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Functions provided on a fee-basis by Patient Advocacy Services

Case Management – Peace of Mind
  1. Communication
    1. Assist and facilitate effective communication among healthcare providers, patient and family members as requested. Includes hospital visits (inpatient and outpatient), physician appointments, rehabilitation and therapy appointments, nursing home or extended care facility stays.
    2. Promote patient safety, comfort and pain management throughout the healthcare experience, and communicate when necessary to health care providers.
    3. Facilitate positive relationships between all parties starting with increased communication, yielding providers a better understanding of the patient’s issues, needs and concerns addressed properly, while managing patient expectations through education and materials that equip the patient with greater insight into their particular medical situation
    4. Participate in the coordination, transition and integration of care for patient and family after hospital discharge or between healthcare settings.
  2. Educate
    1. Educate patient about healthcare testing, surgery, medications or other healthcare procedures, and suggest applicable alternatives where appropriate.
    2. Promote you or your family member's confidence and reassuring your ability to deal positively with health issues and problems via education and integrating healthcare services.
  3. Confidentiality
    1. Legal Assist with development of Healthcare Directive (Living Will for Health Care Decisions) and a Durable Power of Attorney, as needed.
    2. Assist in problem solving for families and staff with special issues or concerns, as well as review client records to avoid duplication of medical services, tests, laboratory and drug prescriptions
    3. Safeguard and protect you or your family member's privacy through client confidentiality as well as HIPPA regulations
    4. Respect the need for privacy and legal security as it relates to the healthcare experience by providing your individual Healthcare Directive (Living Will for Health Care Decisions) and a Durable Power of Attorney where needed

Case Management – Administrative

  1. Financial Management
    1. Negotiate lower medical fees prior to service being provided
    2. Review doctor and hospital bills
    3. Challenge charges considered out of line
    4. Liaison with the Insurance company
      1. File medical claims
      2. Resolve claim denials, appeals & disputes
  2. Investigate alternative treatments
  3. Arrange for and attend appointments with physicians and specialists
  4. Work with employers to help employees with special healthcare concerns
  5. Counsel and work with individuals to consider:
    1. The medical challenges they may experience
    2. Developing a plan of action for themselves that includes:
      1. Type of caregiver that might be required and identify the individual(s)
      2. Getting a Second Opinion
      3. Requesting Copies of Medical Records
      4. Finding and Selecting an Expert in the Field
      5. Learning How and When to Communicate With a Physician
      6. Tracking medications
      7. The Importance of and Keeping Focused on Wellness Goals
      8. Developing questions prior to doctor appointments
      9. Helping manage end-of-life issues (if applicable)
      10. Completing necessary documents related to short-term disability, long-term disability, unemployment, and employee assistance.

Case Management – Medical

  1. Review and confirm diagnosis and treatment recommendations with physician.
    1. Develop an integrated approach to healing and recovery:
    2. Suggest and investigate non-traditional medical treatments
    3. Investigate therapies that support body, mind and spirit
  2. Organize logistics for in-home nursing care, therapy and rehabilitation.
    1. Identify and locate support groups
    2. Create a comprehensive, integrated medical history.
    3. Provide healthcare proxy and advance-directive assistance.
  3. Assist with activities of daily living as required.
    1. Provide inpatient bedside monitoring.
    2. Offer caregiver support.
    3. Monitor use of prescriptions.
    4. Provide information on nutrition and nutritional supplements

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