Subsequent encounter means you’re seeing the doctor again for the same problem. So if you got sucked into a jet engine and lived somehow you’d probably be seeing the doctor a bunch of times, and the second doctor visit and all later visits would be encoded as “subsequent encounter”
I love weird icd 10 codes, my favorite is V91.07, burn due to water-skis on fire. Like has that ever actually happened? If so please post link, I must know.
I’ve never heard of urgent care requiring referral from a pcp, that wouldn’t make any sense as the whole point of urgent care is being seen more urgently than your primary physician can accommodate. And seeing people who don’t have a primary physician and keeping them out of the ed if not necessary. I would ask your insurance for that policy in writing, that can’t be right. And if it is it should be reported to that state insurance commission because that’s totally asinine. I mean never underestimate the dumbness of insurance companies but I think something might be being lost in translation here.
This is mildly infuriating, I can give you a little more context though if you’re interested. I don’t know exactly about contracts between insurance companies and CVS so I can’t speak to that definitely. Probably something related to how much insurance is willing to pay minute clinic for such a short visit, and what things are feasible to address in such a short visit (hence CVS only allowing certain complaints).
I think this is something to do with the concept of “uncomplicated” vs “complicated” uti. Complicated utis are when there’s an increased danger of serious complications from a uti or increased likelihood of failing a typical antibiotic therapy. Utis in men are much much rarer than women, and are considered to be an automatic “complicated” uti by many. The greater length of the urethra in men helps prevent bacteria from being able to travel up to the bladder, whereas in women the short distance allows for this to happen much more frequently. So when a male has a UTI there is a much greater chance there will be complicating factors like prostate issues, structural problems, kidney stones, kidney infection, catheter use, atypical bacteria, etc. If you look more into their info on utis, they also state if they suspect any of those things, even in women, they won’t treat it and will just refer you to someone else, probably the Ed or a real urgent care clinic. Since the odds of that are much greater in men, they probably aren’t allowed to have longer appointments in minute clinic based on what insurance will pay for what they’re providing, they just decided to not see that at all in minute clinic. Looks like they do see men for sexually transmitted infections though, which are actually the most common cause of utis in young men, so if that’s a concern looks like they would be able to see people for that.
But I totally agree with you, fuck insurance companies in general.
The material is also a little rough in terms of how easy it would be to adapt into a show I think. It’s not like the expanse or something very plot heavy and tight where you can pretty much just turn the novels into a script and it’ll go at least decently well. So I’m skeptical because it’s going to need a lot of skilled work to make the story function well as a TV show. D&d have not shown that the adaptation part is their strong suit though. Definitely a wait and see for me before watching.
Really cool unique book. Certainly is going to depend on your tastes a little bit but I loved it. Also before reading I had someone kind enough to urge me, do not get the ebook! This is one book that just has to be the physical edition.
Yeah, sometimes you’re just innocently watching an anime and you’re like, oh no, this just went all facist imperialist Japan didn’t it. Lookin at you attack on titan.
Wait I’m lost, I did some calculus with my girl and now I can’t tell if she’s a wave or a particle
On the instances where hot is working, I think it does work pretty nicely for this. Hopefully it’ll be up and working everywhere very soon with the next update. When I’m on an account with an instance where it’s not working, I tend to switch between top-day and new. Going into individual communities as well you can easily see what was popular.
Lucille: How’s my son? Doctor: He’s going to be all right. Lindsay Funke: Finally some good news from this guy. Doctor: That’s a great attitude. I got to tell you, if I was getting this news, I don’t know that I’d take it this well. Lucille: But you said he was all right. Doctor: Yes, he’s lost his left hand. So he’s going to be “all right.” Lucille: [Jumping on the doctor] You son of a removed! I hate this doctor!
My favorite running gag, love the literal doctor