Are you able appeal a denied claim to kaiser member services? Maybe you can trigger broader policy change / system update by getting them to look a single case (and having a doctor advocate strongly on your behalf)
Even if it doesn't trigger broader policy change, you could get a playbook in place to help others get their review processed faster, e.g. send this form letter, linking to document x and y.
This doesn't sound like an Epic/CDC issue. This sounds like an insurance issue where they're not getting the medical coding they need. It's also possibly a hospital admin issue. Legally speaking, your doctors should be able to write a paper order for you to receive the vaccine (admin might disagree). Your medical coding experts in billing should be able to get you the required coding working with the insurance liason for the hospital.
Based on your definition of success, the paper orders fulfill that even if you don't get the coding and insurance coverage.
Yes that's what I thought too. It turns out that doctors who are talking with me believe that their EPIC IT system is no longer able to do paper orders, and the vaccination nurses say there's no way to obtain the physical vaccine without a coded order.
Everyone on staff tells me variations of fearing being fired or losing their license or employer retribution if anyone attempts workarounds.
Hey Joel, it’s cool to see you on here. I saw your post on LinkedIn as well. We used to work together a couple of years ago for a short period of time. I honestly don’t know how to help but I’ll share the post, especially since I know a bunch of people impacted by the fires.
Hi Arun! Good to hear from you. I'm so sorry to hear about your people affected by the wildfires. I'll reply to you directly. Thank you so much for sharing this! <3
Are you able appeal a denied claim to kaiser member services? Maybe you can trigger broader policy change / system update by getting them to look a single case (and having a doctor advocate strongly on your behalf)
Even if it doesn't trigger broader policy change, you could get a playbook in place to help others get their review processed faster, e.g. send this form letter, linking to document x and y.
I haven't a clue how to help you, but as an avid participant in crowdsolving for other domains, I am fascinated to see if this works.
This doesn't sound like an Epic/CDC issue. This sounds like an insurance issue where they're not getting the medical coding they need. It's also possibly a hospital admin issue. Legally speaking, your doctors should be able to write a paper order for you to receive the vaccine (admin might disagree). Your medical coding experts in billing should be able to get you the required coding working with the insurance liason for the hospital.
Based on your definition of success, the paper orders fulfill that even if you don't get the coding and insurance coverage.
Yes that's what I thought too. It turns out that doctors who are talking with me believe that their EPIC IT system is no longer able to do paper orders, and the vaccination nurses say there's no way to obtain the physical vaccine without a coded order.
Everyone on staff tells me variations of fearing being fired or losing their license or employer retribution if anyone attempts workarounds.
If your providers aren't smart enough to use paper, then find new providers.
Hey Joel, it’s cool to see you on here. I saw your post on LinkedIn as well. We used to work together a couple of years ago for a short period of time. I honestly don’t know how to help but I’ll share the post, especially since I know a bunch of people impacted by the fires.
Hi Arun! Good to hear from you. I'm so sorry to hear about your people affected by the wildfires. I'll reply to you directly. Thank you so much for sharing this! <3