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How to File an Appeal When Your Insurance Company Refuses to Pay

Posted on June 11, 2017 by Nicole Rochester, MDAugust 19, 2017

A couple of years ago I saw a rheumatologist for a problem that developed in my fingers. After obtaining my history and performing a thorough physical examination, the specialist ordered 32 blood tests in an attempt to determine the cause … Continue reading →

Posted in Health Insurance | Tagged advocate, appeal, billing, doctor, health care, healthcare, HMO, hospital, insurance, medical, patient, physician | 3 Replies

How and When to Get a Second Opinion

Posted on May 28, 2017 by Nicole Rochester, MDOctober 23, 2017

I’ve always been the kind of doctor who enjoys engaging in dialogue with patients and families. I encourage them to ask questions about their health and about the recommendations I provide. A thoughtful question will occasionally prompt me to do … Continue reading →

Posted in At the Doctor's Office, Medical Conditions | Tagged advocate, care coordination, doctor, health care, healthcare, HMO, insurance, patient, physician, PPO | 2 Replies

Are You Suffering from Caregiver Burnout?

Posted on May 14, 2017 by Nicole Rochester, MDMay 14, 2017

I had a difficult time helping to care for my father, primarily because it represented one more ball thrown in the air for me to juggle during a time when I was struggling to achieve balance in my own life. … Continue reading →

Posted in Aging, Burnout, Caregiving | Tagged aging, burnout, caregiver, caregiver burnout | Leave a reply

How to Spot the Errors in Your Hospital Bill

Posted on May 7, 2017 by Nicole Rochester, MDSeptember 17, 2018

I had surgery in May 2016. Within 60 days I received and paid bills for the services provided by the four physicians involved in my care– the Emergency Room physician, the radiologist, the anesthesiologist, and the surgeon. 8 months after … Continue reading →

Posted in Health Insurance, In the Hospital, Medical bills | Tagged billing, deductible, health care, healthcare, hospital, insurance | 2 Replies

5 Signs It May Be Time to Dump Your Doctor

Posted on April 30, 2017 by Nicole Rochester, MDMay 21, 2017

The doctor-patient relationship can be challenging. Today’s health care system does not facilitate the development of a meaningful connection; in fact, it tends to impair this crucial relationship. Solo practitioners, 30-minute appointments, and house calls are mostly fond memories from … Continue reading →

Posted in At the Doctor's Office | Tagged doctor, health care, healthcare, patient, physician, primary care | Leave a reply

Choosing an Assisted Living Facility: Valuable Advice for Caregivers

Posted on April 15, 2017 by Nicole Rochester, MDSeptember 11, 2018

We all want our parents to live as long as possible, but seeing them deteriorate can be heartbreaking. I didn’t have the benefit of watching my mother age, as she passed away at the age of 49 from complications of … Continue reading →

Posted in Aging, Caregiving, Long term care | Tagged aging, care coordination, caregiver, long term care, nursing home | 11 Replies

How to Pay For Nursing Home Care- What Most Learn When it is Too Late

Posted on April 2, 2017 by Nicole Rochester, MDApril 6, 2017

My father had two nursing home stays. I remember sitting with my sisters as we met with the first facility’s director. She discussed what would happen if our dad required an extended stay and how he would be personally responsible … Continue reading →

Posted in Aging, Caregiving, Long term care | Tagged aging, caregiver, health care, healthcare, insurance, long term care, nursing home | 6 Replies

5 Things You MUST Consider When Choosing a Nursing Home

Posted on March 19, 2017 by Nicole Rochester, MDJanuary 27, 2019

The first time my father had to go to a nursing home, my sisters and I were incredibly nervous about choosing a facility for him. The hospital’s case manager provided a list of nursing homes in the area and we … Continue reading →

Posted in Long term care | Tagged aging, caregiver, health care, healthcare, long term care, nursing home, patient | Leave a reply

Five Ways to Get Your Doctor to Listen to You

Posted on March 5, 2017 by Nicole Rochester, MDApril 6, 2017

During one of my dad’s more frustrating hospitalizations my sisters and I were having a very difficult time communicating with the doctors. We provided them with numerous examples of his confusion and disorganized thoughts. We had significant concerns about his … Continue reading →

Posted in At the Doctor's Office, In the Hospital | Tagged communication, doctor, health care, healthcare, hospital, medical, patient, physician, primary care | Leave a reply

Managing the Guilt of Caregiving

Posted on February 26, 2017 by Nicole Rochester, MDApril 6, 2017

My mother was diagnosed with leukemia in 1993. She died from complications in June of 1995. I was a new wife, a new mother, and a second-year medical student. Needless to say, the one commodity I did not have in … Continue reading →

Posted in Caregiving | Tagged caregiver, health care | Leave a reply

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