MEDICAL BILL GURUS
Medical Billing Solutions For Patients And Medical Providers
Free Medical Bill Review
Let our Medical Bill Advocates take a look at your medical bills, and give you a FREE CASE EVALUATION to determine on how our medical bill negotiation, hospital bill negotiation, and medical bill advocate services can help you recover financially.
Where Do Our Medical Billing Experts Fit In?
FREQUENTLY ASKED QUESTIONS
The medical billing advocates at Medical Bill Gurus have over twenty years of experience in helping patients work through the complex financial issues associated with healthcare.
Medical Bill Gurus is a medical billing advocate / patient advocacy service that assists patients of all backgrounds with medical bills and the financial complications associated with healthcare. Our medical bill advocates have over 20 years of experience help patients, such as yourself, reduce or eliminate their medical bills. To have one of our medical billing advocate evaluate your case free of charge, Schedule A Free Case Evaluation.
Medical Bill Gurus offers all medical billing advocate and patient advocacy services on strictly a contingency basis, such that there is no fee unless we are successful in securing reimbursement for you. If we are successful in securing reimbursement, then the service fee would be 20%. If we are not successful, then there is no fee or financial obligation whatsoever.
Yes, as Medical Bill Gurus offers services on a contingency basis only, our fee is based solely on the amount of money you actually receive back from the insurance. Thus, we do all of the billing up to the deductible free of charge as a value to our clients.
If you received treatment at an out of network medical provider, such as a cash only LLMD, then you would need to have a private insurance policy that is a PPO with out of network benefits. As most alternative medicine providers are out of network, your policy needs to be a PPO. Unfortunately the facts outside of my control and everyone’s else are that medicare, medicaid, and HMO insurance policies will only provide reimbursement for providers that are in-network.
Medical Bill Gurus is able to assist with medical bills from any provider, as long as we have the necessary documentation to put together bills on your behalf. We are currently working with medical providers throughout the United States, Germany, Mexico, and various other countries. If there are specific requirements for your provider, we would discuss how to move forward during your free case evaluation.
Yes, Medical Bill Gurus can help process bills on your behalf for treatment at ANY medical provider. We are currently working with various clinics throughout the United States, Mexico, and Germany.
The time period that dictates how far back our medical billing advocates can retroactively submit claims is dependent on your specific policy. The average timeframe we can bill for treatment is up to 12 months, but can vary between 6 – 18 months depending on your policy. We recommend you call you insurance carrier directly to ask them how far back you can submit claims.
In-network refers to those providers have negotiated contracted rates with the major insurance companies, such that insurance company has full control over how much that provider is reimbursed.
Out-of-network refers to providers who do not have negotiated rates or contracts with the major insurance carriers, and set their own rates of treatment and services rendered.
Out of network providers include alternative medicine providers and cash only providers, such as LLMD’s, Lyme Clinics, international providers in Mexico & Germany, and any provider without a contract with the major insurance carriers.
Once Medical Bill Gurus receives all of your completed paperwork, and copies of your medical bills, it will take our team 4-5 weeks to process your bills. Once we submit your bills to the insurance company, it typically takes 60-90 days before a claims decision is made.
Unfortunately, as Medicare and Medicaid do not have out of network coverage, we are unable to process claims.
To get started, we simply need you to complete the FORM above, and send us a completed copy of the Medical Bill Gurus paperwork, as well as copies of any medical bills. Once you submit your information, you will also be given the option to set up a time to speak with one of our medical billing experts regarding your case.
For each treatment listed on the provided medical bills, we identify the FDA approved treatments and FDA approved ancillary services such as doctor consults, treatment room, medical supplies, lab test and admin of the treatment), which can make up a substantial amount of the bill. At this point we will start getting an idea of what treatment the patient had done, and identifying which line items and associated costs we can submit for reimbursement to the insurance. For example on truly alternative services such as ozone therapy, stem cells, and IV infusions, we would be able to bill for doctor consults, supplies, facility, and then potentially for the truly alternative component for treatment depending on what was done.
As stem cells are considered experimental and alternative in nature, we are not able to bill for the full price of treatment. However, we are able to bill for the FDA approved ancillary services, which can make up a significant financial component of treatment. For example on a $25,000 stem cell + IV therapy treatment protocol, we would be shooting to recover potentially $5,000-$15,000 of the amount spent on treatment.
Yes, IV therapy is actually one of the treatment protocols we have had the best success with. As long as we have a itemized breakdown of treatment, also known as a “super bill”, we can put together your bills. For IV therapy, depending on the amount spend, your bills, and if you have met your deductible, we could potentially recover 40-60% of what was spent.
Did you have any additional questions about how our medical billing advocates can you with Lyme Disease Medical Bills or any other out of pocket medical expense? Feel free to comment below 🙂
Inspired By Excellence & Innovation
Emerging technologies and changing business models are driving a shift in the role of medical billing in healthcare – from leveraging technology in support of the business, to the higher, more strategic goal of protecting and enhancing patient care. Today, it is critical that your medical billing partner have strong processes and practices to ensure the alignment of insurance reimbursements and to drive excellence through the IT infrastructure and the operations it supports.
Unlike other medical billing companies, Medical Bill Gurus is focused on providing two strategic platforms of services, each designed to best suite the medical billing and healthcare consulting needs of patients and medical providers. In today’s rapidly evolving technological environment, a trusted advisor – one who not only provides relevant medical billing insights, but delivers a combination of strategic vision, proven expertise and practical experience – can enhance the value of your healthcare goals.
It is the goal of Medical Bill Gurus to provide patients and medical providers with medical billing services to help all parties navigate the financial complexities of healthcare. Empathy first, business second is the backbone of all medical billing strategies, and encourage all parties to help reform healthcare by deploying empathy in the best interest of quality healthcare treatment for patients.
Medical Bill Gurus specializes in working with patients and medical providers to attain the highest financial reimbursements from payers without sacrificing ethical or legal medical billing guidelines. In a dynamically changed healthcare landscape, Medical Bill Gurus is on the forefront of continuing education and harnessing technology to make sure our clients are receiving the most streamlined medical billing solutions possible.
We have a can-do attitude backed up by more than 20 years experience delivering high-end, creative medical billing solutions on time from the backend with billing strategies for medical providers to the front end of evaluating denied claims with patients. Our medical billing experts have worked with patients and medical organizations of all specialities, including alternative medicine providers, orthopedic surgeons, and hybrid cash only/insurance billing providers.
Medical Bill Gurus offers a wide range of medical billing and healthcare consulting services to patients and medical providers.
MEDICAL BILLING TESTIMONIALS
After spending $40k out of pocket for 10 days of Lyme Disease treatment at a cash only clinic in Arizona, Medical Bill Gurus was able to recover $18k from the insurance. I thought I would (...)
I have suffered from Lyme Disease for 15+ years, and never thought insurance would help pay for treatment. Now I am able to get money back that I can use to afford long term treatment protocols.
For a few years, I had stomach pain that caused me to go to the ER on what like a nightly basis. Each visit was another bill and another doctor telling me nothing was wrong, and before my (...)
Had I known about Medical Bill Gurus 30 years ago, I would have had the opportunity to impact the lives of more patients. I initially agreed to contract with Medical Bill Gurus because of the (...)
Medical Bill Gurus Knowledge Base
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