The Million Dollar Baby

Pediatrics Committee

In this session the Pediatrics Committee presented real-world cases highlighting the unique challenges physician advisors face in addressing utilization and payor issues for Neonatal Intensive Care Unit (NICU) patients. Despite being high-cost and high-risk, NICU cases are often under-recognized in broader utilization review efforts—especially in mixed or adult-focused facilities. Watch as this session explores levels of care determination, appropriate documentation strategies, and common denial scenarios to equip Physician Advisors with practical tools for effective advocacy and improved outcomes. Stay tuned for information about the next Town Hall!

Click to Download This Session's Slide Deck

Panelists

Sumana Narasimhan, MD
ACPA Pediatrics Committee Vice Chair
Moderator

Samantha Dallefeld, MD
Pediatrics Committee Vice-Chair
Q&A Monitor

Jennifer Goodrich, MD, ACPA-C
ACPA Pediatrics Committee Member

Tina Chu, MD
ACPA Pediatrics Committee Member

Erik Madsen, MD, PhD
ACPA Pediatrics Committee Member

Ade Ojo, MD
ACPA Pediatrics Committee Member