Physicians, doctors and all of the other names used to describe medical personnel are defined by way of medical study and qualification. But, there are times when I think something more is needed. It's almost impossible to coach or provide medical advice to a patient on such limited time. Let's see it's 2018 and if I were one to implement changes or different approaches to the medical world, health coaching would be one of them. The biggest obstacle with people is being able to relate or communicate with them aside from being annoying, aggressive, picky(I tried to have high standards),petty, degrading(Lord knows if this were a jail sentence there would not be enough to put many anglo saxon folks into them). Those of African American descent know the system and that just makes me a loner with high standards. Now, my discussion was about making the new generation of physicians more like health coaches. Why? If you're a physician and you just don't get a patient or the patient really does not get you and they will not find another physician because of their health insurance plan and the fact that many physicians are not obligated to accept health insurance; then sometimes a patient may not adhere to what they physician is telling them or a physician needs to really be lament in terms or coach like with their patients. This way there is a team aspect to health and wellness and not just "Hey, I believe I told you to do this but you said next week because you had an engagement you had to go to." A patient refuses tests or certain medications and a physician is thinking about what to type in his or her note. They boldly type that the patient is refusing ect. As this is for legal reasons. A physician should ask to the patient as an overall approach, "Are there any alternatives you'd like to try?" It may be difficult for some physicians to do this because they are of western frontier and wouldn't have it any other way. They worry about reimbursements and the fact that if patients choose to go an alternative route then their medical offices would be empty and the medical staff would be employed somewhere sending cannabis prescriptions for patients who have medical cards. I would really like to design a medical office or facility of future era. You know get rid of the boring approach to things. Yup, I'm in the wrong you know job! But, I'm not fond of the world of medicine and to me it needs more of a tweak to make progress with not only the morale of the workplace and employees but it would also most importantly help patients for years to come. Physicians focus on the negative(physicians don't go to jail for being negative). Duh! Ok, they are realists or wannabees. But as alternative frontiers approach, health coaching is the next blend of medicine for that next approaching of age population!
It may be of wonder to patients that when you ask a question, the answer to it may not be available to you. In my day of questions I usually got some snarky remark from somebody who didn't want to answer me and wanted me to look it up on my own. In those days we didn't have google or any way of doing quick research, so I usually delved into books, magazines ect. or any news on the subject. I learned during my most impressive and formative years that I was the "i" in team. So I had to be the team in "I" and therefore usually taking one also. This led to my writing independently and doing other sorts of work on my own. That would be the only way I would get credit for something and I mean that literally. Then of course there is the double standard. I'm usually expected to help everyone else as if it were on a silver platter. The messed up thing about this is that in my day we didn't use computers the way they are used now which is for everything but the front desk-hey that's my job! We had them but they were in the basic way of using them and not made to communicate and obtain information from. Even as this occurs I still get asked questions as though I should know about all that is going on in the medical world and then some. I am aware that many people do not like computers so they do not use them as a result. Many patients are people, people so they like to ask questions by way of conversation, and go on and on. Truthfully, the front desk cannot spend lots of time dealing with one problem or question as there are many other patients who are trying to get through. This means via the phone lines or in person. The front desk has other work to do and for the most part, conversating takes away from that. Yes, it does seem, rude or not the most polite thing to do, but a lot needs to be done during working hours. I do not have a clinical degree as in MD or RN so there are many questions that I will suggest that you speak with the physician about. Even if your question is of a non-clinical issue, a physician would be able to know more about a particular subject when it comes to medicine. Generally speaking, the FDA sets an age limit on certain vaccines, so a physician will not want to administer a vaccine if said patient is beyond that age. This is of course due to "mal-practice", in that a physician has to justify treating a patient or prescribe remedy for within the guidelines of the medical community. If he or she goes beyond those boundaries then if they are viewed as not following guidelines for administering therapies, medications ect. then they could be held liable in someway or a health insurance can deny paying a claim upon such visit or procedure since it is deemed "Not medically necessary";due to the guidelines for which a vaccine or test are approved upon. Certainly, this does not mean that a vaccine or test you want to have will never be done. But, in order to do so you may have to pay for the test or medication yourself and then you will have to find a place that sells the medicine you want and of course purchase it and then you will need to find an alternative medicine facility to administer at least the medication or test, given you find one to do so. I know certain things feel like a double standard and the allowance should be for all and not for just a few. As long as there is no ban on purchasing the medication, all a person would need to do is to find someone who is able to administer it. Yes, it's preventative and thus healing pharmaceutically, since it's not something you will take everyday for the rest of your life. People often say, "Why give a flu vaccine, if the vaccine is not effective with certain types of flu strains, as age appropriation vaccines dictate. Wouldn't that also be not medically necessary, if the vaccine is somehow ineffective, but administered anyway as routine preventative?" The FDA, may be using this same thought in that if a vaccine is administered and if a person is of a certain age, somehow that vaccine may be less effective. As the body ages, there are also more health factors involved. Wow, every physician should have an "e-mail question and answer thing going." Yes, they should also get some kind of reimbursement for it via billing since answering questions of a medical component can be involved and or complex. This way the patients do not feel, dissed or ignored and the physician can be paid for a job that just goes on with questions, questions, questions!
It takes an awful lot to take care of a medical office. The rent, supplies and all of the maintenance from years of use. I am thrifty or cheap and it probably disgusted people when the front office was put in the position of ordering everything. It was all said and done for a lot less than what most physicians would have spent. Laugh if you want but you probably said" She has never lived on her own via apartment, house or some sort of rental arrangement." Yes you are correct, I found a more thriftier deal by living at home, at least for now. This is what oppression does. Physicians have a more glamorous view on life, so they will purchase things that remind them of their own homes and what not. Really, when you are a front desk medical worker you want the patients to see the physician and then well, if their visit is over there is no point in staying around the medical office. You can get a cheaper cup of coffee from a bodega. People who work in medical offices may not want a patient who is on the healthier spectrum to get overly comfortable. There is a huge difference in having to upkeep a healthy body as opposed to a very sickly one. If you think in terms of what would you want patients to do with themselves, you are perhaps suggesting that there is a lot more to life than just having one by seeing every physician and hospital in the tri-state area. Ok, so you may not like what I suggested. In that instance you can probably realize that I have taken my own advice and got a hobby or a few of them and as a result if you need someone to chat with I may not be the best person to do so because being healthy or in that focus of optimizing the body to exist that way is more important to me. It takes money to be sick. How so? Medications, doctors and hospital visits, and the other things that require you to have care at all times. Becoming healthy is doing what is needed to replenish the body for survival. There are no exorbitant costs for physicians or hospitals and you don't need to take meds or even supplements that are very expensive. A physicians office should not be a standing room experience, and the sick do need care. Sometimes medical office furnishings are done to incite well visit mentality even if it is on the cheap.
There is nothing more aggravating than having to write out a prescription. Nope, I was wrong there are several more things that are considered aggravating but I will not discuss all of those in detail today. Why would writing out a prescription be aggravating? Because, a hospital may or at least for payment reasons want the prescription to state what procedure is being done in a certain way. Medical linguistics can complicate things somewhat if and when a prescription is being written by novice hand or lament terms. Or, of course when only one part of a procedure can be pre-certified then a new prescription must be written to indicate the actual procedure being done. I hate prescriptions among other things. Gosh, I was really born this way. The written prescriptions that subsequently get scanned into the EMR, sometimes have medical linguistic issues with them. But then, that is where the EMR's prescription orders should be used as they include the CPT code for billing reasons and why using the EMR prescriptions would be more useful. Then all the hospital and the physicians office has to agree upon is the CPT code that will be used for the procedure. My only problem with using an EMR prescription is that when a patient needs lab work, the EMR will not allow a physician to print more than one lab test on a prescription. This is rather silly because if a physician orders several lab tests and a patient cannot find the prescription for it then, well I guess that particular test will not be done. There has to be a way for a physician to create an EMR prescription so that they can add on more than one lab test on the prescription along with the diagnosis. There should be a blank prescription form under the orders section of an EMR so that a physician can select it and be able to add a test by it's CPT and or type in a requested test and then just select a diagnosis for which a patient can use as a prescription to take to a lab or hospital. The blank prescription selection for EMR is great to use when a physician may want to give a patient a script for something and he or she for the sake a time may want to write it out. It may be easier during the visit just to select blank prescription in the EMR and type out what is needed for the patient, this way the patient has everything the need to finally leave as their visit is over, aside from their next appointment. The entire medical office seems to become where the patient has their appointment, between the intake of information, the actual visit, and everything else and of course the prescriptions, and the medications. One day and probably when I retire from this misery there will finally be an entire physician's visit that will occur in the exam room of the physician and not the whole office. I must say this job has done everything but...
When working in a medical office there are many websites that have to be used or accessed in order to obtain something. By this I am not talking about referrals or pre-authorizations. Years ago most of the payments from health insurers were issued by check. This was the only way as it was the horse and buggy standard. It also became a process because you had to put the check amounts on a deposit slip so that it could be cashed at the bank. You had to make sure the checks were not lost and over time the remittance attached to them created a lot of paperwork that piled up over the years. Eventually payment by electronic funds transfer or automatic clearing house meant that payments from insurers went directly to the providers or physician's company bank account. This became a wonderful idea because the medical office no longer had to sort and gather checks from all over the place to be deposited. In some instances this is done online as the front desk medical office workers scramble from one website to another to obtain EFT OR ACH payments from the various health insurance companies. There has to be a simpler way to obtain any and all EFT or ACH information by using (at least for the most part) one website. How can this be done? I'm so glad you asked that. For example: Electrolink is an electronic access clearinghouse that allows other clearinghouses and electronic funds transfer or healthcare reimbursement companies to link themselves under one website so that all payment information can be obtained from the various health insurers. Let's say you are already receiving payment from insurers like Big Blue, Who Cares, Netna and a few others. Under the Electrolink website you can select Big Blue, Who Cares and Netna and the website and or clearinghouse/healthcare reimbursement company you are using to obtain payment information from each health insurance company. When you sign-up for Electrolink you provide all of the usual provider information and the bank info for EFT and ACH processing. Electrolink will ask if you want to link Big Blue, Who Cares or Netna's clearinghouse or reimbursement company to their website. You will select yes and allow the link to take place and be able to access such permissions as necessary in order to be able to access payment information. As you add different insurance companies and their clearinghouses/healthcare reimbursement companies you will only have to long in once to Electrolink and then select the different insurance companies you need to access, when obtaining payment information. Electrolink can also send email notifications once new payments arrive. Please note: Electrolink is not designed to replace or take the place of any clearinghouse or reimbursement company, it is created so that there exists a website that can be used by most health insurance companies to access payment information, under one website. Electrolink can also be used as a payment clearinghouse if needed. Being expedient in a world of just awful salaries is what Electrolink can assist with. Electrolink combines all of the health insurers together and this is a nationwide clearinghouse and healthcare reimbursement payment solution!
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