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Melissa Briley, Epic Emeritus
1.3K posts

Melissa Briley, Epic Emeritus
@NoDrLeftBehind
Mother, Aunt, Sister, Daughter and Friend to all the right people. Healthcare provider to all the right ages. Gardener in all the wrong climates.
Utah Katılım Nisan 2014
416 Takip Edilen199 Takipçiler
Melissa Briley, Epic Emeritus retweetledi
Melissa Briley, Epic Emeritus retweetledi

Musk keeps deleting this video. I wonder why?
twitter.com/MA_Joyful_Agai…
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@davidbutlermd Reverse that order and you’ve described retirement #epicemeritus
Idaho, USA 🇺🇸 English


@Sheri56Sheri @CraigJoseph The only two likely readers of most notes are the patient and your future self. We should be courteous to both by staying relevant #notebloat
Idaho, USA 🇺🇸 English

@CraigJoseph I very much agree with your point of view, can we follow each other and share with each other?
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I love me some of Epic's Cosmos data! They write: "We evaluated 1.7 billion clinical notes written by 166,318 outpatient providers . . ." The numbers are staggering, actually. Oh, and it turns out #NoteBloat is alive and well, sadly. buff.ly/3D3otgZ

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So there’s hope for some. The most likely reader(s) of your note are the patient, and your future self. Do them both a favor and stay relevant in the chart #notebloat epicresearch.org/articles/two-y…
Idaho, USA 🇺🇸 English

So excited to be at this long awaited #golive @OUHealth for @EpicShares with these amazing folks. Let’s do this! #womenintech ALL IN ON EPIC😎

Oklahoma City, OK 🇺🇸 English


@amyfaithho They are throttling healthcare, which doesn’t work, because you always get the PA… unless they’re dead. Oh wait, there’s the cost containment.
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So why does #priorauth exist?!
To “contain costs” by insurers…
Doesn’t sound terribly cost effective, does it? 😑
$58 million in labor cost alone of initial submission, not including the labor cost of denials/appeals and not including the cost of ED/hospital stays that results from delays/denials…
Sounds like it’s time to get rid of #priorauth, no?
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Here’s the dirty secret of emergency medicine:
We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED.
But here’s why we care about prior auth anyways:
B/c not a shift goes by where a patient doesn’t land in the ER as a last resort when #priorauth denied or delayed them the outpatient care they needed.
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@Razorback_it_up @amyfaithho With decent EMR interoperability, that should be a non issue now
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Before prior auths existed, people would get a CT and then be sent to a specialist, and then that specialist would order the same CT and send them to another specialist who would then do the same CT a third time. PA’s cut that out so patients aren’t getting tons of radiation they don’t need. And just because you may be a doctor that is doing things the right way, doesn’t mean every doctor is doing it the right way.
PA’s do serve a purpose when done reasonably and fairly, and not just a gatekeeping tool bad insurance companies use to neglect patients.
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@MikeSington Hahaha! He will be more presidential when all of you become honest, respected, unbiased reporters,in the meantime he will be like us and we like it. He says what we think and say while watching you guys and still ,he refrains a lot.
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Epic is taking it up several levels by committing to make #Cosmos data regarding respiratory and other illnesses continuously available in a standardized format. Why is this a big deal? Because our #PublicHealth authorities just can't do this. buff.ly/44Iyc8O

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@CNN what is wrong with you giving platform to t*****
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@mymelanomaworld doubling down on bigotry and fear
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"These are not the actions of people who are confident. These are people trying to entrench whatever power they can by whatever means necessary." ~ Dan Rather
Injustice in Nashville, by @DanRather open.substack.com/pub/steady/p/i…
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"These are not the actions of people who are confident. These are people trying to entrench whatever power they can by whatever means necessary. " ~Dan Rather
Injustice in Nashville, by @DanRather open.substack.com/pub/steady/p/i…
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#OrangeTuesday The first Tuesday following April Fools Day celebrating justice. I for one, will be wearing orange tomorrow @MonicaLewinsky @PalmerReport
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