Managing one’s healthcare has become an overwhelming challenge. Not only is the world of medicine in constant flux, but also the insurance industry that supports it has never been more complicated. With patients often confused and overwhelmed by trying to understand the clinical implications of their conditions and the medical bills that accompany those treatment options, advocacy is needed now more than ever. Advocates can guide patients through these complicated clinical and financial mazes to ensure that patients are fully informed before making critical healthcare decisions.
What Does a Patient Advocate Do?
If you have a health condition that requires extensive medical care, you’re likely overwhelmed, scared, and confused. A patient advocate is a person who can be on your side throughout the process of undergoing medical treatment so you don’t have to go through it alone.
They can help minimize your stress and provide peace of mind by clearly explaining the treatment options available to you and engage in healthcare discussions with your doctors and family members. They will investigate treatment centers, attend doctor appointments with you, assist with prescriptions, help with authorization needs, and explore special programs and access to the care you need.
The Difference Between Patient Advocates and Medical Bill Advocates
Although many use the terms interchangeably, a patient advocate should not be confused with a medical bill advocate — these are two separate specialists. While a patient advocate focuses on the clinical aspects of the patient’s needs, a medical bill advocate handles the financial side of the medical care rendered to the patient.
A medical bill dispute advocate will investigate the coding and billing associated with a patient’s clinical care, working to correct errors, dispute irregularities, and negotiate reductions in medical bills wherever possible. Being trained in “medical billing speak,” they are able to effectively communicate with all providers of care as well as with health insurance companies. They deal with the accuracy of a patient’s medical bills and will make sure that patients are getting all the benefits to which they are entitled through their insurance. Whether insured or self-pay, patients can help minimize unintended expenses and pitfalls by the thoughtful guidance of a knowledgeable medical bill advocate.
How Do Patient Advocates Work With Medical Bill Advocates?
Patient advocates often work alongside medical bill dispute advocates from the beginning of complicated cases. They can work together to ensure that you are getting the best medical care possible without falling victim to unfair or unethical billing practices.
If a patient is in need of extensive medical treatment that will likely result in thousands of dollars in medical bills, a patient advocate can work with a medical bill advocate to explore the most cost-effective options – before the bills are incurred. If the medical services have already been rendered, advocates can work together to offer patients medical bill help.
A medical bill advocate can investigate what care is and isn’t covered by a patient’s medical insurance. By communicating with all involved parties, a medical bill advocate can work to negotiate more manageable fees for their care.
How Systemedic’s Advocacy Services Can Help
Systemedic’s medical bill dispute advocates understand the complexities of the medical bill dispute process. Our advocates regularly work together with patient advocates to ensure that you receive the care you need while minimizing your medical expenses. Systemedic has been in the medical billing business for over 30 years and knows what it takes to dispute even the most complicated medical bills quickly and effectively.
Offering a fee-based service for those looking to dispute their medical bills, our medical bill dispute advocates are skilled in navigating the insurance maze and will not take “no” for an answer. To get medical bill help from experienced advocates, contact us for a consultation.
As many as 80% of medical bills
can contain errors….will yours???
Don’t pay the price for not knowing what
to question or …how to negotiate savings.
Stop making costly assumptions that
could …ruin your credit.
Get Systemedic on your side so you don’t
pay a penny more …than you should.