I do work for a plastic surgeon, insurance will only pay from what I can tell IF - sm
Posted By: XXX on 2006-02-06
In Reply to: excess skin after weight loss - Jan
there is a health issue, i.e. continous rash from the folded skin, irritation that medicine will not resolve. But all conservative measures of treating have to be exhausted before they agree to pay for an abdominoplasty. Good luck....I need to lose about 80 pounds and wondering if I will have any sag when done...I have very sensitive skin too so expect some problems (and if so I hope they are enough to warrant my insurance to pay for the removal procedure...otherwise I plan to save up for it)--
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need a plastic surgeon
Does anyone have any personal experience with Dr. Michael Petrosky with Plastic Surgery Center of the South in Marietta, Georgia? I am considering using him as I consulted with him and I really liked his manner and explanation of the surgery. I would like to talk with someone who has used him before just to see if he is a good doctor, but how can one go about doing that with the HIPPA laws? The only way I know to find out about patients of his is to ask their office and of course they aren't going to give me names/phone numbers. If anyone has any info on this doctor's practice would you mind sharing with me please? Or if you know of a way that I can talk to a few people who have used him, etc. Thanks very much.
I worked for a plastic surgeon for 3 months...sm
and people having face lifts and tummy tucks are in incredible pain after their surgical procedure. My sister chose to have breast implants done and she was in severe pain for about 3 days after surgery. No way am I interested in having elective things like this done!
The plastic surgeon on "The Doctors"
is very reputable. I would go to his website (can find through the show's website) and either email him or call for information/opinion.
The key is to deal with someone you know is on the ball and above board.
It actually took some work. That plastic is really thick.
The first time I did it I used a very sharp utility knife but had trouble making a U-shape and it ended up quite uneven across. I now drill holes at the bottom of the U (so to speak ....the bottom of the U is actually straight across now). It gives a cleaner 'stop'. I go to about 5-6 inches from the bottom so that I can easily keep 3 inches of litter in it. Whatever you use, it will be worth the work (and it WILL be work). I discard the lid cause my big boy prefers it open. Good luck!
Plastic surgery only works if there's something there to work with in the first place.
She's been trying to look like her dad's "golden girls," Heather Locklear and Farrah Fawcett, for years, but it's not working, obviously never will.
Same Here - Insurance work transcription - NM
NM
I do insurance claims work
I've been doing it for over 8 years, but unfortunately I'll be losing it to a company who's going to do it digitally (I do tapes) in July. I sort of just fell into it. I knew someone who worked there that knew I needed a part-time job. Have you thought also about just general transcription. There's a board that I frequent that has a lot of companies that do general and legal work. The good thing about a lot of these companies is they're very, very flexible. There are some that don't require any number of lines, reports, etc. If they have work they ask if you'd like it and you can say yes or you can decline. I plan on sending out a lot of resumes to these companies when I'm through in July with insurance work.
They better have SE because no way is my insurance riding on the BS they pull with no work all the
time. They can hang you out to dry with that 12,000 line deal unless you work 24/7 lately. No way does my health insurance ride of that deal.
has anyone ever charged insurance companies for doing their work - SM
I have a lot of medical issues with my family and so see a lot of doctors and pay a lot of copays. Each and every time I see a doctor or facility I have to pay a copay, which I always ALWAYS charge on my credit card. No exception. Do not pay, do not see the doctor or have the test. Yet time and time again I get letters from the doctor's billing or facility saying I owe a copay to them. When I call them up, explain that I paid my copay at the time of services rendered and do not owe anything further, I am told they don't have a record of it. I must find the receipt and send them a copy for proof of payment. In short, I must do their job because they are either too lazy or inefficient to do it. Earlier this month I got a statement from the x-ray facility saying that I owed a copay. The customer (dis)service person was very unhelpful when I explained that I always made my copay first and it showed up on my credit card statement. Finally I told him I would call the facility myself and get things straightened out, which I did (they had put my copay into a different account by mistake). But I ended up doing his job and got treated rudely to boot. Then yesterday, I got yet another doctor's billing statement saying I owed my copay. I called and left a message saying that it had already gone through on my credit card bill and would not be paying. They want proof. Am I out of line saying, fine, I will photocopy the receipt (and this is an NCR receipt so the office has a copy of it) and my credit card bill (with everything else blanked out) and send it to you as proof of my payment, but it will require my invoicing you a $10 processing fee. If you are not willing to reimburse me for my time to straighten out your mistake, then I will not provide proof of payment. This takes time out of my day to hunt through my receipts, make a photocopy, document it in writing (LOL I learned that VERY early on), then postage, etc. Why must I do this without being reimbursed for it. IS ANYONE ELSE FED UP WITH PEOPLE NOT DOING THEIR JOBS????? Arrrrghhh. I feel every so much better.
I do insurance work as well. It came by word of mouth.
.
My husband just signed up for group life insurance with work which will give him 10x his salary if
he dies which will leave the kids and I with almost a million bucks if he dies. Of course I would much rather have him here more than anything. He had just 150,000 in insurance but for some reason just opted for this group thingie. When talking last night I asked him if he died if I could marry again and this man got so upset with me I thought he was going to cry! He told me absolutely, positively NOT that I could not remarry ( am 31!). He is 35. LOL
Poor guy. Leaving me all this money and I supose the thought of me sharing his wealth with someone else makes him sick!!
I told him he could go ahead and marry if I should happen to die. I want my kiddies to have a great mom and person who loves them very much. Wouldn't you agree?
How do you feel about your spouse or partner remarrying if you or he dies??
I bet other insurance carriers have insurance for their employees. Why not Wal-Mart? nm
:+
I just had a surgeon ask...
his PA if there was such a breast size as F, get an affirmative, and then say, "so she's a double FF? She has the largest breasts I've ever seen". It made me laugh out loud, I don't know why, maybe it was his tone of disbelief or that fact that he's been around a long time and has surely seen many boobs in his day...thought I'd pass it along.
One surgeon I know always says...
when a patient is ready to be discharged, he always says "____ is peeing and pooping normally." Slays me every time! I just find myself giggling like a little kid whenever I hear it! Peeing and pooping are such a great words...embrace them!
Isn't there a book out there called "Everybody poops?"
I have not seen a surgeon yet.
I want to get my finances ready before I schedule the surgery. My previous experience with surgeons and disability is "go back whenever you feel ready"...they don't seem to want to comit to a timeline. The last time I had surgery I went back way too soon and had complications, so would like to avoid that this time around.
Thanks to everyone who has replied, this is all good advice and info. I think I will plan for the worst at 6 weeks or so and hope for best at just a week or two. It certaily won't hurt to have some extra money saved. 
One surgeon
I transcribe for has many times told them to pipe down in the background. I am not sure if it is because he cannot think with the noise or if he is doing it for my benefit, but either way, I appreciate it.
On the other hand, I had an Indian doctor the other day who sang/chanted his entire report. If you have ever been to a Catholic mass and have heard the priest do that singsong kind of thing, well that is how he dictated his entire report. Every now and then he would hold the note a little longer. It was the weirdest thing.
oral surgeon...
I had a similar situation a few years ago. I paid and the ins. co. paid, dentist kept both payments. After 3 phone calls to the office, no money. So, I wrote a letter to the dentist, put PERSONAL AND CONFIDENTIAL on the envelope, put a cc to the state dept of insurance at the bottom of the letter (dept of ins. scares them more than the AMA (if dealing with MDs) or American Dental Association).
Got my money 2 days later.
checking out a surgeon?
is there a way to check out a surgeon or doctor before making an apt with them? (complaints, track record or anthing else). I've never been comfortable with the "referral" from your primary or whoever it might be because I can't shake the idea of friends referring to friends and not based on qualifications. thanks
Went to an oral surgeon for a consult for
my son to have his wisdom teeth removed. Charged us $75.00 for the consult. I didn't like the oral surgeon and his office staff were very standoffish can I did not make an appointment with him for surgery, but with another oral surgeon. I had to pay the $75.00 up front - no problem, but they filed the insurance with the money coming to them. It has been 5 weeks now since they received payment and I have called twice asking for a refund. They told me the insurance company had 90 days to come back and ask for the money, but I PAID upfront so what difference does that make, they aren't out anything and they have $52.00 of MY money on top of the $75.00. They said they would issue a check next week, but is what they told me 2 weeks ago. It isn't a lot of money, it is the principle of the thing.
Went to another oral surgeon and they didn't charge me anything for the consult and the amount I have to pay upfront is $300.00 less than what the other office quoted me.
Seeing an oral surgeon is very premature! nm
nm
ASR funny. The surgeon has just done a robotic....sm
radical prostatectomy and signing off he says "Please send a copy to Dr. John Doe and to the prostate, and to the chart. End of dictation".
I think the difference here is surgeon quality
and also patient demographics.
Be sure you are seeing a top cataract surgeon who is doing 6-8 a day and has satisfied patients. Do not wait until you're 90 to see an ophthalmologist. Those patients do tend to have problems with surgery.
I made an appointment with an oral surgeon and he
You have to start at the very bottom and be as conservative as you can. A dentist can take x-rays and fit you with an appliance. I went and found out whats causing my jaw pain and on the x-ray my bones overlap. I was thinking I needed surgery, but we are going with pain management. Since i've had the appliance, no pain, that was a week ago. Very rarely will you need surgery, everyone's jaw "clicks" but if you are a night grinder, this makes it an even playing field for your teeth so they're not fighting against the jaw to become "even" if that makes sense. Good luck.
I transcribe for orthopedic surgeon who utilizes EMR
He dictates notes such as if the patient is having out of hte ordinary symptoms to cover himself should the situation lead to a court room setting. But, yes, between EMR and voice recognition, I believe MTs will over time be less than necessary.
The cost is a major factor. Especially with the population aging like we are. Baby boomers will all be on SS at same time and if health care doesn't figure something out, there are predictions being made that are nightmarish, like the collapse of the health care system. This was said by a person (Dr. Andrew Weil) being interviewed by Larry King.
Well, well, well. Found this blog written by a surgeon sm
who says what he REALLY thinks about the JCAHO. Funny, I found it on Google when I typed in JCAHO and q.i.d. since I wasn't sure what to do about q.i.d. ........
The Death Star of American Medicine
I wish I had written this ( JCAHO Unplugged; registration required), because it gives voice to the feelings that I (and probably 99% of the physicians in this country) have about the Death Star of American medicine -- JCAHO. A few excerpts (emphasis is mine):
That is why it really upsets me to watch the JCAHO people walk through my hospital like they were navigating a toxic waste dump. What upsets me even more is the utter paralysis of normal activity that occurs months before their visit and the huge sums of money spent on mock drills and consultants to prepare for the JCAHO invasion. JCAHO (the Joint Commission on Accreditation of Healthcare Organization) arouses more fear in hospitals than MRSA gone wild, and their "visit" has a greater institutional paralytic effect than circulating a neuromuscular depolarizing agent through the ventilation system.
A few unsigned verbal orders, or an anesthesiologist carrying a syringe of Anectine in his or her scrubs, or not locking up I.V. bottles of normal saline will result in conditional or provisional approval, and failure to take remedial action within 30 days may result in the death penalty, which for the hospital means bad PR, and more significantly, loss of all federal money. That's right, you can get the chair for parking tickets in the JCAHO world.
It doesn't matter that the hospital admits 50,000 patients a year, saves countless lives and performs daily miracles. Write q.i.d. twice and you can get your liver transplant someplace else. !["](http://photos1.blogger.com/blogger/2910/889/200/death_star.jpg") A response by Russell Massaro, MD, FACP, Executive Vice President Accreditation and Certification Operations, JCAHO, follows Dr. Cossman's screed. The only thing I can say about it is that he makes clear that unannounced surveys will be forthcoming in 2006. Oh, joy! A lot of the press in the past few days has been discussing issues such as oversight, accountability, and clearly expressed legal authority. JCAHO operates without any real semblence of these niceties, and does so with all the subtlety of a bureaucracy run by Darth Vader. Watching hospital administrators lose bowel and bladder control the minute a JCAHO inspection is brought up has always reminded me of Vader's underlings wilting in his presence --- and for good reason. Without the JCAHO seal of approval, they cannot operate an otherwise well-run, caring facility. The organization, as it was originally intended, was designed to ensure a basic level of safety for all hospitals. It has now become yet another "certifying" agency which must come up with new "critical" problems to fix in order to ensure its ongoing existence (those of you who have gone through the most recent mental masturbatory experience of banning QD and QID in orders know what I mean). What is most galling to me, however, is that hospitals must fork over a hefty sum for these frequent torture sessions, and the inspections are done not by practicing physicians or nurses, but by folks who long ago gave up the difficulties of actually caring for patients for the safety of a clipboard to hide behind. Maybe I have my metaphors mixed up --- JCAHO comes in like the Death Star, but leaves no room for different institutions to solve problems in their own way. The JCAHO mantra can really be translated as "Resistance is futile. You will be assimilated!" As a result, I suppose JCAHO is really The Borg.
An oral surgeon can do it in his office, give you an IV and you won't
feel a thing.
Having worked for a hand surgeon who deals with WC and a MT..this is what I know.
The poster below me, Just Me, is pretty correct. A lot of our patients filed worker's compensation, but because there are a lot of things you do with your hands in your personal life, it is a diffcult situation to prove. For instance, we had one lady who was an MT for a few years but was also an avid quilter..she lost her case. We have had people who say have worked for the hospital as an MT for 13 and had no other real side hobbies or jobs outside of that that won her case. They only have so long to approve or disapprove your claim. From what I have seen, anyone who has worked multiple jobs at that same time are not going to win the case because the employer you filed on will fight you and tell them that you were working multiple jobs so how do they know that it was your job with them that is solely responsible. So, depending on your circumstance, employer (you do have to file a claim on an employer whom you will name), you could get worker's compensation which would pay for surgery if needed, PT, and time loss benefits after surgery. The first step is filing a notice of injury with your employer and then they submit it to their worker's compensation carrier. I was the hand surgeon's worker's compensation biller so I speak the truth LOL. If you have anymore questions or what to share you personal story and get my honest opinion, I'm here. I've seen every kind of WC claim you can imagine. Most people are honest but some are not and WC is the first one to nail you. They have even had a private investigator follow people. We had one carpal tunnel WC patient who stated he couldnt work because he was in such pain yet he was videotaped making an extensive bird sanctuary, actually building it with his bare hands.. Can you say busted.. I knew you could.
I received a check today from the oral surgeon. nm
I would see an oral surgeon, since dentists cannot perform surgery and that is probably where they
would send you to next.
They are a plastic clog. sm
http://www.comfortableshoes.com/crocks-shoes-croks-footwear-crocs-kroks-beach-metro-highland-nile.cfm
This is a link, but you can get them lots of places on-line and you can probably get them at a uniform shop.
Plastic sugery
Just had a tummy tuck 8 weeks ago and I say if it will make you feel better, go for it.
Plastic surgery at 28?
x
need plastic surgery
Thanks very much for the info. I am having breast implants removed actually so want to make sure I find a doctor who really knows what he's doing. I appreciate your input. I will talk to some of the nurses; that's a good idea. 
I cut a hole in the plastic
on the back of the cassette (surgery!) and then pulled both ends out a little to make the tape job easier, and then respooled the tape back. No anesthesia needed; pt recovered well.
DID you take off the plastic strip?
that comes with the printer cartridge?
I can't put hard plastic against
my skin - now that causes itching! But if you have a latex allergy, you can make your own little covers out of fabric. Use a soft fabric like old worn out cotton flannel from PJs. cut little pieces from the fabric and use tiny rubber bands from your kid's braces to hold the fabric in place. Change them more out frequently if you have oily skin.
:o}
There is a plastic pipe
called PVC and there has been some question about exposure to this. I think people have been told to change older pipes out containing this.
Dot Richardson, olympic athlete turned ortho surgeon. nm
x
Oh, I hope you're right. The surgeon just gave her the info and kind of let her sit on it.
He didn't have time to go over it in a lot of detail. She tried to call back to have him give her more info., but he had left for the day and won't be back until Thursday. So, we'll see. Thanks for posting:)
Didn't know about plastic surgery, but...sm
I can't like his music even a smidge less because of how he wants to look. His music makes me smile, makes me want to dance, and can even change my bad mood in an instant! I get a lot of teasing from my friends for liking this guy's music, but I dont' care! My stepson (8) wants to learn a John Mellencamp song so he can play it for me on his new guitar! My husband is also learning to Play Guitar, and has mastered Pink Houses just for me! I get alot of Love and Happiness from being a Mellenhead!
WestchesterMT, right on!
Plastic shoes that come in many different colors, and several
different styles. Very popular with medical personnel who are on their feet all day. Google Crocs.
I use a plastic storage bin and cut a section out for him to ...sm
get in and out. I do not use the lid. It has nice, high sides, room to turn around and I usually try to keep 3 inches of liter in it.
I have 2 other 'regular' size cats who use the standard liter boxes just fine but my big guy only uses his big, roomy custom box. I also replace it about every 5-6 months. I wish you and your kitty all the best!
Please let us know what the vet says.
I don't know the particular MD, but I had plastic surgery in August. sm
What I did was talk to nurses. Nurses are a wealth of info, and they really know the docs. In my talking to nurses, I even found a few who had chosen the surgeon for themselves. I'm not shy, so I'll tell you that I had breast reduction surgery. Aside from my talking to nurses who worked in anesthesia, surgery, and oncology departments, I also spent a good amount of time with the doc. I made sure he was board certified, asked lots of detailed questions, and he also showed me photos of previous patients and the results of the surgery. He showed me photos of both good and bad results, which was a really good thing. There are risks to any surgery, and it's good to actually see what can go wrong.
It took a while, but it really paid off on the end. My surgeon and I communicated well, and I'm very happy with the results of my surgery.
Wouldn't want any of them doing plastic surgery on me,
One of mine would "tinkle and flush" an open heart surgeon true - @O
nm
Too bad he ruined his face with plastic surgery
Any good sites for plastic surgery? sm
Been doing reports for breast augmentation, mastopexy, blepharoplasty, Z-plasty, etc. Any web sites that may have terminology or sample reports other than MT Desk. Their site is good, but need more sample reports or terminology.
I have still to see one whose face does not scream : Plastic surgery
after they had it done.
Really!
Or Botox, for that matter.
Especially MEN just hate it!
They hate everything artificial.
Ask them!
I had to have a bowel resection for a Meckels diverticulum and the surgeon charged 2500 and got 1500
and the hospital bill was 27,000. Until that surgeon gets done paying malpractice, his office costs, taxes, etc. I bet he doesnt get one third of that money plus all the visits I had while in the hospital for 9 days and fu visits. I did have insurance thank God.
Yes, Yes! Sue the OWNER of the plastic pool because they did not secure it properly. Now it was a
deadly object due to THEIR negligence! Just think of the $$$.
Those plastic container strawberries at the store always go moldy on me, too.
They must sit in a warehouse or truck where the plastic packages get really hot because the outside berries look great but the inside ones are moldy or mushy. That's probably why they go on sale! LOL Open the plastic package in the store no matter how good they look and look at all the berries. Wash them when you get them home and stick them in the fridge in a paper towel lined bowl.
I buy the huge crates or half crates of berries in the little green plastic baskets. I cut most of them up, sprinkle with a small amount of sugar, let sit in the fridge overnight in plastic pint containers to "juice", then freeze.
I planted six dozen strawberry plants this spring, which your post reminded me that I need to go pick strawberries, zucchini, and green beans again. Time to go find some unlocked cars and leave vegetables on the front seats.
|
A response by Russell Massaro, MD, FACP, Executive Vice President Accreditation and Certification Operations, JCAHO, follows Dr. Cossman's screed. The only thing I can say about it is that he makes clear that unannounced surveys will be forthcoming in 2006. Oh, joy!
