Coverage Assessment
Assessment of ACTIVE or POTENTIAL medical insurance coverage (private carriers and Medicare).
Working for Individuals, Patients and Family Members since 1992
Health care was once a private interaction between you and your physician. Now it seems that the insurance carrier, Medicare, the Federal and State has regulated the care you are given. Barbara A. Brody is the instrument you need to cut through the tedious tangle of bureaucracies.
I navigate and advocate on your behalf.
Assessment of ACTIVE or POTENTIAL medical insurance coverage (private carriers and Medicare).
Help you evaluate the costs and benefits of LTC at every stage of your life.
Personal financial exposure analysis and audit of expenditures (physician fees, hospital charges, etc.)
Appeal/review of claims in which the level of reimbursement is in question.
Liaison with private medical insurance carriers, COBRA, The Affordable Care Act (Obama care), Medicare and long-term care to maximize level of benefits & reimbursement.
Administrative management of your medical expenses.
Barbara Saved the Day
Barbara Brody saved the day for my mother in Northern California—-Barbara intervened with her expertise, knowledge and experience to remedy a hospital oversight and correct an error in my mother’s admittance to the hospital. Barbara turned around a potential major financial setback with such authority and brilliance.
My family is eternally grateful to Barbara for her intervention into our situation ... she is incredible.
Diane Smith
Boots on the Ground: Real Estate and Housing; Medical Expenses and Insurance; Income Taxes and more.
I have an aunt who lives in New York City, is 92 and has 24 / 7 live-in support as she is unable to care for herself. She has been under Barbara Brody’s care since 2006.
Barbara worked with our uncle 1991 until his death in 2006. He specialized in Obstetrics and Gynecology and Gynecologic Oncology. Uncle Hugh was affiliated with Lenox Hill Hospital, St. John's Riverside Hospital and Westchester Medical Center. Barbara was a Medicare consultant and surgical coder. She closed his office after his death. She started to work with Aunt Mary shortly after Uncle Hugh’s death.
Barbara’s corporate web site states that their goal is to be your representative and your guide through the maze of health care rules and regulations. Barbara does much more than that in her care for our aunt. Barbara has legal power of attorney and manages every aspect on my aunt’s life. Doctor visits, medical expenses and insurance, income taxes, rent as well as the overseeing the care givers who attend to her.
With us being in California I cannot express what a comfort it is to have Barbara as boots on the ground there. I have full trust and peace of mind knowing that she is involved with Aunt Mary and her daily life. It is with great confidence that I can recommend Barbara Brody for a family manager position.
Please feel free to reach out to Scot or myself if you would like to. Barbara is one of a kind and anyone would be lucky to have her on their side.
Scot M.
My sisters and I had a predicament with my mother involving the Medicare status of observation when she entered the hospital.
Thankfully, I found the fantastic Barbara Brody who solved our difficult situation with such professionalism and brilliance. She took the situation and handled it with the utmost experience and efficiency. Barbara turned the entire urgent problem around and took care of our possible impending financial burden, making everything right. Barbara Brody is an amazing advocate who I will forever be grateful for her help.
Diane S.
Unravel an impenetrable maze of insurance terms from multiple providers and plans.
I highly recommend Barbara Brody and Associates. I have looked to Barbara's firm on multiple occasions to solve medical insurance and related business issues in connection with managing the affairs of my father as well as on my own behalf to unravel an impenetrable maze of insurance terms from multiple providers and plans. Her able assistance has saved me (and my father) a good deal of expense. Barbara has in every case proved to be extremely knowledgeable, diligent and resourceful, and she produces results while maintaining a constant grace and kindness in dealing with clients.
Polly S.
Without Barbara's assistance, I would have had no idea what my best options were.
Barbara Brody is an expert regarding 1) individual and group health insurance, 2) dealing/negotiating with health insurance companies, hospitals and other providers, 3) transitioning from employer-sponsored coverage to both group and individual private alternatives and 4) understanding, and getting the most from, Medicare and Medicaid.
Without Barbara's assistance, I would have had no idea what my best options were once COBRA ended and I cannot imagine trying to deal with any of the problems related to the paragraph above without her counsel.
I endorse Barbara without reservation for any and all matters related to the financial aspects of health care. Chip O.
Medicare As Secondary and Medicare (Primary) have separate and distinct rules for reimbursement.
An individual or his book keeper may pay bills that are disallowed by Medicare. This is where an experienced Patient Advocate/Patient Navigator is able to help and save you quite a lot of money. Since 1992, I have followed every change Medicare has made.
A client asked me to look at his medical expenses. He had Medicare as Secondary but his business manager paid every medical bill without a review of the charges. Over a five year period, “Mr. Smith” overpaid in excess of $100,000 in clinical lab bills. I worked on his behalf, and he was reimbursed over $100,000.
This case study demonstrates how being a Patient Navigator and Patient Advocate are intertwined.
In early 2017, an attorney referred a client to me. “Mr. Jones” was taken by ambulance to a world-renowned Medical Center in Manhattan. The hospital accepted his Affordable Care Act insurance. The specialists assigned to him were out of network. It was clear that Mr. Jones’ diagnosis of end stage kidney treatment required out-patient renal dialysis. The Medical Center had two renal dialysis out-patient facilities in New York and a couple of facilities about 20 miles away. The patient’s family was told that the New York City renal dialysis centers were out-of-network.
I was determined to challenge why the New York City centers were out-of-network while the 20 miles away facilities were in-network. After much investigation, the financial manager found a contract, dated 2014, which included the two New York facilities. She was also instrumental in having the in-network specialists wave their fees.
People with End Stage Renal Disease are eligible for Medicare. I worked with the Social Security Administration to have Medicare be Mr. Jones primary insurance.
My work as a Patient Advocate and Patient Navigator saved Mr. Jones from a great of stress and a great deal of money.
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