Documentation and the fun it poses

You know those time when you create a document; the document assumes nothing but a basic understanding of the program you use every single day. Basic stuff, I mean things you have to know just to log in and function within the program. You use the thing EVERY DAY, not just once a month or twice a year. I mean every day. So anyways you create this document that is step by step, I mean it almost tells you exactly where and how to click. Gives pictures for every step for those of us that are visual learners. I mean detailed pictures like the tab you're on with a circle around it in red, then arrows for the other 2 items, one on top of the other, that you are editing (by the way the description in the fields themselves is detailed as well). Not just a random picture of the application or something.

Well I created a document of this type, as I do many many times a month; and what happens you ask. Well even if you didn't ask your going to read, They don't understand it. I use they not in a derogatory fashion but to describe a specific subset of a specific group of people. I love the people as people and some have no problem what so ever with anything we give to them in a document. It has to be a cultural thing here, the way they are taught through school. There is in what I can only assume to be the majority a lack of concrete sequential thinking. I myself am a self proclaimed scatter thought, and if you read much of what i post you can likely tell by the way I write here. Now when I write documents my entire thought process shifts to a concrete sequential one, because that's what documentation requires detailed step by step instructions. I've often been accused of making them to details and told not to assume the reader knows nothing. But from what I deal with every (I mean every) day I cant do that. every time I do I get at least one person asking basic stuff.

Back to the good ones, our team never keeps them. Yes we have one or two on the team at most times but in a matter of a year, two if were lucky then they leave, majority of them to other companies and bigger better things. You almost know from the first month who these ones are going to be because they ask questions once maybe twice then you see the results. Drives me nuts! Sometimes you sit and wonder why,how do we stop it, then you realize you can't. It is impossible and you cant blame the people who leave for leaving, half the time your proud of them and congratulate them for getting out. Secretly wishing you were going with them. Since you don't you prepare for the transition period which while tey claim is 2 weeks long you know its more likely for the next 2 years.....

The fun of Life  :-)

Charging on
Josh

Explain This to me

Ok trying to figure this one out. For those of you who don't know my Wife and I are going through IVF. Very expensive to say the least I'm broke now. Anyway's, Before we did the IVF we did the things called IUI's Insurance covered 100% besides the final part where we paid 200.00 each time we went through it.

No big deal compared to the IVF. The IVF we have literally paid thousands which is 20% of what our insurance paid not counting a surgery Mel had to have earlier this year which helped with the deductible etcetera.

Well we went to an appointment today that consisted of a blood test and ultrasound same exact thing that we did with the IUI and we paid 0.00 because insurance covers it @ 100%. Well this time there was a 40.00 charge I question as to why there is a 40.00 charge. The answer because they put an office visit on the bill. Ok well I understand if we see a doctor and sit in the office or ask a tin of questions that there could be an office charge.

I'd accept this with no issues. But there is nothing different from this visit to the IUI. With the IUI they did the ultra sound the and blood work, the doctor reviews the information and says increase dose, reduce dose, keep same dose etcetera. The Ultrasound nurse calls and relays whatever the doctor said.

Well the exact same thing is going to happen today, the only difference will be that the ART nurses will call. (Nurses that deal with only people doing IVF). So I call the billing lady and ask "Why the extra charge for an office visit when this is the exact same procedure as the IUI?" She says that its because the doctor reviews the results of the test. I reply with that is the exact same thing they did with the IUI. My final answer was this is what we do for patients that have insurance.



Hummmmmm. So I get charged more because I pay out of my pocket less............

Explain this to me please!

Oh and this is going to happen at least 2 more times possibly many more.....