Office Notes – March 2017

Dr. Carlin: Good morning!

Dry Eye Service started and doing very well. It is a big help for patients.

Implementing the Raindrop Inlay this month, which is a small disk placed under the cornea with a LASIK flap for those 30 million presbyopic people in US who only need reading glasses. Inlay is put in one eye for patient to see up close. Advantage over mono vision is it does not affect distance vision in that eye. Cannot do it if you had LASIK. Initial cost for 1st ambassador patients is $1500, then patient cost of $3500. Procedure is reversible. Will offer a money back guarantee if patient is not satisfied. Counts as a LASIK referral. Information in blue folders. Diana will do the evaluation.

Bleph numbers are down please so mention it to patients and give them a folder.

This year we are trying to improve the infrastructure of the practice and how we get the patients through the system. Please remember that pts who have a sudden loss of vision are emergencies and need to come in now.

Things that must be treated now: central retinal artery occlusion, have 45 minutes to save vision, patient who has loss of vision in the last few days and open globe injury.

We must be more accommodating to our patients but follow the template. People who need certain times, we must help them get in at the time they need to be seen. People who have a problem and need certain times should be accommodated.

Issue brought up at the doc meeting – when people need a lot of testing it is hard to do it at night or on Saturday. Try not to schedule at night or Saturdays. Will look into having an extra tech for that purpose at those times.

Still having an issue with cell-phone usage in the office. If issues continue, we may have to confiscate them. Read More

Office Notes – February 2017

Amy: Good Morning.

Dr. Roensch got married in May. She is now Dr. Tyler. Some insurances still have her as Roensch so it will be Roensch-Tyler while slowly making the transition.

Patient last month had HIV. An alert pops up now. In future put Code 15 so if it is left up on screen no other patient will see it. If you see or know of any other patients, please make the adjustment in chart and add black dot on routing sheet.

Work excuses for patients: At checkout they may ask for one and they have to go on what the pts tells them. If it is more than one day techs need to do the excuse or write on routing sheet. Make sure it is what the physician wants if possible. Companies have called to verify accuracy of documents.

Last month Dr. C talked about PQRS codes changing to MIBS. It is just a name change, code is the same.

Refraction fee increasing to $49 this year.

The Carlins asked to talk about cell phone usage. They are used too often in the patient areas. Put them away. If you need to use it, go away from patient area.

Employee arrival times: Working on revamping of schedules and flow. If you work at 8:00, you need to be here and clocked in by 7:55 so you can get the patients started. Also applies to lunch hour so be timely and clock in by 12:50.

John and Nancy, our cleaning people, only come Monday thru Friday. If there is a mess left on Saturday, please take a moment to clean it up.

Please do not flush feminine hygiene products down the toilet.

Techs: put your belongings in your locker. Let Amy know if you don’t have one.

When wearing pink scrubs and brown pants wear brown shoes and with blue scrubs wear black shoes. Read More