M Managing Overseas i O Medical Care Medical Care By Dr. Kevin - PowerPoint PPT Presentation

Apr 18, 2023 •211 likes •298 views

M Managing Overseas i O Medical Care Medical Care By Dr. Kevin T. Bowe Deputy Director/ VP-Medical Services & D t Di t / VP M di l S i & Claims The National Insurance Board of the Bahamas Regulations/ Policies need to

M Managing Overseas i O Medical Care Medical Care By Dr. Kevin T. Bowe Deputy Director/ VP-Medical Services & D t Di t / VP M di l S i & Claims The National Insurance Board of the Bahamas
• Regulations/ Policies need to be in place. d t b i l • All staff must be familiar All staff must be familiar with the same. • Ensure that your public- y p relations, with regards to these policies, is effectively these policies, is effectively managed.
Case Managem ent � Local provider usually refers patient L l id ll f ti t overseas for continued care. � Or, the patient may request this service. � I n all cases, m edical necessity m ust be established . b bli h d � Care available locally is not usually � Care available locally is not usually accessed overseas.
All All overseas overseas care care requires requires pre-approval ! pre-approval !
• NIB uses a contracted Third Party NIB uses a contracted Third Party Administrator (TPA), to negotiate the rates paid for services. • Most care outside of the Bahamas is referred to Florida, USA • Types of cases: Various orthopaedic cases, especially spinal care serious burn victims especially spinal care, serious burn victims, extensive rehabilitation cases, and specific eye injuries and patients requiring certain prosthetics. Also, special MRI’s. th ti Al i l MRI’
Overseas Expenses I nclude: • Air and ground transportation • Provider fees (consultation & procedures) • Facility fees Facility fees • Accommodations and meals • Escort travel costs (when indicated)
Challenges… • Travel documents which may not be valid • Travel documents which may not be valid. • Provider & facility needed, who are willing to accept the case. • Patient develops complications, or even dies. • Services required which may not have Se ces equ ed c ay ot a e been initially planned. • Patient’s length of stay goes far beyond what was expected what was expected. • Language barriers. • Be aware of potential FRAUD !! Be aware of potential FRAUD !!
Finally Finally… Continued care which the patient will need ll d upon h his/ her / h return home must be carefully planned l d prior i to that h return. Also, excellent customer service takes k into i account any f future follow-up visits that may be scheduled. h d l d

Recommend

Delawares Plan for Managing the Health Care Needs of Division of Medicaid and Medical

Delawares Plan for Managing the Health Care Needs of Division of Medicaid and Medical Assistance LEGISLATURE House Substitute No. 1 for House Bill No. 275 Budget Epilogue Section 141: Address the needs of Children with Medical

409 views • 36 slides

MEDICAL CARE Catarina Kiefe, PhD, MD Dept of Population and Quantitative Health Sciences

MEDICAL CARE Catarina Kiefe, PhD, MD Dept of Population and Quantitative Health Sciences University of Massachusetts Medical School June 2, 2019 Very brief history of Medical Care Official journal of the Medical Care Section, American

528 views • 8 slides

ADVENTURES 1. Outline pharmacy practices in medical missions and in managing a central medical

1/18/2020 CE Questions ADVENTURES 1. Outline pharmacy practices in medical missions and in managing a central medical supply depot in overseas countries. 2. Discuss opportunities to volunteer with the medical missions organization Mercy Ships

546 views • 28 slides

Integrated Service Delivery Integrated Care Programs Center of Excellence for Integrated Care,

7/28/2016 Prevalence of Affective Disorders in Patients With and Without Medical Comorbidities Integrated Behavioral Health Care via Telepsychiatry No medical illness 14 1 medical illness 12.9 12 P <.01 10 9.4 Meera Narasimhan, MD 8 8.4

311 views • 5 slides

Clinical Care Supervisor Medical Intensive Care Unit Hennepin County Medical Center Minneapolis

Tom Scullard RN MSN CCRN Clinical Care Supervisor Medical Intensive Care Unit Hennepin County Medical Center Minneapolis Minnesota Objectives 1) Explain the pathophysiology of Alcohol Withdrawal Syndrome 2) Describe signs and symptoms of

1.1k views • 63 slides

Oklahoma Health Care Providers Responsibilities and Rights Under Certain Medical Treatment

Oklahoma Health Care Providers Responsibilities and Rights Under Certain Medical Treatment Laws State Board of Medical Licensure and Supervision Physicians ensure quality medical care, and also that patient wishes and preferences are

354 views • 8 slides

Learning Objectives Communicate risk factors associated with not getting enough sleep

Managing Sleep Health in Primary Care Managing Sleep Health in Primary Care Paul P. Doghramji, MD, FAAFP Family Practice Physician Collegeville Family Practice & Pottstown Medical Specialists, Inc. Medical Director of Health Services,

552 views • 30 slides

Integration Of Care In Ambulatory Care Settings Ofiong Okon, FNP Medical Director of Mobile

HIV Programs and Services Medical Affairs Integration Of Care In Ambulatory Care Settings Ofiong Okon, FNP Medical Director of Mobile Vans Health Center Integration of care is a concept that underline the necessity of coordinated and

489 views • 10 slides

Transition of Care Presentation to: The Medical Care Advisory Committee Presented by: Janice

Georgia Department of Community Health Transition of Care Presentation to: The Medical Care Advisory Committee Presented by: Janice Carson, MD, Assistant Chief Performance, Quality and Outcomes Division of Medical Assistance Plans Georgia

308 views • 17 slides

Medical Outreach Jean Lighthall, MD Section Chief, Medical Outreach Kelly Conway, DNP , CNS

Palo Alto VA Health Care System Medical Outreach Jean Lighthall, MD Section Chief, Medical Outreach Kelly Conway, DNP , CNS Outreach Coordinator VA Health Care Services Medical Outreach, Primary Care, Womens Health, Specialty Care,

349 views • 14 slides

Flu 2013: Protect Yourself and Those You Care About Meg Fisher, M.D. Medical Director, The

Flu 2013: Protect Yourself and Those You Care About Meg Fisher, M.D. Medical Director, The Childrens Hospital at Monmouth Medical Center An affiliate of the Saint Barnabas Health Care System Disclosures I have no disclosures. If I mention

548 views • 28 slides

Joseph L. Dorsey, MD Former Corporate Medical Director, Harvard Pilgrim Health Care and Medical

Joseph L. Dorsey, MD Former Corporate Medical Director, Harvard Pilgrim Health Care and Medical Director for Inpatient Programs, Harvard Vanguard Medical Associates Remarks on Value-Based Payment and Coverage For Medical Technologies October 2,

66 views • 5 slides

Problem Statement: Historically medical, dental and behavioral care has been siloed. This

Problem Statement: Historically medical, dental and behavioral care has been siloed. This has caused missed opportunities to provide coordinated and efficient health care for patients. The siloing of medical, dental and behavioral care

614 views • 20 slides

Implementation Parag Agnihotri ,MD Medical Director, Continuum of Care Sharp Rees-Stealy Medical

Implementation Parag Agnihotri ,MD Medical Director, Continuum of Care Sharp Rees-Stealy Medical Group San Diego, California What are we trying to achieve? Implementing Choosing Wisely Reduce Inappropriate care Appropriate Appropriate

493 views • 21 slides

Medical care complaints: Analysis of a Belgian sickness fund Katrien Mortelmans, MD PhD Medical

Medical care complaints: Analysis of a Belgian sickness fund Katrien Mortelmans, MD PhD Medical director, National Union of Neutral Sickness Funds, Belgium Disclosure Introduction Patient choose a) medical professional b) place of treatment

163 views • 14 slides

Advance Care Planning Helping Genesee County Residents Plan for Future Medical Care ADV-7C

Advance Care Planning Helping Genesee County Residents Plan for Future Medical Care ADV-7C community.presentation.updated.080613lk Advance Care Planning Planning now for future medical care Assures your values will be known Helps

229 views • 22 slides

Coordination and Medication Safety by CIMRO of Nebraska Kansas Foundation for Medical Care

Introduction to Improving Care Coordination and Medication Safety by CIMRO of Nebraska Kansas Foundation for Medical Care Quality Health Associates of North Dakota South Dakota Foundation for Medical Care July 23, 2015 Welcome and Reminders

800 views • 38 slides

Medical S urge: Health Care Coalitions, Tier Response, and Disaster Medical Coordination Michael

Medical S urge: Health Care Coalitions, Tier Response, and Disaster Medical Coordination Michael Clark, MD Jason Liu, MD, MPH Medical Advisors - Wisconsin Hospital Emergency Preparedness Program Outline WHEPP Background Healthcare

625 views • 30 slides

COVID-19 Critical Care Management June 4th, 2020 Anthony Massaro, MD Medical Director, Medical

COVID-19 Critical Care Management June 4th, 2020 Anthony Massaro, MD Medical Director, Medical ICU Medical Director, Special Pathogens ICU Co-Lead Critical Care Branch, Operations Section Disclosures No disclosures 2 Objectives

730 views • 35 slides

P ti Patient Centered Medical Care: t C t d M di l C Vision to Reality Implementing Care

P ti Patient Centered Medical Care: t C t d M di l C Vision to Reality Implementing Care Management for Complex Management for Complex Patients in Primary Care Clemens Hong MD, MPH Grantmakers in Health 2012 Fall Forum Health Care

369 views • 21 slides

MEDICAL COMMUNICATIONS FELLOWSHIP PROGRAM What is Medical Communications? Medical

MEDICAL COMMUNICATIONS FELLOWSHIP PROGRAM What is Medical Communications? Medical communications blends science, art, and writing to effectively develop and deliver content. The goal is to work with clients to educate health care

709 views • 21 slides

Lessons from a Pediatric Palliative Care Practice Serving as a Medical Home for Children with

Palliative Care Medical Home: Lessons from a Pediatric Palliative Care Practice Serving as a Medical Home for Children with Complex Chronic Conditions Glen Medellin, MD, FAAP, FAAHPM Greehey Distinguished Chair of Palliative Care for Children

1.46k views • 41 slides

TRANSITIONS OF CARE & CARE COORDINATION Agenda Select Medical Overview Transitions of

Select Medical TRANSITIONS OF CARE & CARE COORDINATION Agenda Select Medical Overview Transitions of Care Right Patient, Right Level of Care, Right Time Right Patient, Right Level of Care, Right Time Chronic Critical Illness

404 views • 17 slides

The Transition to Value-Based Health Care: Recommendations for Medical Device Manufacturers

The Transition to Value-Based Health Care: Recommendations for Medical Device Manufacturers April 27, 2017 ROPES & GRAY LLP Agenda Introduction Shift to Value-Based Care New Models of Medical Device Company Operation

532 views • 37 slides