adlockwood

adlockwood has 22 years experience and specializes in Critical Care, Insurance Case Management.

Latest Activity

1. How You Can Lose 50 Pounds In 90 Days

   adlockwood replied to Surg-OncRN's topic in General Nursing

   50 pounds in 90 days is unrealistic and a set up for failure. I joined Medical Weight Loss Clinic and work out with Jillian Michaels DVDs 4-5 days a week and have lost 36 pounds in almost 7 months. That is a healthy average of 5 pounds a month of co...

2. An open letter to the #NursesUnite movement

   adlockwood replied to disillusionedrn's topic in General Nursing

   Hear hear! It is about time someone talked about boundaries. You have a right to a break. As a professional, you do what needs to be done but stop whining about it. If you are unhappy in your current role, MOVE ON! Your co-workers will appreciate ...

3. Workman's Comp. Case Management...Where do I start?

   adlockwood replied to DenysRN's topic in Case Management

   The liability insurance is the same as your malpractice insurance - it is cheaper for case managers because you are not hands on. Get it thru Nurse Service Organization

4. Is this fraud?

   adlockwood replied to adlockwood's topic in MDS

   Which is exactly why it is impossible to send someone to rehab who needs 6 weeks of Mycofungin at $15,000 - so they sit in a hospital bored to death and killing our LOS, and risking hospital acquired pneumonia. Let's face it - acute care hospitals a...

5. Applying for UR or Case Management Position... Need help!!!

   adlockwood replied to Katria's topic in Case Management

   I don't mind sending my resume to anyone who is interested - unless you plan on ripping it:) Annette By the way, Tampa - I don't think you have much to worry about with that background - it is similar to mine. I was out of CM for 15 years, and my UM ...

6. Is this fraud?

   adlockwood replied to adlockwood's topic in MDS

   I followed up on this today, and it turns out our onc case managers do this frequently and unless the chemo drug is a carve out and billed by rehab in spite of the patient already having it, it's not fraud. Besides, it's not us comitting fraud, it w...

7. Is this fraud?

   adlockwood replied to adlockwood's topic in MDS

   I appreciate your answers - there is always new twists and situations to learn in the world of medicine, insurance and money!

8. Should tell 'em I am leaving in person, or email?

   adlockwood replied to AnnieOaklyRN's topic in Emergency

   You should write a letter to your manager and let them know of your change of position and end date. You can mail it if you don't want to make a special trip in. Email is not really a classy way to quit.

9. Is this fraud?

   adlockwood replied to adlockwood's topic in MDS

   For the sake of further discussion, I assume the facility doesn't want the patient NOT because he needs the medication, but because they don't want to have the cost in their case mix. My assumption is that SARs have a set reimbursement based on diagn...

10. Is this fraud?

    adlockwood replied to adlockwood's topic in MDS

    It is an oral med, not IV, and it is still prescribed by a Dr. So, I would like to know exactly WHY it is fraud.

11. Is this fraud?

    adlockwood posted a topic in MDS

    I posted on the case management forum, but thought maybe someone here would know. If you know a sub acute rehab will not take a patient on an expensive chemo drug, is it fraud to have the patient fill the script on the way to rehab through a pharmac...

12. Case management or homecare

    adlockwood replied to amagg22's topic in Case Management

    I have worked in all of it - from floor nursing to Blue Cross, to Insurance CM, to home care, and now inpatient CM. I agree with those that vote for home care, or if you could get in to a medical home primary care provider office, that would be grea...

13. Applying for UR or Case Management Position... Need help!!!

    adlockwood replied to Katria's topic in Case Management

    If you send your email address to me, I will forward you a copy of my resume. Forget about my educational background, because that is not a key issue - but do look at the way I describe my experience. I did work on key words when I wrote this for my...

14. Is this "fraud"?

    adlockwood posted a topic in Case Management

    One of our staff wants to know if it is considered fraud to send a patient to a facility with a script for an expensive chemo drug to fill himself through Medicare and bring it to the facility as a home med, knowing that the sub acute rehab would not...

15. Retired, thinking of Case Management

    adlockwood replied to SmokyMountainLady's topic in Case Management

    I was out of nursing completely for over 8 years, and here is how I got back in: I started working for a home care company that was not certified and needed an RN for supervising the aides and setting up medications for the elderly in their homes. ...