Guest guest Posted October 18, 2010 Report Share Posted October 18, 2010 They won't want your records anyway... all the discharge info will be on them and the pt is aware. BTW, I will provide free copies of records for continuity to any pt anyway; even my paper records, once I scan them, only cost me <50 cents for disc, $2 packaging, $1.22 to mail... Good ridence.... M in Western PA (I'm getting tired of typing my name) RE: Discharging Patients I think the rules are the same in CA. And we send a records release form with our discharge notice. Have never had a discharged patient ask for records. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Kathy Saradarian, MDSent: Friday, October 15, 2010 7:07 AMTo: Subject: Discharging Patients [1 Attachment] This is from a Malpractice r in NJ. Abandonment is the issue. We can’t, they can. I read this as requiring any medical care or prescriptions (accept those being abused) for 30 days. Most will not try to get treated by you once discharged but there are probably a few that will push it out of spite. Again, check locally. Apparently I also have to provide free copy of medical records which I didn’t know. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2010 Report Share Posted October 18, 2010 But how much time does it take you to prepare your records? Depending on the size of the chart, it can take us up to 15 minutes to prep a chart to send out. Your time is worth something…..even if Medicare disagrees J Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Dr Levin Sent: Sunday, October 17, 2010 3:58 PM To: Subject: Re: Discharging Patients They won't want your records anyway... all the discharge info will be on them and the pt is aware. BTW, I will provide free copies of records for continuity to any pt anyway; even my paper records, once I scan them, only cost me <50 cents for disc, $2 packaging, $1.22 to mail... Good ridence.... M in Western PA (I'm getting tired of typing my name) Discharging Patients [1 Attachment] This is from a Malpractice r in NJ. Abandonment is the issue. We can’t, they can. I read this as requiring any medical care or prescriptions (accept those being abused) for 30 days. Most will not try to get treated by you once discharged but there are probably a few that will push it out of spite. Again, check locally. Apparently I also have to provide free copy of medical records which I didn’t know. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing CyberDefender has scanned this email for potential threats. Version 2.0 / Build 4.03.29.01 Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2010 Report Share Posted October 18, 2010 Not worth the nickles and dimes; "bad pts" never want their records sent anyway as they want to b.s. the next do. Don't sweat the small stuff... get it out and done. Move on. M RE: Discharging Patients I think the rules are the same in CA. And we send a records release form with our discharge notice. Have never had a discharged patient ask for records. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Kathy Saradarian, MDSent: Friday, October 15, 2010 7:07 AMTo: Subject: Discharging Patients [1 Attachment] This is from a Malpractice r in NJ. Abandonment is the issue. We can’t, they can. I read this as requiring any medical care or prescriptions (accept those being abused) for 30 days. Most will not try to get treated by you once discharged but there are probably a few that will push it out of spite. Again, check locally. Apparently I also have to provide free copy of medical records which I didn’t know. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2010 Report Share Posted October 18, 2010 Here in WA there is a 30 day requirement to provide medications and services during which time the patient can then get another provider. Your patient already has another provider though. If you have a contract with her you do not have to provide the pain medications. I inherited a practice of pain/drug seeking patients whom I could not fire due to being the sole source of care on the reservation. I would always have a contract, even for grandma with her Tylenol 3 ( elders were known to skimp on their meds and sell the rest just to have a few bucks - they were going for something like $5 per pill at the time). If I felt I could not continue giving pain medications to a patient I would select a plan to titrate them down on an individual basis. Writing Rx for titrations even sometimes changing to liquid meds to get small enough titrations. Bottom line is the contract. Without a controlled substance contract you don't have much leverage to confront a patient. I even made contracts for those I was titrating explaining alternative forms of pain relief I expected and noting they would continue to be able to get non controlled medications. Good luck. Freida Eng MD Seattle. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2010 Report Share Posted October 20, 2010 If a pt "LIES" you have NO OBLIGATION TO PROVIDE ANYTHING TO THEM (but I offer acute care OR nonpain mangement care). They usually leave... never contrite though M in Western PA Re: Discharging Patients Here in WA there is a 30 day requirement to provide medications and services during which time the patient can then get another provider.Your patient already has another provider though.If you have a contract with her you do not have to provide the pain medications.I inherited a practice of pain/drug seeking patients whom I could not fire due to being the sole source of care on the reservation. I would always have a contract, even for grandma with her Tylenol 3 ( elders were known to skimp on their meds and sell the rest just to have a few bucks - they were going for something like $5 per pill at the time).If I felt I could not continue giving pain medications to a patient I would select a plan to titrate them down on an individual basis. Writing Rx for titrations even sometimes changing to liquid meds to get small enough titrations. Bottom line is the contract. Without a controlled substance contract you don't have much leverage to confront a patient. I even made contracts for those I was titrating explaining alternative forms of pain relief I expected and noting they would continue to be able to get non controlled medications.Good luck.Freida Eng MDSeattle. Quote Link to comment Share on other sites More sharing options...
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