...

Medical Bill Rescue is a new patient advocacy division of Medical Consulting From A to Z, Inc. which advises consumers on handling unpaid health insurance claims. The company obtains potential solutions by working with your insurance carrier and your medical facility provider. They educate consumers on different types of insurance coverage consisting of Medicare (Parts A, B, C, and D), Medicaid, and Commercial Insurance Options as in Preferred Provider Organization or a Health Maintenance Organization that is best for their specific situation. This company answers your insurance questions when you do not know where to turn to on coverage questions and issues that “just do not look correct” on your medical bills and insurance claims. They work with your physicians’ offices, laboratories, surgery centers, hospitals, and insurance providers to get a solution to your concerns. I also have a division for healthcare professionals called A to Z Medical Audits. A to Z Medical Audits works with all types of medical facilities with their coding, billing, auditing, compliance, and individualized one–on-one training for specific billing or coding issues.
There are millions of dollars of incorrect claims filed to insurance companies on an hourly, daily, weekly, and monthly basis. Medical billing and coding is not a simple process. Common types of errors include: misspelling, use of nicknames instead of legal names, sending claims to wrong addresses, medical coding errors where the procedure does not match the diagnosis or the diagnosis is totally incorrect for multiple different reasons. The problem of unpaid bills is not always the fault of the medical provider.
To add to the medical provider confusion the U.S. Department of Health and Human Services (HHS) proposed in the Federal Register, new code sets on August 21, 2008 to be used for reporting diagnoses and procedures on health care transactions. Under the proposal, the ICD-9-CM code sets, which are current diagnosis codes, would be replaced with the new version ICD-10 code sets, effective October 1, 2011.
Education is the key to understanding not only what goes on a claim, but also how the medical provider codes the procedures and diagnosis will determine how a claim will be processed by the insurance company. The medical provider obtains their information from the patient and/or another medical provider and this relates to how the claim will be processed. Every commercial insurance carrier, like Anthem, Aetna, Sagamore, and Medicare and Medicaid has coverage requirements that must be met. Some of these rules take thousands of pages of documents to fully explain.
The owner of Medical Consulting From A to Z has over twenty years experience in the medical arena in medical coding, billing, auditing, compliance, and training of physicians, medical staff, and training students to get their national coding and billing certifications. She has been certified by the American Academy of Professional Coders for ten years as a Certified Professional Coder. She is currently writing a national medical coding textbook at the request of Lippincott, Williams, and Wilkins; Wolters Kluwer Health.