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OT medical Continuity of Care / Encounter Date
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micky
Nov 30, 2022, 1:14:39 PM11/30/22
to
OT Does anyone know anyhthing about medical Continuity of Care
Documents that point to an Encounter Date that is 8 or 9 months earlier?
There are a lot of the in my Patient Portal under My Chart, and for
2022, there are 6 of them, 3 of them are dated when I was out of town
and 3 more during a 2-month period when I didn't go to the doctor. All
of them have "Encounter Date"s from 2021. What is the point of
repeating what you wrote down 8 months ago? Isn't the continuity in
seeing the patient again?
Not only that, the days I did go to the doctor, afaict so far, there are
none for those dates.
I asked the doctor's secretary and she didn't know anything. I googled
and there were hits that discussed the Documents but no reference to
Encounter date. I called the doctor, who is still taking new patients
and didn't seem esp. busy when my previous doctor retired. I called him
a month ago and the first day for an annual checkup is mid-March! I
think I have too many things to discuss that day and he won't want to
discuss their record keeping, even if that is part of what I'm paying
for.
(not only that, it says "Your complete health record update has failed.
Click here to Request Health Record." I don't know what update they
mean, but okay, so I got a message saying it's being processed. I
wonder where it will show up after it's processed.)
Documents that point to an Encounter Date that is 8 or 9 months earlier?
There are a lot of the in my Patient Portal under My Chart, and for
2022, there are 6 of them, 3 of them are dated when I was out of town
and 3 more during a 2-month period when I didn't go to the doctor. All
of them have "Encounter Date"s from 2021. What is the point of
repeating what you wrote down 8 months ago? Isn't the continuity in
seeing the patient again?
Not only that, the days I did go to the doctor, afaict so far, there are
none for those dates.
I asked the doctor's secretary and she didn't know anything. I googled
and there were hits that discussed the Documents but no reference to
Encounter date. I called the doctor, who is still taking new patients
and didn't seem esp. busy when my previous doctor retired. I called him
a month ago and the first day for an annual checkup is mid-March! I
think I have too many things to discuss that day and he won't want to
discuss their record keeping, even if that is part of what I'm paying
for.
(not only that, it says "Your complete health record update has failed.
Click here to Request Health Record." I don't know what update they
mean, but okay, so I got a message saying it's being processed. I
wonder where it will show up after it's processed.)
Cindy Hamilton
Nov 30, 2022, 1:20:46 PM11/30/22
to
On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
> OT Does anyone know anyhthing about medical Continuity of Care
> Documents that point to an Encounter Date that is 8 or 9 months earlier?
https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
> OT Does anyone know anyhthing about medical Continuity of Care
> Documents that point to an Encounter Date that is 8 or 9 months earlier?
Cindy Hamilton
micky
Nov 30, 2022, 2:21:30 PM11/30/22
to
In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
<hami...@invalid.com> wrote:
>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>> OT Does anyone know anyhthing about medical Continuity of Care
>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>
>https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
I did that already. I mention that I did that further down.
>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>> OT Does anyone know anyhthing about medical Continuity of Care
>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>
>https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
Cindy Hamilton
Nov 30, 2022, 3:37:46 PM11/30/22
to
On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
> In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
><hami...@invalid.com> wrote:
>
>>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>>> OT Does anyone know anyhthing about medical Continuity of Care
>>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>>
>>https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
>
> I did that already. I mention that I did that further down.
Nobody here is a doctor. Nobody here is medical records specialist.
> In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
><hami...@invalid.com> wrote:
>
>>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>>> OT Does anyone know anyhthing about medical Continuity of Care
>>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>>
>>https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
>
> I did that already. I mention that I did that further down.
Nobody here is an insurance customer service representative. Nobody
here is a medical software expert.
Every patient portal is different.
Precisely what do you expect us to be able to tell you?
--
Cindy Hamilton
Frank
Nov 30, 2022, 4:23:35 PM11/30/22
to
On 11/30/2022 3:37 PM, Cindy Hamilton wrote:
> On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>> In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
>> <hami...@invalid.com> wrote:
>>
>>> On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>>>> OT Does anyone know anyhthing about medical Continuity of Care
>>>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>>>
>>> https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
>>
>> I did that already. I mention that I did that further down.
>
> Nobody here is a doctor. Nobody here is medical records specialist.
> Nobody here is an insurance customer service representative. Nobody
> here is a medical software expert.
>
> Every patient portal is different.
>
> Precisely what do you expect us to be able to tell you?
>
Gee, you don't know micky by now?
> On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>> In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
>> <hami...@invalid.com> wrote:
>>
>>> On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>>>> OT Does anyone know anyhthing about medical Continuity of Care
>>>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>>>
>>> https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
>>
>> I did that already. I mention that I did that further down.
>
> Nobody here is a doctor. Nobody here is medical records specialist.
> Nobody here is an insurance customer service representative. Nobody
> here is a medical software expert.
>
> Every patient portal is different.
>
> Precisely what do you expect us to be able to tell you?
>
micky
Nov 30, 2022, 4:46:00 PM11/30/22
to
In alt.home.repair, on Wed, 30 Nov 2022 20:37:39 GMT, Cindy Hamilton
needn't read further, he needn't answer.
>Every patient portal is different.
Continuity of Care Documents are not related to the portal. They are
among other things an attempt to have "a standardized way to exchange
comprehensive clinical documents between providers". They are not the
question.
The question is what does it mean when they are created 8 or 9 months
after I saw the doctor, or, Have you ever heard of that happening.
>Precisely what do you expect us to be able to tell you?
Most of you I expect won't know anything, but if 1 or 2 of you know
something, that would likely be a big help.
<hami...@invalid.com> wrote:
>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>> In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
>><hami...@invalid.com> wrote:
>>
>>>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>>>> OT Does anyone know anyhthing about medical Continuity of Care
>>>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>>>
>>>https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
>>
>> I did that already. I mention that I did that further down.
>
>Nobody here is a doctor. Nobody here is medical records specialist.
>Nobody here is an insurance customer service representative. Nobody
>here is a medical software expert.
What was the first sentence: "Does anyone know anyhthing about medical
>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>> In alt.home.repair, on Wed, 30 Nov 2022 18:20:39 GMT, Cindy Hamilton
>><hami...@invalid.com> wrote:
>>
>>>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>>>> OT Does anyone know anyhthing about medical Continuity of Care
>>>> Documents that point to an Encounter Date that is 8 or 9 months earlier?
>>>
>>>https://www.google.com/search?q=continuity+of+care&oq=continuity+of+care
>>
>> I did that already. I mention that I did that further down.
>
>Nobody here is a doctor. Nobody here is medical records specialist.
>Nobody here is an insurance customer service representative. Nobody
>here is a medical software expert.
Continuity of Care Documents that point to an Encounter Date that is 8
or 9 months earlier?" If someone doesn't know anything about that, he
needn't read further, he needn't answer.
>Every patient portal is different.
among other things an attempt to have "a standardized way to exchange
comprehensive clinical documents between providers". They are not the
question.
The question is what does it mean when they are created 8 or 9 months
after I saw the doctor, or, Have you ever heard of that happening.
>Precisely what do you expect us to be able to tell you?
something, that would likely be a big help.
micky
Nov 30, 2022, 5:06:26 PM11/30/22
to
In alt.home.repair, on Wed, 30 Nov 2022 16:45:51 -0500, micky
C-CDA has been adopted as the industry standard for creating patient
care summary documents. What makes C-CDA significant and an improvement
on previous standards is that the data exchanged is machine-readable, so
it can be picked up by HIE systems and parsed out into patient records.
The C-CDA format is specified as a requirement for EHR vendors pursuing
ONC certification for their products. The C-CDA format is also specified
as a requirement for Stage 2 of Meaningful Use.
--- I don't know what most of the abbreviations are but it shows that
C-CDA format is required some of the time.
When done optimally, CCD exchange can reduce staff time spent gathering
patient clinical information during transitions of care. And CCDs
generally expand the clinical information available to community
providers and give them more details on the care patients received at
outside facilities. Combined with existing medication, imaging and lab
data being shared from hospitals and labs, CCDs may give providers the
additional clinical data needed at the point of care.
--- Then it goes on with the limitations. Some doctors send too much or
too little. Despite all these efforts and costs born by the doctors
and hospitals to make medical information easily portable, which I think
go back about 20 years, a doctor told me last year that it doesn't yet
work well.
But wrt my original question, no webpage says anything about creating
them 8 months later, and there seem to be more CCD's than I've had
appointments. I don't want to talk about it with the doctor if I don't
have to. It will seem like an accusation and I'd rather discuss my
health.
<NONONO...@fmguy.com> wrote:
>
>Continuity of Care Documents are not related to the portal. They are
>among other things an attempt to have "a standardized way to exchange
>comprehensive clinical documents between providers". They are not the
>question.
Optional information. No questions follow.
>
>Continuity of Care Documents are not related to the portal. They are
>among other things an attempt to have "a standardized way to exchange
>comprehensive clinical documents between providers". They are not the
>question.
C-CDA has been adopted as the industry standard for creating patient
care summary documents. What makes C-CDA significant and an improvement
on previous standards is that the data exchanged is machine-readable, so
it can be picked up by HIE systems and parsed out into patient records.
The C-CDA format is specified as a requirement for EHR vendors pursuing
ONC certification for their products. The C-CDA format is also specified
as a requirement for Stage 2 of Meaningful Use.
--- I don't know what most of the abbreviations are but it shows that
C-CDA format is required some of the time.
When done optimally, CCD exchange can reduce staff time spent gathering
patient clinical information during transitions of care. And CCDs
generally expand the clinical information available to community
providers and give them more details on the care patients received at
outside facilities. Combined with existing medication, imaging and lab
data being shared from hospitals and labs, CCDs may give providers the
additional clinical data needed at the point of care.
--- Then it goes on with the limitations. Some doctors send too much or
too little. Despite all these efforts and costs born by the doctors
and hospitals to make medical information easily portable, which I think
go back about 20 years, a doctor told me last year that it doesn't yet
work well.
But wrt my original question, no webpage says anything about creating
them 8 months later, and there seem to be more CCD's than I've had
appointments. I don't want to talk about it with the doctor if I don't
have to. It will seem like an accusation and I'd rather discuss my
health.
Phuck Phuck & Phuck Attn at Law
Dec 3, 2022, 10:02:33 AM12/3/22
to
Leonard Blaisdell
Dec 3, 2022, 8:46:04 PM12/3/22
to
> (not only that, it says "Your complete health record update has failed.
> Click here to Request Health Record." I don't know what update they
> mean, but okay, so I got a message saying it's being processed. I
> wonder where it will show up after it's processed.)
I'm a MyChart guy. Are you sure you didn't miss an appointment? Let's
> Click here to Request Health Record." I don't know what update they
> mean, but okay, so I got a message saying it's being processed. I
> wonder where it will show up after it's processed.)
say a yearly wellness exam? They really want you to attend those after a
certain age.
They want to know about vaccines that you've taken or are due for: covid,
flu, etc.. Do they know that about you?
Wait to see how the "processing" goes. Best I can do.
Bob F
Dec 4, 2022, 2:31:41 PM12/4/22
to
On 12/3/2022 5:45 PM, Leonard Blaisdell wrote:
> On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>
>> (not only that, it says "Your complete health record update has failed.
>> Click here to Request Health Record." I don't know what update they
>> mean, but okay, so I got a message saying it's being processed. I
>> wonder where it will show up after it's processed.)
>
>
> I'm a MyChart guy. Are you sure you didn't miss an appointment? Let's
> say a yearly wellness exam? They really want you to attend those after a
> certain age.
IF, by "They" you mean your "Medicare" advantage scam plan.
> On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>
>> (not only that, it says "Your complete health record update has failed.
>> Click here to Request Health Record." I don't know what update they
>> mean, but okay, so I got a message saying it's being processed. I
>> wonder where it will show up after it's processed.)
>
>
> I'm a MyChart guy. Are you sure you didn't miss an appointment? Let's
> say a yearly wellness exam? They really want you to attend those after a
> certain age.
micky
Dec 4, 2022, 6:43:38 PM12/4/22
to
In alt.home.repair, on 4 Dec 2022 01:45:56 GMT, Leonard Blaisdell
I once got yearly reminders, but I don't remember them lately.
it's some stupid flaw with the portal, I think. I did request my health
record and it emailed to me the "chart" for that date. I think that
contains all the older ones too. I haven't compared them closely, but
every later one is a little longer than the previous one.
Some of their record-keeping on me is haphazard. I should have kept
better records myself, and I should start now, and so should all of you.
I can't just remember all the details.
>say a yearly wellness exam? They really want you to attend those after a
>certain age.
I have a checkup about once a year, but for a couple reasons, I didn't
until I was about 65 and it may have been a big mistake. By the time I
was 68, the GP/internist noticed my calcium level and he and an
endocrinologist figured out I had hyperparathyrodism. That gland afaik
does only one thing, regulates calcium, and it was sucking the calcium
out of my bones into my blood. A high level of calcium is bad.
Osteopoosis in the making.
I'll never know when the hyper..ism. started and if it would have been
noticed earlier if I'd gone for a checkup and bloodwork when I was 63 or
64, but by the same token, maybe it shoudln't have taken the doctor up
to 3 years (depending on when it started) to notice it. So now I have
low bone density, measured at least 3 times, and even though I had the
bad parathyroid gland removed (leaving 3 good ones, which are more than
enough), it will take 10 years if ever to get it back to normal.
During this time, I slipped walking down hill on unavoidable gravel, 3
times in 30 minutes, landed really hard on my tush twice and really hard
on my back once, but didn't break anything!!! And tripped and landed
hard on my knee once, but didn't break that either, afaict .
The doctor had great credentials, some geat med school, excellent
intership and residency, but after I started with him he had the
smallest, most cramped office I'd ever seen with some big thing on his
desk so that we couldn't see each other unless I leaned to the side.
Eventually the thing was removed but his office stayed the same. Yet
other doctors in the practice had big offices. Plus I was in another
office building and I happend to notice his name on the directory. He
must have worked there fairly recently, plus another location in
between, which made it seem like he had changed jobs maybe twice in 2 or
3 years. Plus for a while his business card or webpage no longer said
(board certified in) cardiology, as if he lost it for a while. That
could be nothing more serious than failure to do the continuing
education, but even that, why is he not doing it? He must have gone
through a bad period, during or just before he noticed the calcism
problem (so maybe he didn't notice as quckly as he should have) and I'm
not positive he ever got out of it.
But there's no one I can ask. And I liked him.
The last time I saw him before he retired (at 75) he said I was too fat
to check my prostate, but I was no fatter than I had been. He really
didn't like his job anymore that last year and maybe earlier. Maybe he
was just working bcause he needed the money. (His daughter was already
an MD.)
He also apparently recorded me in the chart as having "age-related
osteoporosis", same thing in 6 places, but the new doctor said he would
change it or them to parathyroid related.
Good credentials are no proof of future performance. Or maybe he was
great and I'm just too suspeicious.
>They want to know about vaccines that you've taken or are due for: covid,
>flu, etc.. Do they know that about you?
They know, and I keep track without them. I've had everything except
I'm waiting on this year's flu shot. I've been vaccinated for Corona 5
times. Long story why it's not just 4. Whatever, I haven't gotten it.
>Wait to see how the "processing" goes. Best I can do.
:-) thanks for trying.
<leobla...@sbcglobal.net> wrote:
>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>
>> (not only that, it says "Your complete health record update has failed.
>> Click here to Request Health Record." I don't know what update they
>> mean, but okay, so I got a message saying it's being processed. I
>> wonder where it will show up after it's processed.)
>
>
>I'm a MyChart guy. Are you sure you didn't miss an appointment? Let's
Positive. I don't have automatically scheduled appointments. I think
>On 2022-11-30, micky <NONONO...@fmguy.com> wrote:
>
>> (not only that, it says "Your complete health record update has failed.
>> Click here to Request Health Record." I don't know what update they
>> mean, but okay, so I got a message saying it's being processed. I
>> wonder where it will show up after it's processed.)
>
>
>I'm a MyChart guy. Are you sure you didn't miss an appointment? Let's
I once got yearly reminders, but I don't remember them lately.
it's some stupid flaw with the portal, I think. I did request my health
record and it emailed to me the "chart" for that date. I think that
contains all the older ones too. I haven't compared them closely, but
every later one is a little longer than the previous one.
Some of their record-keeping on me is haphazard. I should have kept
better records myself, and I should start now, and so should all of you.
I can't just remember all the details.
>say a yearly wellness exam? They really want you to attend those after a
>certain age.
until I was about 65 and it may have been a big mistake. By the time I
was 68, the GP/internist noticed my calcium level and he and an
endocrinologist figured out I had hyperparathyrodism. That gland afaik
does only one thing, regulates calcium, and it was sucking the calcium
out of my bones into my blood. A high level of calcium is bad.
Osteopoosis in the making.
I'll never know when the hyper..ism. started and if it would have been
noticed earlier if I'd gone for a checkup and bloodwork when I was 63 or
64, but by the same token, maybe it shoudln't have taken the doctor up
to 3 years (depending on when it started) to notice it. So now I have
low bone density, measured at least 3 times, and even though I had the
bad parathyroid gland removed (leaving 3 good ones, which are more than
enough), it will take 10 years if ever to get it back to normal.
During this time, I slipped walking down hill on unavoidable gravel, 3
times in 30 minutes, landed really hard on my tush twice and really hard
on my back once, but didn't break anything!!! And tripped and landed
hard on my knee once, but didn't break that either, afaict .
The doctor had great credentials, some geat med school, excellent
intership and residency, but after I started with him he had the
smallest, most cramped office I'd ever seen with some big thing on his
desk so that we couldn't see each other unless I leaned to the side.
Eventually the thing was removed but his office stayed the same. Yet
other doctors in the practice had big offices. Plus I was in another
office building and I happend to notice his name on the directory. He
must have worked there fairly recently, plus another location in
between, which made it seem like he had changed jobs maybe twice in 2 or
3 years. Plus for a while his business card or webpage no longer said
(board certified in) cardiology, as if he lost it for a while. That
could be nothing more serious than failure to do the continuing
education, but even that, why is he not doing it? He must have gone
through a bad period, during or just before he noticed the calcism
problem (so maybe he didn't notice as quckly as he should have) and I'm
not positive he ever got out of it.
But there's no one I can ask. And I liked him.
The last time I saw him before he retired (at 75) he said I was too fat
to check my prostate, but I was no fatter than I had been. He really
didn't like his job anymore that last year and maybe earlier. Maybe he
was just working bcause he needed the money. (His daughter was already
an MD.)
He also apparently recorded me in the chart as having "age-related
osteoporosis", same thing in 6 places, but the new doctor said he would
change it or them to parathyroid related.
Good credentials are no proof of future performance. Or maybe he was
great and I'm just too suspeicious.
>They want to know about vaccines that you've taken or are due for: covid,
>flu, etc.. Do they know that about you?
I'm waiting on this year's flu shot. I've been vaccinated for Corona 5
times. Long story why it's not just 4. Whatever, I haven't gotten it.
>Wait to see how the "processing" goes. Best I can do.
Peter
Dec 5, 2022, 10:35:35 AM12/5/22
to
micky
Dec 5, 2022, 11:47:53 AM12/5/22
to
In alt.home.repair, on Mon, 5 Dec 2022 10:35:27 -0500, Peter
They have repeated Continuity of Care Documents in the chart, on days
when I didn't even see the doctor. They routinely refer in the very
first bold-print line to Encounter Date, which is usually 8 or 9 months
earlier. I can't imagine the point of that. When the doctor has no
patient to see, he sits at his desk and imagines what my health was like
8 months earlier? He reads the chart again and thinks that's
follow-up?
I asked the secretary but she didn't know.
I googled a lot, and there was a thread here about that.
I will ask the receptionist in person next March, and I'll probably ask
the doctor, if I can.
I wrote the doctor through the portal Thursday at 7PM and he wrote me
back a detailed message at midnight that night! I thanked him and
complimented him on working late.
Were you here a couple weeks ago when a clinic at a different hospital
recorded on my portal that I had had an endoscopy for gastric reflux?
And I don't have gastric reflux. It was actually an unsuccessful
attempt to put in an anti-feeding tube, which I was supposed to pay for
entirely, no insurance, but since it didn't work, without my having to
ask, they refunded all my money. I thought they changed the description
so they could bill Medicare for part of it, but I called Medicare and
they hadn't billed a penny.
<Hapily...@fakeaddress.com> wrote:
>
>>
>> Good credentials are no proof of future performance. Or maybe he was
>> great and I'm just too suspeicious.
>>
>>> They want to know about vaccines that you've taken or are due for: covid,
>>> flu, etc.. Do they know that about you?
>>
>> They know, and I keep track without them. I've had everything except
>> I'm waiting on this year's flu shot. I've been vaccinated for Corona 5
>> times. Long story why it's not just 4. Whatever, I haven't gotten it.
>>
>>> Wait to see how the "processing" goes. Best I can do.
>>
>> :-) thanks for trying.
>
>I smell medicare billing fraud for fictitious appointments and procedures.
You may be as suspicious (suspecting, that is) as I am.
>
>>
>> Good credentials are no proof of future performance. Or maybe he was
>> great and I'm just too suspeicious.
>>
>>> They want to know about vaccines that you've taken or are due for: covid,
>>> flu, etc.. Do they know that about you?
>>
>> They know, and I keep track without them. I've had everything except
>> I'm waiting on this year's flu shot. I've been vaccinated for Corona 5
>> times. Long story why it's not just 4. Whatever, I haven't gotten it.
>>
>>> Wait to see how the "processing" goes. Best I can do.
>>
>> :-) thanks for trying.
>
>I smell medicare billing fraud for fictitious appointments and procedures.
They have repeated Continuity of Care Documents in the chart, on days
when I didn't even see the doctor. They routinely refer in the very
first bold-print line to Encounter Date, which is usually 8 or 9 months
earlier. I can't imagine the point of that. When the doctor has no
patient to see, he sits at his desk and imagines what my health was like
8 months earlier? He reads the chart again and thinks that's
follow-up?
I asked the secretary but she didn't know.
I googled a lot, and there was a thread here about that.
I will ask the receptionist in person next March, and I'll probably ask
the doctor, if I can.
I wrote the doctor through the portal Thursday at 7PM and he wrote me
back a detailed message at midnight that night! I thanked him and
complimented him on working late.
Were you here a couple weeks ago when a clinic at a different hospital
recorded on my portal that I had had an endoscopy for gastric reflux?
And I don't have gastric reflux. It was actually an unsuccessful
attempt to put in an anti-feeding tube, which I was supposed to pay for
entirely, no insurance, but since it didn't work, without my having to
ask, they refunded all my money. I thought they changed the description
so they could bill Medicare for part of it, but I called Medicare and
they hadn't billed a penny.
Peter
Dec 5, 2022, 2:55:32 PM12/5/22
to
received and will be receiving pertaining to this provider and/or
his/her office to see if he/they billed medicare for any of the phantom
visits, incorrect diagnoses, or other health record discrepancies you've
noted. If so, I'd waive those EOB statements in the face of the office
manager and demand explanation(s). Also, I'd make sure your doctor was
aware. Most times, the providers have no idea how their entries into
the health record are being coded and submitted to insurance for
payment. They might be complicit or they may be entire ignorant of
what's going on in the business management section of their office.
However, if none of the issues you've posted here have resulted in
medicare EOBs, I'd chalk it up to buggy health record software that will
certainly confuse the patients and mislead future providers or even
visits to your own provider if their his/her memory of your case needs
refreshing when you have future contact. The doc needs to be aware that
this is happening. In most cases, they don't unless informed by a
patient or an unexpected contact from CMS!
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