Navigating Complex Medical Billing & Insurance Challenges with Adria Gross

Navigating Complex Medical Billing & Insurance Challenges with Adria Gross

Organizing Life's Daily Demands with Peter Gordon, Episode 69 In this episode of Organizing Life's Daily Demands, Peter Gordon speaks with Adria Gross, CEO and Founder of MedWise Insurance Advocacy and MedWise Billing, Inc. A New York State Licensed Insurance Broker and Consultant with over 25 years of experience in the medical claims and health insurance industry, Adria helps patients fight denied claims, reduce overcharged and out-of-network bills, and navigate the maze of Medicare, pre-authorizations, and long-term care coverage. Tune in to the episode to hear about:   * How Adria turned an early illness involving encephalitis, epilepsy, and eventually a left temporal lobectomy that left her seizure-free, into a career advocating for patients  * What can you actually do when a claim is denied, a bill comes back out-of-network or overcharged, or pre-authorization is blocked?  * Why her years processing and denying claims at Blue Cross Blue Shield and American National   * Rehab/nursing home coverage basics under traditional Medicare  * Real life examples of bill reduction work, including cutting a Medicare recovery demand from $108,000 to $22,000 and a current case seeking to reduce $309,000 to about $40,000  * Why does the "three midnights as an inpatient" rule decide whether Medicare covers your rehab, and how does outpatient observation quietly cost people that coverage? Learn more about Adria Gross:  * Check out Adria’s books, “Solved! Curing Your Medical Insurance Problems,” “Apparently DIFFERENT: The Struggle for Understanding, Acceptance, and Compassion,” and “Multi-Payer Medicine Nightmare Made in the USA”: https://adriagross.com/books-published [https://adriagross.com/books-published]  * Become a medical insurance advocate: https://medwisetraining.com [https://medwisetraining.com]  * Visit MedWise Insurance Advocacy’s website: https://www.medicalinsuranceadvocacy.com/about-us [https://www.medicalinsuranceadvocacy.com/about-us]  * Email Adria: adria@adriagross.com [adria@adriagross.com]  * Connect with Adria on LinkedIn: https://www.linkedin.com/in/adriagross [https://www.linkedin.com/in/adriagross]  * Subscribe to Adria’s YouTube channel: https://www.youtube.com/@adriagross1658 [https://www.youtube.com/@adriagross1658]  * Follow MedWise Insurance Advocacy on Facebook: https://www.facebook.com/MedWiseInsuranceAdvocacy [https://www.facebook.com/MedWiseInsuranceAdvocacy]  * Follow MedWise Insurance Advocacy on Instagram: https://www.instagram.com/medwise_insurance_advocacy [https://www.instagram.com/medwise_insurance_advocacy] *********************************** Peter Gordon, Founder and President of New York Financial Organizers, is a Daily Money Manager. New York Financial Organizers helps people handle their bills, insurance claims, and all the other non-investment aspects of their finances. In each episode of Organizing Life's Daily Demands, Peter interviews people he trusts, values, and often works with, who have a general interest in geriatric services or anything that's applicable to organizing life's daily demands. Subscribe to the Organizing Life's Daily Demands podcast: https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990 [https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990] Connect with Peter on LinkedIn: https://www.linkedin.com/in/psgordon [https://www.linkedin.com/in/psgordon] Learn more about New York Financial Organizers: https://nyfo.nyc [https://nyfo.nyc]

The Move Manager You Didn't Know You Needed with Janine Sarna-Jones

Organizing Life's Daily Demands with Peter Gordon, Episode 68 In this episode of Organizing Life's Daily Demands, Peter Gordon speaks with Janine Sarna-Jones, CEO and Founder of Organize Me Inc., celebrating 25 years of helping people navigate major life transitions. Tune in to the episode to hear about: * How did a chaotic museum photo department accidentally launch a 25-year organizing career? * What's the one thing most people get completely wrong when planning a move? * Why does that $10,000 piece of furniture you're holding onto probably fetch far less than you think? * What does "treasure hunting" have to do with helping seniors downsize, and how does it change everything? * How do professional organizers help families navigate the emotional and logistical chaos of life's biggest transitions? Learn more about Janine Sarna-Jones:  * Connect with Janine on LinkedIn: https://www.linkedin.com/in/jsarnajones/ [https://www.linkedin.com/in/jsarnajones/]  * Follow Janine on Facebook: https://www.facebook.com/OrganizeMeInc/ [https://www.facebook.com/OrganizeMeInc/]  * Visit Organize Me website: https://organizeme-inc.com [https://organizeme-inc.com]   * Follow Organize Me on Instagram: https://www.instagram.com/organizemeinc [https://www.instagram.com/organizemeinc] *********************************** Peter Gordon, Founder and President of New York Financial Organizers, is a Daily Money Manager. New York Financial Organizers helps people handle their bills, insurance claims, and all the other non-investment aspects of their finances. In each episode of Organizing Life's Daily Demands, Peter interviews people he trusts, values, and often works with, who have a general interest in geriatric services or anything that's applicable to organizing life's daily demands. Subscribe to the Organizing Life's Daily Demands podcast: https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990 [https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990] Connect with Peter on LinkedIn: https://www.linkedin.com/in/psgordon [https://www.linkedin.com/in/psgordon] Learn more about New York Financial Organizers: https://nyfo.nyc [https://nyfo.nyc]

Smart Dental Care for New Yorkers with Dr. Robert Rawdin

Organizing Life's Daily Demands with Peter Gordon, Episode 67 In this episode of Organizing Life’s Daily Demands, Peter Gordon speaks with Dr. Robert Rawdin, Board Certified Prosthodontist at CitySpireDental in New York City. With more than four decades of experience in cosmetic, implant, and restorative dentistry, Dr. Rawdin specializes in resolving complex, lifelong dental problems through advanced prosthodontic care. As one of the few board-certified prosthodontists in the country, he combines clinical expertise with cutting-edge digital technology to deliver highly personalized, efficient treatment for patients with complex dental and health needs. From same-day ceramic restorations to full-mouth rehabilitations, Dr. Rawdin has built a patient-centered practice focused on precision, innovation, and long-term care. As partner at CitySpireDental, he continues to lead a modern multidisciplinary practice dedicated to helping busy New Yorkers restore not only their smiles, but their overall confidence and quality of life. Tune in to the episode to hear about:  * How Dr. Rawdin’s interests in science, hands-on craftsmanship, and helping people naturally led him into dentistry, a profession he still enjoys more than 40 years later  * The evolution of CitySpireDental into a modern Midtown Manhattan group practice featuring two fathers, two daughters, an associate dentist, and an on-site laboratory  * How advanced digital dentistry allows the practice to create same-day crowns and restorations in-office, often eliminating temporary crowns and multiple visits  * Dr. Rawdin clarifying the reality behind “teeth in a day” implant procedures, explaining the planning, healing, and temporary restoration process involved  * The importance of continuing education, prosthodontic specialty training, and staying current with rapidly evolving dental technology  * How Dr. Rawdin’s practice prioritizes patient-centered care through extended office hours, efficient scheduling, and a culture focused on comfort and empathy Learn more about Dr. Robert Rawdin:  * Connect with Dr. Rawdin on LinkedIn: https://www.linkedin.com/in/robertrawdindds [https://www.linkedin.com/in/robertrawdindds/]  * Email Dr. Rawdin: dr.r@cityspiredental.com [dr.r@cityspiredental.com]  * Visit CitySpireDental’s website: https://cityspiredental.com [https://cityspiredental.com/]  * Follow CitySpireDental on Facebook: https://www.facebook.com/Gallery57Dental [https://www.facebook.com/Gallery57Dental/]  * Call CitySpireDental: 212-246-8700*********************************** Peter Gordon, Founder and President of New York Financial Organizers, is a Daily Money Manager. New York Financial Organizers helps people handle their bills, insurance claims, and all the other non-investment aspects of their finances. In each episode of Organizing Life's Daily Demands, Peter interviews people he trusts, values, and often works with, who have a general interest in geriatric services or anything that's applicable to organizing life's daily demands. Subscribe to the Organizing Life's Daily Demands podcast: https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990 [https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990] Connect with Peter on LinkedIn: https://www.linkedin.com/in/psgordon [https://www.linkedin.com/in/psgordon] Learn more about New York Financial Organizers: https://nyfo.nyc [https://nyfo.nyc]

Making Smarter Real Estate Decisions with Brian Dusseau

Organizing Life's Daily Demands with Peter Gordon, Episode 66 In this episode of Organizing Life's Daily Demands, Peter Gordon speaks with Brian Dusseau, a Licensed Real Estate Salesperson at Compass. Brian is a skilled negotiator with a knack for spotting trends and value. Brian saw the potential of Long Island City real estate back in the late 90’s and purchased there in 1996. Active in the city market since 2002, Brian has consistently exceeded his clients’ expectations – whether buying, selling, investing, or leasing – by combining his market knowledge and expertise with VIP-level customer service. Brian has lived and worked in Manhattan and LIC for over 20 years. Having owned several apartments and a home in Orange County, NY, he understands the diverse marketplace and has a keen eye for value. Tune in to the episode to hear about: * Brian’s path into real estate after the 2000 crash, including founding Click Radio, an early digital music database that invented thumbs up/down and skip features * Early career in real estate, showing over 1,000 rental units in 2002 while unknowingly working on a fractured foot * Queens’ appeal: relative affordability, central access to Manhattan/Brooklyn/Long Island, a more relaxed feel, and exceptional diversity * Brian notes market misunderstandings center on local nuances: some areas (e.g., Wall Street, Murray Hill) may offer bargains, while others face low inventory or bidding wars * The value of a professional who listens first, builds trust, and advises clients when to pursue deals, pay above ask, or wait * Brian gives examples of “private exclusives” to test pricing and build demand, including a Sunnyside co-op that drew five offers and sold $100K over ask Learn more about Brian Dusseau: * Connect with Brian on LinkedIn: https://www.linkedin.com/in/brian-dusseau-7674476/ [https://www.linkedin.com/in/brian-dusseau-7674476/] * Follow Brian on Instagram: https://www.instagram.com/my_nyc_broker/ [https://www.instagram.com/my_nyc_broker/] * Know more about Brian and his listings: https://www.compass.com/agents/brian-dusseau/ [https://www.compass.com/agents/brian-dusseau/] * Email Brian: brian.dusseau@compass.com [brian.dusseau@compass.com] * Call Brian: 917-596-3139 *********************************** Peter Gordon, Founder and President of New York Financial Organizers, is a Daily Money Manager. New York Financial Organizers helps people handle their bills, insurance claims, and all the other non-investment aspects of their finances. In each episode of Organizing Life's Daily Demands, Peter interviews people he trusts, values, and often works with, who have a general interest in geriatric services or anything that's applicable to organizing life's daily demands. Subscribe to the Organizing Life's Daily Demands podcast: https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990 [https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990] Connect with Peter on LinkedIn: https://www.linkedin.com/in/psgordon [https://www.linkedin.com/in/psgordon] Learn more about New York Financial Organizers: https://nyfo.nyc [https://nyfo.nyc]

Choosing the Right Senior Living Path with David Stamberg

Organizing Life's Daily Demands with Peter Gordon, Episode 65 In this episode of Organizing Life's Daily Demands, Peter Gordon speaks with David Stamberg, Certified Placement and Referral specialist with Senior Care Authority of Northern and Central New Jersey. Senior Care Authority is an advocate for Elder Care. They offer no-cost placement services and will guide you through finding care options based on your loved one's needs. They also offer family coaching, Alzheimer's and Dementia placement services, stay-at-home care plans, and long-distance visitations. Tune in to the episode to hear about:  * How David Stamberg is helping families navigate senior living at Senior Care Authority  * David sharing his career change from wholesale footwear to elder care, opening his practice in January 2021   * How Senior Care Authority offers no-fee placement assistance model, touring and advocating with families while being paid by communities via referral fees, and how they assess needs, budgets, location, and lifestyle to shortlist options   * Outlines about independent living, assisted living, and memory care, including dementia-related supervision and safety  * David explains New Jersey Medicaid rules (10% Medicaid capacity and typical two-year private pay expectation), common family mistakes, and predatory lead sitesLearn more about David Stamberg:  * Visit Senior Care Authority’s - NJ website: www.seniorcareauthority.com/newjersey [http://www.seniorcareauthority.com/newjersey]  * Call Senior Care Authority - NJ: ( 201) 564-7997  * Connect with David on LinkedIn: https://www.linkedin.com/in/davidstamberg/ [https://www.linkedin.com/in/davidstamberg/]   * Email David: davids@seniorcareauthority.com [davids@seniorcareauthority.com]  * Follow Senior Care Authority - NJ on Facebook: https://www.facebook.com/SeniorCareNJOrangeRocklandNY [https://www.facebook.com/SeniorCareNJOrangeRocklandNY] *********************************** Peter Gordon, Founder and President of New York Financial Organizers, is a Daily Money Manager. New York Financial Organizers helps people handle their bills, insurance claims, and all the other non-investment aspects of their finances. In each episode of Organizing Life's Daily Demands, Peter interviews people he trusts, values, and often works with, who have a general interest in geriatric services or anything that's applicable to organizing life's daily demands. Subscribe to the Organizing Life's Daily Demands podcast: https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990 [https://podcasts.apple.com/us/podcast/organizing-lifes-daily-demands/id1634421990] Connect with Peter on LinkedIn: https://www.linkedin.com/in/psgordon [https://www.linkedin.com/in/psgordon] Learn more about New York Financial Organizers: https://nyfo.nyc [https://nyfo.nyc]