Jennifer I would love to talk to you. I am working with a patient who lives in a rural area. He is on long term care Medicaid in the State of FL. The managed care provider has no providers (Home Care Companies) who will accept Medicaid so the patient cannot get the services. I have ask for a single case agreement to use a Medicare or commercial…[Read more]

Congrats on the win for your client!

Good morning!

I just want to keep everyone posted on this topic, since this is a common scenario with out-of-network specialist. I assisted this client with going through the appeal process to get Blue Cross Blue Shield (BCBS) to pay in-network rates, and after going through many hoops, it was successful! While working through this process,…[Read more]

Hi Janet! Thanks for sharing- this is very helpful!

Sincerely,

Jennifer Kastner, CPC, CPMA, CEMC
Owner of Patient Advocacy Solutions LLC
jkastner@patientadvocacysolutionsllc.com
http://www.patientadvocacysolutionsllc.com
1-706-200-8525

Thanks for sharing this Christie! Here’s the link to the STAT article for anyone interested!

Thank you for sharing this Christie….do you happen to have the link to the report?

Thank you everyone for replying to my post. I have certainly learned a lot more about the “transplant” process and am very grateful that APHA has these two links:
General Conversation and +ADL Forum: Directory Listed APHA Members Only

Any suggestions in the future to post one either one or both of the links?

Thank you Bayla and Karen as well as the other Patient Advocates who reached out to me.
Very grateful for EVERYONE’s time.

Don’t wait on any transplant team, as nationwide there are more organ transplant candidates than there are available organs. Each insurance policy has its own network of transplant providers. As soon as you identify the AZ insurance, I suggest reviewing and understanding that policy’s organ transplant in-network providers. Identify a few, as it…[Read more]

Hi Cathy,
I am going to send you a PM 🙂

Bridget Jablonski
Vital Link Healthcare Advocates

This video from SHIP is also a good resource:

Hey Cathy,

If you’ve never accessed the AZ Pt Advocate Assoc—this is a great chance to get to know them! (They also have great webinars—so if anyone wants to get on their mailing list–really interesting info!)

https://www.arizonaapa.org/

Hi Sylvia,
Elise is one of the extremely lucky individuals who reached 10-year survival after Stage 4 disease!
PanCan is a wonderful resource, one I recommend to all my pancreatic cancer patients. If only everyone with this dreadful disease can surmount it.

Thanks for the link.

Hi Cathy, from my experience, the transplant case managers at the insurance company I worked for was very involved in all the logistics in this kind of situation. Assuming the care team supports the move, her transplant case manager should be researching and planning all that is required. Lots of moving parts….

Glad they have you to support them 🙂

For future referance:
These are the steps I would go through initially.
Find out if the client is listed in their state… How complicated is moving from a medical standpoint.
Ask care team their opinion on relocating
If they feel it is safe for the client to move ask them to contact the transplant centers in the destination city/state to see if…[Read more]

I forgot to mention that I connected with a TEN year survivor of stage 4 pancreatic cancer last week on Linked In. Elise lives in the Atlanta area and was dx in her 30’s!

She is a volunteer for PanCan (Media Relations) and has been interviewed frequently.

She may be a great resource to network with for anyone working with a PC patient and…[Read more]