You are awesome, your explanation is fantastic, less fancy and more knowledge, Full of information, every second in the video is information. You are my professional model, I am your fan.
MA plans use prior authorization. In many cases, authorization is given only to have it changed sometimes before the surgery and even the day of the surgery. I have also known the auth to be changed after the surgery. What can be done about this??
If the insurance denies the claim due to lack of prior authorization, would the patient receive a bill for the allowed amount, or for the full price (chargemaster rate)? And also, would the patient's payment for the service count toward their out-of-pocket maximum, if insurance had denied the claim?
Every chance I get, I try to inform people approaching Medicare eligibility age to avoid Medicare Advantage plans- prior authorization + networks is how insurance companies make money off what Medicare pays them. Deny or delay!
You are awesome, your explanation is fantastic, less fancy and more knowledge, Full of information, every second in the video is information. You are my professional model, I am your fan.
Thank you for your kind words.
For someone who works on the business side of healthcare, your videos are so incredibly useful! Thank you! Just subscribed :)
Super! Thank you for watching.
Very informative!! Have you completed a video on the appeal process and the specific components necessary to overturn an appeal for service?
Thank you for watching and for your question. Great suggestion.
I’m going to drive my car through the building’s front doors to get some attention dammit
Informative! and very entertaining. haha. You are very passionate about your work. Great video!
Thank you for watching and for your feedback.
MA plans use prior authorization. In many cases, authorization is given only to have it changed sometimes before the surgery and even the day of the surgery. I have also known the auth to be changed after the surgery. What can be done about this??
Drop the insurance. Write the State Insurance Commissioner. Call the media. Call your Congressperson.
Thank you for watching and for your comment.
Wow
If the insurance denies the claim due to lack of prior authorization, would the patient receive a bill for the allowed amount, or for the full price (chargemaster rate)? And also, would the patient's payment for the service count toward their out-of-pocket maximum, if insurance had denied the claim?
Good questions. Full price. No. Denials are very bad for patients. Thank you for watching.
Great video
Thank you for your feedback.
Every chance I get, I try to inform people approaching Medicare eligibility age to avoid Medicare Advantage plans- prior authorization + networks is how insurance companies make money off what Medicare pays them. Deny or delay!
Thank you for watching and sharing your thoughts.
time for a refresher?
Appreciate the feedback.
👍
Thank you for watching.
informative video!
Appreciate you watching and leaving a comment!!
Lets go, trying to do this now. And you familiar w Kaison Program? Cause im not
Thank you for your comment.