- Joined
- Aug 21, 2007
- Messages
- 7,846
- Reaction score
- 13,502
Patient yesterday: 56 year old female from Bahhhston. Seen by PMD yesterday with "wicked bad cawffh (cough)" that is productive of yellow, foul-smelling sputum and subjective nocturnal fever. PMD orders outpatient chest x-ray. Denied by insurance for whatever reason. Patient calls PMD.
"Just go to the ER."
Patchy RLL pneumonia. Obviously there. Augmentin. Steroids. Home.
Way to go, insurer; you spent far more on the ER visit than you ever would have if you just approved the CXR to begin with.
Its funny; they want to not pay for "nonemergent" visits to the "Emergency" department, but also deny the "nonemergent" studies ordered in the nonemergent setting.
Hang 'em high, I say.
"Just go to the ER."
Patchy RLL pneumonia. Obviously there. Augmentin. Steroids. Home.
Way to go, insurer; you spent far more on the ER visit than you ever would have if you just approved the CXR to begin with.
Its funny; they want to not pay for "nonemergent" visits to the "Emergency" department, but also deny the "nonemergent" studies ordered in the nonemergent setting.
Hang 'em high, I say.