Pam Harder

Trump's corruption is way, way, way worse than you think.

Listen up to @profgalloway.com here.

We missed your voice @petebuttigieg.bsky.social , I need my blood pressure to go down if I want to see you as our POTUS one day.

Ope, Out-of-Office @petebuttigieg.bsky.social with no tie on Colbert. 🙃

an older woman is crying and says it 's been 84 years ALT: an older woman is crying and says it 's been 84 years

Fucking hell, how long is this disaster going to last, is he going for another long winded blowhard record?

What he said about Social Security payments has been repeatedly debunked - so the question isn’t whether he’s lying about this, the question is why.

What is this a pretext for? He and the GOP have long shown interest in going after Social Security. What are they going to try?

He berated another country’s leader on American TV like he was a child. This was a set up, he knew Zelenskyy wouldn’t bow down to him & now he has the excuse he wants to abandon Ukraine. Trump just let the rest of the world know that if you don’t kiss the ring the US won’t help you at all.

CHIEFS WIN!! Superbowl bound for a 3-peat!! #AFCChamps x8

I had to unfollow POTUS and VP on FB, got a jump scare on my feed when their dumb new profile pics popped up.

As employees with ins owned by our employer we still have to battle with insurers over the ridiculous stopgaps they put in place to make absolutely sure that we qualify for payment of services rendered. But I can tell you this, hospitals and doctors get blamed for a lot that’s out of our control.end

ends up as bad debt that has to be offloaded to a 3rd party because we can’t afford to keep the bad debt on our books for more than a year. After it gets transferred to creditors it takes away our control of working with patients on a pmt plan. (8 of 9)

To care for. We will treat everyone, but we have to bill for it as well and what most patients don’t understand is that if you work with the billing dept to get a reasonable pmt plan with a significant reduction in how much you owe we will usually accept what we can get. Ignoring the bill (7 of 9)

Profits on our part are used to increase the services we can provide, new facilities, upgrades in tech, coverage for services that we lose money on like the burn units and our rural hospitals. We are at the mercy of the insurance co that undercuts us and the uninsured that we are obligated (6 of 9)

And to get actual policies and guarantees of payments is almost impossible and they will use any error as an excuse to deny or delay payment. Any payments are just a minuscule portion of what we actually charge, the rest is written off as part of our contract to accept the patient’s ins (5 of 9)

OP services are paid by the procedures and are subject to medical necessity polices that Medicare publishes on their websites. Any Medicare replacement plans and most government payers like the VA, Medicaid etc follow the same rules. Commercial payers are not subject to these rules (4 of 9)

Any patients that have major comorbities (MCC) and complications (CC) and in situations where procedures performed can increase the base DRG payment, but we have to be very careful in how we list the diagnosis codes in correct order, because they can audit the chart and reject our coding (3 of 9)

Medicare is the only payer that is upfront with what they will pay us for the services and it’s usually a bundled price based on the main services billed. IP stays are paid by a DRG (diagnosis related group) meaning that the primary dx drives the payment (2 of 9)

As someone that works in coding and billing for a major hospital/physician group I can get why people think that the hospital is out to get you, but what you don’t know is that insurance companies force us to inflate our prices in order to justify the reimbursement rate they pay us. (1 of 9)

Elon wants to get credit for demanding an answer and then taking the win when Pete provides it. Making himself seem legitimate, while spreading falsehoods elsewhere.

Well Trump got what he wanted from the election, no accountability for any of his crimes. He’s going to run the country like a crime boss now. Tired of this timeline 🤦🏻‍♀️.

Hi Lynne, can you add me to the list?

He’s going to nominate television personalities to run all the Federal departments that affect our daily lives… Dr. Oz as the head of Medicare. Good Luck Seniors.

Nope Nada No Way should the senate confirm this a-hole I don’t care is you are GOP or Dem, we are going to have to Lobby our senators on this one and make a complete nuisance of ourselves
CANNOT HAPPEN HE IS NOT GOING TO GET REWARDED FOR HIS HUMAN TRAFFICKING AND PEDO WAYS🚫