Re-Examining Medical “Do Not Resuscitate” Orders

Information for Financial Planners and Advisors

By Dr. David Edward Marcinko; MBA, CPHQ, CMP™

By Hope Rachel Hetico; RN, MHA, CPQH, CMP™

[Publisher-in-Chief and Managing Editor]

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According to the Rev. Chuck Meyer, former Vice President of Operations and Chaplain at St. David’s Medical Center in Austin, Texas, a new designation for Allowing a Natural Death (“A.N.D.”) would eliminate confusion and suffering when patients are resuscitated against their wishes.

Defining Do Not Resuscitate [DNR] Orders

As medical professionals, we know that a Do Not Resuscitate [DNR] order does not mean that medical care has stopped. It simply means that the goal of treatment has been changed. But, to FAs, patients and family members who are emotionally involved in the situation, this truth may not be apparent www.HealthDictionarySeries.com

Terminal versus Healthy Patients

While a completed DNR tells physicians not to start Cardio Pulmonary Resuscitation [CPR] if the patient suddenly goes into cardiac arrest, the order does not differentiate between a terminally elderly ill patient; and a potentially healthy younger person who may die due to current circumstances. A non-terminal patient may be in a DNR category and continue to receive aggressive or supportive treatment aimed at a cure; or at supporting him through this medical crisis. If symptoms start to respond, then the DNR category might even be changed to a full code.

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Assessment

Should financial advisors become involved in this issue? If not, why not; and if so; to what extent? MD-CFP® subscribers please chime-in with your unique experiences.

Conclusion

And so, your thoughts and comments on this Medical Executive-Post are appreciated?

Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, be sure to subscribe to the ME-P. It is fast, free and secure.

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com  or Bio: www.stpub.com/pubs/authors/MARCINKO.htm

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Appealing HMO Disenrollment Decisions

Physician Pro-Activity May Help

By Hope Rachel Hetico; RN, MHA, CPHQ, CMP™

[Managing Editor]hetico

The decision by an HMO to not include you – the medical provider – in their plan or network; or disenroll you if already included; is not irrevocable. You may not have been included, or rejected, because of a number of reasons, including: clinical or economic re-credentialing, malpractice history, unfavorable patient survey, certification, or a host of other tangible or intangible reasons.

Appeal Guidelines

Therefore, in order for you to appeal the decision, the following guidelines are suggested in any request for a reconsideration process.

1. First, get a letter of explanation from the medical or clinical executive director.

2. Ensure your initial application went through the proper channels of consideration.

3. Contact your local plan representative, in person, if possible.

4. Make sure your state and national medical afflictions are current, as well as hospital and surgical center staffing applications and credentials.

5. Write a letter to the medical director and send it return receipt (US mail) or by private carrier. Inform the director of the actions you are taking to become more attractive to the plan or what you have done to correct the deficiencies that caused your non- inclusion initially.

6. Keep current if you have an “Any-Willing-Provider-Law” in your State.

7. Remember; once dropped by one plan, it will be easier to be dropped again by another. Fight hard to prevent this from happening.  Hire a professional consultant to champion your cause.biz-book8

Assessment

A sample letter will be provider later on this ME-P. Be honest and do not lie, but do try to cast your practice in a favorable light. Adjust for your practice specialty.

Conclusion

And so, your thoughts and comments on this Medical Executive-Post are appreciated? Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, be sure to subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com  or Bio: www.stpub.com/pubs/authors/MARCINKO.htm

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Our Other Print Books and Related Information Sources:

Practice Management: http://www.springerpub.com/prod.aspx?prod_id=23759

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Health Administration Terms: www.HealthDictionarySeries.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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[By Staff Reporters]

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Assessment

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Contacts:

Sue Rutherford, Protus

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Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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