As our population gets older and our health insurance world more complex, many patients and their families are faced with the burden of confusing and overwhelming medical bills. Because it comes at a time when the focus should be on recovering from an illness or medical emergency, this burden can be even more troublesome.
Patient Advocacy is a growing industry designed to help. Advocates may specialize in helping choose doctors, treatments, and medications, or, like ClaimMedic, they can help in dealing with medical bills and insurance companies. Medical billing advocates are also called claims assistance professionals, or CAPs. With years of experience in medical billing, a CAP is your personal advocate, stepping in as needed to resolve problems and facilitate claims payment. A CAP can also ensure you receive all the health insurance benefits to which you are entitled, make sure your bills are accurate, inform you about your options, and decipher and manage the endless paperwork.
You should hire a claims assistance professional when:
- Your bills are piling up and you don’t know what to do;
- You’re being asked to pay bills that you don’t understand; or
- You’re recovering from an illness, surgery or a medical emergency and need to concentrate on getting better, not the pile of bills that keep coming.
Advocates are compensated in several ways: on an hourly basis, on a percentage of money recovered from past medical claims auditing or on an ongoing monthly relationship where claims are audited monthly to ensure accuracy of insurance billing and patient responsibility.