This is on a form I have to fill out to get a patient's migraine drug covered:
Monday, June 15, 2020
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A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
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Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
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Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
6 comments:
Another reason to have somebody else read your stuff before you publish...
I think yes might be a good choice
So, if the patient has 16 a month they are not covered?
Anonymous @ 6:53pm -- more than 15 headache days per month is one of the criteria for chronic migraine, as opposed to episodic migraine. Different treatments.
Looks like a PA form for a CGRP to me. Devil's in the detail, Dr.G.
Egadzooks. How does anyone have the patience to fill out these prior authorization forms, if they know they'll be processed by someone with a high school diploma at the most? Maybe that's why pharmacists hand over the job to techs to send to the docs. There's this tiny suspicion the physician really wanted to order a particular medication because it was the appropriate prescription for the diagnosis, that's why? How many times are PAs turned down? Maybe it's a rhetorical question. Maybe there's another reason, but I cannot think of it right off the top of my head right now.
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