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re: State just shut down most medical and surgical procedures for 30 days

Posted on 3/18/20 at 4:28 pm to
Posted by ctiger69
Member since May 2005
31030 posts
Posted on 3/18/20 at 4:28 pm to
You don’t live in Louisiana.

Worry about your own state arse hole.
Posted by yellowfin
Coastal Bar
Member since May 2006
99043 posts
Posted on 3/18/20 at 4:30 pm to
They called to reschedule my colonoscopy today
Posted by pensacola
pensacola
Member since Sep 2005
4832 posts
Posted on 3/18/20 at 4:30 pm to
Are chiropractic procedures prohibited?
Posted by WylieTiger
Member since Nov 2006
14797 posts
Posted on 3/18/20 at 4:32 pm to
I don't want to know your history but that is bullshite yo be cancelled if you have family history or history of polyps.
Posted by TheCurmudgeon
Not where I want to be
Member since Aug 2014
1481 posts
Posted on 3/18/20 at 4:35 pm to
quote:

It says anything that the provider deems can be “safely postponed.” That’s elective.


Wrong premise, wrong definition. A lot of back surgeries and ortho procedures aren't elective but might can be "safely postponed". A colonoscopy might be "safely postponed" for 30 days. That's a lot different than new tits or a nose job.
Posted by SmokedBrisket2018
Member since Jun 2018
1544 posts
Posted on 3/18/20 at 4:37 pm to
quote:

We’re about to hit a tipping point. We’re now putting off preventative measures such as cancer screenings.


Nailed it.

Also

I have heard that this isn't to slow the spread. It's that hospital supply running low. Eliminating non-essential procedures frees up supply.
I have no idea if that is accurate, it is what I have been told by some doctor clients.
Posted by skuter
P'ville
Member since Jan 2005
6269 posts
Posted on 3/18/20 at 4:39 pm to
quote:

I have heard that this isn't to slow the spread. It's that hospital supply running low. Eliminating non-essential procedures frees up supply.


This
PPE stock is very low
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17921 posts
Posted on 3/18/20 at 4:47 pm to
quote:

Are chiropractic procedures prohibited?


not as of now, per that document, chrios, PTs ,do not fall under the medical board
Posted by Keltic Tiger
Baton Rouge
Member since Dec 2006
22345 posts
Posted on 3/18/20 at 4:56 pm to
Based on my experience, most cancer screenings can be done in-house in the doctor's facility, no hospitalization needed. And am scheduled for bi lateral hernia surgery in 2 wks & surgeon confirmed this afternoon it is still on. However, he did say that B.R.General could cancel it if a bed shortage does come up.
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17921 posts
Posted on 3/18/20 at 5:21 pm to
quote:

Based on my experience, most cancer screenings can be done in-house in the doctor's facility, no hospitalization needed


this latest statement says NOTHING about service location, it prohibits those licensed under the medical board of doing anything that can safely be delayed 30 days, I would suspect your procedure will be cancelled, this notice came out only a few hours, providers are still digesting the verbiage
Posted by buffbraz
Member since Nov 2005
5763 posts
Posted on 3/18/20 at 5:35 pm to
The terminology states “medical and surgical procedures”. Office visits/skin cancer screenings can go on as planned. You can use your judgment if someone can “safely wait 30 days” for medical and surgical procedures. In the Derm world, biopsies for potential cancers, mohs sx, abscesses, freezing of premalignant lesions that are painful will be up the providers discretion if it is safe to wait 30 days. The terminology is purposefully vague.
This post was edited on 3/18/20 at 5:37 pm
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17921 posts
Posted on 3/18/20 at 5:48 pm to
quote:

Office visits/skin cancer screenings can go on as planned


that may be your interpretation but it does not say that

so the question is. is an office visit a medical procedure????

are you using a CPT code to bill such, by definition a CPT code is "Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations."
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17921 posts
Posted on 3/18/20 at 5:51 pm to
lots of clarification is needed, but I feel it is the intent by DHH to keep people home, off the street, out of drs offices, clinics, etc and they will continue to make declarations and clarifications that will force that
Posted by LSU Tigershark
10,000 posts
Member since Dec 2007
10568 posts
Posted on 3/18/20 at 6:02 pm to
quote:

not as of now, per that document, chrios, PTs ,do not fall under the medical board


Nope, but OT does fall under LSBME. The company is going to talk to their attorneys, but for now PT will continue seeing patients and OT can't. I spoke to the licensing board compliance office and they couldn't give a clear answer, but said the language sounds like a no-go, but LDH has the final say. All you get is a voice mail with LDH
Posted by tygerfan1
Member since Aug 2008
2719 posts
Posted on 3/18/20 at 6:13 pm to
Yes it frees up supplies but also insures that if something goes wrong in a simple procedure, which it can, then that pt won’t potentially be taking up a ventilator or ICU bed.
Posted by GatorPA84
PNW
Member since Sep 2016
6467 posts
Posted on 3/18/20 at 6:15 pm to
I can confirm, all orthopedic electives have been cancelled but no idea when they will resume. This includes all clinic work as well
Posted by tygerfan1
Member since Aug 2008
2719 posts
Posted on 3/18/20 at 6:15 pm to
You may think it’s emergent but unless you’re having loss of function or nearing paralysis I would call it elective.
Posted by JohnnyU
Florida
Member since Nov 2006
13240 posts
Posted on 3/18/20 at 7:07 pm to
quote:

shite's getting out of control now


No. It makes total sense. Patients can wait for joint replacements, cholecystectomy and the like.
The reasons are apparent.
Posted by TheCurmudgeon
Not where I want to be
Member since Aug 2014
1481 posts
Posted on 3/18/20 at 7:42 pm to
quote:

I mean really, how fricking stupid are you? It's people like you spreading intentionally misleading information that are making this whole situation worse than it should be.



I see you edited your ad hominem attack of a comment after I replied.

yet you continue to ignore the actual the text of the document itself.

and if you think "spreading misleading information" means "including in the OP a link to the actual document itself", then you may want to not breed or vote.
Posted by TheCurmudgeon
Not where I want to be
Member since Aug 2014
1481 posts
Posted on 3/18/20 at 7:52 pm to
quote:

are you using a CPT code to bill such, by definition a CPT code is "Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations."


your premise is flawed. telemedicine visits are billed under a CPT code, indeed everything is.

Better place to look being that this is a state agency mandate is in the state regs. The regs promulgated by the LSBME (which none of the idiot "elective only" posters have bothered to read) refer to "procedures" only in a few instances, such as "invasive procedures" in which, generally, something either enters the body through an orifice or vein or the skin is punctured or cut.

But what do I know. I mean "any and all surgical procedures" which could be postponed could only mean "elective", right?
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