THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: February 2, 2009 09:20 AM Monday; Rod Welch

Michelle advised that UCSF needs Kaiser authorization for Millie's treatment.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Michelle Williams Jones called from UCSF.
040903 -  ..
040904 - Michelle said that UCSF needs Authorization from Millie's primary care
040905 - phyisian at Kaiser in order for Millie to get hyperthermia treatment
040906 - from Doctor Hsu in the Radiation Oncology Department prescribed by
040907 - Doctor Rugo on 090129.
040909 -  ..
040910 - Reviewed the record showing the primary care physician advised in a
040911 - letter to Doctor Rugo that Authorization was filed this past Friday on
040912 - 090130 for Millie's treatment with hyperthermia at UCSF, as confirmed
040913 - in a letter to Millie on 090131. ref SDS 3 GV4M
040915 -  ..
040916 - Michele said UCSF needs new authorization from Kaiser because Millie
040917 - is not getting treated in a clinical trial, and so UCSF cannot bill
040918 - Medicare Part A and B, so UCSF needs authorization to bill Kaiser.
040920 -  ..
040921 - Michelle said Millie has to call her primary care physician at Kaiser
040922 - and request the doctor submit Authorization documentation to her at
040923 - UCSF.
040925 -  ..
040926 - Explained again that Doctor Johnson at Kaiser notified Doctor Rugo.
040927 - Tried to relate background of coordination between Millie's primary
040928 - care physician at Kaiser and UCSF that occurred the past few days
040929 - starting with the call from Krshna in Doctor Hsu's office on 090130.
040930 - ref SDS 2 NM5H  The primary care physician sent a letter saying
040931 - authorization was filed, shown in the record on 090131. ref SDS 3 GV4M
040933 -  ..
040934 - Michelle said she has many other customers to process, and so does not
040935 - have time to facilitate the authorization process.  She wants Millie
040936 - to coordinate compliance with Kaiser and UCSF documentation
040937 - requirements for authorizing payment of treatment.  She gave a fax
040938 - number for Kaiser to submit the authorization...
040939 -
040940 -                  Attention Michelle Williams Jones
040941 -                  fax  415 353 7071
040943 -  ..
040944 - Explained that Millie's doctor sent a letter last night saying he is
040945 - out of town for a few days. ref SDS 4 Y35M
040947 -  ..
040948 - Asked Michelle if she has coordinated with Krshna in Doctor Hsu's
040949 - office, and whether Kaiser sent authorization to Krshna, as she
040950 - requested last Friday? ref SDS 2 WY9F  Does Millie need to coordinate
040951 - submission of authorization to multiple departments?
040952 -
040953 -          [On 090202 Pam in Kaiser Outside Referrals said she sent
040954 -          Authorization to Krshna in Radiation Oncology, ref SDS 6
040955 -          PQ9W; Krshna seemed to indicate that a single submission
040956 -          would be adequate for Millie to get urgent treatment; to make
040957 -          sure, Pam sent a duplicate set of authorization documents to
040958 -          Michelle. ref SDS 6 D54H
040960 -  ..
040961 - Michelle said her procedures and training require telling the patient
040962 - to coordinate with their primary care physician to submit
040963 - authoriztaion.  That's all she can do.
040965 -  ..
040966 - Michelle said she will call Doctor Rugo and advise that Millie has
040967 - been notified to coordinate authorization for treatment.
040968 -
040969 -
040970 -
040971 -
040973 -  ..
0410 -
0411 -
0412 - 0938
0413 -
041301 - Tried to call Krshna in Doctor Hsu's office.
041303 -  ..
041304 - Got a recording.  Left a message to follow up work last Friday on
041305 - 090130 when Krshna was coordinating with Pam at Kaiser Outside
041306 - Referrals Department. ref SDS 2 WY9F
041308 -  ..
041309 - Explained Millie received a letter yesterday from Doctor Johnson
041310 - saying he filed authorization for Millie's treatment, ref SDS 3 GV4M,
041311 - and asked if Kaiser has to submit authorization to Michelle and to
041312 - Krshna?
041313 -
041314 -        [...in another record today on 090202 0940 called Kaiser to
041315 -        coordinate submission of referral payment authorization for
041316 -        UCSF. ref SDS 5 9Y5I
041318 -         ..
041319 -        [...in another record today on 090202 1000 Florida in the
041320 -        Kaiser Oncology Department advises that Pam in Outside
041321 -        Referrals says that Doctor Johnson's authorization for referral
041322 -        to get Millie's treatment was delayed because a code is missing
041323 -        from the form; Pam is waiting for the doctor who is out of
041324 -        town, to return to the office expected in a few days to get the
041325 -        form filled out correctly, and will then send authorization to
041326 -        UCSF. ref SDS 5 025C
041327 -
041328 -
041329 -
041330 -
041331 -
0414 -