Patient Advocacy: Assisting Patients in Getting the Appropriate Care
"After about a month of back and forth advocating, the insurance company paid for the treatment and the patient began to recover."
Sue Peck, PhD, GNP-BC, APNP, FAAO, APT, CHTP/I
Integrated Nurse Practitioner
Fellow American Academy of Ozone Therapy
I advocate for patients when they are denied insurance coverage, by sending letters to the carrier. Letters are written to reflect the money saved given the care delivery model used, while avoiding an ER visit and subsequent hospital stay.
In my experience, we often received the best results when we copied the Legislators for that area, the President of the insurance company, and when applicable, to the directors of Centers for Medicare and Medicaid (CMS) and the state Medicaid program. While we aren’t always successful this approach has worked and we were able to get these patients covered.