Level of experience

valeriedl

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What is the level of experience in order of how it goes

Doctor (neuro)
Nurse practitioner
Physicians Assistant
 

CQ:)

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I go through a epilepsy clinic at the hospital I had my surgery so there’s a team.
My main specialist is the neurologist
Neuropsychiatrist
The epilepsy nurse
Neuropsychologist

I only have appointments with the neuropsychiatrist and neurologist and only contact I have with them is our appointments.

The neuropsychologist and epilepsy nurse are there if I need to send through information or have questions about my epilepsy which they’ll assist with by asking the neurologist and giving me the answer or helping me themselves.
 

valeriedl

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The main reason for asking this is because of a bill I got.

I have a VNS and I haven't actually seen my actual neuro in almost 2 years, just the nurse practitioner. My neuro is the only one who can check my VNS, looking at the settings, changing them if needed and checking the battery.

I had a visit scheduled at the beginning of January to see my neuro. They called the day before my visit and told me that it was going to be changed to a virtual visit because of covid. The hospital's computer system crashed and I ended up having a phone visit, if that's the way to word it, with a physicians assistant.

When I got the bill in the mail it was for a visit with my neuro. I called about it because I didn't know if the copay was right because I didn't see my neuro and had a phone visit with the physicians assistant. They told me no matter who I talked to or how the visit was held I was going to be charged the same copay.

I just didn't feel this was right. I did pay the bill, I got sick of messing with them.
 

Nakamova

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Sounds like it was a matter of coding (visit was input in billing as neuro visit), the hospital/med office’s policy (they want to get paid at the higher rate), and/or your health insurer’s unwillingness to listen to common sense. Worth contesting, except for the hassle. :(
 

Sabbo

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I only see a neurologist for my epilepsy. We generally try to meet twice a year. The neuro department's nurse sees me first to get my vitals & general info when I go in, the doctor comes in. A different nurse was helping him a few weeks ago, & she totally freaked out when I had a complex partial while she was taking my vitals.
 

Porkette

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I go to the Epilepsy Center where they do surgery and a lot of detail
1. Epileptologist
2.Epilepsy Nurse
3. Neurophysiologist
4. Neurosurgeon
After I see all of them they all work together as a team and have a meeting about my case to
decide what is the best thing to do.
Wishing you only the best and May God Bless You,

Sue
 

valeriedl

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Sounds like it was a matter of coding (visit was input in billing as neuro visit), the hospital/med office’s policy (they want to get paid at the higher rate), and/or your health insurer’s unwillingness to listen to common sense. Worth contesting, except for the hassle. :(
Thanks Nak, that sounds about right.

Somehow I managed to stay somewhat clam while I was on the phone with the woman from the billing department and not yell at her. I know it wasn't her fault but with Keppra flowing through my veins it wasn't easy.

After I got off the phone I let loose. I said that the receptionist make some good money there because after reading the 'office visit notes' it was almost like I'd been talking to her. I didn't have my blood pressure or weight taken. No type of blood work was done. I must have my VNS checked, which can't be done over the phone. I wasn't physically looked at to see if there were any problems.
 
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