Jump to content

Big girl

Members
  • Posts

    7,087
  • Joined

  • Last visited

  • Days Won

    2

Everything posted by Big girl

  1. Keeps. Blue cross/ blue shield, Aetna, united healthcare, molina etc all use the same guidelines for everyone it doesnt matter if you bought insurance on the exchange or not.
  2. What the heck are you talking about or do you know? John is not receiving any treatment his doctor jeeps him in the hospital so that the nurses can "observe" him to make sure that he does not exhibit any more symptoms. Why would we pay for an inpatient stay as opposed to an observation stay.they are only observing him.
  3. Tttttt
  4. Steve who said you cant be. Insurance companies have 1000's of hospitals in their network, not just one so.......what are you talking about?
  5. This was a law long before obama came into office, because you had people going to out of network hospitals or they were uninsured and as a result the hospital would not treat them. People were dying on the front lawns of hospitals
  6. If the Methodist hospital is not in network they are still liable. A hospital cannot turn a patient away. They have to stabilize he or she and then transfer the patient to an in network facility if they so desire.
  7. Receives notification
  8. Second scenario ( insurance side) Yatisha S, Registered Nurse, at Molina healthcare, receives that John Q was admitted to Memorial Hermann hospital with severe crushing chest pain. The doctor orders a battery of test. John's trop levels as well as his ckmb levels are normal. It is determined that he did not have a NSTEMI or STEMI (heart attack). He stays in the hospital for 2 days in spite of the results. .. I call the Registered Nurse case manager at the hospital and tell her that the inpatient stay will be denied, but I will pay for a 48 hour observation stay. the federal government nor "obamacare" had nothing to do with my decision.
  9. This is so disheartening. You guys are in direct opposition to something you dont know anything about. Please review the ACA. ACA 101 The federal government mandated that pre-existing condition clauses are now illegal; as well as, maximum out of pocket benefits, amount of subsidies etc. the federal government does not dictate standards of care example: Susan J has chest tightness and shortness of breath.she goes to Methodist hospital in Houston. She has the blue advantage plan 003 and that hospital is in their network. She is placed in an ER bed. The nurse checks on her two hours later and she is dead. who is to blame for this? The Methodist hospital staff or "obamacare"? The hospital staff is to blame. They did not find out what her 02 sats were, ABG's, they didnt start her on steroids etc the ACA does not dictate what hospitals are allowed in blue advantage's provider network. A hospital has to apply and is solely up to the credentialing department to say yea or nay.
  10. Did Bush worry about it?
  11. Who said that Christ supported sin?
  12. Kimberly guilfoye said today that the VA is one big obamacare. politifact : pants on fire. I mean blazing . The V A employees are government employees. "Obamacare" is run by the private insurance sector. I was an employee of molina healthcare, not the government.
  13. Why did the republicans cut funding in the first place?
  14. How are they involved?
  15. Who promises unlimited free stuff?
  16. So if someone named a team the LA whitiees, you would be okay with that?
  17. The VA has been horrible for a long time. Steve please tell me you dont think that obamacare is an insurance plan. Private insurers are on the exchange I.e blue cross/blue shield, humana, Molina etc. I worked for molina as a hospital admission review nurse. The president did not have anything to do with us approving or denying a hospital stay. There were not any death panels either. Smh
  18. So the republicans waste millions of taxpayer dollars on a maybe. What a bunch of hypocrites. Smh
  19. Steve did you feel the same way about Beirut in 1983?. If not, what is the difference in your opinion?
  20. Are you a Jehovah's witness? I am a Christian andthey get on ny nerves. I told them to stop knocking on my door. I know how to read the Bible.
  21. Steve, if you are offended., you can now see why some Indians are offended....:)
  22. Jv coach I agree because I am a Christian, but I will not and cannot force my biblical on others. I was at a patient's house, a 5 yr old boy,; giving him an IV push of a chemotherapeutic drug. His mother was praying to a pic of 3 fat Asian men. What did I tell her? Nothing. I respected her right to worship and pray to whomever she wanted to.
×
×
  • Create New...