Here are several advocates that came up for my search with the combo of breast cancer and insurance&billing — in case there are issues around whether treatment is coded properly, etc.
1. Mary Denaro (survivor) gnanow.org/advocates/mary-denaro.html
2. Beth Dombrowski (survivor) gnanow.org/advocates/bethd-jd.html
3. Lola Ogunjobi (PharmD) (describes a breast cancer survivor case) gnanow.org/advocates/lolao.html
4. Marina Moroz-Day (breast cancer case) gnanow.org/advocates/marina-morozday.html
If you don't need the breast cancer case experience, if you'll share what state she's in, I'll gladly also provide names of folks in her area. Hopefully some of those folks will see this post and you can interact directly!
PS: Only GNA-listed advocates can see or respond here. You can click on their names to open their profiles on the GNA site or to message them directly from here!
I've messaged Melina Oien in case she has any insights.
I'm going to reach out to a few other advocates to ask them if htey might weigh in… who have both ped's background AND TBI. If you feel like I could exclude the pediatric portion of the outreach, I can certainly widen this circle.
Zhane' Fugate
Rachel Garvin
Mari Pantoja-Smith
Anne Wienke
With your permission, I would screenshot the post and share it in the private FB group to try to drive more traffic to the convo here.
If you or any of your readers would like the list of agencies that GNA knows of/has spoken with who are accepting Medicare and have advocates working as contractors with them, I'm happy to provide it.
Yes, it's a VERY complex process that there are a few advocates who are trying to navigate on their own.
Remember — your supervising physician/agency must be in network with their medigap or medicare advantage plan to be able to accept payment from those plans. That's the biggest hurdle that is one that many of the agencies going down this path are really struggling to complete. (There are roughly 6,000 separate Medicare Advantage plans, through dozens of insurers.)
One advocate — who is I would say about 18 months into the process so far — is developing a training program other advocates will be able to purchase and work through, but I don't think she's got a timeline on that yet.
Most advocates wishing to accept Medicare at this stage are working through one of numerous agencies who have done all of the setup themselves.
Thanks, Bonnie! I've already provided them one advocate who had significant overlap both of oncology and of working with healthshares. I can send your info along as well, if you wish.
If so, would you provide me a brief summary that I can provide directly to the client?
Hi, Rachel!
Do you mean you are trying to become an advocate who accepts Medicare?
if so, there are a number of agencies around the country that accept Medicare. It is my understanding that an RN must work under a licensed supervising clinician, and the setup is long, indepth and complex. I know of one RN advocate who is deep into the process and actually building a training program she intends to offer once she has reached sort of 'a good endpoint' with the process.
I hope other nurses might respond here to provide more information, although if this question is about accepting Medicare as reimbursement, it's likely in the wrong conversation space, and I can move it for you.
If you would like the list of agencies that we at GNA are aware of and have had at least some contact with/knowledge of, feel free to ask. I'll gladly share it here.
Thanks for joining the conversation! Would you be willing to share what your payment model looks like for this? Do you charge a flat rate for certain specific docs? hourly?
Morgan — if you'd like me to provide a search for you and suggest some names, please just let me know. Otherwise, I hope you'll see a lot of resonse here!
Hi, Morgan! I introduced you to a new-to-GNA advocate via email this week, who may be able to assist with this situation if you've not already found someone.
She hasn't yet finished her GNA profile, so she doesn't have access to this GNA-approved-advocates-only space, which is why I sent her info via email.
Damiana Andonova will be a member here soon and can join the convo herself at that time, but wanted to mention it here for you and for other readers who might be seeking IVF knowledge.
Martine, that's a FASCINATING topic. I'd really LOVE to hear more about your work with AI for bill analyzing startups.
A) would this be a topic you'd talk about on our podcast?
B) I would LOVE you to start a conversation about what you've learned about insurance AI pathways in our «Insurance & Billing» space.
Thank you so much for reaching out!
Here are several advocates that came up for my search with the combo of breast cancer and insurance&billing — in case there are issues around whether treatment is coded properly, etc.
1. Mary Denaro (survivor) gnanow.org/advocates/mary-denaro.html
2. Beth Dombrowski (survivor) gnanow.org/advocates/bethd-jd.html
3. Lola Ogunjobi (PharmD) (describes a breast cancer survivor case) gnanow.org/advocates/lolao.html
4. Marina Moroz-Day (breast cancer case) gnanow.org/advocates/marina-morozday.html
If you don't need the breast cancer case experience, if you'll share what state she's in, I'll gladly also provide names of folks in her area. Hopefully some of those folks will see this post and you can interact directly!
PS: Only GNA-listed advocates can see or respond here. You can click on their names to open their profiles on the GNA site or to message them directly from here!
How heartbreaking. How intense.
I've messaged Melina Oien in case she has any insights.
I'm going to reach out to a few other advocates to ask them if htey might weigh in… who have both ped's background AND TBI. If you feel like I could exclude the pediatric portion of the outreach, I can certainly widen this circle.
Zhane' Fugate
Rachel Garvin
Mari Pantoja-Smith
Anne Wienke
With your permission, I would screenshot the post and share it in the private FB group to try to drive more traffic to the convo here.
Remember — your supervising physician/agency must be in network with their medigap or medicare advantage plan to be able to accept payment from those plans. That's the biggest hurdle that is one that many of the agencies going down this path are really struggling to complete. (There are roughly 6,000 separate Medicare Advantage plans, through dozens of insurers.)
One advocate — who is I would say about 18 months into the process so far — is developing a training program other advocates will be able to purchase and work through, but I don't think she's got a timeline on that yet.
Most advocates wishing to accept Medicare at this stage are working through one of numerous agencies who have done all of the setup themselves.
If so, would you provide me a brief summary that I can provide directly to the client?
Do you mean you are trying to become an advocate who accepts Medicare?
if so, there are a number of agencies around the country that accept Medicare. It is my understanding that an RN must work under a licensed supervising clinician, and the setup is long, indepth and complex. I know of one RN advocate who is deep into the process and actually building a training program she intends to offer once she has reached sort of 'a good endpoint' with the process.
I hope other nurses might respond here to provide more information, although if this question is about accepting Medicare as reimbursement, it's likely in the wrong conversation space, and I can move it for you.
If you would like the list of agencies that we at GNA are aware of and have had at least some contact with/knowledge of, feel free to ask. I'll gladly share it here.
If you'd like, you may also share it as a blog post. If you need help doing so, just email me at help@gnanow.org and I'll show you how.
She hasn't yet finished her GNA profile, so she doesn't have access to this GNA-approved-advocates-only space, which is why I sent her info via email.
Damiana Andonova will be a member here soon and can join the convo herself at that time, but wanted to mention it here for you and for other readers who might be seeking IVF knowledge.
A) would this be a topic you'd talk about on our podcast?
B) I would LOVE you to start a conversation about what you've learned about insurance AI pathways in our «Insurance & Billing» space.