Wonder how other CMS handle the burnout and frustration of dealing with difficult cases such as no money for prescriptions, no insurance, unable to get things like O2, etc.
If there has been anything to burn me out of this, it's these situations as well as the stupidity of all the required paperwork just to Medicare or insurance to get DME for a patient.
We have a county clinic that I often refer people to, although they are still expected to pay something. It's income based. If they live in the next county north, they qualify for the BIG county hospital system and don't have to have income.
I also pass out GoodRx cards like crazy. I also try to buy used walkers and commodes at flea markets, etc and we give them out to indigent patients.
Once in a while, we can get charity home health for a few visits, and very rarely we will purchase meds for a patient (has to be 50$ or less).
Anything more complex, like trying to place an unfunded patient with a SNF, etc goes to management level for approval.
Sometimes in doing Emergency room case management, it gets very frustrating with patients needing rides home, needing help with prescriptions, (which we can't often do much of ) or needing placement from the ED, but won't have insurance or a qualifying stay.
At times, I just want to scream (and often have, on the way home..
Anyone have frustration busting ideas or methods of dealing with it?