Well, that isn't very helpful, is it? The insurance folks may use it to deny eligibility for rehab care - the neurological exam is completely normal, so why would he need PT and OT and ST to try to regain some ability to function. Since those reviews are done by not very skilled folks, the sentence saying 'completely normal' will jump right out as clear and understandable...the rest of that other stuff is just doctor gibberish, you know.
I would assume that a patient could indeed be alert and oriented although hemiplegic and unable to speak coherently. But yes, that could be worded much more effectively for the likely eejit at the insurance company who will be reading it and deciding on what to approve.
Gotta love those EMRs.
ReplyDeleteWell, that isn't very helpful, is it? The insurance folks may use it to deny eligibility for rehab care - the neurological exam is completely normal, so why would he need PT and OT and ST to try to regain some ability to function.
ReplyDeleteSince those reviews are done by not very skilled folks, the sentence saying 'completely normal' will jump right out as clear and understandable...the rest of that other stuff is just doctor gibberish, you know.
"Some people see the patient as half-paralyzed. I prefer to see him as half-unparalyzed."
ReplyDeleteVOTE FOR BERNIE
ReplyDeleteBoth the patient's speech and the doctor's note are gibberish and incomprehensible.
ReplyDeletelol
ReplyDeleteSounds like a description of your typical retail pharmacist.
ReplyDeleteI would be LOL at this if it wasn't likely to lead to a bad result coverage-wise for the patient, as previous commenters have noted.
ReplyDeleteI would assume that a patient could indeed be alert and oriented although hemiplegic and unable to speak coherently. But yes, that could be worded much more effectively for the likely eejit at the insurance company who will be reading it and deciding on what to approve.
ReplyDeleteSounds like a left-side brain issue. Whose left side?
ReplyDeleteAlways look on the right side of life.
ReplyDeleteSo I'm assuming it's the doc who has the left side hemiplegia and the patient is alert & oriented x 3. Right?
ReplyDeletequick recovery.
ReplyDeleteCan the notes for two entirely different people ever end up on the same chart?
ReplyDelete