Welcome Karen!
I just sent a LinkedIN connection request and look forward to getting to know you better!

I can contact the reporter as well. I worked with UM at UHC for some time….if it’s not a covered benefit, the plan can decide to add it and if they have stop loss coverage then they may be willing to do that. I can make some suggestions if this person is interested.

Bonnie, we are living in some interesting times! Good thing we advocates are all about “going with the flow” to get patients what they need when they need it, right???

Thanks so much for sharing!

Good afternoon,

My name is Sylvia Hinds-Wynter and I am super excited about the opportunity to start my own Advocacy Business. I look forward to learning and growing. I completed my Master’s degree in Health Advocacy. After working in hospitals in different roles, I am finally happy to be starting my own business and can’t wait to join the…[Read more]

Welcome! And congrats on taking these steps in your next career chapter. We are happy to be part of your journey and here to support you! –Deb

As an advocate who has used the press to help move the needle on cases, I appreciate the interest in this story. At the same time, there are red flags that we have to be aware of.

In my experience while a peer to peer review can be helpful when there is some clinical detail that was missed when a less sophisticated reviewer handled the claim, 7…[Read more]

Thanks! I have passed as well and thrilled to have the patient advocate certification to add to my MSW, LSW! Congrats to all!

Hello everyone, I am excited to be here with all of you! I just started my patient advocacy business in March after quitting my corporate job and did some soul searching on what I wanted to be when I grew up at the age of 56 🙂

I am thrilled with my decision to start KTS Advocacy…..”Expert guidance, Walking in your shoes with you”. I am a…[Read more]

Good morning!

I’m happy to help! I’ll reach out to them right now and will keep you all posted!

Thanks for thinking of me Sylvia!

Sincerely,

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

I’m not sure they’re unaware…
Linda

My two cents … The first thing to try is a peer to peer conversation about this device and why it is needed. The problem is that there may not be a qualified peer working for the insurance company. The article mentioned that he has passed out after going to the bathroom. The first question that hopefully has been addressed is why. Does his…[Read more]

I left Jennifer a voice mail message.

I saw that story yesterday and felt heart broken for this man.
Anthem is notorious for their denials.
I wonder if Jennifer Castner in north Georgia might be able to help.
She is an expert on billing and appeals!

Mechelle,

I have a long-standing client with GBS (a neurological condition) who is moving to Wisconsin and I completed all the paperwork at Mayo for her to be seen there. What they told us was not a denial, but a waitlist.

Maybe in a world of high demand, insurance, severity of condition, and medical record notes that could be perceived as…[Read more]

Thank you so much for sharing this story. Wow! It’s amazingly frustrating on behalf of the patient and family. I have a colleague who’s been working on an advocacy (e.g., policy advocacy) effort to improve access to care for Sickle Cell patients. We talked about potentially collaborating if we had advocates who could speak to the impact/issues and…[Read more]