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On November 8, we had another election in this country. It was historic by many measures, and millions of our fellow Americans stood in line and had their voices heard by casting their ballot. It is one of the most beautiful things about this country: every two years, we settle our differences – not by […]
Even before the COVID-19 pandemic disrupted in-person work and fundamentally altered the dynamic of in-person meetings, many of my administrative functions occurred virtually. Every week, I would have operations calls and strategy meetings via phone and either Zoom, WebEx, or Microsoft Teams. Of course, the Covid pandemic accelerated the change to complete virtual work, and […]
We have been traveling on a journey through the very frustrating, annoying, and obnoxious world of health insurance company denials. Whether it be a denial for medical necessity, “30-day readmissions,” or accurate diagnoses, it is a waste of time and resources, and it is a barrier to providing the proper care patients deserve. It is good that more attention is […]
I was honored to be on a panel of experts for a webinar on sepsis denials by payers, especially commercial insurance companies. I had previously written about “knowing your sepsis,” especially since different payers use – and hold us to – different definitions for the same disease process. It can be absolutely maddening. It was a great conversation. During […]
I sat with him for hours. We spoke and spoke and spoke at length over why he could no longer be happy. He changed jobs, and his new job did not work out. He felt guilty for moving his family to another state, and he felt like a failure in his new job. Nothing I […]
The fever and diarrhea were relentless. For almost one week straight, it just would not stop. That was despite good antibiotic therapy. This was supposed to be the easiest round of chemotherapy – the maintenance round – and we were supposed to be home free for the summer. Supposed to be. Everything, however, did not […]
I knew early on in my medical career that I wanted to be a Critical Care Medicine specialist. I knew early on in my medical career that I wanted to spend my days and nights caring for people at their most vulnerable. And so, in my intern year during Residency, I couldn’t wait for my […]
Insurance company denials are terribly frustrating. They delay prompt processing of claims. They require annoying extra steps to get paid. And, frequently, they require spending more money on denial and appeal experts such as myself to help fight them. Yes, I’m grateful for the business, and I share the frustration of hospitals and health systems […]
I can make abnormal numbers go away…that doesn’t mean I have done the patient any good.
All of us, one day, will “lose the battle” of illness, accident, or condition. The question is: will we have won the war?
