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Your Best Defense Against Denials: DOCUMENTATION

We have been traveling on a journey through the very frustrating, annoying, and obnoxious world of health insurance company denials. Whether it be a...

I Thought I Saved My Patient’s Life. He Didn’t Agree.

I now ask patients what their goals are. I present surgical and medical options and make sure the patient understands — and then I ask them more questions.

“Investigational” Is Payer Code for “Coverage Denied”

Outside the pandemic, “investigational” remains payer code for denying reimbursement. In the case of treatment for chronic conditions, even FDA-approved digital-health and connected devices languish on waitlists for formulary inclusion.

Pfizer Confirms mRNA Vaccine Never Tested for Preventing COVID Transmission

In a startling disclosure at the EU COVI Hearings in Brussels on the 10th of October 2022, Janine Small admitted in response to a...