my new best buds

So my new best buds are the guys from ARCHI- these Australian mates have been very helpful- I’m tempted to fly over. Scratch that- I want my vacation.

Seriously though, they have taught us a thing or two on care management that would have blind-sided us because our healthcare systems are set up quite differently. And this new health reform in the US is one humdinger of a loop- with some strange holes. But the bottom line is that our healthcare is too fragmented at the core- doctors don’t communicate across the continuum of care in a patient. Administration easily misses the quality indicators that are ringing warning bells- until CMS and/or IPRO deny the case and we don’t get paid for anything- and even at appeal it gets dicey- if the documentation is spotty and unjustifiable- no reason to appeal; and those cases that we take to appeal -the percentage upheld tells us that at the beginning of the process- when our patients enter the ER is where our first major mistake occurs…

I won’t rattle on- but every meeting adds more tasks that drill deeper- we know it will be a monster endeavor- we just not sure what to call it!


2 Responses to “my new best buds”

  1. May 21, 2010 at 4:14 pm

    where is the ‘like’ button? 🙂

  2. 2 INAL
    May 21, 2010 at 4:57 pm

    LOL your guess is as good as mine!

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