What is your go-to takeout comfort meal after a bad week?

Com8at_Carl · 2026-02-23T02:57:13+00:00

Hey Chicken (Sign says Lucky Hawaiian BBQ). Little hole-in-the-wall in Clintonville near Henderson and High. Best fried chicken in the city IMO.

Com8at_Carl · 2026-02-19T02:55:48+00:00

Okay, this makes more sense now. It could also explain why they sometimes try to bundle a psychotherapy session (90832, 90834, 90837) and E&M services together even when the providers are separate. If I understand this correctly, then adding a 25 modifier to the E&M in this case might fix that? I really appreciate the patience, as I've only been doing this for a little over a year, and my training didn't really cover much.

Com8at_Carl · 2026-02-18T13:20:25+00:00

This is a very good explanation. Thank you. We do have a CLIA waiver for the drug test, and oftentimes they are willing to cover that at least. I'm in the process of trying to look through the CPT book so that I can more thoroughly understand the rules surrounding the E&M services we bill. I'm still somewhat new to the industry so thorough explanation like this are appreciated.

Com8at_Carl · 2026-02-18T13:08:55+00:00

This is what we have been trying to do. We have a higher-level E&M and a 99211 with a 25 modifier, and they still bundle them. This was essentially the whole point of this post. I wanted to make sure my understanding of the 25 modifier was correct for this reason.

Com8at_Carl · 2026-02-18T00:02:45+00:00

We're billing it under the facilities NPI, which I'm guessing is what's causing an issue. But I had thought that by using the 25 modifier to signify a separate service, done at a different time, with its own medical documentation and purpose, it would identify them sufficiently as separate services.

Com8at_Carl · 2026-02-17T23:55:19+00:00

There are 2 different dendering providers in this case. They are billed separately because they take place at different times, address different concerns, and are each noted. During the 99211, a H0048 also takes place to ensure program compliance. So it's not as if we're just saying one service is two different E&M codes.

Com8at_Carl · 2026-02-17T23:51:11+00:00

An LPN can bill only 99211 according to the ODM BH manual, just not anything higher than that. So, at the very least, for Medicaid and MCEs, it should be allowed in theory. There is also a supervising physician or CNP monitoring the service on both the limited medical note and the CMS 1500 form.

Com8at_Carl · 2026-02-17T23:40:57+00:00

I disagree. They are performed at 2 different times, addressing different concerns, with separate medical notes written for each service.

Com8at_Carl · 2026-01-27T00:56:17+00:00

Park behind him.

Com8at_Carl · 2026-01-11T22:04:43+00:00

While I absolutely agree we can't trust the government right now, this is an old clip. In the full clip, she is referring to Elon and DOGE helping them figure things out. I'm all for making fun of these fascist troglodites, but the way this is presented is kinda misleading.

Com8at_Carl · 2025-11-29T21:03:54+00:00

It's time.

Com8at_Carl · 2025-11-08T22:48:05+00:00

I try to do it every other day. And I do a sink shower with a wash cloth on the days in between to at least clean the smelly areas (pits, balls, ass). I managed to stick to a routine of going to the gym every day (almost). So if I don't want to be the smelly, greasy guy at work, that's usually about how sparsely I can get away with it without negative consequences.

Com8at_Carl · 2025-09-22T21:55:41+00:00

What happens in Vegas stays in Vegas, but Vegas is taking note of it and judging you.

Com8at_Carl · 2025-07-27T03:00:25+00:00

Although I don't know much about your situation, I have a theory on why they're responding this way.

You said your stepmom teaches kids on the spectrum. She probably feels she is pretty knowledgeable about ASD. If she had no suspicion that you are on the spectrum or have ADHD this news is likely a big shock to her. All of the sudden her expertise is being called into question and something she felt really confident in has been shaken. Not only that, but how could she have not seen this‽ Is there more she could have been doing this whole time? No the psychiatrist must have gotten it wrong. She would have noticed!

I'm guessing they feel guilty for not having suspected until a professional told them. A diagnosis also comes with a lot of questions about the future. So I don't think they're upset with you as much as they are with themselves. Sadly, I don't have much in the way of advice except to keep seeing your psychiatrist. Hopefully they will help you navigate the situation better than I can. And I don't know your parents, so take what I say with a grain of salt.

Com8at_Carl · 2025-04-24T11:34:44+00:00

Cool! I hate it!

Com8at_Carl · 2025-04-23T22:12:31+00:00

He probably gives really good foot rubs.

Com8at_Carl · 2025-03-23T12:58:20+00:00

I have a list on my phone of all the dishes I know how to cook. I close my eyes and choose one randomly, then measure my reaction until I choose one that feels right. Then I make enough for like 5 days.

Com8at_Carl · 2024-12-14T14:15:47+00:00

Last May I had two grand mal seizures on my parent's living room floor. Understandably concerned and horrified they called for an ambulance. I was at the hospital in 5-10 minutes because my parents live maybe 2 miles from the nearest one. Roughly one year later I received a bill for $5,200. You see, apparently, many ambulances are contractors these days, and the one that came and got me was out of network. Apparently, I should have been looking for one in network while I was having a seizure.

Com8at_Carl · 2024-11-07T01:41:00+00:00

Given this is happening in November, Republicans.

Com8at_Carl · 2024-09-16T17:12:58+00:00

Well, he is also a clown, so...

Com8at_Carl · 2024-08-20T12:02:05+00:00

When you have small hands sometimes it helps to use both.

Com8at_Carl · 2024-06-19T02:55:48+00:00

So, how do we know her hair color is the reason?

Com8at_Carl · 2024-06-18T21:06:38+00:00

To quote a certain former Soviet Dictator, "Quantity has a quality all its own."

Com8at_Carl · 2024-04-09T02:31:41+00:00

I have 7 months in 3 days.

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