Seriously?!?! - page 5

Time for another vent thread. Today's topic is: "You're here for what? Seriously!?!?!" 32y/o m, hx htn, vs wnl, cc is "chest pain for about 1 second 4 hours ago", no current complaints. ... Read More

  1. Visit  travkitty} profile page
    6
    We've had people check in for "cramping" after drinking mag citrate. *facepalm*
    rndiva41, prnqday, nrsang97, and 3 others like this.
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  3. Visit  Poochiewoochie} profile page
    0
    Quote from redhead_NURSE98!
    No copay for most if not all Medicare and Medicaid programs, that's why it's no sweat off their back to come on visit the ED for every piddling thing they can dream up.
    I have medicaid and I pay a co-pay. I'm a little confused as to how a nurse would know what a patients co-pay is to begin with since it is against the law to ask someone in the ER if they have insurance and how they intend to pay. So how do you know what the co-pay is for medicaid or medicare? I'm assuming it's that old mindset by a lot of people who work in the medical field that people who have medicare or medicaid don't pay a cent.

    I also have co-pays for prescriptions. The notion that it's "free healthcare" is just a myth.
  4. Visit  RW23RN} profile page
    2
    My Ex used to work in the ER downtown...oh the stories!!! I could never figure out why this particular hospital's policy was to give homeless guys with headaches 3 times a week a bed overnight, 2 meals, and a "to go basket" with toiletries and SCOPE! Which of course led to some fights outside the ER and homeless patients being mugged for their tiny bottles of scope. Oh, and the kicker? They WASHED their clothes for them!!!! LOL...that was his job-take their dirty clothes and wash, dry and fold them. The irony is that that ER actually was pretty diligent about checking the narcotics sites and not refilling meds that the patient had filled 8 times in the last month at 9 different pharmacies.
    Orange Tree and opossum like this.
  5. Visit  Sassy5d} profile page
    3
    Quote from Poochiewoochie

    I have medicaid and I pay a co-pay. I'm a little confused as to how a nurse would know what a patients co-pay is to begin with since it is against the law to ask someone in the ER if they have insurance and how they intend to pay. So how do you know what the co-pay is for medicaid or medicare? I'm assuming it's that old mindset by a lot of people who work in the medical field that people who have medicare or medicaid don't pay a cent.

    I also have co-pays for prescriptions. The notion that it's "free healthcare" is just a myth.
    When you ask a pt what their name is, and they hand you their Medicaid card. It's part of my scripted reply. Registration needs that info, nurses don't know who has insurance or no insurance.

    Don't have to ask people anything. Many make sure they let the staff know they don't have a job, have no income and can't afford their medications.

    It's not 'a mindset'. I'm sure many people know people outside of their work setting who make welfare their job and know there are no copayments due upfront for any medical treatment in an ER. That's tax payer funded and public record. It's not against the law to know how a public funded program operates
  6. Visit  SionainnRN} profile page
    1
    Quote from redhead_NURSE98!
    I'd have liked to hear the answer to the question I'd have asked, "What treatment did you have in mind when you came to the ED, ma'am?"
    Kid got sent home with mag citrate...hee hee hee, made sure they left before taking it. Kid kept wanting to watch tv, it's 2am, I pulled a line my mom used to use on me "if you're sick enough for the ED you're too sick for tv". ahahahahaha
    redhead_NURSE98! likes this.
  7. Visit  LTCnurse11} profile page
    0
    All of this---awesome. Just awesome. It absolutely baffles me sometimes that humans are the "intelligent" species. Working EMS, I've seen some stupid crap. A pre pubescent boy who decided to go for a walk and did not come home that night which so happened to be his strategy for "earning" an ambulance ride with lights and sirens. Found him at 0230 that morning. Shows up to the ED dehydrated and slightly hypothermic. *sigh* where were the parents? Not looking for him at all!! Actually very, very sad.
  8. Visit  itsnowornever} profile page
    1
    Quote from Sassy5d

    Lol brick wall sometimes. Large volume of non-ER posters. What draws people in to this specific forum?
    Cause you all have some awesome stories that we never will!

    Posting from my phone, ease forgive my fat thumbs!
    Nascar nurse likes this.
  9. Visit  That Guy} profile page
    0
    Quote from itsnowornever
    Cause you all have some awesome stories that we never will!

    Posting from my phone, ease forgive my fat thumbs!
    We do filter out a good chunk of the crap that never comes up to the floor. Only roughly 20% of our pts get admitted so thats a large chunk you people will never meet.

    Also there is a FB page dedicated to this kind of stuff
    Last edit by JustBeachyNurse on Feb 23, '13 : Reason: ToS no direct links to FB
  10. Visit  RW23RN} profile page
    1
    Quote from Poochiewoochie
    I'm a little confused as to how a nurse would know what a patients co-pay is to begin with since it is against the law to ask someone in the ER if they have insurance and how they intend to pay. So how do you know what the co-pay is for medicaid or medicare?
    Oh, also you can thank the computerized EHR for that. On my initial patient screen all your info pops up-regligion, allergies, insurance-and sometimes a nice scanned photo of your insurance card. Its not that everyone on medicaid gets a free ride, its that a lot of people use the ER as their PCP because they know they pay nothing upfront.
    Kudos to your for paying your copays though! Its nice to hear there are responsible people out there
    Last edit by JustBeachyNurse on Feb 23, '13 : Reason: Formatting
    mommaRN29 likes this.
  11. Visit  thenursemandy} profile page
    0
    Nasty!!!!
  12. Visit  redhead_NURSE98!} profile page
    6
    Quote from Poochiewoochie
    I have medicaid and I pay a co-pay. I'm a little confused as to how a nurse would know what a patients co-pay is to begin with since it is against the law to ask someone in the ER if they have insurance and how they intend to pay. So how do you know what the co-pay is for medicaid or medicare? I'm assuming it's that old mindset by a lot of people who work in the medical field that people who have medicare or medicaid don't pay a cent.

    I also have co-pays for prescriptions. The notion that it's "free healthcare" is just a myth.
    Well thank you for assuming that my only job history is in nursing, you'd be wrong.

    Where in the world do you get that it's "against the law" to ask about insurance in the ER? I guess every registration employee in every hospital I've worked for should be sued or arrested then.

    TennCare's copay for prescriptions: $3.00. THREE DOLLARS and they still won't get their necessary prescriptions filled. They'd rather come in for acute renal failure, urosepsis, and limbs that are near falling off because they wouldn't go get some Vibra Tabs.

    "TennCare Medicaid adults have pharmacy co-pays only . You don't pay co-pays for other TennCare services."
    http://www.tn.gov/tenncare/mem-copayments.shtml

    And from my home state, an article laying down the stark reality that OMG WV Medicaid recipients MIGHT have to start paying a copay!
    http://www.dailymail.com/News/201301100224
    Last edit by redhead_NURSE98! on Feb 22, '13
  13. Visit  SionainnRN} profile page
    5
    Quote from redhead_NURSE98!
    Well thank you for assuming that my only job history is in nursing, you'd be wrong.

    Where in the world do you get that it's "against the law" to ask about insurance in the ER? I guess every registration employee in every hospital I've worked for should be sued or arrested then.
    THANK YOU!! How and why would it be illegal to ask someone in the ER if they have insurance or how they're gonna pay for it?? My ED is now starting a check out desk where the registration person will go over their discharge info plus get them to pay what they can. Hopefully this will start cutting down the non-emergent visits we get. There are so many visits that can wait till an urgent care is open. People have no idea what Emergency stands for.
  14. Visit  Katieerin} profile page
    0
    Quote from Sassy5d

    It's hard to get people into rehab. Most don't have insurance and are not at a point in their life when they want to quit anyways

    Agreed! Not only that in my hometown the patient had to agree to the rehab or have a court order or else the facility could not admit the addict even with family trying to "help".


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