
A of Sterling, VA on Feb. 16, 2010
Was referred to Kaiser sleep facility in Penderbrooke VA for sleep apnea issues. Kaiser was aware of age (85 years old) and Medicare benefits. Met with Greg **. sometime around Sept 2009, and a sleep study was issued. Overnight sleep study was performed at 3rd party facility (Sleep Med / Digitrace). Results required a second sleep study, which was performed in 11-2009 at different facility around Washington DC beltway. Results required a 3rd sleep study, performed again around beltway.
Test report was read by Dr. ** at Kaiser, who composed conclusions of test and sleep aid machine was ordered. That was Dec. 7th during this adventure (late Oct.), employer switched insurance for 2010 from Kaiser Permanente to CareFirst BC/BS effective 1-1-10. In checking status of order later in Dec, the games began.
Machine was first ordered from wrong company. Then machine was ordered from a company that actually could provide it. While trying to confirm order, and status, Krista **, Clinical Coordinator for Kaiser at their Penderbrooke Va assured me that Kaiser had already authorized this referral for a sleep aid machine, and it really didn't matter at that point when the machine was ordered, before or after Jan 1. I explained my concern was if the correct machine was ordered before Jan 1, then there should be no issues. She reiterated that Jan 1 meant nothing.
After not receiving anything, I found out the order was cancelled Jan 7th, as Kaiser ordered incorrect machine. We were told machine ordered required 50% of apnea to be central apnea, yet results show zero % of apnea is central. Requirement is a Medicare requirement that Kaiser should have been aware of. I have no idea of the hows and whys regarding why the machine was cancelled, but if a mistake was made, no big deal, as I am not above making a mistake. What does concern me is the Clinical Coordinator, Krista ** and Kaiser's response and attitude after Jan 1, 2010. I called Krista ** and left messages every day for a week. No response. Upon continuing to call her, I caught her at her desk one day, and she answered her phone. She was rude and short, claiming she was busy, and did not have any time to talk to me. I mentioned I had left many messages, none of which were returned. She said she did not have time for me, and after Jan 1st there was nothing she could do, and would have to hang up.
I believe that is a text book definition of two face liar. How she ever progressed to her management position is a mystery to me. My biggest regret was that my phone conversation with her in December were not witnessed or recorded. The only thing worse than my experience would be to have to work for her I guess. This is my main concern/complaint. People like her have no business in a management position.
My second concern or complaint is Kaiser's lack of response. I called members services several times, called a Tina ** (complaint investigator with Kaiser) several times, leaving messages, but never heard from her. It is now 6 weeks into 2010, and we have nothing to fix the sleep apnea issue. No machine, no test reports for another doctor to interpret, only conclusions that are confusing to me and the new pulmonary doctor.
So, as I had expected, 2009 came and went with Medicare paying for 3 overnight sleep studies, countless hours wasted driving to and from studies, and we have nothing to show for it. No machine, no test reports to pass on to new doctor. What a complete waste of time, money, and resources. Again, sleep aid machine was ordered Dec 7th, and we have nothing as of Feb. 16th. Plus repeated request to get sleep studies reports have resulted in nothing. I feel Kaiser should reimburse Medicare for whatever they were charged for the sleep studies, as that time and data was a waste.
My point in taking the time to generate this complaint is this: 1) To obtain test reports of 3 sleep studies, so new physician can determine his own conclusion. 2) To bring to light the need for Krista **r to be retrained, and progress monitored. 3) To alert other consumers of the Kaiser incompetence in this case, and waste of Medicare money, as new physician will require new sleep study so he can finally get the test data and reports, so he can make his own conclusion, and hopefully order a machine. Medicare waste and fraud, and a complete waste of my time and resources.