Sunday, September 20, 2009

I'll penalize you!


Hey there, long time. Sorry about that. I am sure all of you readers (Hi mom!) have been on the edges of your seats just waiting for the next installment of this VERY exciting blog. So here we go.
Things have been going pretty well. The new church is great. Love the sermons, adjusting to the music (and not being a part of it), trying to figure out how to get involved. The move has been pushed back to November. I will SO enjoy being closer to work and Church but I am also trying to make sure I find a place that I can stay for awhile. I am not a fan of moving.
Isabelle turned 7 this year and I am feeling older by the minute. I can't believe I am an aunt of three and 2 of them speak more Spanish from their Dora movies then I learned in three years of high school. I am still waking up to find new, strange bruises on my arms and have deducted that I am indeed.....a ninja by night. It is the only explanation.
Work is going well. I still have yet to cry at my "new" job. Side note: When does a job stop being new? My co-workers try to find new ways to make it happen. There have been many attempts to yell at me, steal my lunch, pretend my dog died and my new favorite....poke me in one of my already multi-colored bruises. The last option didn't evoke tears...it only made soda come out my nose.
A little over a month ago I had to report a customer that was calling in pretending to be a nurse and prescribing for herself. I found out this week that she was fired. I also found out I may be getting subpoenaed. I am not too scared as this will be the third time that has happened and nothing has ever come of it (except that I had to change my name and promise to never speak to my family again). We'll keep you posted on that one.
This week I had a patient who's co-pay through their insurance was over $800 for a month supply. I called the insurance to find out why and they said that they were penalizing the patient for needing to get the brand name. Now understand that I don't typically root for patients who request brand name and tell me they "don't like those damn genetic (no this is not a typo) drugs!". In this instance though I am inclined to be a little more understanding. It was for a transplant patient and it was their anti-rejection med. The doctor said that we must dispense brand name because they don't think the generic works as well in this situation. Not something I would want to compromise. Even though it was per the doctors request and they filled out all the required paperwork to get the brand name approved the insurance company still wanted to "penalize (their words)" the patient for this request. If the patient received the generic version...their co-pay went from $800 to....$0. I was outraged. I have had it up to here (visualize me drawing a line over my head) with insurance companies. That is all I have to say about that one. Except that I would like to penalize them. Alright....I am out of here. Hope all is well with all of you (again...hi mom!). Peace out!!!

1 comment:

Words/Wonder said...

Too funny. I miss you, Abbers.