I've got a question. Can you say that as a nurse you "showed benefits to insurance company"? What I want to say that every hospital probably has to show to insurance company how many patients and procedures they did over a certain period of time and they need to prove or show that to the insurance company in order to get money from them.

i'm not really sure what you are asking but i would suggest that for private healthcare, insurance companies are only interested in practitioners fees, that they are affordable and that their establishments are reputable and can demonstrate competency.

dag said:

I've got a question. Can you say that as a nurse you "showed benefits to insurance company"? What I want to say that every hospital probably has to show to insurance company how many patients and procedures they did over a certain period of time and they need to prove or show that to the insurance company in order to get money from them.

im the orgs resident nurse!!

[img:$uid]http://i37.phot.../img:$uid]

fortunatelyi have never worked anywhere that has "health insurance"

it should be FREE!!

Ask Nurse!

One of my Ex's was an Executive RN. It didnt end all that good so I def ain't calling her for anything other than the Date & time of her Funeral. But that Girl know she could Suck the Black off a Dick. I felt like Eddie Murphy in "The Distinguished Gentleman".

I'm confused by your question but it seems that you're asking if insurance companies keep track of the number of procedures or surgeries performed in a hospital or care center. I'm not sure if insurance companies demand that information or not, but any accredited hospital in the United States must comply with certain standards set by the accreditation agency for hospitals, JACHO or Joint Commission on Accreditation of Healthcare Organizations. So I imagine if insurance companies want that information, they could get it from the hospital's JACHO report.

Im sick of nurses,especially jamaican nurses.

Chancellor said:

One of my Ex's was an Executive RN. It didnt end all that good so I def ain't calling her for anything other than the Date & time of her Funeral. But that Girl know she could Suck the Black off a Dick. I felt like Eddie Murphy in "The Distinguished Gentleman".

I'm the org's resident pharmacy candidate (in my 3rd year of pharmacy school) and I've worked both hospital and community pharmacy.

Bit confused by the question. Are you talking about reimbursement? If that's so, this may help you.

http://www.forbes.com/sites/leahbinder/2013/05/09/hospital-billing-varies-widely-but-quality-has-nothing-to-do-with-it/

Whatever the case, the whole system's going to change once Healthcare Reform fully kicks in next year.

[Edited 6/22/13 23:53pm]

My sister is a ruthless CEO of nursing home.She wants me to learn someone elses job so she can fire someone else ASAP.She told me so in her office this week.

ThruTheEyesOfWonder said:

I'm the org's resident pharmacy candidate (in my 3rd year of pharmacy school) and I've worked both hospital and community pharmacy.

Bit confused by the question. Are you talking about reimbursement? If that's so, this may help you.

http://www.forbes.com/sites/leahbinder/2013/05/09/hospital-billing-varies-widely-but-quality-has-nothing-to-do-with-it/

Whatever the case, the whole system's going to change once Healthcare Reform fully kicks in next year.

[Edited 6/22/13 23:53pm]

Probably. Well, I guess the system in your country is different from mine. Well, over here you HAVE TO pay by law a monthly health insurance to the state and when you go to hospital or a doctor, almost everything is for free. Well it used to be. Now there are couple of fees, but you just pay a very small portion to the doctor and the rest is covered by insurance company, so I am sure that the doctors and nurses have to keep track of every patient and procedure they have done in a month and then somehow "prove" it to the insurance company, to have everything covered". So I am asking, how do you call this procedure, cause in my language you'd say literally "show benefits/allowance/amount/ or maybe "reimbursement". That's what I don't know. How do you say this in English?

jonylawson said:

dag said:

I've got a question. Can you say that as a nurse you "showed benefits to insurance company"? What I want to say that every hospital probably has to show to insurance company how many patients and procedures they did over a certain period of time and they need to prove or show that to the insurance company in order to get money from them.

im the orgs resident nurse!!

[img:$uid]http://i37.phot.../img:$uid]

fortunatelyi have never worked anywhere that has "health insurance"

it should be FREE!!

Cool, it looks exciting.

Let me ask differently. if I told you that "as a nurse, ony of my duties was to show benefits to an insurance company", would you know what I am talking about? If not, then I am probably not translating it correctly.

dag said:

ThruTheEyesOfWonder said:

I'm the org's resident pharmacy candidate (in my 3rd year of pharmacy school) and I've worked both hospital and community pharmacy.

Bit confused by the question. Are you talking about reimbursement? If that's so, this may help you.

http://www.forbes.com/sites/leahbinder/2013/05/09/hospital-billing-varies-widely-but-quality-has-nothing-to-do-with-it/

Whatever the case, the whole system's going to change once Healthcare Reform fully kicks in next year.

[Edited 6/22/13 23:53pm]

Probably. Well, I guess the system in your country is different from mine. Well, over here you HAVE TO pay by law a monthly health insurance to the state and when you go to hospital or a doctor, almost everything is for free. Well it used to be. Now there are couple of fees, but you just pay a very small portion to the doctor and the rest is covered by insurance company, so I am sure that the doctors and nurses have to keep track of every patient and procedure they have done in a month and then somehow "prove" it to the insurance company, to have everything covered". So I am asking, how do you call this procedure, cause in my language you'd say literally "show benefits/allowance/amount/ or maybe "reimbursement". That's what I don't know. How do you say this in English?

My mistake, I assumed you were in the US.

Are you Canadian or do you live abroad?

I think what the nurse means by showing "benefits" to the insurance company means that she's proving to the company the services rendered to you or your health status since being treated.

I'm not sure if this is done abroad, but sometimes hospitals face reimbursement penalties for excessive re-admissions.

ThruTheEyesOfWonder said:

dag said:

Probably. Well, I guess the system in your country is different from mine. Well, over here you HAVE TO pay by law a monthly health insurance to the state and when you go to hospital or a doctor, almost everything is for free. Well it used to be. Now there are couple of fees, but you just pay a very small portion to the doctor and the rest is covered by insurance company, so I am sure that the doctors and nurses have to keep track of every patient and procedure they have done in a month and then somehow "prove" it to the insurance company, to have everything covered". So I am asking, how do you call this procedure, cause in my language you'd say literally "show benefits/allowance/amount/ or maybe "reimbursement". That's what I don't know. How do you say this in English?

My mistake, I assumed you were in the US.

Are you Canadian or do you live abroad?

I think what the nurse means by showing "benefits" to the insurance company means that she's proving to the company the services rendered to you or your health status since being treated.

I'm not sure if this is done abroad, but sometimes hospitals face reimbursement penalties for excessive re-admissions.

I am from the Czech republic (Europe).

If that's what you understand by that sentence, then I guess I have translated it correctly.

dag said:

ThruTheEyesOfWonder said:

My mistake, I assumed you were in the US.

Are you Canadian or do you live abroad?

I think what the nurse means by showing "benefits" to the insurance company means that she's proving to the company the services rendered to you or your health status since being treated.

I'm not sure if this is done abroad, but sometimes hospitals face reimbursement penalties for excessive re-admissions.

I am from the Czech republic (Europe).

If that's what you understand by that sentence, then I guess I have translated it correctly.

Wow! Really? Never knew that about you.

And glad I could help.

I've got one more question. How do you call hours worked by doctors or nurses outside of their normal "office hours"? YOu know when they work at night or at the weekends. In my language you say you are "doing a service" or something like that, but I don't think that's the correct way of saying this in English. I think "shift" would be a more appropriate term, but I think I need to specify it somehow.

dag said:

I've got one more question. How do you call hours worked by doctors or nurses outside of their normal "office hours"? YOu know when they work at night or at the weekends. In my language you say you are "doing a service" or something like that, but I don't think that's the correct way of saying this in English. I think "shift" would be a more appropriate term, but I think I need to specify it somehow.

Here in the United States, that type of work done by health care professionals is called "on call duty." It's sort of like overtime done by other types of professions, but in health care, these types of hours are still considered mandatory. Doctors and nurses usually go home after completing a certain amount of time at the hospital, but while at home, they can be called back to the hospital at any time if their services are needed.

[Edited 6/26/13 7:08am]

Shyra said:

dag said:

I've got one more question. How do you call hours worked by doctors or nurses outside of their normal "office hours"? YOu know when they work at night or at the weekends. In my language you say you are "doing a service" or something like that, but I don't think that's the correct way of saying this in English. I think "shift" would be a more appropriate term, but I think I need to specify it somehow.

Here in the United States, that type of work done by health care professionals is called "on call duty." It's sort of like overtime done by other types of professions, but in health care, these types of hours are still considered mandatory. Doctors and nurses usually go home after completing a certain amount of time at the hospital, but while at home, they can be called back to the hospital at any time if their services are needed.

[Edited 6/26/13 7:08am]

Thank you for your answer. What I am looking for is them spending that overtime IN hospital. Could I just say doctor or nurse "on duty" or is it just a shift? And then when the shift ends and someone else comes in to take your place, can you say "change shifts"? I also found this information on change-of-shift report.

http://en.wikipedia.org/wiki/Change-of-shift_report_%28nursing%29

Can you say I "accept a change-of-shift report" at the beginning of the shift and "hand it over" at the end?

dag said:

Shyra said:

Here in the United States, that type of work done by health care professionals is called "on call duty." It's sort of like overtime done by other types of professions, but in health care, these types of hours are still considered mandatory. Doctors and nurses usually go home after completing a certain amount of time at the hospital, but while at home, they can be called back to the hospital at any time if their services are needed.

[Edited 6/26/13 7:08am]

Thank you for your answer. What I am looking for is them spending that overtime IN hospital. Could I just say doctor or nurse "on duty" or is it just a shift? And then when the shift ends and someone else comes in to take your place, can you say "change shifts"? I also found this information on change-of-shift report.

http://en.wikipedia.org/wiki/Change-of-shift_report_%28nursing%29

Can you say I "accept a change-of-shift report" at the beginning of the shift and "hand it over" at the end?

Well, I would think anyone "on duty" at a hospital is working there for a specific amount of time, probably 8-10 hours depending the length of the "shift." Once that shit ends, another person comes in and takes over for another 8-10 hours until that shift ends, and so forth.

"Can you say I "accept a change-of-shift report" at the beginning of the shift and "hand it over" at the end?" Okay, here I'm a little confused. When you speak of a "change of shift report" are you talking about the report of the time spent working that shift by a nurse or the actual nurse's notes documenting the care of a patient, including medications dispensed, etc.? I would think that at the end of each shift, the nurse would be responsible for her own notes, and the next nurse coming on duty looks at them to see what has been done or needs to be done, and follows through. But if you're asking if a nurse can "accept a change of shift report and hand over at thee end," leads me to believe that you're asking if you can use that report as the final report for your shift and hers. I would think not. If that nurse did something wrong, you could get blamed. If something looks questionable on a report, it should be taken up with the head nurse of the physician in charge before signing off. I hope this helps and I've explained it clearly.

Shyra said:

dag said:

Thank you for your answer. What I am looking for is them spending that overtime IN hospital. Could I just say doctor or nurse "on duty" or is it just a shift? And then when the shift ends and someone else comes in to take your place, can you say "change shifts"? I also found this information on change-of-shift report.

http://en.wikipedia.org/wiki/Change-of-shift_report_%28nursing%29

Can you say I "accept a change-of-shift report" at the beginning of the shift and "hand it over" at the end?

Well, I would think anyone "on duty" at a hospital is working there for a specific amount of time, probably 8-10 hours depending the length of the "shift." Once that shit ends, another person comes in and takes over for another 8-10 hours until that shift ends, and so forth.

"Can you say I "accept a change-of-shift report" at the beginning of the shift and "hand it over" at the end?" Okay, here I'm a little confused. When you speak of a "change of shift report" are you talking about the report of the time spent working that shift by a nurse or the actual nurse's notes documenting the care of a patient, including medications dispensed, etc.? I would think that at the end of each shift, the nurse would be responsible for her own notes, and the next nurse coming on duty looks at them to see what has been done or needs to be done, and follows through. But if you're asking if a nurse can "accept a change of shift report and hand over at thee end," leads me to believe that you're asking if you can use that report as the final report for your shift and hers. I would think not. If that nurse did something wrong, you could get blamed. If something looks questionable on a report, it should be taken up with the head nurse of the physician in charge before signing off. I hope this helps and I've explained it clearly.

I have no idea. The sentence in my language says that she "accepted and handed over the duty". I have no idea what this process involves. I guess they probably have to exchance notes and inform each other of conditions of different patients probably. I don't know. And I actually don't need to know what happens when nurses change shifts. I just need to know how you call that process and if there is anything "to accept and hand over" during this process cause the sentence in my language suggest that there is. I just need to translate this. I just need to say somehow in English that "when changing the shifts, at the beginning of the shift you accepted something and at the end of the shift you handed over something".

Thanks everyone for your help so far.

Is this about the terminology used to describe certain processes?

morningsong said:

Is this about the terminology used to describe certain processes?

Yes.

jonylawson said:

BlackAdder7 said:

jonylawson said:

im the orgs resident nurse!!

[img:$uid]http://i37.phot.../img:$uid]

fortunatelyi have never worked anywhere that has "health insurance"

it should be FREE!!

If its free how do you get paid?

How do nurses get paid? I guess they are getting money from state just as teachers or clerks. There is also a private sector so those who work for private doctors get paid by insurance companies, I guess, because over here everybody HAS to be insured by law. So if you go to a destist, you usually pay something if some procedure is done, but everything is motly covered from your insurance.

[Edited 6/29/13 10:54am]

i work for the govt

almost all civilised countries have healthcare for 'free"

apart from the deasr ol USA

dag said:

morningsong said:

Is this about the terminology used to describe certain processes?

Yes.

http://www.donself.com/do...nology.pdf

I don't know if this helps you or not. I did MediCare billing many, many, many years ago, though I wasn't a nurse. A lot has changed since then, and I don't remember the ICD9 coding anymore but I do remember there was a code for everything. It was the billing department's job to translate the doctors'/nurses' notes into that code before transmitting the billing. There were 4 of us who did MediCare billing, 3 did MediCal billing, and several who did insurance and secondary insurance billing.

Thanks everyone for your help.