Hi Stacy,

Dena here chiming in on this thread. You can find insurance providers, brokers and carriers here on this APHA page: https://myapha.org/centers/insurance-for-your-practice/providers/.

I don’t think that it’s unusual to receive a notification of a potential increase in deductibles, premiums or a change of terms. I think you are doing the…[Read more]

I am sorry to hear that this patient suffered because their paperwork no longer reflected their wishes. This case is a good reminder that everyone needs to review their advance directive periodically to be sure it reflects their current choices of agent and care. I suggest patient advocates consider adding that take to their client…[Read more]

You’re correct, you have no legal authority. The DPOA has that. It’s really unfortunate that the client didn’t talk w/ their DPOA regarding their change in priorities. All you could do was share w/ the DPOA (assuming you had the client’s written permission to do so) the details of your conversation. Then it was up to them. This reinforces the…[Read more]

This is great! As someone who has performed >2k prior authorizations for pharm and med procedures I have a lot of content to share 🙂

It’s a tough situation because the person who is on the other line is only “doing their job” so I try to be as polite as possible and lean on the “we win together” approach.

Thanks for sharing!

Michael…[Read more]

Thank you Nancy – I will check out Google workspace.

Client was end stage cancer and started in hospital, still cognizant and making decisions for themselves. They had a medical POA in place. I was called in to help navigate the medical aspects of care. Communication between myself and client was limited as I live in another state, but there were people to mediate.

After 4 weeks and near the end,…[Read more]

Hi. I don’t know if you’ve found a solution yet but I use Google Workspace and there is an option to include HIPAA compliancy and the emails are encrypted.
Let me know if you have questions.

I just wanted to say thank you so much for your comment and advice. I passed much of it along and the client has reached out to NAMI. Cheers!

Unfortunately, I do not believe it is.

Do you know if this is pre-approved for BCPA CE?

Thank you so much for your assistance. They were well aware upon admission that he wouldn’t be able to meet the 3hr rule so, I believe he was on a transitional care unit. The facility is truly impressive, offering a range of different care levels including Long-Term Acute Care (LTAC), Acute Rehab, Transitional Care Units, SNF’s, and outpatient…[Read more]

There are always a lot of variables in each case and you don’t include specific info in your comment, but generally, if the person spent the night in the hospital or IRF (inpatient rehabilitation facility, aka acute rehab), it counts as a day whether or not they participated in rehab. (IRFs are covered by Medicare like hospital stays.) In fact, if…[Read more]

I would love to weigh in on this often-misunderstood topic and hear other people’s experiences, but can you first clarify something? Where is he currently receiving PT and who is making the decision to send him to a SNF?