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Consulting assistance on medical bills as a medical deduction?

 

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Subject Author Date
Consulting assistance on medical bills as a medical deduction? AES 10-06-2007
Posted by AES on October 6, 2007, 10:27 pm
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I recently attended an Emeriti Council meeting at my
university at which numerous emeritus faculty members (most
of them still totally savvy intellectually, some of them MDs
themselves) recounted horror story after horror story of
confusing, confused, grossly incorrect, invalid,
uninterpretable, or totally unjustified billings for medical
care; correspondingly incorrect or incompetent processing of
and decisions about these bills by private and government
insurance payors and benefits plans; and almost total
inability to get useful assistance in dealing with these
organizations -- in short, all the other usual consequences
of dealing with the U.S. health care system.

A senior human resources/staff benefits professional from
our university participating in the meeting noted that the
error rate for medical billings is commonly estimated to be
in the range of 30% of all transactions involved.

I just signed a $495 check for services provided over the
past few months by a professional accountant whose primary
role is as a specialist and consulting in sorting out these
problems. When we first approached her for help, she said
in essence "Just bring in the whole proverbial 'shoebox'
full of confusing and uninterpretable documents resulting
from your wife's recent two-year-long medical adventure [it
was really more like a banker's box than a shoebox in our
case]; don't bother trying to sort anything out; I'll do
that, tell you what bills you still have to pay, file the
claims for those you don't, and do the paperwork to recover
the payments you shouldn't have made." She did so, and has
been more than worth her services.

I'm planning on deducting her fee as a *medical* expense --
right?

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<< that may be imposed upon the taxpayer. >>
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Posted by Harlan Lunsford on October 7, 2007, 7:01 pm
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AES wrote:

> I recently attended an Emeriti Council meeting at my
> university at which numerous emeritus faculty members (most
> of them still totally savvy intellectually, some of them MDs
> themselves) recounted horror story after horror story of
> confusing, confused, grossly incorrect, invalid,
> uninterpretable, or totally unjustified billings for medical
> care; correspondingly incorrect or incompetent processing of
> and decisions about these bills by private and government
> insurance payors and benefits plans; and almost total
> inability to get useful assistance in dealing with these
> organizations -- in short, all the other usual consequences
> of dealing with the U.S. health care system.
>
> A senior human resources/staff benefits professional from
> our university participating in the meeting noted that the
> error rate for medical billings is commonly estimated to be
> in the range of 30% of all transactions involved.
>
> I just signed a $495 check for services provided over the
> past few months by a professional accountant whose primary
> role is as a specialist and consulting in sorting out these
> problems. When we first approached her for help, she said
> in essence "Just bring in the whole proverbial 'shoebox'
> full of confusing and uninterpretable documents resulting
> from your wife's recent two-year-long medical adventure [it
> was really more like a banker's box than a shoebox in our
> case]; don't bother trying to sort anything out; I'll do
> that, tell you what bills you still have to pay, file the
> claims for those you don't, and do the paperwork to recover
> the payments you shouldn't have made." She did so, and has
> been more than worth her services.
>
> I'm planning on deducting her fee as a *medical* expense --
> right?

I don't think so. See IRS publication 502, somewhere about
page 9, under legal fees. In short, these are not medical
expenses.

ChEAr$,
Harlan Lunsford, EA n LA

<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by Paul Thomas on October 7, 2007, 7:01 pm
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> I recently attended an Emeriti Council meeting at my
> university at which numerous emeritus faculty members (most
> of them still totally savvy intellectually, some of them MDs
> themselves) recounted horror story after horror story of
> confusing, confused, grossly incorrect, invalid,
> uninterpretable, or totally unjustified billings for medical
> care; correspondingly incorrect or incompetent processing of
> and decisions about these bills by private and government
> insurance payors and benefits plans; and almost total
> inability to get useful assistance in dealing with these
> organizations -- in short, all the other usual consequences
> of dealing with the U.S. health care system.
>
> A senior human resources/staff benefits professional from
> our university participating in the meeting noted that the
> error rate for medical billings is commonly estimated to be
> in the range of 30% of all transactions involved.
>
> I just signed a $495 check for services provided over the
> past few months by a professional accountant whose primary
> role is as a specialist and consulting in sorting out these
> problems. When we first approached her for help, she said
> in essence "Just bring in the whole proverbial 'shoebox'
> full of confusing and uninterpretable documents resulting
> from your wife's recent two-year-long medical adventure [it
> was really more like a banker's box than a shoebox in our
> case]; don't bother trying to sort anything out; I'll do
> that, tell you what bills you still have to pay, file the
> claims for those you don't, and do the paperwork to recover
> the payments you shouldn't have made." She did so, and has
> been more than worth her services.
>
> I'm planning on deducting her fee as a *medical* expense --
> right?

If that's your plan.......

But I see it as a personal accounting expense, not a payment
for a qualified medical service or product.

--
Paul A. Thomas, CPA
Athens, Georgia

<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by San Diego CPA on October 14, 2007, 10:11 pm
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> I recently attended an Emeriti Council meeting at my
> university at which numerous emeritus faculty members (most
> of them still totally savvy intellectually, some of them MDs
> themselves) recounted horror story after horror story of
> confusing, confused, grossly incorrect, invalid,
> uninterpretable, or totally unjustified billings for medical
> care; correspondingly incorrect or incompetent processing of
> and decisions about these bills by private and government
> insurance payors and benefits plans; and almost total
> inability to get useful assistance in dealing with these
> organizations -- in short, all the other usual consequences
> of dealing with the U.S. health care system.
>
> A senior human resources/staff benefits professional from
> our university participating in the meeting noted that the
> error rate for medical billings is commonly estimated to be
> in the range of 30% of all transactions involved.
>
> I just signed a $495 check for services provided over the
> past few months by a professional accountant whose primary
> role is as a specialist and consulting in sorting out these
> problems. When we first approached her for help, she said
> in essence "Just bring in the whole proverbial 'shoebox'
> full of confusing and uninterpretable documents resulting
> from your wife's recent two-year-long medical adventure [it
> was really more like a banker's box than a shoebox in our
> case]; don't bother trying to sort anything out; I'll do
> that, tell you what bills you still have to pay, file the
> claims for those you don't, and do the paperwork to recover
> the payments you shouldn't have made." She did so, and has
> been more than worth her services.
>
> I'm planning on deducting her fee as a *medical* expense --
> right?

This expense is clearly not a medical expense, however, I
would agree with deducting as a Misc Itemized Deduction
subject to 2% of AGI. These expenses are clearly related to
preservation of income producing property (i.e., preserving
investable assets by preventing unnecessary overpayment of
medical expenses). Depending in level of income, expenses
in question, AMT issues and the like, the taxpayer will
probably get no real tax benefit, but I think this is the
most appropriate treatment.

<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by Harlan Lunsford on October 16, 2007, 1:19 am
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San Diego CPA wrote:

>> I recently attended an Emeriti Council meeting at my
>> university at which numerous emeritus faculty members (most
>> of them still totally savvy intellectually, some of them MDs
>> themselves) recounted horror story after horror story of
>> confusing, confused, grossly incorrect, invalid,
>> uninterpretable, or totally unjustified billings for medical
>> care; correspondingly incorrect or incompetent processing of
>> and decisions about these bills by private and government
>> insurance payors and benefits plans; and almost total
>> inability to get useful assistance in dealing with these
>> organizations -- in short, all the other usual consequences
>> of dealing with the U.S. health care system.
>>
>> A senior human resources/staff benefits professional from
>> our university participating in the meeting noted that the
>> error rate for medical billings is commonly estimated to be
>> in the range of 30% of all transactions involved.
>>
>> I just signed a $495 check for services provided over the
>> past few months by a professional accountant whose primary
>> role is as a specialist and consulting in sorting out these
>> problems. When we first approached her for help, she said
>> in essence "Just bring in the whole proverbial 'shoebox'
>> full of confusing and uninterpretable documents resulting
>> from your wife's recent two-year-long medical adventure [it
>> was really more like a banker's box than a shoebox in our
>> case]; don't bother trying to sort anything out; I'll do
>> that, tell you what bills you still have to pay, file the
>> claims for those you don't, and do the paperwork to recover
>> the payments you shouldn't have made." She did so, and has
>> been more than worth her services.
>>
>> I'm planning on deducting her fee as a *medical* expense --
>> right?

> This expense is clearly not a medical expense, however, I
> would agree with deducting as a Misc Itemized Deduction
> subject to 2% of AGI. These expenses are clearly related to
> preservation of income producing property (i.e., preserving
> investable assets by preventing unnecessary overpayment of
> medical expenses). Depending in level of income, expenses
> in question, AMT issues and the like, the taxpayer will
> probably get no real tax benefit, but I think this is the
> most appropriate treatment.

So you're saying that the "income producing property" is
the body of the taxpayer? Not even a judge in a court of
law would agree to such an extension of terms.

Why not a deduction for loss of utility as we become older,
then?

ChEAr$,
Harlan Lunsford, EA n LA

<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

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