A few days ago, because of the fee, the director of the anesthesiology department was called by the medical department again.
When I saw the anesthesia list, the director of the anesthesia department asked a little puzzled: Is there any problem? What happened to the patient?
At the time, he didn't know what the medical department had told him to go for. The first reaction is, is there something wrong with the patient?
When he learned that the patient was going through the discharge procedures, he was relieved.
The chief of the medical section told him that the patient questioned the issue of the fee. After a while, the director of the Medical Insurance Department will also come over. This matter must be handled well. Now, Medicare is a big deal. Once there is a problem with the charge, the implications are large.
At this point, the director of the anesthesiology department is still a little confused. I thought to myself: Which medicare banned drug should I use? However, this is also something that cannot be done. When you are cured, you can't always take the abacus to calculate the account, right? Doctors are not economists!
Seeing that the director of the anesthesia department was a little confused about the situation, the chief of the medical department whispered: The patient's family has complained to you. In the breakdown of the charges, they saw that you had received money for two anesthesias, one for epidural and one for general anesthesia. After a while, you can see how to explain it to others.
Hearing these words, the director of the anesthesia department immediately relaxed. Instead, he even smiled bitterly: Alas, I was really drunk. The family does not understand the doctor, it is terrible!
Immediately after, he explained: This patient is a gastric incision surgery. At that time, considering the patient's age and poor lung condition, it was decided to adopt a combination of dural and general anesthesia. On the one hand, it can provide a definite analgesic effect to block intraoperative and postoperative stress responses; on the other hand, the use of anesthetics can be optimized, which is conducive to postoperative recovery. The effect after the operation, you ask the family how?
Seeing that the director of the anesthesia department was straight and strong, the chief of the medical department asked: How to explain the two anesthesias, spending more money?
The director of the anesthesiology department laughed and said: Where is the extra money spent? If you look at it purely from the book, our general anesthesia is normally charged, and the epidural is charged at half the price, which is indeed more than general anesthesia. However, not necessarily. This compound general anesthesia, general anesthesia drugs will certainly be used less than normal general anesthesia. In addition, how can it not be calculated as an economic account? Suppose, the effect of postoperative awakening is not good, and the monitoring in the recovery room is also money! In case the lung function is too poor, send it to the intensive care unit, more than 10,000 a day!
Speaking of this, the director of the anesthesia department also said with a little excitement: If you are sent to the intensive care unit, the family should complain about us again. At that point, will complaining be useful? The patient suffers, and the money that should be spent must be spent! Don't do nothing, just come and complain to the doctor for "superfluous". Many things cannot wait until problems are remedied, and prevention is the key. Didn't you do all this work for fear of problems? Directly on general anesthesia is more simple, who wants to pinch the cat waist and then hit an epidural anesthesia?
As he was speaking, the director of the medical insurance department also came in.
The Chief of Medical Services asked: Is this a reasonable fee?
The director of the Medical Insurance Section said: Reasonable. The main anesthesia is charged at the original price, and the second anesthesia is charged half.
Hearing this, the chief of the medical department said: Reasonable is enough. As he spoke, he called out the door to the family to enter the house.
As soon as I entered the door, the family said: When I was at the door, I could hear what was going on. I'm really sorry, it's all for our good, thank you. After saying that, I thanked him and left.
After the family left, the chief of the medical department said: It seems that everyone usually only cares about doing work, and may explain that the work is done less. If you explain more, maybe the family will not misunderstand. After a while, let's conduct a "communication training" in the whole hospital.
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