The Million Dollar Baby

Pediatrics Committee

October 28, 2025 @ 6-7:30PM EST

The Pediatrics Committee will present 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. This session will explore levels of care determination, appropriate documentation strategies, and common denial scenarios to equip Physician Advisors with practical tools for effective advocacy and improved outcomes.

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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