Discussions
Nuclear disaster and water purification
8
8

How to keep records?  I agree with the online portals. You can get copies of everything. Also, agree with others to print and put in a file and then store digitally. How to deal with the insurance company? Agree with others on prior approval. Make a call the day before expensive tests and ask if you are unsure. If the code is not correct or not funded, contact DR office for resolution and then the insurance company. If nothing can be done there look up the code on google and do some research, you might be able to have a more informed discussion with a little more knowledge. We call them CPT codes. So google CPT code and then the number and it will bring up a list. Compare to your procedure and diagnosis. Also, in the pre-approval stage, if you are denied, have your DR do a person to person review with your DR. Specifically request this from your DR. AND on DR told me the squeaky wheel gets the grease. If you have the time and energy, call them daily….speak to the same person, if no help there, ask for the supervisor. How to not eat savings??  It is always cheaper to go with IN-NETWORK Doctor. That being said, that is not always the best choice as you might get better care elsewhere. So that is a cost/benefit decision. Also, many healthcare institutions moving toward providing an estimate of cost when requested by patient. Ask for those up front. RX express definitely helpful for drug costs. Print out the coupon and take it to the pharmacy. If your insurance supports mail order drugs for 90 days, do it!!! Always cheaper than 30 day from retail pharmacy. Can’t do schedule 2 or narcotics this way, but most others can be done like that. Get the itemized bill on everything and compare to your treatment. Anything you don’t recognize, dispute it. Is a test necessary? Ask the long list of questions…Why are we doing this test? What are you looking for, specifically? How will this test change my care? What will this CT scan show that the ultrasound didn’t show?? Is there a less invasive/expensive way to get this information? Also, if we find X what will we do versus if we find Y?? ( which goes to the question of how this test impacts your care) Clafify any previous tests that were the same. I just had these X-rays at my DR office. Can I just sign a consent and have the info sent here?? Or do you need new X-rays? What will these new X-rays show that the older ones did not? If in the hospital, what is the plan of care today? What tests are we doing? Am I seeing any new specialists and why am I seeing them? And good advice to have a support person taking notes. I am younger and in healthcare, but even I know I’m not at my best when I’m sick or distressed. Best to have two ears listening. Clarify details with nursing staff if you forget or have questions. Ask to speak to the doctor if you have new questions. Write down questions to ask when your DR comes in or when going to the office so you don’t forget them. Get a second opinion any time you feel uncomfortable for any reason.  As for who to see? Other than online and how you feel when you actually see the DR, ask a trusted healthcare professional (your primary), nurses, other friends in the area who they have used and what they think of the person. Are they competent? What is their bedside manner? Do they address concerns right away? Explain things in a way you can understand? Do you know anyone that had bad outcomes or situations with the healthcare provider. Also, I generally like nurse practitioners, they take more time with you. Listen better. Explain better. But that is just an opinion, and sometimes the special nature of the illness requires a DR anyway. Just some food for thought on that one.

Well use without electricity
10
8
Nuclear disaster and water purification
8
8
Well use without electricity
10
8

How to keep records?  I agree with the online portals. You can get copies of everything. Also, agree with others to print and put in a file and then store digitally. How to deal with the insurance company? Agree with others on prior approval. Make a call the day before expensive tests and ask if you are unsure. If the code is not correct or not funded, contact DR office for resolution and then the insurance company. If nothing can be done there look up the code on google and do some research, you might be able to have a more informed discussion with a little more knowledge. We call them CPT codes. So google CPT code and then the number and it will bring up a list. Compare to your procedure and diagnosis. Also, in the pre-approval stage, if you are denied, have your DR do a person to person review with your DR. Specifically request this from your DR. AND on DR told me the squeaky wheel gets the grease. If you have the time and energy, call them daily….speak to the same person, if no help there, ask for the supervisor. How to not eat savings??  It is always cheaper to go with IN-NETWORK Doctor. That being said, that is not always the best choice as you might get better care elsewhere. So that is a cost/benefit decision. Also, many healthcare institutions moving toward providing an estimate of cost when requested by patient. Ask for those up front. RX express definitely helpful for drug costs. Print out the coupon and take it to the pharmacy. If your insurance supports mail order drugs for 90 days, do it!!! Always cheaper than 30 day from retail pharmacy. Can’t do schedule 2 or narcotics this way, but most others can be done like that. Get the itemized bill on everything and compare to your treatment. Anything you don’t recognize, dispute it. Is a test necessary? Ask the long list of questions…Why are we doing this test? What are you looking for, specifically? How will this test change my care? What will this CT scan show that the ultrasound didn’t show?? Is there a less invasive/expensive way to get this information? Also, if we find X what will we do versus if we find Y?? ( which goes to the question of how this test impacts your care) Clafify any previous tests that were the same. I just had these X-rays at my DR office. Can I just sign a consent and have the info sent here?? Or do you need new X-rays? What will these new X-rays show that the older ones did not? If in the hospital, what is the plan of care today? What tests are we doing? Am I seeing any new specialists and why am I seeing them? And good advice to have a support person taking notes. I am younger and in healthcare, but even I know I’m not at my best when I’m sick or distressed. Best to have two ears listening. Clarify details with nursing staff if you forget or have questions. Ask to speak to the doctor if you have new questions. Write down questions to ask when your DR comes in or when going to the office so you don’t forget them. Get a second opinion any time you feel uncomfortable for any reason.  As for who to see? Other than online and how you feel when you actually see the DR, ask a trusted healthcare professional (your primary), nurses, other friends in the area who they have used and what they think of the person. Are they competent? What is their bedside manner? Do they address concerns right away? Explain things in a way you can understand? Do you know anyone that had bad outcomes or situations with the healthcare provider. Also, I generally like nurse practitioners, they take more time with you. Listen better. Explain better. But that is just an opinion, and sometimes the special nature of the illness requires a DR anyway. Just some food for thought on that one.