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gaylebyck replied to the topic Fighting Health Insurance Denial Successfully in the forum General Conversation 3 years, 6 months ago
I had two success stories yesterday!
1. A client came to me after his insurer denied a pre-service authorization for an expensive procedure. The insurer denied it after the peer-to-peer review as well. We submitted a second-level appeal. Included letters from doctors, summarized the research, demonstrated medical necessity. The appeal was…[Read more]
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Rachel Vaughters, BCPA changed their profile picture 3 years, 6 months ago
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APHA Member Services replied to the topic Startup Expenses-Taking a Poll in the forum General Conversation 3 years, 6 months ago
Neely – APHA offers Premium members a sample contract, but it is watermarked to be sure you take it to a local attorney for review. Laws vary state-to-state – and they change – so it’s important to have your attorney review it.
https://myapha.org/premium-forms-contracts/
If you need an attorney, we suggest you connect with your local SBA or SBDC…[Read more]
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Chris replied to the topic Advocating: A Lifelong Habit in the forum General Conversation 3 years, 6 months ago
Congratulations on your retirement, Karen! I thank you for your transparency, applaud you for a business well done, and admire your energy and capacity!
Best wishes as you write you next chapter – figuratively AND literally.Chris
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Marc S Berlin, BCPA replied to the topic Merry Merry to those who celebrate Christmas! in the forum General Conversation 3 years, 6 months ago
To one and all,
A Healthy, Happy & Prosperous 2022.
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Marc S Berlin, BCPA replied to the topic Advocating: A Lifelong Habit in the forum General Conversation 3 years, 6 months ago
Karen,
Thank you For Sharing,
Last Year i started charging @ $75.00 an hour but in a few month after I decided to raise my rate.Good luck in your next chapter.
Marc B
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Neely Cotten replied to the topic Startup Expenses-Taking a Poll in the forum General Conversation 3 years, 6 months ago
I recently started Compass Health Resources LLC in Nashville. I am wondering how everyone went about obtaining personalized contracts? Has anyone done this without hiring an attorney?
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Neely Cotten replied to the topic Question for those licensed : Acute Care NP to open private business in the forum General Conversation 3 years, 6 months ago
Mechelle,
Reaching back out! I have recently launched my business – Compass Health Resources, LLC – in Nashville. Still working my palliative care NP job, and so far it’s all working itself out.
My question for you is about insurance. I’m having a hard time getting a broker to understand that I will not be practicing medicine and don’t need that…[Read more] -
Neely Cotten's profile was updated 3 years, 6 months ago
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Neely Cotten changed their profile picture 3 years, 6 months ago
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Neely Cotten replied to the topic E & O Insurance in the forum General Conversation 3 years, 6 months ago
Wonderful thread. I officially launched Compass Health Resources, LLC in October ’21, and finding the right insurances has been a nightmare. I’m a local nurse practitioner and getting someone (anyone?) to understand that I will not be treating patients has been very challenging. Thank you all for your conversation – I will be following along as I…[Read more]
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AnnMarie McIlwain replied to the topic Advocating: A Lifelong Habit in the forum General Conversation 3 years, 6 months ago
Karen,
I couldn’t have done it without you. Six glorious years and a forever friendship to boot.
Thank you so much for all those client achievements and your humor along the way to ease their anxiety.
See you on the beach.
XOXO
AnnMarie
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Ashley Abuel, BSN, RN, BCPA replied to the topic Advocating: A Lifelong Habit in the forum General Conversation 3 years, 6 months ago
Congratulations, Karen! You’ve left such a wonderful legacy as an advocate! I wish you all the best as you step into the next chapter.
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annellewellyn replied to the topic Advocating: A Lifelong Habit in the forum General Conversation 3 years, 6 months ago
Congratulations Karen….enjoy retirement, but as you say, those who know you—know you will not stay idle! So glad I had a chance to meet you and learn from your writings and talking to you directly. Keep in touch!
Anne Llewellyn
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Kazadvocate started the topic Advocating: A Lifelong Habit in the forum General Conversation 3 years, 6 months ago
Retirement alert! I started my Kazadvocate business on New Year’s Day 6 years ago and officially closed it New Year’s Eve. Anyone who knows me will confirm I’m not going to be sedate – I’m just shifting gears. It’s been a fantastic chapter. I want to share some stats, especially for newer advocates who are wondering if this path makes sense. It d…[Read more]
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APHA Member Services replied to the topic Fighting Health Insurance Denial Successfully in the forum General Conversation 3 years, 6 months ago
Harley – please give our congratulations to Boyd.
I’d love to hear about success stories from other members, too…. toot your own horn!
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Harley Schultz started the topic Fighting Health Insurance Denial Successfully in the forum General Conversation 3 years, 6 months ago
PERSISTENCE PAYS: SUCCESSFUL REVERSAL OF HEALTH INSURANCE PAYOR DENIAL
Congratulations to our colleague Boyd, who successfully appealed and won a dispute with a health insurer about payment for an ambulance bill.
It has taken time, effort, research and multiple escalations before ultimate success.
Boyd is not someone who takes no for an answer.…[Read more] -
Nicole Broadhurst replied to the topic Introduce Yourself! in the forum General Conversation 3 years, 6 months ago
Hi Zacquia!
We are neighbors!!! I sent you a DM and would love to connect! Feel free to email me directly!I look forward to working with you!
Nicole -
APHA Member Services replied to the topic Introduce Yourself! in the forum General Conversation 3 years, 6 months ago
Welcome Zacquia!
Take a look at a few things:
Free: https://myapha.org/resources/gifts/ Included is a Guide to Getting Started as a Private Health or Patient Advocate
PracticeUP! Online courses – many you get for free or at a discount: https://myapha.org/practiceup-pace/
APHA Academy: starts in January! https://APHAdvocates.org/Academy
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Zacquia McKinley replied to the topic Introduce Yourself! in the forum General Conversation 3 years, 6 months ago
Greetings everyone!!! I am new here! I live in Nashville, TN. I have a MHA and I am eager to learn more about getting my new venture as a patient advocate underway. I welcome all of the advice and tools. I hope everyone had a great Christmas for those who celebrate and Happy New Year!!! Great things for 2022!!!
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