Wednesday, August 20, 2014

Karma and other irritating bits of information

Speaking of Karma..
Oh yeah I was--

We have to be our own advocates these days! Don't take anything for granted!!

I'm still wrestling with the medical records errors problem.  The clinic has NOT done what they said they would....so I shot off via snail mail an enlightened letter to the director whom I have not been able allowed to speak to as the underlings are her guard dogs.  No matter...the letter is important and I hope she reads it...
I am a Libra...that means BALANCE has to occur! I have been researching and found this out--
In my case.... information gathered in NOV of 2013 was attached to a medical records of  March, May, July. Its out of date information...according to the Documentation Guidelines of CMS.GOV (its the center for medicare and medicaid services, the largest Insurance companies in the world, I don't have either but the guidelines set up by these Govt Entities are set in stone!) It states if you have outdated information on a report it should NOT be included on the report ---or the date this information was collected must be on the report!! SO there is my base for complaint on that part of the medical records...where Review of Symptoms and Family and Social History was attached to each report as if it was done right then and there it wasn't and it was not properly documented. Its a paper pushing world we live in, so when you push paper it better be right!  

Secondly I found this on the HHS.GOV 
That's the US DEPT. of Human and Health Services website...

according to Code of Federal Regulations:

Correcting information
If you think the information in your medical or billing record is incorrect, you can request that the health care provider or health plan amend the record. The health care provider or health plan must respond to your request.  If it created the information, it must amend the information if it is inaccurate or incomplete.  If the provider or plan does not agree to your request, you have the right to submit a statement of disagreement that the provider or plan must add to your record.
For further information on this topic, please refer to 45 C.F.R. §§ 164.508, 164.524 and 164.526.

So I am within my rights to ask for this to be corrected and if it is not I can put in a report of my own which must become part of the permanent record!!!! Yippie score one for the Giffer right.  Yep I'm keeping score and taking down names..
 speaking of which....I called 3 times yesterday asked for a return of phone call...all 3 times I asked to speak to the director, at 9 am she is in a staff meeting, at 11:30 she is with someone in her office, at 3:30 she is in a staff meeting...WHAT another staff meeting? So I asked the name of the person who answered the phone...she refused to give me her name!!! 
this is a Free Health Clinic they take Federal and State dollars!

On their website they show people getting surgeries etc for problems...

Yet when I asked if they provided MRI's diagnostics....they said NO why do an MRI if you have no insurance to pay for a knee surgery? Well they had a surgeon help this woman! I believe I've been discriminated against!!

Its the never ending saga....you use the Govt rules to try and get something the Govt is keeping you from getting? Wow I feel like I'm chasing my tail!
Somewhere along the line this information may help someone else out there who is having a similar problem...what was it they used to say on the X-Files?
The Truth Is Out There!


OH YEAH=
I had my first sale on Etsy! One of my vintage Winnie the Pooh teddies is off to his forever home in Texas. He was so happy to finally be adopted!


PEACE
Eleanor Roosevelt: You must do the thing you think you can not.

8 comments:

  1. And I thought it was just this state. We have on one of our News Station a thing called 9 on your side. They get right down to business I am going to give them a call about the 3 apps. I sent for discounted electric and they claim they never received them. So they sent me another one I am not going to fill out another one.
    2 were sent my mail and one was sent online. I wonder if the manager of this dept. is the same one who was running the VA.Hospital in AZ where people died waiting for an app. and records were shredded to hide the problem

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    1. Yesterday they sent me 2 pages of the 15 pages I have asked for and they dismissed me as a patient stating i had cancelled an appt. WELL the policy says appt. must be cancelled 24 hrs in advance...I cancelled a week ago! I had no plans of returning there for care but talk about a cover up!!

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  2. HI Sondra... Sorry about all this crap you going through. Hope something gets done ,it just depends who you are in this world unfortunately !
    Good for Pooh hope he has a good home!!

    Grace

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    1. Thanks Grace....He's a Texican Now--lol hope he will be okay down there.

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  3. Jo has a good point. Do you have a local news station with a consumer advocate? You have great documentation of what you've done. Maybe they would help.

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    1. I can ifle a complaint with the Medical board and I know a state legislator by first name, Im thinking of dropping by her office but IM not done YET!!! I have the right to attach my own Letter of Disagreement to my records!! I am trying to type that up today..

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  4. Glad you're still fighting! Though not glad you still have to... Wish it would all get sorted. The news station idea ain't a bad one. Any kind of publicity that these people are being shady or discriminatory could really help. Good luck and congrats on the sale!

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    1. Thanks Jen, I wish I didnt have to be doing this my BP is up my stress level is up my life is a mess---I want my old life back--bohoo

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