Brenda Zane
Brenda Zane, Mark DeBofsky
Exposing the Hard Truths: Insurance Claims Denials for Substance Use Treatment, with Mark DeBofsky
Exposing the Hard Truths: Insurance Claims Denials for Substance Use Treatment, with Mark DeBofsky
Exposing the Hard Truths: Insurance Claims Denials for Substance Use Treatment, with Mark DeBofsky
Thursday 14th December 2023
Attorney Mark DeBofsky joins Brenda Zane to tackle insurance claim denials for addiction treatment. Gain practical advice and hope in this 'Hopestream' episode.
48 minutes
Empowering
Informative
Hopeful
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About this podcast
Author:
Brenda Zane
Overview:
Categories:
Sobriety Toolkit
Family Recovery from Addiction
Navigating Challenges in Recovery
Navigating Intimate Relationships
Recovery from Trauma
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Episodes:
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Get the buttons here!Breaking Down Barriers: Winning the Fight Against Insurance Claims Denials for Addiction Treatment
Episode Overview
- The critical role of the letter of medical necessity in insurance claims denials for substance use treatment
- Challenges faced by parents dealing with insurance companies and the importance of early preparation and robust documentation
- Insights on seeking professional assistance and the significance of advocacy in securing essential coverage for a child's treatment
- Empowering families to navigate the complex insurance landscape and persevere in the fight for coverage
- Practical advice for preparing and advocating effectively to tackle insurance claims denials
The letter of medical necessity is critical in these cases. ProPublica did a story a couple of months ago. Basically, AI is being used to reject claims. And these claims are being denied in seconds. The reason that they can do that is because the AI will look at the claim, and if there isn't an adequate letter of medical necessity, they can spit that claim out immediately.
Imagine being at your wit's end, trying to get your child the help they desperately need, only to be stonewalled by insurance companies. That's the harsh reality many parents face, and it's exactly what Brenda Zane tackles in this eye-opening episode of 'Hopestream'. Joined by Mark DeBofsky, a seasoned attorney specializing in insurance claim denials, Brenda dives into the convoluted world of insurance policies and how they often hinder access to essential treatment for substance use disorders.
Mark shares his expertise on why early preparation and meticulous documentation are crucial. He breaks down the confusing array of coverage guidelines and sheds light on the murky industry of physicians contracted by insurance companies to back up their denials. But it's not all doom and gloom. Mark offers practical strategies for parents to improve their chances of securing coverage. He emphasizes the importance of understanding the letter of medical necessity and seeking professional help when needed.
This episode is a must-listen for any parent feeling overwhelmed by the bureaucratic maze of insurance claims. You'll walk away with actionable advice and a renewed sense of hope, knowing that you can advocate effectively for your child's treatment.