At the Corner of Care and Compassion

At the Corner of Care and Compassion

The Place Where No Treatment or Cure Can Be Found

My Mother’s Story

Her last chapter hasn’t ended yet, but the prologue has been written. My 93 year old mother has been released from her last acute care admission, and we have just enrolled her in hospice care.

For my mother, this means that she gets to remain in her assisted living apartment, but from now on, there will be no trying to cure her old age.

Save $$ Thousands on Your Next Medical Procedure.

 Save $$ Thousands on Your Next Medical Procedure.

At Health Cost Matters, we believe an informed consumer is a prudent consumer.  Two of our many mantras are: ‘Know ahead what your procedure will cost’ and ‘Compare costs because provider prices vary widely’.  Not the catchiest of mantras, but after spending decades auditing claims for insurance companies I’ve seen how common it is for simple lab, radiology or outpatient procedures to vary by as much as 60-fold and even more between hospitals and free-standing providers in the same zip code. 

You Just Helped Pay $45,000 for a Co-Worker's Minor Surgical Procedure

You Just Helped Pay $45,000 for a Co-Worker's Minor Surgical Procedure

Stephan’s daughter rode her bicycle to work last summer and suffered a minor accident which resulted in a gash by her eyebrow.  Later that afternoon Stephan took his daughter to a nearby hospital ER for stitches.  The on-call plastic surgeon treated her.  Thirty minutes later, the gash was repaired, his daughter returned home. 

Mailbox Surprise! A Bill Arrives That You Didn't Know You Owed …

Mailbox Surprise!  A Bill Arrives That You Didn't Know You Owed …

Questions regarding balance billing are among the most common we receive, and today’s Tales from the Mailbox addresses this subject.

A balance bill is when a provider bills you the difference between what he/she billed (e.g., $1,000) and what your insurance paid (e.g., $450) Plus your ‘out-of-pocket’ responsibility (e.g., $50). 

An Epidemic of Billing Errors Ails Us

An Epidemic of Billing Errors Ails Us

The billing, coding and reimbursement system in the US is based upon a maze of complex codes, numbers, terminology and rules.  The end result is that patients pay out of pocket more than they should, and this happens more often than you can imagine.

Medical claim billing and insurance denial errors happen all the time ... Patients are often balance billed  incorrectly ...  Sometimes insurance companies erroneously deny covered services.