You normally don't find out how much you will owe in a hospital until you get the bill or several of them. Hospital charges can be complicated and you expect your health insurance to pay for mostly everything. Yes, you may have a deductible but you certainly don't think that the very establishment designed to protect you financially regarding your health, will be the same establishment to throw you under the hospital bed once you get admitted and are "pre-procedure"and just because the hospital wants to use the term "under observation". Talk about food out of the mouths of the poor and fancy vacations for the wealthy. I don't completely understand why an insurance company can only pay for part of a hospital stay and not balance the bill as an overall visit including the procedure. Observations are usually a preparation for either a minor procedure or real down and out surgery. But insurance companies can sometimes look at a claim and feel as though a patient just left the comforts of home to go and hang out with a bunch of strangers and doctors who want to get paid for any patient room they walk into. This is not necessarily the situation when one is set to have a procedure, probably most of the time they just want to show up the day it is supposedly to take place and just get it done and go home; hopefully the same day. But when the hospitals or physicians in specific implement an approach or standard of care to make sure a patient is in good condition by requesting that they come in the day before a procedure or surgery to make sure things go smooth and that they are not missing anything, they don't think about how a patient is supposed to afford all of this, bills can get very messy. I suppose that the physician or hospital representative does not want to be bothered in explaining what a health insurance company will and will not pay for and what the patient should be able to afford after all their years of hard work. We know they are physicians and not the billing complaint hot line. Hospitals should not use certain terminology out of scope so that health insurance companies no longer want to pay for a medical service such as "under observation" because it is not viewed as a medical service. Which is really stupid, because why was the person in the hospital? Under observation, should be looked upon as pre-procedure or of course use the diagnosis as the reason for the hospital stay! Patients should never pay more than what they can modestly afford.
HIPAA or health insurance portability and accountability act, is legislation that provides data and security provisions for guarding or safeguarding medical information. The HIPAA privacy rule has been in effect since 2003, and it was designed to only allow those designated on the HIPAA form to disclose certain personal information and provide or release that information to others. This can be done in instances from physicians office to physicians office and for attorneys to obtain medical or other pertinent information that is needed for a lawsuit. HIPAA or a completed HIPAA form is consent given from a patient, claimant or other individuals, that provides permission to obtain private or personal information regarding their health or other inquiries. As a rule without this HIPAA consent, physicians, lawyers, hospitals, insurance companies or other facilities would not be allowed to disclose such private and protected health information about an individual.
My problems with HIPAA: Well certain entities have their own HIPAA forms thus, having a universal one is something that needs to be considered. This would make things easier so that you can get all of your information done by using a standard HIPAA form. When you have certain pharmacies, health insurances or the FDNY using their own HIPAA for release of medical information the process of obtaining that request takes longer, this is because sometimes people are unaware that there are certain forms in those instances to be used. Another problem is that there should be a website to generate the various different HIPAA forms, that you can e-mail or print out and fax or mail once they are complete, or even notarized them by electronic stamp. Say what? Ok, let's say you are a law firm called Are Those My Clients? and you need authorization to access most of the physicians in the New York area. Your clients are computer savvy, so they are able to go online and do many things. As an attorney and a creative one you establish a client user website for your law firm to take the nonsense out of doing HIPAA forms and upsetting your paralegals and office workers. This will help when you are looking into a case and need the information rather quickly to investigate the matter, to see how you can assist the potential client and of course if you decide to take the case. The law firm of Are Those My Clients?, allows you to log in and utilize the client area that will take, the client to a forms completion area that will allow them to complete as many pre-populated forms as necessary. This client forms area will also include the HIPAA forms. Each form is then e-signed and a notarized stamp can also be electronically placed on the form if required. Each HIPAA form is stored in the clients on-line website file for the law firm and can be faxed, e-mailed or mailed to a third party representative on behalf of the law firm, or to another law firm if a case is referred elsewhere. But the good thing is that since the HIPAA is created and stored on-line, a client who may be home or somewhere near a computer can log-in and e-sign a newly created HIPAA from the law office website, as long as they have a computer to do so. The paralegal or assistant can then send the HIPAA forms to the appropriate department or facility to obtain medical record requests by e-mail and this will make the process of obtaining completed HIPAA forms a lot faster.
Blood thinners do not actually thin the blood. Really, they just slow down the time it takes for the blood to clot. This supposedly helps people with heart disease so that their blood does not clot so quickly. Stents that are designed to widen the arteries can be problematic and cause blood clots as they can form in the stent or stents. The operative word here is called desensitizing or to cause less of a reaction by using other factors to reduce the stress that a stent or blood clot may impact upon the artery. To desensitize a stent the introduction of blood thinners are used once stents are placed in the arteries so that the blood does not thicken and form a clot around it due to the stent not having not had a chance to blend in with the cells of the artery, which will enable the blood to flow normally instead of building and clotting itself around the stent. That would make sense, because what good would a stent be if it only causes blood clots once inserted? Now, many people cough while taking blood thinners and have many other side effects. Physicians do not recommend Benadryl, as a way of desensitizing the effects that the body undergoes when taking a blood thinner. Benadryl, as long as it does not interfere with other medications may help stop that allergic cough or reaction the body has to blood thinners and help reduce a persistent cough that would not have otherwise have occurred, if they were not on the blood thinning medication. Cardiologists, should recommend desensitizing for the various medications that cause allergic reactions or symptoms to happen. Many patients of course just ask their physician to put them on another medication. Sometimes there are insurance problems in finding a medication that your health insurance will pay for. This may mean that a patient will have to tough it out with a medication that gives them a nagging cough. I know physicians and patients alike don't think about desensitizing when it comes to stents or medications that enable stents to perform their job adequately. In lots of instances where there are emergency circumstances and you find that stents have been placed and new medications are being given; many of us don't think about the side effects or what problems will happen afterwards. Because, the ER visit, cath lab or hospitalization was supposed to fix or remedy the problem. But we don't realize the complications until afterwards, and then that's when you need to find a way to have stents and medications work in unison or somewhat perfect harmony. And, not everyone needs desensitizing for some blood thinners work just fine, but for those who do have problems a quick intervention of desensitizing could alleviate the annoying and troublesome cough a patient may be having. The stent has to become acclimated within the walls of the artery so that the blood that flows through it does not bind to the stent as foreign matter and begin to clot itself around it. To desensitize the stent from the blood and to have the body to desensitize itself and be able to accept the blood thinner by helping to prevent the cough are what is known as side effect interventions and should be implemented as soon as a problem arises.
Just when you think the medical world can't do enough here in America. As many of you know stents are wire or mesh type tubes that open narrow or clogged arteries in the heart. Much of the time this is done through cardiac catheterization, in which a catheter is inserted through the arm or groin and the catheter is then inflated to help blood flow in the heart's artery. Since the arteries cannot stay inflated by themselves a stent is put into place and pretty much stays there until... Well, sometimes arteries can become clogged or narrowed again, this is a bummer as this is called re-stenosis. You cannot remove a stent once it is placed, but you can probably clear away the blockage within the stent and place another one inside of it. Well, in many or most instances we can hope for collateral arteries. Say what? Collateral arteries supply an alternate source of blood supply to the heart. Believe it or not the body, at lest in some people are able to grow or produce new blood vessels, that actually grow around already existing blocked arteries. Just like a broken bone repairs itself and skin that is damaged replaces itself, new vessels can form or grow due to their damage blood, as the body intuitively survives. The body releases a repair protein called VEGFR. There is a molecule that binds and transports to VEGFR called NRP1 and yet there is another repair protein called VEGFR2, as this binds inside the blood vessels to assist in the repair process; this process is called angiogenesis. There has to be a way to synthetically create VEGFR1 and VEGFR2 along with NRP1 so that people with heart problems can survive by way of alternate vessel routing. Once heart problems or disease are established and by administering VEGFR and NRP to the damaged vessels so that new vessel growth can be stimulated in order to prevent a heart attack or sudden cardiac arrest. Just think in these situations, it's like having an extra vessel when the other one does not work. It's a safeguard and protective of the heart to encourage the body to regrow or produce new vessels in the event that the original ones become damaged. The body can be made to reproduce and once it does the mechanical need along with it's problems or side effects afterwards of heart ailment or attack will ultimately be reduced.
I remember many years ago when computer modems were popular. This was great because you could fax from your computer by connecting your phone line. Now you say, who needs faxing when you have e-mail? Well, for one you can probably multitask as in sending a fax and an e-mail at the same time. Don't you just hate it when you have to stand around the fax machine and lose valuable time when you could be more productive at your desk or wherever, but you can't because you have faxes to send? If companies allowed the access to fax documents using e-mail we would be able to take documents already in the computer and send them by fax. This would be great, because although there are many different fax numbers, not everyone has an e-mail address that allows faxing certain documents to. E-mail is e-mail and there needs to be a more standardized system of faxing and combining fax and e-mail so that one can send a fax by computer and have a confirmation along with e-mail type response. When you send a fax by regular machine there is no storage of that information to forward it to someone or to resend it. Once you send it you cant "cc" somebody or send the fax to as many recipients as you may want to by using a traditional fax machine. You just send the fax one at a time and then get that paper print out saying that everything is ok as a confirmation of sorts. But, there is no real communication between the fax and the person on the other end or who you were supposed to be sending the fax to. This means that anyone can send a fax and the person on the other end can just chuck it or throw it away. Sure you can call the place you sent the fax to, and confirm that they have received it. But, then if you have other questions that you need follow-up answers to; you will have to try and get a hold of of the person you spoke to in order to get answers from. This can be difficult. When sending faxes from a computer you can send them to multiple recipients and use that computer fax sent to send follow-up messages, especially when a task has to be done in order to get a response. Now, before you go saying, people will no longer want to use fax machines. Nope, fax machines will always be useful as they are multi-function machines, copy, fax, scan and print. So you could certainly use that multi-function machine to scan, copy documents and print them. But for multi-taskers who need to be at their desk doing other work, faxing from your computer is the way to go. Since it's done from your computer you can send fax follow-up messages regarding your faxes and documents that you send. You will no longer be in doubt about who actually got the fax that you sent. Companies and businesses should consider using fax software that becomes mainstream just as apps are. All of the fax e-mails sent are logged into the computer-fax software of your choice, on your computer so you can get all of your confirmations in e-mail type response, although you were faxing. Faxing from your computer, saves time, aggravation and creates productivity!
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