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Understanding the HMO Denial Process

February 9th, 2011 | Posted in Insurance Coverage

The HMO denial process is slightly different from the PPO or FFS denial process. If your HMO has denied services or if you disagree with the payment of a claim by your HMO, you would submit your request to your medical insurance company to reconsider your request. Once your insurance carrier has received your requestRead More

Q&A: Legal Issues of Patient Advocate Designation

February 9th, 2011 | Posted in Professional Skills

Legal expert Jamie Verdi discusses patient competency, the role of a surrogate and the tools patient advocates need to protect themselves and their patients. Verdi is founder of the Michigan Patient Advocacy Liaison (MI-PAL). PPAI: When it comes to patient competency, what should a patient advocate be aware of? Jamie Verdi: Almost every patient advocateRead More

5 Tips for Traveling with an Elder

February 2nd, 2011 | Posted in Advocacy 101

The joys of traveling are abundant and only increase when you share the experience with a loved one. Traveling with an elderly parent can be a satisfying experience, but requires forethought, organization and preparation. From mobility to medication, the tips below will make your travel a breeze. Travel, whether domestic or international, can wear onRead More

4 Tips on Treating Those with Terminal Illness

February 2nd, 2011 | Posted in Quality Care

Imagine one day walking into a room filled with your loved ones only to feel them staring as if you were a complete stranger. Or picture how it would feel if they started treating you as if you were made of glass. Since they were diagnosed with a terminal illness, these are some of theRead More

Insurance 101: Fully Funded Vs. Self-Funded Plans

January 26th, 2011 | Posted in Insurance Coverage

Employers and unions can opt to assume the full risk of paying their medical claims. In assuming this risk, they are able to create their own medical insurance policies which are similar to those provided by a medical insurance carrier. Self-funding medical insurance is one way they can keep cost down. A Third Party AdministratorRead More

5 Strategies to Use Broadcast Media as a Marketing Tool

January 26th, 2011 | Posted in Business Development

Using the media as a tool to further your patient advocacy plans is a fantastic idea, but there are basic strategies one must employ in order for the venture to be a success. Marketing in the realm of patient advocacy goes far beyond building a website and utilizing social media tools to bring awareness toRead More

How To: Ensure Family Access to the Plan of Care

January 19th, 2011 | Posted in Quality Care

As a healthcare advocate, you are tasked as an intermediary between the patient and the entire, often winding, course of care. As a key go-between partner, you often stand as the patient’s voice and the family’s representative. In times of distress, your know-how can help bridge the gap between the patient and the care team.Read More

A Risk of Alzheimer’s: How To Prevent Wandering

January 19th, 2011 | Posted in Long-Term Care

Although not everyone who has a dementia or Alzheimer’s diagnosis requires 24-hour supervision or a secured memory care community, they are often a potential wander risk. The term wandering can sometimes be used for two different but associated behaviors. Regardless of these descriptions (see below), wandering can pose great risks to your patient. Specific strategiesRead More

Understanding the Basics of Informed Consent

January 12th, 2011 | Posted in Advocacy 101

Deciding whether or not to undergo any sort of treatment is a valid concern for all individuals in need of medical assistance. For patients and physicians, the joint agreement that one will perform a medical procedure upon the other requires more than simple acquiescence. The concept of informed consent is founded upon the idea thatRead More

The Surprising Subpoena, and the Lessons Learned From It

January 12th, 2011 | Posted in Advocacy Stories

You say it’ll never happen to you. You are careful, thoughtful, and kind. You’ve been a nurse for years and feel confident, competent, and professional. And then, out of the blue, a stranger shows up at your front door and hands you a subpoena. Ugh. Now what do you do? I was a swirling bundleRead More