CONTACTS
SUBJECTS
Stanford Health Care 2nd Opinion Doctor Randall M Lee Issued VA Auth
0503 -
0503 - ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS 40 0000. ref SDS 37 0000.
050502 -
050503 -
050504 -
050505 -
050506 -
050508 - ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Patient identification shown on 160802 1300. ref SDS 20 9I7O
050902 -
050903 - Encounter.................................... 131191460051
050904 - Guarantor ID................................. 101721020
050905 - Medical Record............................... 35808518
050906 - Authorization Code........................... 675962
050908 - ..
050909 - Called Records Department at Stanford Health Care again...
050910 -
050911 - 650 723 5721
050913 - ..
050914 - Talked to Mele.
050915 -
050916 - 650 723 5721
050918 - ..
050919 - Asked if Stanford Health Care received the letter sent yesterday on
050920 - 161024 0810. ref SDS 40 UH8K
050922 - ..
050923 - After a few minutes, Mele found the letter to Francis.
050925 - ..
050926 - She read the letter and asked for clarification of the request for
050927 - information.
050929 - ..
050930 - Explained call on 160801, with Jesse in New Patient administraiton for
050931 - Stanford Neuroscience. At that time, Jesse reported Stanford
050932 - Neuroscience would refuse to provide 2nd opinion neurology care,
050933 - unless the doctor at the VA whose work Stanford was being asked to
050934 - review, made a referral requesting such supplemental review.
050935 - ref SDS 18 TH7F
050937 - ..
050938 - The next morning on 160802, Claudia with Stanford Neuroscience called
050939 - and said the VA made a referral. ref SDS 19 WF5I I was surprised.
050940 - Claudia further said there was a cancellation, so Stanford
050941 - Neuroscience could meet for 2nd opinion review that same day on 160802
050942 - at 1330. ref SDS 19 PT6K
050944 - ..
050945 - While attending the meeting with Stanford Neuroscience, I asked who
050946 - made the referral at the VA for the 2nd opinion work? Doctor Kim
050947 - showed a document listing Doctor Randall Lee, as the referring doctor
050948 - with the VA, reported on 160802 1300. ref SDS 20 VN9K
050950 - ..
050951 - Doctor Lee was a familiar name, beginning in 2005, when he provided
050952 - continuing care in the GI Department at the VA Clinic in Martinez, CA.
050953 - In 2012, he moved his practice to the VA Medical Center in Sacramento,
050954 - and continued GI care, performing EGD Dilation procedures every 3 - 6
050955 - months the past 6 years. As a result, seeing the name of Doctor
050956 - Randall Lee on the Stanford Neuroscience referral form, I assumed
050957 - Doctor Lee made the referral, since it was following an EGD dilation
050958 - on 160617, that stroke symptoms occurred, which required follow on
050959 - care in Neurology at the VA Medical Center in San Francisco.
050960 - ref SDS 5 5F6F
050962 - ..
050963 - On 160816 0800 Doctor Lee with GI Clinic at VAMC Sacramento reported
050964 - that he did not authorize referral for 2nd opinion on stroke symptoms
050965 - after EGD on 160617, from Stanford Neuroscience and did not know there
050966 - was a consultation on 160802, nor any other time. ref SDS 30 7Z5N
050968 - ..
050969 - On 160820 0940 letter from Stanford Neuroscience with 2nd opinion
050970 - addressed to Doctor Doctor Massa at VA Medical Center in San
050971 - Francisco, and shows CC sent to Doctor Randall Lee. ref SDS 35 R66J
050973 - ..
050974 - On 160921 0917 letter to Jesse requested the document Stanford
050975 - Neuroscience relied upon for VA referral authorizing 2nd opinion
050976 - neurology services in this case. ref SDS 37 3866
050978 - ..
050979 - On 160921 1130 meeting with Doctor Lee at VA Medical Center in
050980 - Sacramento, the doctor researched VA doctor listings, and found 2
050981 - other Doctor Randall Lees. ref SDS 38 F369
050983 - ..
050984 - On 160921 0917 at 1420 letter from Jesse advised patient to contact
050985 - Patient Follow up Department to obtain document showing VA made
050986 - referral on 160802, for Stanford Neuroscience to provide 2nd opinion
050987 - neurology services in this case. ref SDS 37 BE7J
050989 - ..
050990 - On 161012, VA requested documentation showing VA made referral in
050991 - order to pay the patient cost of $855, ref SDS 39 UI7Q, which the
050992 - patient paid for 2nd opinion medical services by Stanford Neuroscience
050993 - on 160802, ref SDS 20 VN9K, reported later in 2nd opinion letter
050994 - received in the record on on 160820, ref SDS 35 R66J, for correcting
050995 - the mistakes in VA Neurology and Radiology evaluation of stroke
050996 - symptoms suffered following EGD Dilation on 160617, ref SDS 5 5F6F,
050997 - and reported in findings from MRI on brain the next day on 160618.
050998 - ref SDS 8 WK7K
051000 - ..
051001 - Mele said to hold while she checks Stanford records for documentation
051002 - on VA makine referral in this case.
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051004 -
051006 - ..
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0513 - 1124
0514 -
051401 - On hold, while Mele checks Stanford's records.
051402 -
051404 - ..
0515 -
0516 -
0517 - 1128
0518 -
051801 - Mele back online. She found the 2nd opinion addressed to Doctor
051802 - Massa, with cc to doctor Randall Lee.
051804 - ..
051805 - She also found the referral document with Doctor Lee's name.
051807 - ..
051808 - She will send the referral document with Doctor Lee's name.
051810 - ..
051811 - Also asked her to send Doctor Vora's Progress Notes in this case.
051813 - ..
051814 - Mele said she will send both records.
051816 - ..
051817 - Mele further said that Stanford Health Care Records Department needs
051818 - re-submission of page 5 for the...
051819 -
051820 - AUTHORIZATION FOR USE OR DISCLOSURE OF
051821 - PROTECTED HEALTH INFORMATION
051822 -
051823 - ...form which was submitted attached to an email to Francis,
051824 - yesterday, on 161024 0810. ref SDS 40 LM6M She said the copy they
051825 - received with the letter yesterday, does not have a signature.
051827 - ..
051828 - Mele said this can be fixed by signing page 5, scanning it, and then
051829 - submitting the scanned pdf file via email to Francis.
051831 - ..
051832 - This procedure is also used by Release of Information Department at
051833 - the VA Medical Center in San Francisco.
051834 -
051835 -
051836 -
051837 -
051839 - ..
0519 -
0520 -
0521 - 1147
0522 -
052201 - Scanned page 5 with signature.
052202 -
052203 - Submitted with letter to Francis saying...
052204 -
052205 - 1. Subject: Signed Page 5 AUTHORIZATION " DISCLOSURE OF HEALTH INFORMATION
052206 - Date: 2016-10-25 11:57
052210 - ..
052211 - 2. Dear Francis,
052213 - ..
052214 - 3. Confirming telecon with Mele this morning, attached is page 5
052215 - with signature authorizing release of information.
052217 - ..
052218 - 4. Mele advised she found the referral document with Doctor Lee's
052219 - name requested for ROI, submitted yesterday, in the letter on
052220 - 161024 0810. ref SDS 40 UH8K
052222 - ..
052223 - 5. Also requested Progress Notes.
052225 - ..
052226 - 6. Thanks very much for excellent patient support.
052228 - ..
052229 - 7. Sincerely,
052231 - ..
052232 - 8. Rod
052233 - 925 849 4745
052234 - Medical Record #35808518
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