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From: Linda (LoveToRead) DelphiPlus Member Icon Posted by hostMar-24 12:51 PM 
To: CamGeary  (71 of 85) 
 5784.71 in reply to 5784.67 

sad, but true!

 
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From: Linda (LoveToRead) DelphiPlus Member Icon Posted by hostMar-24 12:52 PM 
To: kizmet1  (72 of 85) 
 5784.72 in reply to 5784.68 

I have no idea ... I've just heard of Spanish rice and figured that was rice.  Now I feel stupid  :-)

 

 
From: Linda (LoveToRead) DelphiPlus Member Icon Posted by hostMar-24 12:56 PM 
To: kizmet1  (73 of 85) 
 5784.73 in reply to 5784.69 

I can remember then President Clinton giving a press conference on "Hilarycare".  After saying how he had communicated with hundreds of doctors across the country, he waved ONE piece of paper. Stated that from now on, doctors would only have ONE piece of paper, saving them many hours of work.  I about fell off my sofa laughing ....   doctors for the most part don't do that kind of paperwork.  That's why they hired people like me ..who could do that work.  From one pice of paper it turned into a nightmare.  Sending copies of records to a general physician and a form requesting authorization to treat.  Yes..a nightmare....

 

 
From: Linda (LoveToRead) DelphiPlus Member Icon Posted by hostMar-24 12:56 PM 
To: Bike (URALTOURIST1) DelphiPlus Member Icon  (74 of 85) 
 5784.74 in reply to 5784.70 

I'm getting quite an education about rice!  Thanks!

 

 
From: Bike (URALTOURIST1) DelphiPlus Member IconMar-24 1:20 PM 
To: Linda (LoveToRead) DelphiPlus Member Icon  (75 of 85) 
 5784.75 in reply to 5784.73 

And YOU had to learn doctor speak, an alien language in any country, only confused by insurance speak, a truly indecipherable gobbledygook designed to frustrate managers, nurses and clerks (doctors relied on this cadre).  For a blessedly short time, I worked at a cost/case management desk as an RN dealing with insurance case managers on a daily basis, I actually spent as much as 2 hours on hold with each company rep each day to verify coverages and days remaining on policy limits and allowable therapies, what a horrible job, I was knowledgeable in the needs of patients, the unbelievable bull crap of the bureaucracy of each governmental or insurance requirement and system and subsystem was just truly asinine.  I was a skilled RN and the person on the other end was also an RN but a real bureaucrat, not a care person, if a man's head was falling off, we needed to get approval to use stitches to hold it in place, if not, payment was denied.

 

Warren
 
USCG Engineer 1961-1982
 
RN, Acute Care specialist 1986-2008
 
 
 

 
From: kizmet1Mar-24 1:27 PM 
To: Linda (LoveToRead) DelphiPlus Member Icon  (76 of 85) 
 5784.76 in reply to 5784.73 
Sounds really expensive. The way insurance makes drs account for every single minute for a patient keeps me away and eating a certain way to be healthy and avoiding 2nd hand smoke and sweets.
 

 
From: Bike (URALTOURIST1) DelphiPlus Member IconMar-24 2:40 PM 
To: kizmet1  (77 of 85) 
 5784.77 in reply to 5784.76 

Man, you HAVE to have a tall porter beer and pretzels to go with your foul smelling English pipe tobacco, three food groups, SALT, SWEET, SMOKY.

 

Warren
 
USCG Engineer 1961-1982
 
RN, Acute Care specialist 1986-2008
 
 
 

 
From: kizmet1Mar-24 4:37 PM 
To: Bike (URALTOURIST1) DelphiPlus Member Icon  (78 of 85) 
 5784.78 in reply to 5784.77 
Groan. In my childhood it was Irish whiskey along with Philip Morris and Lucky Strike.
 

 
From: Linda (LoveToRead) DelphiPlus Member Icon Posted by hostMar-25 5:47 AM 
To: Bike (URALTOURIST1) DelphiPlus Member Icon  (79 of 85) 
 5784.79 in reply to 5784.75 

You know what you speak!  Because I also managed the contracts with the insurance companies, I always felt like I knew more about  their insurance than the people I had to talk to on the phone.  The worst was when a couple companies moved their customer service overseas ... so I spent many hours trying to talk to people who only knew 10 words of our language. 

I one had an argument with Blur Cross, trying to get a claim paid that they had denied for being a pre-conditioned  illness.  When I argued and they had the paperwork to prove I was right, I was told that if a person had a headache (diagnosed) at a young age, if that person developed a brain tumor when he/she was 40, it would be denied as pre-existing.

I have so many stories... a lot I have documented.  I thought at one time, I would write a book.. but I never did.  :-)
 

 

 
From: Linda (LoveToRead) DelphiPlus Member Icon Posted by hostMar-25 5:48 AM 
To: Bike (URALTOURIST1) DelphiPlus Member Icon  (80 of 85) 
 5784.80 in reply to 5784.75 

I might mention ... the hardest part of the job was reading the doctors' handwriting  :-)

 

 
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