CONSULTING SERVICES FOR EMPLOYERS, Patients & Providers

Peak Patient Advocacy & Consulting, LLC logo

PATIENT ADVOCACY SERVICES

Peak Patient Advocacy & Consulting can assist you in with finding: Skilled Nursing Care,  Home Health Aide, Physical Therapy, Occupational Therapy, Mental Health/Substance Abuse Services, Community Resources, Preventative Services, Pain Management or Alternative Treatments, Health Coaching, Weight Loss Support, Dental Care, Legal Assistance, Mediation Assistance, End-of-Life Planning & more. 


Our Patient Advocacy Services include:

  • Comprehensive personal and family medical history intake 
  • Comprehensive collection and analysis of medical records 
  • Medication reviews
  • Creation of a health summary document containing key medical information to share with providers and family members 
  • Care coordination and communication  
  • In-person consultations (home, doctors office, hospital, emergency room, urgent care, senior living facilities, etc.) (when permitted due to COVID-19 crisis)
  • Virtual/video or phone consultations
  • Assistance with determining realistic health goals
  • Health literacy and learning needs assessment
  • Healthcare education from credible and reliable sources
  • Wellness coaching
  • Assistance with Durable Medical Power of Attorney, Living Will/Advance Directives
  • Vetting providers and facilities
  • Insurance Claims and Appeals Assistance
  • Medical Billing Review & Negotiation

PATIENT/FAMILY/CAREGIVER SUPPORT

  • Family Mediation
  • Small Group Classes
  • Community Based Education
  • 1:1 Education/Support

UTILIZATION MANAGEMENT/CASE MANAGEMENT/CONSULTING SERVICES

  • Available for UM/CM/Legal Nurse Consulting 
  • Short/Long Term Contract work
  • Proficient in all areas of UM and appeals processing
  • Adept at maximizing quality and cost effective health care services 

Peak Patient Advocacy & consulting: Our Services

OUR SERVICES

INSURANCE NAVIGATION

OUR SERVICES

Peak Patient Advocacy & Consulting logo

A patient advocate can help you or your loved ones with the following: 


  • Better communication and coordination with health care providers
  • Preparing for and accompanying you to physician appointments
  • Hospital visits
  • Managing transitions between hospital, rehab/skilled nursing facilities, and home
  • Helping you learn more about your medical condition and treatment options
  • Assist you in making difficult medical decisions
  • Assist with filing health insurance claims
  • Assistance with disputing insurance denials
  • Assistance with managing or reducing your hospital and medical bills
  • Identifying community resources and support
  • ​Discussing end-of-life planning
  • Understanding your patient rights
  • Finding the right doctor
  • Understanding insurance choices
  • Finding clinical trials
  • Finding legal assistance after a medical error  
  • Reviewing your prescriptions and medications to be sure there are no conflicts

SERVICE AREA

INSURANCE NAVIGATION

OUR SERVICES

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  An unexpected diagnosis can be overwhelming & frightening when you don't know how to navigate the complex healthcare system.    


Patient Advocacy Services from Charlotte to Blowing Rock & beyond.  Many services can be provided remotely, particularly those involving insurance claims, appeals, billing issues and claims negotiation.  


Proudly serving the following NC Counties:   

Ashe

Avery

Burke

Cabarrus

Caldwell

Catawba

Davidson

Davie

Forsyth 

Gaston

Guilford

Iredell 

Lincoln

Mecklenburg

Rowan

Union

Watauga

 

 Nationwide Patient Advocacy Services via video conferencing.  Contact your patient advocate today.

(828)354-3700

INSURANCE NAVIGATION

INSURANCE NAVIGATION

INSURANCE NAVIGATION

Health insurance written in chalk with a stethoscope below

Insurance Navigation & Claims Denials


Insurance companies are increasingly denying coverage for diagnostics, medications, procedures & surgeries.  

 

Knowing why your health insurance claim was denied is an important aspect of knowing if you can appeal the decision. If your appeal goes through, the company must pay for the claim even though it was originally denied. 


Did you Know?

Most insurance denials are never appealed.  

60-80% of insurance denials are overturned or reversed on appeal.


We can quickly intervene on your behalf and determine if a reconsideration or appeal might be appropriate. 


  Many services can be provided remotely, particularly those involving insurance claims, appeals, billing issues and claims negotiation.   








Nationwide Patient Advocacy Services via video conferencing.  Contact your patient advocate today.

(828)354-3700

HOW WE HELP PATIENTS & fAMILIES

Certification logo from PACB

WE HELP BY PROVIDING YOU WITH PEACE OF MIND

Our healthcare system is complex, plagued with multiple difficulties, dysfunctions, and lack of coordination at all levels of care.  Medical errors are far too common and time with our treating providers is at an all time low. Having a Patient Advocate by your side can make all the difference and can even save your life! 


While patient advocacy is not covered under health insurance plans, it's certainly an investment worth considering, ensuring you get the best possible treatment.   Peak Patient Advocacy & Consulting delivers the knowledge and support you need to make well informed decisions in collaboration with your medical team.   


We can help you or your loved ones with the following: 

  • Better communication and coordination with health care providers
  • Preparing for and accompanying you to physician appointments
  • Hospital visits
  • Managing transitions between hospital, rehab/skilled nursing facilities, and home
  • Help you learn more about your medical condition and treatment options
  • Assist you in making difficult medical decisions
  • Assist you with questions about insurance benefits, denials, and appeals processing
  • Assist with filing health insurance claims, disputing denials, and managing or reducing your hospital and medical bills
  • Making phone calls and keeping track of paperwork
  • Identifying community resources and support
  • ​Researching and understanding options for treatment and services
  • ​Keeping family members informed about your care,  as directed
  • ​Discussing end-of-life planning
  • Understanding your patient rights
  • Finding the right doctor
  • Understanding insurance choices
  • Finding clinical trials
  • Finding legal assistance after a medical error  
  • Review your prescriptions and medications to be sure there are no conflicts
  • Tracking paperwork and records  
  • Help you file for social security disability or other assistance
  • Teach you pain management techniques
  • Help you maintain a healthy pregnancy & raise healthy babies by working with a midwife, doula or lactation specialist.

Packages/Pricing

Professional Services

Peak Patient Advocacy & Consulting offers several pricing options and hourly rates for professional services. We will do as much or as little as you need to help you navigate your journey. 


Step One:  Free Phone Consultation. We offer a 15-20 minute complimentary phone consultation. During this conversation, we will review basic information and establish your goals. 


Step Two: Choose the best option for your needs:


Additional Services


Medical Billing, Disputes & Appeals
Pricing will be discussed after our initial phone conversation.


Professional Services

  • Research & reporting
  • Creating a medical profile outlining your history, treatment providers, medications, current clinical status
  • Locating or vetting providers
  • Hospital visits (suspended due to coronavirus pandemic) 
  • Doctor visits (suspended due to coronavirus pandemic)
  • Family mediation via telephone/video conferencing
  • Health coaching
  • End-of-Life planning
  • Identifying community resources & support
  • Assistance with Advance Directives, Health care Proxy, DNR.


Hourly Rate $150, unless purchased as part of a package at a reduced rate


Patient Advocacy Services are not reimbursed by insurance companies or government agencies.  You are charged according to the nature of the project, which may be by the hour, as a flat fee, as a subscription service, or some combination of the three. Payment is required in advance. Sometimes only an estimated fee can be determined, and you will know the upper and lower ranges of such an estimate. As our work proceeds, we can be more specific so that you can plan accordingly. 


We look forward to the privilege of serving as your professional health advocate. Please give us a call today at (828) 354-3700.   

Option 1) PPAC Basic Medical Profile

Prepare for the unexpected, before a crisis occurs. It's important that your health history, medications, current providers, emergency contacts, and advance directives be readily available in an emergency situation.
PPAC Basic Medical Profile Package Includes: 

  • 1:1 telephone or video consultation (up to 90 minutes)
  • Gathering and organizing important healthcare related information and key contacts
  • Basic medical history assessment and medication list review
  • Creation of a PPAC Medical Profile (All digital with easy access/transmission for healthcare needs)
  • Unlimited profile updates by email for the first year
  • Quick conversion to "active status" should patient advocacy services become necessary.
  • Optional HIPAA medical release form for future use

Option 2) PPAC Comprehensive Medical Profile Package

This package serves as the foundation for ongoing professional advocacy services and is intended for those who are in the process of trying to find answers to an undiagnosed health concern or recently diagnosed with a complex, serious, or life-threatening illness. It's also a great option if you are anticipating an upcoming surgical procedure, managing chronic health conditions, seeing multiple specialists, taking numerous medications, or needing assistance with senior care planning or care coordination. 


The comprehensive assessment answers the following questions: 

  • What is your current health status?
  • Who are your treating providers?
  • What medications are you currently taking?
  • What family support is currently in place & will they be kept up to date on your condition?
  • What physical or cognitive limitations are present?
  • What  medical or community services are in currently in place and what is needed?
  • What social, economic, familial, or environmental factors are at play?


What to expect at the conclusion of the comprehensive assessment:

  • At the conclusion of the assessment, we will provide you with a written preliminary plan for ongoing services.
  • If you choose not to proceed with the ongoing service recommendations/plan of care, we will provide you with general information or resources that may be helpful if you choose to proceed independently.
  • The typical preparation time for the written preliminary plan is 1-2 hours and will be shared with you via email and/or phone conference.
  • No services are expected beyond this option unless desired.


The Comprehensive Medical Profile Package Includes: 

  • 1:1 telephone or video consultation up to 2 hours
  • Comprehensive medical history intake
  • Current medication and dosage list 
  • Basic medication review
  • In-depth review & analysis of gathered health information
  • Identification of key concerns based on comprehensive assessment and analysis of health history
  • Recommendations for any areas that might warrant further investigation, intervention, or discussion with providers
  • Identification and review of potential resources 
  • Creation of a comprehensive medical profile (All digital with easy access/transmission for healthcare needs)
  • Personalized action plan
  • One telephone or video follow-up consultation and action plan review (up to 90 minutes)
  • Optional HIPAA medical release form for future use
  • Quick conversion to "active status" should ongoing patient advocacy services become necessary. 
  • In addition you'll learn more about how professional advocacy services can improve the patient and caregiver experience through education, communication, and connection to resources. 

Option 3) PPAC Peace of Mind Package

Peace of Mind Package Includes:  

  • 1:1 telephone or video consultation up to 2 hours
  • Comprehensive personal and family medical history intake
  • Current medication and dosage list
  • Current providers' contact information
  • Emergency contact information
  • Assistance with Durable Medical Power of Attorney, Living Will/Advance Directives
  • Creation of a PPAC Medical Profile (All digital and easily accessible/sharable)
  • Unlimited profile updates by email for the first year
  • Optional HIPAA medical release form for future use
  • Quick conversion to "active status" should ongoing patient advocacy services become necessary. 


Option 4) PPAC Active Patient Advocacy Program (5 hours of services)

An initial retainer will be collected upfront which includes 5 hours of advocacy services. Professional hourly rates will be deducted from the retainer on a weekly basis. Once the retainer is depleted, the retainer must be replenished for the continuation of services.    


  • Comprehensive collection and analysis of medical records
  • Creation of a health summary document containing key medical information to share with providers and family members
  • Care coordination and communication
  • In-person consultations (home, doctors office, hospital, emergency room, urgent care, senior living facilities, etc.) (when permitted due to COVID-19 crisis)
  • Virtual/video or phone consultations
  • Assistance with determining realistic health goals
  • Health literacy and learning needs assessment
  • Healthcare education from credible and reliable sources
  • Assistance with Durable Medical Power of Attorney, Living Will/Advance Directives
  • End of term status evaluation, goal review, and identification of future healthcare needs

 

Option 5) PPAC Active Patient Advocacy Program (10 hours of services)

Option 5) PPAC Active Patient Advocacy Program (10 hours of services) An initial retainer will be collected upfront which includes 10 hours of advocacy services. Professional hourly rates will be deducted from the retainer on a weekly basis. Once the retainer is depleted, the retainer must be replenished for the continuation of services.   

  • Comprehensive collection and analysis of medical records
  • Creation of a health summary document containing key medical information to share with providers and family members
  • Care coordination and communication
  • In-person consultations (home, doctors office, hospital, emergency room, urgent care, senior living facilities, etc.) (when permitted due to COVID-19 crisis)
  • Virtual/video or phone consultations
  • Assistance with determining realistic health goals
  • Health literacy and learning needs assessment
  • Healthcare education from credible and reliable sources
  • Assistance with Durable Medical Power of Attorney, Living Will/Advance Directives
  • End of term status evaluation, goal review, and identification of future healthcare needs