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Fur Friday 9/11/2009
Sep. 11th, 2009 06:23 amSlouched, in need of caffeine.
Sep. 11th, 2009
At least Snape had a lesson plan
Sep. 11th, 2009 07:09 amMy chemistry class is going okay. I enjoy the Tuesday night lectures, but I totally dread Thursday night potions.
After four weeks of classes, my lab instructor has yet to give us a syllabus. I did all the "pre-lab" exercises for last night. The material had not been covered in lecture, and I did not find it in the textbook. It was very frustrating, and it took me a long time. Google helped. Well, instead of doing the next assignment for lab, he skipped a week. Instead of hydrates and anhydrous salts and bunson burners with crucibles, we watched a demo on air pressure. We also had a quiz.
The other lab class ended 30 minutes before ours. Our teacher hadn't even read the lesson plan, and he's very disorganized. I hate that. At least I didn't have to don the horrible safety goggles last night.
After four weeks of classes, my lab instructor has yet to give us a syllabus. I did all the "pre-lab" exercises for last night. The material had not been covered in lecture, and I did not find it in the textbook. It was very frustrating, and it took me a long time. Google helped. Well, instead of doing the next assignment for lab, he skipped a week. Instead of hydrates and anhydrous salts and bunson burners with crucibles, we watched a demo on air pressure. We also had a quiz.
The other lab class ended 30 minutes before ours. Our teacher hadn't even read the lesson plan, and he's very disorganized. I hate that. At least I didn't have to don the horrible safety goggles last night.
Probably the most-denied medication I see in the office is for Proton Pump Inhibitors (PPIs). These are used to control GERD (reflux) and a few other heartburn-like problems. Common ones you might see are Prilosec (omeprazole), Aciphex, Protonix, and Nexium.
Each insurance company has different rules. It depends on the cushy contracts they have with the various drug companies. The contracts change at least yearly, so it's tough to keep up. A lot of doctors have just given up. Once a rx is rejected, they just say "Give them whatever is covered," whether or not it's the best medication for that particular patient.
For Wellpoint, their website states that no PPI is covered without first submitting a prior authorization form. I submitted one for PPIs. They responded saying to fill out another form specifically for omeprazole 40mg. (I had already checked off "omeprazole 40mg" on the first form and provided all the information.) They wouldn't approve it, because "two omeprazole 20mg tabs per day is covered." Turns out no authorization is needed for that. Their website just provides the wrong information to discourage the doctor from pursuing coverage for the patient.
Each insurance company has different rules. It depends on the cushy contracts they have with the various drug companies. The contracts change at least yearly, so it's tough to keep up. A lot of doctors have just given up. Once a rx is rejected, they just say "Give them whatever is covered," whether or not it's the best medication for that particular patient.
For Wellpoint, their website states that no PPI is covered without first submitting a prior authorization form. I submitted one for PPIs. They responded saying to fill out another form specifically for omeprazole 40mg. (I had already checked off "omeprazole 40mg" on the first form and provided all the information.) They wouldn't approve it, because "two omeprazole 20mg tabs per day is covered." Turns out no authorization is needed for that. Their website just provides the wrong information to discourage the doctor from pursuing coverage for the patient.