following procedure which requires a signed HIPPA release, on file, designating who my staff and I may talk to regarding any specific patient, other than the patient and/or his or her physician.â And just because she was in a bad mood she added, âAs a physician you should be familiar with HIPPA regulations, Dr. Limone.â
âThe plan of care is inadequate,â he yelled.
If the patient was still in the rehabilitation hospital, sheâd be getting the round the clock care and supervision she required. âI canât discuss this with you.â
âAll I want is for you to explain why no home health aide services were authorized. And why hasnât therapy started yet?â
Kira would be looking into both as soon as she could get off the phone. âI canât discuss this with you.â
âDamn it!â
âGet me a signed HIPPA release,â Kira said.
âHow the hell do you suggest I do that? My practice has exploded. Even working eighty hour weeks I canât get everything done that I need to get done. I live three hours from my parentsâ house. They donât have a fax machine or a scanner or even e-mail.â
âYou graduated from medical school,â Kira said. âWhich means you must be a pretty smart guy. Iâm sure youâll figure something out.â
Dr. Limone slammed something close to his phone, the sound loud in Kiraâs ear. âYou have no idea how frustratingly difficult this is,â he yelled again.
âYes,â Kira said. âI do.â From a professional standpoint and from personal experience.
He let out a weary breath. âIâm worried about my dad,â he said, sounding exhausted. âHeâs not in good health. Iâm worried about him or my mother falling and getting hurt because they donât have the help they need in the home.â
âI understand your concern,â Kira said. âFrom everything Iâve heard and read, I think you have every reason to be concerned.â
âYet youâre doing nothing to ensure my motherâs safety,â Dr. Limone yelled.
âThis case was just brought to my attention yesterday afternoon.â
âMy mother is not a case , Miss Peniglatt. Sheâs a sweet, kind, loving woman lying helpless in her bed with no one but my elderly father to take care of her because you wonât authorize an aide.â
Kira came dangerously close to losing it. âIt is not the responsibility of Medicare or WCHC, as your motherâs Medicare HMO, to provide round the clock, in home care. Family takes care of family, Dr. Limone.â Itâs why Kira needed the large salary this job paid her and why she rarely had a free moment to herself. Family takes care of family . Kira had grown up watching her mother live those words. So of course when Mom needed care, Kira had stepped up, happily. Being the sole dependable caregiver to a totally dependent family member was not easy, Kira knew that firsthand. And she had little tolerance for family members unwilling to pitch in and help. âIf you and your brothers are as concerned for your mother and father as you say you are, then maybe you all should spend less time threatening and complaining and trying to find someone else to do it, and actually go home and help.â
Kira was out of line, she knew it. But sheâd reached her limit.
Apparently so had Dr. Limone, because without further comment, he slammed the phone down in her ear. Maybe it was childish, but Kira slammed down her phone right back.
The door to her office opened slightly and Connie stuck her head in. âYou okay?â
No. Kira was not okay. She didnât let clients rattle her. But this guy...and his brother and father...the absolute nerve! âIâm fine.â
âMr. Jeffries wants to see you in his office,â Connie said quietly.
Mr. Jeffries. The CEO. Uh oh. âDid he say why?â Kiraâs