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Pharma and Biotech Companies

What we do

LKN Strategies Inc. is a renowned leader in providing patient assistance outsourcing services to pharmaceutical companies. With a strong commitment to enhancing patient care and access to vital medications, we offer a comprehensive range of services tailored to meet the unique needs of their clients. Here are some of the key patient assistance outsourcing services offered by LKN Strategies Inc.

Pharma3
  • Patient Support Programs: LKN Strategies Inc. designs and implements patient support programs to facilitate the smooth and efficient distribution of pharmaceutical products. These programs are customized for each client and are geared towards enhancing patient adherence and satisfaction. 
  • Reimbursement Services: They offer specialized reimbursement services, ensuring that patients have access to the medications they need without unnecessary financial burdens. This includes handling insurance claims, co-pay assistance, and identifying other sources of financial aid for patients. 
  • Case Management: LKN Strategies Inc. provides personalized case management services to patients, assisting them throughout their treatment journey. Their dedicated team of professionals ensures that patients receive the necessary support and guidance, addressing any issues or concerns that may arise. 
  • Patient Education and Counseling: Recognizing the importance of patient education, LKN Strategies Inc. offers educational materials and counseling services to patients, empowering them with knowledge about their medications, treatment plans, and overall health management. 
  • Adverse Event Reporting: Adverse event reporting is a crucial aspect of pharmaceutical safety. LKN Strategies Inc. manages the process of collecting, documenting, and reporting adverse events, ensuring compliance with all regulatory requirements. 
  • Technology Solutions: Leveraging innovative technology, LKN Strategies Inc. streamlines processes and optimizes patient assistance programs. They may provide secure online portals for patients and healthcare providers, simplifying access to resources and information. 
  • Customized Solutions: Understanding that each pharmaceutical company has its own unique requirements, LKN Strategies Inc. offers flexible and customized solutions to meet those specific needs effectively. 
  • Compliance and Regulatory Support: LKN Strategies Inc. stays up-to-date with all industry regulations and compliance standards. They offer expert guidance and support to pharmaceutical companies in navigating complex compliance landscapes. 
  • Data Analytics and Reporting: By utilizing data analytics, LKN Strategies Inc. helps pharmaceutical companies gain insights into patient behavior, program effectiveness, and overall performance. These insights aid in making informed decisions and improving patient assistance programs. 
  • Quality Assurance: LKN Strategies Inc. maintains a strong focus on quality assurance, ensuring that all aspects of their services adhere to the highest standards of excellence. 

Through these patient assistance outsourcing services, LKN Strategies Inc. strives to create a seamless experience for patients, healthcare providers, and pharmaceutical companies alike, fostering improved patient outcomes and increased access to essential medications.

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Streamline the Revenue Cycle Management process with our RCM Services to improve agency performance and revenue generation.

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LKN Strategies

5 STAGES OF CMS APPEALS

STAGE
1

Redetermination

When initial review is denied for PCR; PPR; ADR; UPIC; RAC, etc. and providers of the claim is denied, you have 120 days to submit a Redetermination Request (30 days from date of initial decision demand to avoid recoupment). This request is handled by the Medicare administrative contractor (MAC). If the claim is denied you have 60 days to submit an appeal request to level 2 to avoid recoupment.
STAGE
2

Reconsideration

Reconsideration is step 2 in the appeals process. You have a maximum of 180 days to submit your appeal. You will submit your documentation with the request for reconsideration and a detailed "rebuttal" of the reason(s) you disagree with the decision made at level 1. This review is completed by qualified independent contractors. If denied, you may move to stage 3. You have 60 days from date of receipt of Reconsideration.
STAGE
3

AU

At level 3 you will have a chance to present your appeal case to an Administrative Law Judge. You will need to submit a request and a detailed rebuttal as to why you disagree with the level 2 appeal decision. Your claim will only be elevated to level 3 if it meets the minimum dollar amount. For 2022, the required minimal amount is $180.00 If denied, you may try stage 4. You have 60 days from date of receipt of AL decision.
STAGE
4

MAC

The Medicare Appeals Council reviews the appeal decision made by the AU. If the claim is denied, you have 60 days to submit a request for judicial review by a federal district court.
STAGE
5

Federal Court

To get a judicial review in federal district court, the amount of your case must meet a minimum dollar amount. For 2022, the minimum dollar amount is $1760. You may combine claims to meet this dollar amount. Follow the MAC's decision letter you received at level 4 tafileacomnaint.
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LKN STRATEGIES is a healthcare consulting, medical billing, revenue cycle and business management firm with over 20 years of industry experience. 

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