Putting aside whether he was unjust or not, after returning to the clinic, there were still no patients. Sun Lien let out a long sigh and began to sort out the cases. Apart from the occasional reminders from the case room, the main significance of sorting out the cases was to reflect academic performance.
and insurance.
Yes, insurance. In the reimbursement of commercial insurance, case records are a very important part. Of course, social security does not have so many twists and turns. With the doctor’s diagnosis and prescription of medicine, it can basically be reimbursed directly. But commercial insurance is more
Trouble, they need various case records and descriptions, and they also need to bring detailed doctor's diagnosis certificates.
Among the several patients on Sun Lien's hands, the ones with the greatest pressure on commercial insurance compensation are Yang Jianqiang and Lu Jing'an. Yang Jianqiang can already leave the clean ward and enter the general ward of neurology for hospitalization. But he stayed for more than 20 days.
ICU, and it is also the highest-level clean intensive care unit. The price of a clean intensive care unit is already expensive, plus the cost of gamma knife treatment, multiple MRI and CT examinations, and even the cost of immunosuppressants, Yang Jianqiang
Before he was discharged from the hospital, he had already spent millions on treatment.
Although this miserable couple has some savings, after all, more than one million is not a small amount for any family. Although the disease insurance purchased by the two can advance a considerable part of the treatment costs, subsequent compensation must have sufficient medical records and
Only evidence can be paid. Although Lu Jing'an has not yet come to Sun Li'en to discuss this issue, Sun Li'en still decided to do things first. The millions of treatment expenses can be delivered to the two of them earlier, and their financial pressure will be less.
.
There is only so much that Sun Lien can do for this poor couple now.
Yang Jianqiang's case summary is not only troublesome in the 24-day ICU clean ward admission, but also in the special treatment plan and special immunosuppression plan adopted for him. These are all "unconventional" treatment contents. The use of unconventional treatment is the most important.
One of the troubles is that when reviewing and recording, a lot of certificates and recording documents must be attached to the case. Especially the part of gamma knife treatment.
"Commissioner Li, this is Sun Lien." Sun Lien has not been able to obtain the corresponding permission certificate from the Ethics Management Committee. He has no choice but to directly call Li Ping, the chairman of the Management Committee, for help. "I want to ask
, has the ethical approval for the previous experimental treatment method for the patient named Yang Jianqiang been obtained?"
"The other three committee members have signed, but the signature of the director of general internal medicine has not arrived yet." Li Ping looked a little helpless on the phone, "Director Tao is very busy these days. He should be attending an academic conference in Japan.
Meeting."
Tao Qian, director of the General Internal Medicine Department of the Fourth Central Hospital, was the committee member who agreed to the treatment during the telephone conference. Since Director Tao's name was on the approval submitted to the Health Commission, that share was crucial in terms of procedures within the hospital.
The supporting documents must be signed by Director Tao.
"The signatures we gave to the Health Commission before were specially signed by someone who took the high-speed train there, and Director Tao signed them before he got on the plane." Li Ping explained helplessly, "That was when he went to Shanghai for a meeting.
I just got the signature signed before I leave for Japan soon. But because of the negligence of the staff, there is only one signature."
You don't need to ask carefully to know that in order to make the entire application "passable", the only document with a signature was handed over to the Health Commission. Of course, this is inevitable. If the original document is used
For other uses, such as case collection, the four hospitals will suffer. During the conference call, the ethics management committee approved a very high-risk radiation therapy, and did not promptly submit the document with the committee member's signature to the Health Commission for review.
This is simply a slap in the face of the staff of the National Health and Medical Commission. Do you still plan to reap the rewards?
"I am sorting out the patient's case here." Sun Lien explained on the phone. "Although the patient has not made a request for a case, considering that the patient has stayed in the clean ward of the ICU for more than 20 days, I
I think they should have urgent needs for commercial insurance reimbursement."
"I don't have any good solution for this now." Li Ping was also helpless, "The Health Commission needs the original signature. Although we have left a photocopy here, I guess... for such a large amount of reimbursement, the insurance company may
Originals are also required.”
Sun Lien and Li Ping fell into silence together.
"I'll have someone send another document to Director Tao now." Li Ping said helplessly, "I don't know how fast the mail can be between the two places, but I hope I can catch up."
"Brother Sun!" Sun Lien was still worrying about the case in the clinic. The door of his clinic was suddenly pushed open. A little girl sat in a wheelchair and waved her hand towards Sun Lien.
Sun Lien looked up and was surprised to find that the person who came was actually Xiao Yanran.
"Hello, Xiao Yanran." Sun Lien put down what he was doing, walked to the little girl, carefully knelt down, and touched her dry and yellow hair, "Why are you here?"
"I came to see you." The little girl narrowed her eyes and accepted Sun Lien's touch. She looked somewhat similar to Hu Jia. But her next sentence revealed her true intention, "Brother, you
Do you know where Sister Hu went?"
Sun Lien was stunned, Hu Jia didn't say goodbye to Xiao Yanran?
"She..." Sun Lien thought for a while before saying, "She went to school."
Qi Yanran instantly showed a somewhat envious expression, "That's great... I also want to go to school."
Sun Lien nodded towards the nurse behind Xiao Yanran. It seemed that she was the one who pushed Xiao Yanran's wheelchair here. "You can go to school after you recover." He asked pretending to be casual.
, "Do you like school very much?"
"Yeah!" The little girl nodded vigorously, "The teachers and classmates in the school are very kind to me!"
Speaking of which, thanks to the attention of the teachers at Xiao Yanran's school, the little girl was able to be sent to the hospital for treatment in time. Even when she was sent, the little girl had already reached the stage of third-stage liver cancer.
"Okay, we have to go back." The nurse sister who came to the consulting room with Xiao Yanran interrupted the conversation between the two of them, "We can only come out for five minutes, we have to leave."
Xiao Yanran nodded obediently, then waved to Sun Lien and whispered, "Then... when Sister Hu comes back from school, you have to bring her to see me."