Spine network of California launches Patient Advocacy services
San Francisco, CA (PRWEB) 05 May 2011
-It is one thing to discover that you may have to back or neck surgery, “said Trudy Maurer. -But to find the right surgeon for your specific needs, and then navigate the confusing and often frustrating world of insurance claims, coverage and can overwhelm someone, especially when they are in pain.
Maurer, who is the CEO of the spine Network of California, says that the best results for virtually all spinal surgery procedure most likely occurs the first time a patient undergoing this procedure. -It is harder for a surgeon to correct or improve the results from a previous surgery, she says. “that is why it is of utmost importance to search a spine surgeon has the right background and experience of surgical treatment of a person’s individual needs and medical condition.
Spine network can facilitate meetings with highly qualified spinal surgeons who practice in California in the San Francisco Bay area, Los Angeles and San Diego, who like Reno, NV. There is no charge for the service.
But too often begins when a person is matched with the right surgeon, fight with the insurance company to confirm coverage for surgery. “An insurance company can deny a claim based on outdated information, or as a matter of policy, even for routine procedures that are considered” standard for the care, “says Maurer.
To help patients to deal effectively with their insurance companies, have The Spine Network of California launched a new, optional Patient Advocacy Service. -Most people, no matter how good a negotiator who they are, not experienced approaching insurers and talking to them on their “language” to get approval for their surgery, “says Maurer. In fact, research shows that it takes an average of 24 to 30 calls a Patient Advocate to resolve an insurance coverage problems, “she says, Our patient advocacy services include communication with the insurance company and submission of documents in order to obtain the approval of procedures and evaluation appointments.”
Patient Advocacy Service is a separate service which is offered by the backbone Network of California in an hourly rate. Advocacy services be limited to issues of spinal surgery and is available regardless of the surgeon performing the procedure, if, finally, that the surgeon is a member of the spine Network of California or not, “says Maurer.
For example, has a 36-year-old woman who had suffered two separate injuries while lifting heavy objects at work diagnosed by his back surgeon with 2 herniated discs in his lumbar spine (described in medical terms as a “level 2″ skadavilket means that 2 RS is affected)and she was in constant pain.
The patient had a surgery a few years ago to try to solve their problems. a discectomy to remove the damaged parts of her CDs to alleviate pain. procedure which seemed to help a while but the pain returned and grew much worse with time. Her surgeon explained that arthritis also had formed in the damaged areas, to her discomfort and loss of full mobility.
She learned soon another fact. that workman’s comp insurance companies often do not cover a level 1 artificial disc replacement procedure, and almost never includes a procedure for the 2-level, although a 2 level is what most people need. -Which is a real problem, “says Maurer,” because many patients have a 2-level damage. This means that there are many out there that are not covered for having the best standards of care for their injuries. Patients need to work with his supporters to persuade their insurance company to change this policy, “says Maurer.”In this patient’s case, it took 2 arbitration sessions to finally get approval to have her procedure covered. “
“When a person is diagnosed with a spinal cord injury or disease and surgery is the recommended treatment, it is important to get this treatment as soon as possible,” says Maurer. “If surgery is delayed, further damage can occur, which can reduce the result of an operation. In these cases is slipping medicine medicine denied. “
Information on the location of a qualified spinal surgeon or want to learn more about patient advocacy services at The Spine Network of California, please contact Trudy Maurer, CEO by email to trudy@spinenetwork.com or call 1-888-673-4575 9 AM-5 PM PST.
Web site at http://www.spinenetwork.com
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