insurance claims

There are a few key phrases, online tools, and strategies that are key to unlocking this intentionally opaque industry—so we're going to cover it all today. In a marketplace where some hospitals charge 30x their costs and the insurance company “discounts” do little to help, taking matters into your own hands is often your best bet.  I'm joined by two medical billing pros, Braden Pan, CEO of Resolve Medical Bills (https://www.resolvemedicalbills.com/) and Jeanne Pinder of ClearHealthCosts (https://clearhealthcosts.com/). Email Jeanne with billing questions at jeanne@clearhealthcosts.com. Transcripts can be found at podcast.moneywithkatie.com — Mentioned in the Episode Navigating the US Healthcare System Without Getting Financially F***ed: https://podcast.moneywithkatie.com/navigating-the-us-healthcare-system-without-getting-financially-fed/ Expensive Open Enrollment Mistakes to Avoid: https://podcast.moneywithkatie.com/expensive-open-enrollment-mistakes-to-avoid-making-the-best-of-a-bad-system/ Getting the most out of your HSA: https://moneywithkatie.com/blog/category/HSAs Budgeting for Healthcare in the US: https://moneywithkatie.com/blog/how-im-budgeting-for-healthcare-in-the-united-states-in-the-least-frustrating-way The Guide to Lowering Medical Bills from Resolve: https://uploads-ssl.webflow.com/63fe3236566164b208408804/6424c340f953dcf5597b92fa_Resolve_Understanding-Your-Medical-Bills.pdf Medical billing errors from Becker's Hospital Review: https://www.beckershospitalreview.com/finance/medical-billing-errors-growing-says-medical-billing-advocates-of-america.html Find-A-Code NCCI Edits Validator: https://www.findacode.com/tools/ncci-check.php — Follow Along at Money with Katie: https://moneywithkatie.com/ Watch on YouTube: https://www.youtube.com/@MoneywithKatie Follow Money with Katie! - Instagram: https://www.instagram.com/moneywithkatie/ - Twitter: https://twitter.com/moneywithkatie   Subscribe to The Money with Katie Newsletter - Sign up for free today: https://www.morningbrew.com/money-with-katie/subscribe/2 Follow the Brew! - Instagram: https://www.instagram.com/morningbrew/ - Twitter: https://twitter.com/MorningBrew - TikTok: https://www.tiktok.com/@morningbrew Learn more about your ad choices. Visit megaphone.fm/adchoices

The healthcare marketplace in the United States is confusing, complex, and expensive. Why is it the way it is? Has it always been this way? Is it this way everywhere? These were my questions when I began this deep dive.  After reading a couple books, going on a week-long internet deep dive, and interviewing a healthcare consultant, I felt ready to bring some of my initial findings to you. Big thanks to Taylor, a healthcare consultant, for being interviewed for this episode, and Kaleigh, for sharing her experience giving birth to her daughter.  Snag a copy of Taylor's TEMPLATE FOR DENIED INSURANCE CLAIMS. Since this is a relatively fact-filled episode, sources are listed below by claim. FOLLOW ALONG Money with Katie Blog Money with Katie Instagram Money with Katie Twitter Sign up for the Newsletter! CLAIMS & MORE RESOURCES Any claim that doesn’t have a URL attached came from the book The Healing of America by T. R. Reid.  “Of the 11 richest countries in the world, America’s healthcare system ranks 11th. The judgment metrics are as follows: Access to care, care process, administrative efficiency, equity, and healthcare outcomes. The U.S. ranked last in four of the five criteria, with the exception of “care process,” for which we ranked second. Historical deep dive resource “The U.S. spends roughly the same amount as a percentage of GDP on Medicare and Medicaid alone that the rest of the rich countries spend insuring their entire populations, and the private sector spends even more.” “Estonia, Slovenia, Hungary, the Czech Republic, Korea, Israel… all of these countries have lower infant mortality rates than the United States.” “And pharmaceutical companies do spend, on average, around 20% of their total revenues on R&D.” “The U.S. actually ranks sixth in the World Index of Healthcare Innovation, behind Switzerland, Germany, and the Netherlands.” “A new analysis from insurance giant Humana itself and the University of Pittsburgh School of Medicine found that between $760 billion and $935 billion—or about a quarter of all U.S. healthcare spending—is considered “waste.”” Comments about Sweden’s economy and benefits FULL TRANSCRIPT AVAILABLE AT HTTPS://PODCAST.MONEYWITHKATIE.COM Learn more about your ad choices. Visit megaphone.fm/adchoices

Just in today! The supreme court have announced that insurers must pay out from business interruption from lockdown 1... is this true? Well I have my insurer on the phone to answer my questions and give us some insights into exactly what's happening.

Each week James brings on the show an entrepreneur who shares their biggest challenges and struggles in business.

James coaches the business owner through these challenges by asking those hard hitting questions in order to get to the bottom of these problems and help the business owner soar to success. 

For more info head to https://jamessinclair.net/

Find us on Facebook https://www.facebook.com/jamesjimbosinclair/

Connect with James on Instagram https://www.instagram.com/_jamessinclair/

Watch James’ Latest Business Vlog https://www.youtube.com/channel/UCTm2gK928YuBSEU0lvdFJoA