Comfortably numpy
@rminp.bsky.social
Half man, half beard. Twitter refugee. Physics PhD -> finance -> insurance meets AI
Also the audience for those shows periodically skews more favorable to Trump than Bernie/Harris
January 23, 2025 at 10:29 PM
Also the audience for those shows periodically skews more favorable to Trump than Bernie/Harris
Anesthesiologists self-report how long the surgery took and get paid based on that and there is evidence that some significantly upcode. Anthems solution would simply not reward that behavior jamanetwork.com/journals/jam...
Is Upcoding Anesthesia the Tip of the Iceberg in Insurance Fraud?
The Centers for Medicare & Medicaid Services (CMS) defines fraud as making false statements to obtain benefit or payment for which no entitlement would otherwise exist. Medicare and Medicaid fraud...
jamanetwork.com
December 7, 2024 at 12:45 PM
Anesthesiologists self-report how long the surgery took and get paid based on that and there is evidence that some significantly upcode. Anthems solution would simply not reward that behavior jamanetwork.com/journals/jam...
I've been very vocal about the anthem thing though because I feel like it's a case of the AMA and ASA pushing a narrative of "oh they are not going to pay _so you will have to_" which is inaccurate
December 7, 2024 at 12:42 PM
I've been very vocal about the anthem thing though because I feel like it's a case of the AMA and ASA pushing a narrative of "oh they are not going to pay _so you will have to_" which is inaccurate
Ya that's pretty awful. I work in p&c insurance and between hurricanes, fires and healthcare costs that whole industry is also in a lot of trouble.
December 7, 2024 at 12:40 PM
Ya that's pretty awful. I work in p&c insurance and between hurricanes, fires and healthcare costs that whole industry is also in a lot of trouble.
Of course ama and aha and American society of anesthesiologists sued the bill right out the door. litigationtracker.law.georgetown.edu/litigation/a...
American Society Of Anesthesiologists et al. v. U.S. Department Of Health And Human Services et al. - Health Care Litigation Tracker
litigationtracker.law.georgetown.edu
December 7, 2024 at 12:18 PM
Of course ama and aha and American society of anesthesiologists sued the bill right out the door. litigationtracker.law.georgetown.edu/litigation/a...
Hope all went well. Know your rights. Balance billing and surprise billing are illegal www.mayoclinic.org/billing-insu...
What anthem did would not mean that pt has to eat the cost. It means the institution (or physician?) has to eat the cost.
What anthem did would not mean that pt has to eat the cost. It means the institution (or physician?) has to eat the cost.
No Surprises Act
The No Surprises Act includes many provisions to help protect consumers from surprise bills beginning January 1, 2022.
www.mayoclinic.org
December 7, 2024 at 12:04 PM
Hope all went well. Know your rights. Balance billing and surprise billing are illegal www.mayoclinic.org/billing-insu...
What anthem did would not mean that pt has to eat the cost. It means the institution (or physician?) has to eat the cost.
What anthem did would not mean that pt has to eat the cost. It means the institution (or physician?) has to eat the cost.
They cannot. Balance billing is illegal. They are mad because it comes out of their pockets. Insurance has to rely on self-reported times and there is evidence some doctors significantly upcode that.
December 7, 2024 at 11:52 AM
They cannot. Balance billing is illegal. They are mad because it comes out of their pockets. Insurance has to rely on self-reported times and there is evidence some doctors significantly upcode that.
If we restrict the finance people, the good ones will leave and entire economies have collapsed when bad finance bros take over.
Ooo this is fun!
❤️
Ooo this is fun!
❤️
December 6, 2024 at 1:27 PM
If we restrict the finance people, the good ones will leave and entire economies have collapsed when bad finance bros take over.
Ooo this is fun!
❤️
Ooo this is fun!
❤️
It feels like the AAA or AMA or wherever just did a fantastic job of pretending the patients are the ones that have to foot the bill and thereby generating outrage.
December 6, 2024 at 11:45 AM
It feels like the AAA or AMA or wherever just did a fantastic job of pretending the patients are the ones that have to foot the bill and thereby generating outrage.
I don't know how much choice the provider has but I'd imagine you have to deal with whoever is at the hospital so selection shouldn't be a huge problem.
December 6, 2024 at 11:45 AM
I don't know how much choice the provider has but I'd imagine you have to deal with whoever is at the hospital so selection shouldn't be a huge problem.
We rely on self-reported times. That gives pretty direct incentives to upcode and there is good evidence that is happening (jamanetwork.com/journals/jam...) seems like the current system rewards the dishonest docs and the anthem proposed plan would not.
Is Upcoding Anesthesia the Tip of the Iceberg in Insurance Fraud?
The Centers for Medicare & Medicaid Services (CMS) defines fraud as making false statements to obtain benefit or payment for which no entitlement would otherwise exist. Medicare and Medicaid fraud...
jamanetwork.com
December 6, 2024 at 11:43 AM
We rely on self-reported times. That gives pretty direct incentives to upcode and there is good evidence that is happening (jamanetwork.com/journals/jam...) seems like the current system rewards the dishonest docs and the anthem proposed plan would not.
Is that an accurate statement? Wouldn't that be balance billing if the hospital is in network?
December 6, 2024 at 11:13 AM
Is that an accurate statement? Wouldn't that be balance billing if the hospital is in network?
e.g. GPS would matter far less for me if I had my leg blown out. I respect those people's conclusion. Just because there are people for whom existence of US has been a huge net negative doesn't mean that's the case for most people.
December 4, 2024 at 5:08 PM
e.g. GPS would matter far less for me if I had my leg blown out. I respect those people's conclusion. Just because there are people for whom existence of US has been a huge net negative doesn't mean that's the case for most people.
Well, you are not from Ukraine for example. Look, I was born and (partly) raised in an oil rich middle eastern country so I get some of what you are saying. In my experience when I look at things the above is my assessments. No doubt there are people who won't come to that conclusion.
December 4, 2024 at 5:08 PM
Well, you are not from Ukraine for example. Look, I was born and (partly) raised in an oil rich middle eastern country so I get some of what you are saying. In my experience when I look at things the above is my assessments. No doubt there are people who won't come to that conclusion.
*Your as in "Your grammar sucks". ad hominem begets ad hominem 🤷
December 4, 2024 at 4:08 PM
*Your as in "Your grammar sucks". ad hominem begets ad hominem 🤷
I'd certainly consider that a positive contribution from USSR/Stalin. Don't you?
December 4, 2024 at 4:02 PM
I'd certainly consider that a positive contribution from USSR/Stalin. Don't you?
so? I don't know her gender and I don't care to know her gender and he/she is certainly not doing everything I typed there but anyway, you've earned yourself a block for your totally useless contribution. bye!
December 4, 2024 at 4:00 PM
so? I don't know her gender and I don't care to know her gender and he/she is certainly not doing everything I typed there but anyway, you've earned yourself a block for your totally useless contribution. bye!
Oh God! hornet's nest with this one! No use arguing with people that post every other min. For now, I'll tolerate arguments + ad hominem attacks but posters with only ad hominem attacks will be blocked. Makes for a better world for both of us!
Not the Bees - Nic Cage in The Wicker Man
YouTube video by Samuel Helgabond
www.youtube.com
December 4, 2024 at 3:56 PM
Oh God! hornet's nest with this one! No use arguing with people that post every other min. For now, I'll tolerate arguments + ad hominem attacks but posters with only ad hominem attacks will be blocked. Makes for a better world for both of us!
The point is not that the US has not done bad things but US institutions have provided great foundation for art /science/tech to prosper and that has benefited the world tremendously. Could it have done that w/ better foreign policy? Almost certainly. But when all said US is a big + in the world IMO
December 4, 2024 at 3:30 PM
The point is not that the US has not done bad things but US institutions have provided great foundation for art /science/tech to prosper and that has benefited the world tremendously. Could it have done that w/ better foreign policy? Almost certainly. But when all said US is a big + in the world IMO
typed her on the internet on her phone/laptop designed in the US on a US website while navigating using the GPS. later she is meeting granny thanks to drugs developed in the US. In a country that is not ruled by Nazis while her country or her neighboring ctrys receive significant US charities.
December 4, 2024 at 3:30 PM
typed her on the internet on her phone/laptop designed in the US on a US website while navigating using the GPS. later she is meeting granny thanks to drugs developed in the US. In a country that is not ruled by Nazis while her country or her neighboring ctrys receive significant US charities.
So long as our attitude is that we are a dying empire that'll be a self-fulfilling prophecy. America is great and we have achieved so much and done so much good. Are there shortcomings? Of course. Many. But Democrats best believe the first part if they want any chance.
December 4, 2024 at 7:53 AM
So long as our attitude is that we are a dying empire that'll be a self-fulfilling prophecy. America is great and we have achieved so much and done so much good. Are there shortcomings? Of course. Many. But Democrats best believe the first part if they want any chance.
I'd imagine there are other NAE members that have violated the CoC.
Of course there always ought to be a first one I just worry about making Elon the first one.
Anywho, I'm sure what we can agree on is that CoC should be adhered to uniformly and elon appears to be in violation of that.
Of course there always ought to be a first one I just worry about making Elon the first one.
Anywho, I'm sure what we can agree on is that CoC should be adhered to uniformly and elon appears to be in violation of that.
November 28, 2024 at 4:38 PM
I'd imagine there are other NAE members that have violated the CoC.
Of course there always ought to be a first one I just worry about making Elon the first one.
Anywho, I'm sure what we can agree on is that CoC should be adhered to uniformly and elon appears to be in violation of that.
Of course there always ought to be a first one I just worry about making Elon the first one.
Anywho, I'm sure what we can agree on is that CoC should be adhered to uniformly and elon appears to be in violation of that.