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1. WHICH HOSPITAL TO CHOOSE?: Following are hospitals where Dr Amol Joshi is attached as Panelist. Some positive and negative aspects are given to help patient choose the hospital. HOSPITAL CASHLESS REIMBURSMENT SERVICE CHARGES EXTRA INSTRUMENT RUBY HALL PUNE YES YES 10-12% OF BILL MAY HAVE TO PAY NIRAMAYA HOSP YES YES 10-12% OF BILL MAY HAVE TO PAY SAIDEEP ENT HS NO YES/FULL NO SERVICE CHARGES NO EXTRA CHARGES LIFE POINT WAKAD YES NO 10-12% OF BILL MAY HAVE TO PAY ADITYA BIRLA YES NO 10-12% OF BILL HAVE TO PAY HOSPITAL NAME SPEED OF ADMISSION/DISCHARGE WHAT CAN’T BE DONE IN HOUSE INSTRUMENTS BILL/PACKAGE VARIATION RUBY HALL PUNE AVERAGE - YES AS PER ROOM CATEGORY NIRAMAYA HOSP AVERAGE NOSE NO To Be Hired Fm Outside AS PER ROOM CATEGORY SAIDEEP ENT HS FAST - YES FIXED PACKAGE LIFE POINT HOSP AVERAGE EAR No To Be Hired Fm Outside AS PER ROOM CATEGORY ADITYA BIRLA HS SLOW - YES As Per Room,Insurance Cat 2. PROTOCOL FOR SURGERY UNDER CASHLESS: 1. Decide date for surgery 2. Contact Dr Joshi for date availability and inform which hospital you have chosen. 3. Do preoperative investigations and MEDICAL FITNESS FROM PHYSICIAN ( MD MEDICINE) 4. Go to hospital chosen, find out insurance department. 5. Get cashless form. Fill up the details and ask them to send it for cashless approval. 6. If insurance company raises any query, share it with your doctor( dr joshi) and reply. 7. Once insurance company gives approval share it with the doctor. 8. Get admitted on the day of surgery. Ask hospital admission department, to keep bed for you on the day of surgery. Or else you may get admitted one day prior. 9. You will get discharge next day of surgery in case of ear surgery. 10. In case of nose discharge will be on third day and in head and neck surgery, 4th day, subject to well being. 11. Whole process of discharge may take time due to insurance delay, and be prepared to get discharge by afternoon or evening. Keep calm. 3. PROTOCOL FOR SURGERY UNDER REIMBURSEMENT CATEGORY: 1. Decide date for surgery 2. Contact Dr Joshi for date availability and inform which hospital you have chosen. 3. Do preoperative investigations and MEDICAL FITNESS FROM PHYSICIAN ( MD MEDICINE) 4. Get admitted on the day of surgery. 5. You may get discharge on the same evening in case of ear and nose surgery or you may get discharged next day early morning. 6. In case of head and neck surgery, discharge may take ¾ days subject to well being. 7. Before discharge get reimbursement form filled and send to insurance company and get reimbursed from insurance company in 2 to 4 weeks, depending on company policy. 4. PREOPERATIVE INVESTIGATIONS IN NOSE SURGERY: HAEMOGRAM BSL RANDOM/ BUL/ SR CREAT PT/INR HIV/HbSAg URINE ROUTINE X RAY CHEST ECG 2 D ECHO( IF PATIENT IS ABOVE 45 YEARS OR HAS BLOOD PRESURE/ KNOWN HEART DISEASE) CT SCAN OF PARANASL SINUSES 5. PREOPERATIVE INVESTIGATIONS IN EAR SURGERY: HAEMOGRAM BSL RANDOM/ BUL/ SR CREAT PT/INR HIV/HbSAg URINE ROUTINE X RAY CHEST ECG 2 D ECHO( IF PATIENT IS ABOVE 45 YEARS OR HAS BLOOD PRESURE/ KNOWN HEART DISEASE) XRAY MASTOID ( BOTH RT & LT) SCHULLERS VIEW PT AUDIOMETRY( HEARING TEST) 6. PATIENT EDUCATION: HOW TO USE ATHMA/ ALLERGY INHALER HOW TO USE NASAL SPRAYS HOW TO DO DAILY NASAL CLEANING.