How will HealthLock help with traditional Medicare and Medicare Advantage?

Auditors can save you money and time in many different ways, for example:

• For Appeals, the auditor can submit an Appeal for denied services to Medicare from Level 1 to the Federal level. Traditional Medicare does not reprocess claims and they do not send the claim back for review as other carriers do. 
• For Medicaid, claims fall under the state program and assigned group plan and follow state program guidelines. 
• For In-Patient Hospital services, the auditor can monitor and notify the patient of Lifetime Reserve Days (LRDs) to assist the patient from going over the LRDs and out-pocket costs. Original Medicare covers up to 90 days of inpatient hospital care each benefit period. You also have an additional 60 days of coverage, called lifetime reservice days. These 60 days can be used only once, and you will pay a coinsurance for each one ($816 per day in 2024).
• For In-Network provider services with denied charges, the auditor can work with the provider to reestablish consideration of charges.