I've seen honest faces before. They usually come attached to liars.

Willow ,'Conversations with Dead People'


Natter 78: I might need to watch some Buffy for inspiration

Off-topic discussion. Wanna talk about corsets, duct tape, butt kicking, or physics? This is the place. Detailed discussion of any current-season TV must be whitefonted.


Laura - Dec 05, 2024 8:11:19 am PST #3842 of 4556
Our wings are not tired.

Wow, Jessica!! That is insanity. Apparently what minuscule amount of doubt there was is gone since the shooter engraved the bullet casings. No, I don't condone murder, but insurance companies have done their share of it and I understand the rage.


Dana - Dec 05, 2024 8:29:21 am PST #3843 of 4556
I'm terrifically busy with my ennui.

According to Bluesky, the outrage about that is being whipped up by the anesthesiologist's association, and it's not what they're making it sound like.

"They are moving to the CMS standard for anesthesia billing. In other words, they are going to pay the same way they do for Medicare and Medicaid."

I can't do a link right now, but I'll come back with the source later


dcp - Dec 05, 2024 8:39:47 am PST #3844 of 4556
The more I learn, the more I realize how little I know.

Anthem Blue Cross Blue Shield for Connecticut published this last month:

We will utilize the CMS Physician Work Time values to target the number of minutes reported for anesthesia services. Claims submitted with reported time above the established number of minutes will be denied.

and

If you disagree with a claim reimbursement decision, please follow the claim dispute process as outlined in the Provider Manual. Documentation to support your request will be required.

[link]

It seems to me that the open question is whether the provider will make the effort to dispute any denial, or will just pass that on to the patient.

eta: took a bit of hunting, but I found the same publication for Missouri: [link]


Steph L. - Dec 05, 2024 9:11:40 am PST #3845 of 4556
Unusually and exceedingly peculiar and altogether quite impossible to describe

Our neighborhood did a Krampus walk last year, and they're doing it again next weekend, so I'm online shopping for Krampus horns. Like you do.


sj - Dec 05, 2024 10:06:56 am PST #3846 of 4556
"There are few hours in life more agreeable than the hour dedicated to the ceremony known as afternoon tea."

I have ltc trying on Christmas clothes to see what fits. I think she’d rather be at school.


Dana - Dec 05, 2024 10:43:45 am PST #3847 of 4556
I'm terrifically busy with my ennui.

Here's the citation for my earlier post: [link]


dcp - Dec 05, 2024 10:53:25 am PST #3848 of 4556
The more I learn, the more I realize how little I know.

That's a good read. Thanks for the link!


megan walker - Dec 05, 2024 11:02:46 am PST #3849 of 4556
"What kind of magical sunshine and lollipop world do you live in? Because you need to be medicated."-SFist

Ok, that tsunami warning we just got on our phones here in the Bay Area freaked me the hell out. I miss the sirens.

But it did at least resolve the question that my chair creaking was in fact an earthquake, and not the mouse I thought it was.


DebetEsse - Dec 05, 2024 11:04:48 am PST #3850 of 4556
Woe to the fucking wicked.

Having worked in in-patient rehab for a few years now, I could embroider a "Friends Don't Let Friends Get UHC" sampler, so I could just tap the sign


msbelle - Dec 05, 2024 11:29:31 am PST #3851 of 4556
I remember the crazy days. 500 posts an hour. Nubmer! Natgbsb

Holy cow Tsumani warning. SF folks you good? need to leave? -t, Beth?