Take it to Court: Patient Advocacy at the Administrative Law Judge Level
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.
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, IgCN Clinical Director of Infusion Quality Ascension at Home Infusion Pharmacy