DR. FRANCISCO DANIEL GIL SANCHEZ
INTERNAL MEDICINE & CARDIOLOGY
DESCRIPTION OF OUR MEDICAL SERVICES SYSTEM
Our medical care system begins with the contact to the doctor's office where request the appointment of the consultation date and basic patient data such as name, telephone number and email are collected.
On the first day of the consultation, the information in the patient's demographic file is completed and the interrogation of hereditary family history, personal pathological and non-pathological and gynecological-obstetric (if applicable) is carried out. It takes place a complete physical exam with vital signs and preliminary tests registration (Ht, Hb, general urine test, blood glucose, Hb-Glycosylated and, if necessary, lipid profile).
If pertinent, an electrocardiogram, echocardiogram, and abdominal ultrasound are recorded, and in the event of cardiovascular findings in particular, studies are scheduled special as ambulatory blood pressure monitoring, Holter monitoring, stress tests or Eco-Dobutamine, etc.
The information is combined and organized in the various problems identified and ICD10 encoded; at this point the pertinent medications scheme and further follow up studies are scheduled for each identified medical problem and CPT - encoded.
An initial report is issued using the subjective, objective analysis and plan scheme, depicting the rationale for the use of each medication in each identified health problem.
All the documentation is delivered in print and electronic format and sent by email to the patient and to the administrative entities and health insurance entities that the patient indicates.
The patient is scheduled to review the studies requested in a range between 2 and 7 days for the first consultation of clinical monitoring.
After the first review, subsequent "clinical follow-up" appointments are scheduled in a range between 3 and 6 months to review the clinical evolution and the respective laboratory studies requested.
All the information continues to be reported systematically in print and also by email for your records and review by insurance companies for medical expenses and for planning reimbursement of those medical expenses.
Insurers consider each condition a case, and each case must pay a deductible amount before beginning the reimbursement payments of each one.
Every ailment in our health care system, is chronologically registered in medications, products and services applied in its management, in such a way that insurers get a clear depiction of the rationale of pertinence of the applied resources to decide upon payment decisions.
