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Rambo John J

Baker Team
First 100
Jan 17, 2015
79,538
78,814
Eh Bud, from the outside looking in it makes perfect sense eh. She's a fat disgusting human who cares about no one but herself eh. Bud, that's pretty standard stuff that the rest of the world has known about America for years.
got it bud
you see fat people in every photo and topic
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
26,916
26,590
D

Deleted member 1

Guest
She tells stories like Steven Seagal.

She almost never has any details of her allegations and when she does she's 100% wrong and has no idea what she's talking about.
"if you say vaccine injury the (insert everybody) won't get reimbursed" -- el, oh, el.

You do understand that our obscene system will pay me to admit you even if its because your pneumonia got worse if I chose an inadequate antibiotic in clinic? The system pays to do more. There are increasingly attempts at wrangling that reality, but that is the foundation of our fee for service system.
There is no overarching rule that "we don't pay for X". And damn not for iatrogenic injury outside of global surgical periods intended to limit payment for bad work and incentivize reduced complications.
I am paid per encounter and at a level commiserate with the medical complexity of the case. The hospital is like wise reimbursed a DRG rate based on complexity and severity of diagnosis. A vaccine injury would INCREASE the ability to keep someone inpatient and be paid over labeling someone anxiety which would be bounced by insurance after a 24 hour period.

I got bridge to sell you...
 

sparkuri

Pulse on the finger of The Community
First 100
Jan 16, 2015
41,153
54,332
She tells stories like Steven Seagal.

She almost never has any details of her allegations and when she does she's 100% wrong and has no idea what she's talking about.
"if you say vaccine injury the (insert everybody) won't get reimbursed" -- el, oh, el.

You do understand that our obscene system will pay me to admit you even if its because your pneumonia got worse if I chose an inadequate antibiotic in clinic? The system pays to do more. There are increasingly attempts at wrangling that reality, but that is the foundation of our fee for service system.
There is no overarching rule that "we don't pay for X". And damn not for iatrogenic injury outside of global surgical periods intended to limit payment for bad work and incentivize reduced complications.
I am paid per encounter and at a level commiserate with the medical complexity of the case. The hospital is like wise reimbursed a DRG rate based on complexity and severity of diagnosis. A vaccine injury would INCREASE the ability to keep someone inpatient and be paid over labeling someone anxiety which would be bounced by insurance after a 24 hour period.

I got bridge to sell you...
Is it over that river in Egypt you're currently wading in?
 
D

Deleted member 1

Guest
Is it over that river in Egypt you're currently wading in?
Yep I have no idea how I get paid when I bill. Maybe you and the activist nurse can tell me more?
You're so quick to accept someone that doesn't bill and doesn't have any evidence for what's she's claiming.
 

Shinkicker

For what it's worth
Jan 30, 2016
10,499
13,977
-- el, oh, el.


Was that talk to text?



Admittedly I don't know about doctor's office visits and coding (maybe vaccine injury could be an initial encounter), however 'vaccine injury' would not be an appropriate primary diagnosis in a hospital setting. A vaccine injury could be 'my arm hurts'. Your primary diagnosis would be the problem manifesting that you are treating. Vaccine injury could be a secondary diagnosis though (which would get a little more money).

An admission for 'vaccine injury' would be like a mechanic handing you a bill for 'wear and tear'.

Um, no. Tell me the problems you found and what you fixed.
 
D

Deleted member 1

Guest
Admittedly I don't know about doctor's office visits and coding (maybe vaccine injury could be an initial encounter), however 'vaccine injury' would not be an appropriate primary diagnosis in a hospital setting. A vaccine injury could be 'my arm hurts'. Your primary diagnosis would be the problem manifesting that you are treating. Vaccine injury could be a secondary diagnosis though (which would get a little more money).

An admission for 'vaccine injury' would be like a mechanic handing you a bill for 'wear and tear'.

Um, no. Tell me the problems you found and what you fixed.

You must have moved into utilization review when you quit bedside nursing.
You can obs anything including generic symptoms such as nausea and vomiting. Insurance will simply bounce you after the obs period if you don't solidify it.

But none of that really matters. Her point was that if you mentioned vaccine that suddenly there's some catch all that we don't get paid. It's simply not true. If your vaccine causes you Guillain-Barre syndrome, I will put down that your vaccine caused Guillain-Barre syndrome and both I in the hospital will be paid for that. If your vaccine causes you myocarditis I will put down that your myocarditis is secondary to vaccine probably and both I and the hospital will be paid for it.

She's simply absolutely wrong that if you write down that there is a vaccine injury in the chart that you don't get paid.
 

Filthy

Iowa Wrestling Champion
Jun 28, 2016
27,498
29,669
I have the Rona. Headaches, body aches, my skin feels sunburnt.....

I've never hurt this bad with the flu.
me too. tested positive with a home test this AM. Might go get a PCR so I can travel to Canada for six months and join the Freedom Convoy.

i got mine from a legendary 80s punk rocker, you should appreciate that aspect of it.

so far just a sore throat and overall fatigue.
 

Shinkicker

For what it's worth
Jan 30, 2016
10,499
13,977
You must have moved into utilization review when you quit bedside nursing.
You can obs anything including generic symptoms such as nausea and vomiting. Insurance will simply bounce you after the obs period if you don't solidify it.

But none of that really matters. Her point was that if you mentioned vaccine that suddenly there's some catch all that we don't get paid. It's simply not true. If your vaccine causes you Guillain-Barre syndrome, I will put down that your vaccine caused Guillain-Barre syndrome and both I in the hospital will be paid for that. If your vaccine causes you myocarditis I will put down that your myocarditis is secondary to vaccine probably and both I and the hospital will be paid for it.

She's simply absolutely wrong that if you write down that there is a vaccine injury in the chart that you don't get paid.
No, we had pit bull case management workers assigned to start chart review in the ER. They would call us (nurse) instead of the doctor.

That doesn't qualify for inpatient, make it obs.
Labs showed this, add that diagnosis
Not now but in the past , heparin instead of lovenox, choose an antibiotic besides levaquin
Etc, etc
Which is aggravating. You learn to be preemptive and start asking questions (prompting) when you take admit orders.