realchild's Diaryland
Diary
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jendix, this is what you're not missing:
Hi, jendix. As one of your readers, I just wanna say how glad I am that you left your previous job.
Here's what you're not missing:
Let's say it's time to weed out the '07 charts from the '08s. This involves moving the '05 charts to storage and moving the '06s to where the '05s are stored, and finally the '07s to where the '06s were. You've done this every year except last year when [ahem] two people took it upon themselves to move charts. What this means is that before you can do what you planned, that is do the thing that makes the most sense, you must first undo what they did because their idea of moving charts is placing them in boxes, labeling those boxes "2004", and leaving them in the chart room until 2011 when they can be destroyed.
In April, the doctor told you that his vacation plans have been changed from May to July. You unblocked May, and blocked off a week in July. In June, the doctor tells you that he was wrong about his vacation time and actually needs the following week blocked off the calendar. You reschedule 80 appointments and two surgeries. Not all of the patients got your messages/letters, resulting in a handful of people showing up for an appointment when there was no doctor there. You irresponsible bitch.
Oh, and jendix? Here's a prior authorization request Walgreens just faxed over. This must be your department because it involves talking and thinking. And speaking of talking, you'll need to call in that clinical to Joe Blow's insurance company so we can get that CT pre-certed because the medical assistant has to hurry up and sit in a chair while you do her job.
When you're done handling that here's this credentialing packet.
And make this referral while you're at it, because that's coordinating care and you can't expect anyone else to be bothered with pesky details such as the patients' well being. Speaking of the patients' well being, don't even think about asking anyone else to speak to the home health nurses. Even when the nurse asks to speak to the medical assistant. Remember: calling in orders is not sitting in a chair.
Also, Jane Blow's PCP ordered a CBC for her, and it was done at the hospital lab. What, you mean you're not on the phone getting that bloodwork faxed over yet? I didn't walk all the way over here past my very own phone to your desk for my health you know. You certainly don't expect me to extend my arm 45 degrees and pick up my phone and call in the request, do you? That's like work and stuff! Don't you remember how talking and thinking is your department????
And don't forget to print out all of the relevant MLN articles and spoon feed them to the biller because she can't be expected to take enough initiative to stay current. I mean, those kitten screensavers aren't gonna download themselves, are they?
And while we're on the subject of billing, you just sit back and keep your mouth shut as the biller deletes unpaid claims by the shitload because remember, you're not the boss. Make sure you handle all of the appeals and request for pre-ds and CMNs, too. And although she's never said it, I'm sure she is eternally grateful for the way you obtained the doctor's NPI and submitted it to all of the insurance companies plus recorded the NPIs from all of the physicians who refer to the main office. That was super cool of you.
But this social security disability hearing medical records request has been laying here for a couple of days...and well, the rest of us don't really touch the charts unless we're moving them from the exam room to the chart room. Charts are kinda pointless anyway. I mean, what's with all the details??? I certainly didn't join the medical profession to have my mind clouded with a bunch of health crap. Especially when there's more important things to know like what all of the cute babies are saying on youtube.
Seriously, I don't know how you managed doing all that you did for all of those years, but I respect you for it.
P.S. Hi, Teena. Hi, Shelia.
9:28 p.m. - 2008-07-22
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