The truth, please.....

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Anonymous said:
shouldnt be at anyones expense. It "should" free up the BSS to clinically sell to the doc instead of just sit with the coordinator . If the docs were sold, they would fight the denials and have no problem doing peer to peer appeals.
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hey frm, clinically selling in the hospitals is what you guys were supposed to be doing before you became frms remember? Remind yourself: every provider would use syn on every newborn if they were allowed to, not just preemies. If you allege that payer pushback is a clinical issue, then look in the mirror with your ram buddies, and go clinically sell some payer changes. Have any of you geniuses figured out yet that the actual referral form is a confusing mishmash of checkboxes. Drs want to use the drug because we've done our jobs well, to the point that they ask us to work closely with their point person in the office. THAT is called listening to the customer. Previous poster said it best: births are down, and preemie rate is down. The sad thing is that someone is advising you to lay a universal blame on bss's. That's actually funny because the lack of accountability higher up the food chain is the real problem. You sound like Obama blaming everyone else and never any fault of his own...from a teleprompter. Carry on though. LOL.
 






Anonymous said:
shouldnt be at anyones expense. It "should" free up the BSS to clinically sell to the doc instead of just sit with the coordinator . If the docs were sold, they would fight the denials and have no problem doing peer to peer appeals.[/QUOTE

It seems in past 2 years since frm's started, that any syn shortfalls are put on head of bss's. Drs were using this product regularly before I joined, and then payers all changed the rules. In my training, I was never advised how to coach a provider to make a peer-peer clinical appeal on a denial. Bss job is to ensure they know eligibility. The other stuff was stripped away to create frm's. A denial? Dr all I can say do is show you these guidelines,, and it reduces hospitalizatiions for eligible pts. Call this #. Done.
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Anonymous said:
Anonymous said:
shouldnt be at anyones expense. It "should" free up the BSS to clinically sell to the doc instead of just sit with the coordinator . If the docs were sold, they would fight the denials and have no problem doing peer to peer appeals.[/QUOTE

It seems in past 2 years since frm's started, that any syn shortfalls are put on head of bss's. Drs were using this product regularly before I joined, and then payers all changed the rules. In my training, I was never advised how to coach a provider to make a peer-peer clinical appeal on a denial. Bss job is to ensure they know eligibility. The other stuff was stripped away to create frm's. A denial? Dr all I can say do is show you these guidelines,, and it reduces hospitalizatiions for eligible pts. Call this #. Done.
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And THAT precisely is why you did not get an FRM position! Wow the ignorance and lack of understanding you show paints a sad picture of what is wrong. You just don't get it. Remember too that all the FRM's were not CMM before this position presented itself. Would be interesting to know their perspectives on just how well they feel the areas they cover are run by the sales force. Winds of change. The storm is brewing, gathering strength. Good luck to all.
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Anonymous said:
Anonymous said:
And THAT precisely is why you did not get an FRM position! Wow the ignorance and lack of understanding you show paints a sad picture of what is wrong. You just don't get it. Remember too that all the FRM's were not CMM before this position presented itself. Would be interesting to know their perspectives on just how well they feel the areas they cover are run by the sales force. Winds of change. The storm is brewing, gathering strength. Good luck to all.
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Whoever you are, all but 2 of the first frms were cmm's. You'd serve yourself well by tucking away the arrogant holier than thou bloviating, as it reflects very poorly on your small group.
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Anonymous said:
Anonymous said:
shouldnt be at anyones expense. It "should" free up the BSS to clinically sell to the doc instead of just sit with the coordinator . If the docs were sold, they would fight the denials and have no problem doing peer to peer appeals.[/QUOTE

It seems in past 2 years since frm's started, that any syn shortfalls are put on head of bss's. Drs were using this product regularly before I joined, and then payers all changed the rules. In my training, I was never advised how to coach a provider to make a peer-peer clinical appeal on a denial. Bss job is to ensure they know eligibility. The other stuff was stripped away to create frm's. A denial? Dr all I can say do is show you these guidelines,, and it reduces hospitalizatiions for eligible pts. Call this #. Done.
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Case in point this shows where the problem lies
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Anonymous said:
Anonymous said:
Case in point this shows where the problem lies
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Yes true case in point. A denial means either the form had an admin error or the patient doesn't meet guidelines. Neither is a a clinical issue at provider level. Appealing a denial? Maybe frm's just don't know that bss's are not allowed to provide that kind of guidance. For all the activities of frm team, the results are no better than last year. Another poster said it well, that frm's are like Obama: no matter what, always point blame to bss's. Frm is needed role, but show some respect for the people in the trenches.
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Anonymous said:
respect??? not one of these posts was respectful to any cross functional partner.
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medImmune is worse than working for the government. Incompetence is promoted. If you speak up you are court martialed. Money is wasted. There are more layers than a bowl of mexican dip at a Super Bowl party at Paula deen's house. The grunts are treated like crap and beaten up, abused and the top brass sit on their fat arses, smoking cigars, playing war games.
 






Anonymous said:
medImmune is worse than working for the government. Incompetence is promoted. If you speak up you are court martialed. Money is wasted. There are more layers than a bowl of mexican dip at a Super Bowl party at Paula deen's house. The grunts are treated like crap and beaten up, abused and the top brass sit on their fat arses, smoking cigars, playing war games.
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So what is the problem? Just join the top brass and live like a king.
 






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