Has your insurance company ever denied any of your claims? Have you received bills stating you’re responsible for the full cost of services rendered? Have you ever been told after receiving care, imaging, or lab work that it is not covered because the services were not necessary? Most of us have encountered rejected medical claims. […]
Author: pathwaypatientadvocates
What is a Medical Profile Summary and WHY should YOU have one?
2020 has taught us the importance of preparing for the unexpected.Think of it this way: You wouldn’t leave the house without a driver’s license, so why would you risk encountering an emergency without having a Medical Profile. Let me explain more: So what is a Medical Profile Summary? A medical profile summary is an up-do-date […]
HMO, PPO, ACO, PCMH, FSA, HSA… What do these all mean???
Most of us think that insurance coverage is confusing enough, well throwing in some more abbreviations does not make it any clearer. These abbreviations have been around for a while, yet many of us really have no idea what they stand for, what they entail, and which ones they currently are a part of. Open […]
Premiums. Deductibles. Co-insurances. Co-Payments. Out of pocket maximum.
What do all these things mean? Medical billing can be so complicated, and it is important to understand these terms when selecting an insurance policy and paying outstanding medical bills. Here is a breakdown of common billing terms you will encounter. Premium: This is the amount that you, your employer, or both combined, pay monthly […]
Cancer During COVID19
WHAT YOU NEED TO KNOW Life during the COVID pandemic is filling us with uncertainty and fear. If you or a family member are diagnosed with Cancer or are a Cancer survivor, you likely have even more questions during this time. Today we address some common questions that you may have: Am I at an […]
Have you Considered a Clinical Trial?
Perhaps you or a loved one just got diagnosed with the dreaded “C” word. Or perhaps you have been battling cancer and the treatment it is just not working or not tolerable. There are lots of possible options and it is your right to know about them to see which option may be best for […]
Are You Paying Too Much for Your Healthcare?
None of us are strangers to receiving a bill after a physician’s office visit, a procedure, or hospital admission, and thinking “WOAH, there is no way this is right”. Medical billing errors are common, and unfortunately, many people are overpaying for healthcare services. Some errors are a result of miscoding, while others are attributed to […]
What is a Patient Advocate and why do I need one?
The healthcare system is pretty confusing to everyone. A patient advocate is here to help with that. A patient advocate can help you understand and What can a Patient Advocate actually do for me? Bills: Approximately 80% of medical bills contain errors. You may be receiving bills or even collection notices. You may even be […]
When Your Child is Sick…
Being a parent is an absolutely amazing experience, but it is also exhausting and brings a lot of responsibility. From the second your child is born, you, as a parent are now responsible to protect this tiny human in every aspect of life. When your child becomes sick, as a parent you often feel helpless. […]
Telemedicine
Telemedicine: What is it and why is it important to understand during this time? Healthcare organizations are doing all they can to limit the number of patients coming in and out of their facilities, but many of these patients still need consultations and follow up care. In order to navigate around this, many organizations are […]