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Hi All,I will forever be grateful to jean's exhortation/ admonishment to do all refills at the time of the visit. It has taken me about 12 months to get most patient's refills and visits coordinated.This has  tremendously decreased phone calls..

So, I kept my  eye out for other such stressors ..- duplicate faxes from inefficient pharmas- patients calling to check whether xyz papers had been sent to abc ( referral/ auths) etc

- eligibility/ copay issues My solutions-blocked all pharmacy lines on my fax-any process that involves more than an rx, I keep the patient informed as to the progress of the issue ( saves a lot of phonecalls from the patient) I use gmail's canned responses features.. 

- schedule all emails to go out after 12 noon, so all responses/ email or telephone are available by the same evening, and so do not demand my attention during my work morning- (ALL NEW DISCOVERY) Initiate no new emails to patient's on Friday. so no responses are expected first thing Monday am for any follow up questions from the patient

- In any patient response, I also include possible follow up scenarios, forks in the road, my expectations ( FYI, OR LET ME KNOW)- saves follow up emails-Phreesia- I cant believe that we never checked eligibility before a visit. We have found so far this year 5 capitated pts with other pcps, 3 with expired insurances ( the patient didnt know, her employer had cancelled her insurance 3 days prior)  Copay collections is now 100% accurate/ timely

Still to be addressedcollecting anticipated deductibles/ amounts/ keeping credit card on file. I have to understand the e and b reports a little better before I start doing this.

Anybody has any other tips for things I might have gotten used to(   Something that is actually a bug NOT a feature- I know some will say the whole insurance system is a bug NOT A FEATURE)

Sangeetha

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