Insurance companies continue to deny claims indicating the treatment was not medically necessary, such as a recent case that I worked on and overturned that involved a blood clot and brain surgery.
(PRWEB) October 17, 2016
Adria Goldman Gross, FIPC, one of the nation’s leading medical insurance advocates and author of the bestselling consumer advocacy book “Solved! Curing Your Medical Insurance Problems” (Outskirts Press), will be appearing at the 4th Annual Health Plan Claims and Service Operations Conference taking place in Orlando, Florida from October 26-27, 2016.
Ms. Gross will be among the experts featured on the panel discussion “Are You Truly Engaging? Provider Engagement Strategies from Key Sides of the Spectrum”.
The panel discussion, which will take place on October 26 at 10:40am, will focus on provider engagement from a variety of perspectives, and address mutual challenges faced by providers, legal professionals, consultants, insurance advocates and patients including:
- Prior Authorization
- Working to increase the quality of claims submitted
- Estimating payments and pricing transparency
- Data and technology systems
- Audits and compliance enhancements
“Insurance companies continue to deny claims indicating the treatment was not medically necessary, such as a recent case that I worked on and overturned that involved a blood clot and brain surgery,” commented Ms. Gross, who earlier this year was featured on Good Housekeeping’s list of most successful and fearless women groundbreakers. “There must be a better relationship between the insurer and insured, and this could very well mean that insurance companies need to pay more claims and reduce the number of denials and appeals. While a shift like this could end my business, that is totally irrelevant. It would protect people from being taken advantage of, and allow them to get the treatment they need and deserve. That is all that has ever mattered to me.”
Added Ms. Gross: “I am also honored to be the first health claims advocate invited to speak at the Health Plan Claims and Service Operations Conference. I am looking forward to the experience, and expect that the discussion and debate will be lively, provocative and progressive!”
More information on the 4th Annual Health Plan Claims & Service Operations Conference is available at https://www.claimsinnovations.com.
About Adria Goldman Gross
Adria Goldman Gross, FIPC, is the CEO and founder of MedWise Insurance Advocacy, as well as a New York State-licensed insurance broker and consultant who uncovers discrepancies in diagnostic or procedure coding, exposes dubious loopholes through which insurance companies attempt to deny claims, and helps attorneys, individuals and families resolve medical claim matters. She is also a bestselling co-author of books that are both endorsed by consumer protection advocate Ralph Nader: the recently-published Solved! Curing Your Medical Insurance Problems, and Multi-Payer Medicine Nightmare Made in the USA.