BUSH DIARY JUNE 1997:
Red Alert: Our billing concerns mentioned in the previous posting ie; Dr M's insisting that one ICD9 code from page one and one CPT code from page two was adequate and if the diagonsis of the actual medical record did not match? No big deal.
Um, yeah it is a big deal. Our main third party payor, Pacific Care, has put the hospital billing on Red Alert. That means that all bills are being automatically rejected for review of coding and/or diagnoses. Aetna is next, then Medicare, then OIG. Fortunately Monica has extensive documentation of the objections to the physician driven coding. Oy, Paperwork!!!
Dreaming: Toured a high end manufacturing facility. Also shopping dream. I was shopping for angels with not much luck.
Chat rooms: I shall eschew them not having found intelligent life.
6-17: Gruesome morning. Two car collision and young man and young woman involved, the girl was killed. She was the daughter of a former medical record clerk.
Nalukatuk is this week, I shall take the afternoon off and go take a lookie loo, it is much fun. Sometimes a tourist lands wrong and the hospital gets some business. Oy.
6-26: Gorgeous day. Plus 50 degrees, blue skies, tons of walk-in's. Hmmm.
Potluck at work today: The inpatient manager is leaving for ANMC. The pharmacist and his wife are leaving for Oklahoma. He just made captain in the corps and they are both pleased.
Gossip; Heard that the assistant hospital administrator, is shacking up with one of the nurses. A person must be careful about things like that because we all sort of live in a fish bowl and most every naughty thing quickly becomes a topic of conversation at coffee break.
6-27: Monica took several concerns from the hospital to ASNA. One specific item was the assistant hospital administrator wanted to start storing supplies off site. Um, no that is not workable especially if someone runs out of something and it is not readily available. AND Dr. P complained that Dr. M had a lack of experience as a clinical director. Lots of venting and a promise from ASNA to take a closer look at concerns. That is pretty fair.
Baby news: Charlie said they are going to have a baby boy. Name discussion ensued. Mom and I will be driving down in August for a visit. Yay!
June 30: Dr. M handed over all of the JCAHO stuff to Monica. She will get it done right. The assistant hospital administrator had a very loud and unintelligible conversation in his office with Monica. He is going to personally see that everyone attending the "rogue" meeting with ASNA would be fired.
Patrick has quietly extended his vacation. if he is interviewing I will scalp him! He better just be chasing girls!
Boy that had better be quite enough from you, June!
G'night folks.
Red Alert: Our billing concerns mentioned in the previous posting ie; Dr M's insisting that one ICD9 code from page one and one CPT code from page two was adequate and if the diagonsis of the actual medical record did not match? No big deal.
Um, yeah it is a big deal. Our main third party payor, Pacific Care, has put the hospital billing on Red Alert. That means that all bills are being automatically rejected for review of coding and/or diagnoses. Aetna is next, then Medicare, then OIG. Fortunately Monica has extensive documentation of the objections to the physician driven coding. Oy, Paperwork!!!
Dreaming: Toured a high end manufacturing facility. Also shopping dream. I was shopping for angels with not much luck.
Chat rooms: I shall eschew them not having found intelligent life.
6-17: Gruesome morning. Two car collision and young man and young woman involved, the girl was killed. She was the daughter of a former medical record clerk.
Nalukatuk is this week, I shall take the afternoon off and go take a lookie loo, it is much fun. Sometimes a tourist lands wrong and the hospital gets some business. Oy.
6-26: Gorgeous day. Plus 50 degrees, blue skies, tons of walk-in's. Hmmm.
Potluck at work today: The inpatient manager is leaving for ANMC. The pharmacist and his wife are leaving for Oklahoma. He just made captain in the corps and they are both pleased.
Gossip; Heard that the assistant hospital administrator, is shacking up with one of the nurses. A person must be careful about things like that because we all sort of live in a fish bowl and most every naughty thing quickly becomes a topic of conversation at coffee break.
6-27: Monica took several concerns from the hospital to ASNA. One specific item was the assistant hospital administrator wanted to start storing supplies off site. Um, no that is not workable especially if someone runs out of something and it is not readily available. AND Dr. P complained that Dr. M had a lack of experience as a clinical director. Lots of venting and a promise from ASNA to take a closer look at concerns. That is pretty fair.
Baby news: Charlie said they are going to have a baby boy. Name discussion ensued. Mom and I will be driving down in August for a visit. Yay!
June 30: Dr. M handed over all of the JCAHO stuff to Monica. She will get it done right. The assistant hospital administrator had a very loud and unintelligible conversation in his office with Monica. He is going to personally see that everyone attending the "rogue" meeting with ASNA would be fired.
Patrick has quietly extended his vacation. if he is interviewing I will scalp him! He better just be chasing girls!
Boy that had better be quite enough from you, June!
G'night folks.
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