CONTACTS 

SUBJECTS
Policy Conflict Resolved Between Kaiser and Kaiser Subsidiary Medica

4703 -
4703 -    ..
4704 - Summary/Objective
4705 -
470501 - Follow up ref SDS 17 0000, ref SDS 15 0000.
470502 -
470503 - Primary care physician at Kaiser reports problem resolved so Millie
470504 - can get treatment. ref SDS 0 LX8B  Millie's letter to Kaiser thanks
470505 - the doctor for taking timely action that avoids further delay to
470506 - treatment. ref SDS 0 PQ5U  Michelle also reported that additional
470507 - blood tests are needed.  The doctor ordered the tests today; Millie
470508 - can go to Kaiser tomorrow to complete tests needed for treatment to
470509 - begin at UCSF. ref SDS 0 LX6V
470510 -
470511 -
470512 -
470513 -
470514 -
470516 -  ..
4706 -
4707 -
4708 - Discussion
4709 -
470901 - Treatment Delayed Not Enough Time Fix Kaiser Policy Conflict Medicare
470902 - Policy Conflict Kaiser Medicare Treatment Delayed Not Enough Time Fix
470903 - Medicare Policy Conflict Kaiser Treatment Delayed Not Enough Time Fix
470904 -
470905 - Follow up ref SDS 17 YF8U, ref SDS 15 YF8U.
470906 -
470907 - Michele explained she has been trying to contact Jackie at UCSF.  She
470908 - talked to Jackie earlier today by telephone.  In the call, Jackie
470909 - discussed UCSF requirements for additional blood tests (per below,
470910 - ref SDS 0 LX6V).
470912 -  ..
470913 - Michele said the primary care physician for Millie came into the
470914 - office this morning even though the doctor is on vacation time, and
470915 - took action to resolve issues delaying Millie's treatment by UCSF, as
470916 - related in Millie's letter, ref DIP 7 0001, submitted to Kaiser on
470917 - 070119, ref SDS 17 VX64, and responding to the doctor's letter,
470918 - ref DRP 5 0001, earlier on the same day, 070119. ref SDS 17 4R4M
470920 -  ..
470921 - Michelle indicated there have been discussions between Kaiser's
470922 - billing department, Medicare management, and UCSF on Millie's case.
470923 - Michelle is not familiar with details of arrangements, but understands
470924 - referral on 061230 by the primary care physician for Millie to get
470925 - treatment by UCSF, ref SDS 5 086H, can now go forward.
470927 -  ..
470928 - Michelle has not been able to talk with Jackie to coordinate UCSF
470929 - scheduling Millie for treatment tomorrow.  She has called several
470930 - times, and left messages, but Jackie has not had time to call back.
470931 -
470933 -  ..
4710 -
4711 -
4712 - 1733
4713 -
471301 - Primary Care Physician Resolves Problem Treatment UCSF Can Begin
471302 -
471303 - Millie received ref DRT 1 0001 from the primary care physician
471304 - reporting resolution of Kaiser conflict so that Millie can get
471305 - treatment ordered by Kaiser on referral to UCSF, as planned in the
471306 - doctor's letter to Millie on 070119. ref SDS 17 LW9N
471308 -  ..
471309 - Primary Care Physician says to Millie...
471310 -
471311 -        I called Outside Referrals and they are communicating with
471312 -        UCSF. ref DRT 1 0001
471314 -  ..
471315 - This explains results of the primary care physician at Kaiser and
471316 - Doctor Rugo at UCSF working both working the problem, reported in
471317 - Kaiser's letter on 070119. ref SDS 17 LW9N
471318 -
471319 -        [On 070123 UCSF reports authorization not received from Kaiser,
471320 -        treatment deferred. ref SDS 18 4Q54
471322 -         ..
471323 -        [On 070123 Millie notifies primary care physician treatment to
471324 -        prevent cancer from cascading out of control delayed again by
471325 -        delay with referral authorization, ref SDS 18 J94L; Kaiser
471326 -        reports doctor on vacation. ref SDS 18 LP4L
471328 -         ..
471329 -        [On 070124 Millie requests Kaiser expedite authorization
471330 -        for prescribed treatment at UCSF. ref SDS 19 YF8U
471332 -         ..
471333 -        [On 070124 Millie leaves town to give Kaiser and UCSF time
471334 -        to solve authorization problem. ref SDS 19 KX9H
471336 -         ..
471337 -        [On 070124 Kaiser reports payment authorization problem
471338 -        solved. ref SDS 19 WR3J
471339 -
471340 -
471341 -
471343 -  ..
4714 -
4715 -
4716 - 2340
4717 -
471701 - Millie submitted ref DIT 1 0001 to responding to the primary care
471702 - physician who wrote earlier this afternoon, ref DRT 1 0001, reported
471703 - in the record above. ref SDS 0 LX8B
471705 -  ..
471706 - Millie's letter to Kaiser says...
471707 -
471708 -    1.  Thanks very much for taking immediate action to resolve
471709 -        problems [as reported in the doctor's letter earlier today, per
471710 -        above, ref SDS 0 LX8B, and as reported by Michelle, also, shown
471711 -        in the record above, ref SDS 0 117F], so that my treatment at
471712 -        UCSF can proceed, as you ordered. [on 070105, and following the
471713 -        meeting at Kaiser on 061208. ref SDS 4 P27L, ref DIT 1 0001
471715 -         ..
471716 -    2.  Michelle said in a call that you came into the office today on
471717 -        your vacation day off. ref SDS 0 117F  I'm very grateful for
471718 -        all you've done to help me.  Sounds like you and Doctor Rugo
471719 -        ploughed throuh the "red tape" to make things happen, as
471720 -        related in your letter last week. [on 070119, ref SDS 17 LW9N],
471722 -         ..
471723 -    3.  Michelle said I need more blood work afterall, ref SDS 0 LX6V,
471724 -        so I will get that done tomorrow.  Hopefully, Jackie will call
471725 -        and let me know when I can get treatment.
471727 -         ..
471728 -    4.  Have a great vacation.
471729 -
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471731 -
471732 -
471733 -
4718 -

SUBJECTS
Laboratory Blood Test Mistakes Millie Needs Additional Tests Ordered

7003 -
700401 -  ..
700402 - Laboratory Blood Test Report Received from Kaiser Incomplete
700403 -
700404 - Follow up ref SDS 17 AS6M.
700405 -
700406 - Michele said that Arlette received Millie's letter, ref DIP 6 0001
700407 - submitted to Kaiser and with a copy to Jackie at UCSF, confirming
700408 - understandings from meeting at UCSF on 070119, ref SDS 17 AS6M, and
700409 - requesting notice from Kaiser if another blood test is needed to meet
700410 - UCSF requirements. ref SDS 17 0Z6T
700412 -  ..
700413 - Michelle said that Arlette is out of the office today.  She left a
700414 - note asking Michelle to follow up on Millie's letter.
700416 -  ..
700417 - Michelle called Jackie at UCSF today, using contact information in the
700418 - letter to Kaiser on 070119 that reports the problem on incomplete
700419 - blood tests. ref SDS 17 0Z8Q
700421 -  ..
700422 - Michelle checked with Bella in the Chemotherapy Infusion Clinic.
700423 - Bella reviewed Kaiser's records on the computer and decided that the
700424 - report sent to UCSF on 070119 was complete for the blood test ordered,
700425 - but the prescription was incomplete.
700427 -  ..
700428 - The primary care physician was notified.  The doctor came into the
700429 - office this morning, interrupting his vacation, and ordered the
700430 - additional tests, as requested in Millie's letter to Kaiser on 070119.
700431 - ref SDS 17 TH6Q
700433 -  ..
700434 - Millie can get blood drawn for the test tomorrow morning first thing.
700435 -
700436 -      [...above, Millie thanked primary care physician for coming to
700437 -      the office on a vacation day to expedite the order on Millie's
700438 -      blood test. ref SDS 0 MM3X
700439 -
700440 -      [On 070123 Millie got the blood test, and reported progress to
700441 -      Kaiser, with copy to UCSF indicating she is ready to start
700442 -      treatment for IBC. ref SDS 18 YF6T
700444 -       ..
700445 -      [On 070123 treatment delayed at UCSF need referral authorization
700446 -      for payment from Kaiser. ref SDS 18 J43I
700448 -       ..
700449 -      [On 070130 Millie scheduled for treatment at UCSF on
700450 -      070201. ref SDS 20 MP4H
700452 -       ..
700453 -      [On 070131 UCSF requests another blood test before starting
700454 -      treatment on 070201. ref SDS 21 NZ4N
700456 -  ..
700457 - Michelle did not discuss submitting blood test reports, including CA
700458 - 15-3, as requested in Millie's letter to the primary care physician at
700459 - Kaiser on 070119, ref SDS 17 TH6X, and also mentioned in the letter to
700460 - Arlette on 070119. ref SDS 17 0Z9P
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7005 -