Take it to Court: Patient Advocacy at the Administrative Law Judge Level

Take it to Court: Patient Advocacy at the Administrative Law Judge Level

Topic Description : Home and alternate site infusion providers must be prepared to advocate for patient care provided under the Medicare Part B infusion benefit. Shockingly, most providers abandon appeals after an unfavorable Medicare reconsideration. Learn the steps involved in elevating an appeal to an Administrative Law Judge. This session will provide tips to protect infusion pharmacy revenue and to offer continued care to patients.
Topic Description : Home and alternate site infusion providers must be prepared to advocate for patient care provided under the Medicare Part B infusion benefit. Shockingly, most providers abandon appeals after an unfavorable Medicare reconsideration. Learn the steps involved in elevating an appeal to an Administrative Law Judge. This session will provide tips to protect infusion pharmacy revenue and to offer continued care to patients.

Learning Objectives

  • List ways to prevent unfavorable decisions through proactive chart review.
  • Describe the navigation process of redetermination and reconsideration to limit case escalation.
  • Professionally represent a patient and infusion provider in an administrative law judge hearing.
  • Speaker(s)

    Sarah Mickowski BSN, RN, CRNI
    Clinical Director of Infusion Quality
    Ascension at Home Infusion Pharmacy

    Speaker

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