Mental health and insurance claims: Relief could be in sight

Wed Sep 11th, 2013 on     Health Insurance,    

Fighting with insurance companies over whether or not they will cover a claim can be one of the most frustrating and agonizing aspect of working in the medical field. Too often, clinics and physicians spend so much time trying to get an insurance company to cover the costs of certain procedures that they lose time working with the patients who need them.

Judge orders Medicaid to cover autism therapy for kids in need

Fri Mar 30th, 2012 on     Health Insurance,    

Commercial insurance providers cover a critical therapy program for children with autism. It’s called applied behavioral analysis and autistic children who go through the program usually experience dramatically positive effects on their condition, bolstering their language and cognitive abilities as well as improving their social interaction and behavioral skills. The program comes at a financial cost though, leaving impoverished families with little chance of sending a child with autism through ABA.

Health insurance is costly, but not dependable: Why?

Thu Feb 16th, 2012 on     Health Insurance,    

Tell anyone in Miami that health care insurance is expensive and he or she will respond “Tell me something I don’t know.” That’s why it is extremely frustrating for people when they experience problems with their insurance, like a denied claim. Understandably, they feel they have been paying a lot for this protection and do not understand why it is not there for them when they need it.

Don’t take “No” from your insurance company

Tue Mar 22nd, 2011 on     Health Insurance,    

When a health insurer denies a claim, health care providers typically suffer the consequences. In some cases, the policyholder may pay the bill themselves. If not, doctors and hospitals end up losing revenue they are owed for services they provided. However, recent data collected by the Government Accountability Office (GAO) suggests that a denial of a claim for health insurance is not necessarily the end of the road. The report discovered that nearly 50 percent of rejected claims are actually reversed on appeal.

Florida politicians to battle mandatory health insurance law

Mon Feb 28th, 2011 on     Health Insurance,    

It is usually policyholders and health-care providers that must go to battle over health insurance. But many Florida lawmakers have been busy fighting within the health insurance arena, by attacking the federal law requiring health insurance coverage for all Americans. Many politicians, including Governor Rick Scott, have found the health-insurance mandate to overstep the role of government in the lives of Floridians.

Study: Up to 50% of Americans Have Pre-Existing Conditions

Fri Jan 21st, 2011 on     Health Insurance,    

If nothing else, the health care debate has produced some interesting studies. The most recent, released this week, zeroes in on pre-existing conditions. A pre-existing condition is defined as a health condition that exists before a person submits an application for health insurance. In truth, it is one of a list of health problems that require elevated levels of care, either acute or chronic. Insurers are notorious for denying or limiting coverage because of a pre-existing condition — and, of course, because of the costs associated with the condition.

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