I was recently advocating for a young patient who had been hit by a car to get more time in rehab. I was talking to the insurance company, and the second I got on the line, it was really clear they didn't want to hear anything I had to say. (Honestly, does it EVER work to advocate on the phone? Because whenever I talk to anyone, they already know everything in the notes, and they've already decided on a hard no. And repeating my arguments just ends up with a heated discussion.)
In this case, it was especially frustrating because the patient was, as I said, fairly young and really could have benefited from the extra time. I said to the reviewer, "It's really a shame he can't get more time because if he had another week, he could get home independently."
The response of the reviewer: "Well, it was a shame he got hit by a car."
I mean, what do you SAY to something like that? Sometimes I want to say to them that I hope they have a better insurance than the company they work for.