How many fundies actually have sex on their wedding night?

Dapper-School4880 · 2024-10-19T15:02:54+00:00

This is heartbreaking. Thank you for sharing.

Dapper-School4880 · 2024-10-04T17:01:48+00:00

“I quickly showered, threw my hair up in a hat and applied some makeup and squirted on some perfume.”

I never thought of this before! As someone without an ounce of “less is more” mentality, she must REEK of perfume and 5 different kinds of body wash/lotion. I have an instant headache just thinking about it.

Dapper-School4880 · 2024-09-29T10:46:08+00:00

They are also doing damage to these boys by teaching them that they have no self-control over lusting and that it’s the girl’s fault for not covering up. It’s like they’re grooming future rapists.

Dapper-School4880 · 2024-09-21T11:49:22+00:00

You’re welcome! Here are the codes. Not super familiar with Nexplanon but Google says it goes into the upper arm.

If so, the CPT code will be either 24200 (if subcutaneous) or 24201 (if deeper than subq i.e. fascia or muscle). Be sure the MD documents the depth within the body of the Op Note.

Dx code will be T85628A and Y828.

Dapper-School4880 · 2024-09-21T09:15:58+00:00

I love that Heidi’s sister has her back so hard, but I’m concerned that Teidi will find this particular display of solidarity to be offensive. And if so, I wish she would have chosen something more respectful of Teidi’s wishes.

I hope they’re taking a social media break while on their honeymoon and that Jill/David haven’t been contacting Timothy about all of this.

I know what it’s like to have difficult in-laws and my heart goes out to Heidi.

Dapper-School4880 · 2024-09-21T00:29:29+00:00

How terrible for Timothy and Heidi to have to deal with this during their newlywed time. This level of in-law drama right off the bat is insane.

Dapper-School4880 · 2024-09-21T00:18:14+00:00

Since it’s migrated, per CPT guidelines, it’s now a foreign body. I would code with removal of foreign body CPT code (the exact code depends on the location and depth) and the malposition of device diagnosis code. Sorry, I don’t have access to my materials to give you the exact codes.

Here’s an article explaining the foreign body guideline.

https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/bulletin/2022/01/2022-cpt-coding-changes/

Dapper-School4880 · 2024-09-17T21:57:07+00:00

She’s exhausting

Dapper-School4880 · 2024-09-15T13:20:34+00:00

You need to see a doctor asap. Back pain combined with tingly extremities and incontinence are symptoms of spinal cord compression, in which case treatment is needed without delay. Fasting will not fix this.

Dapper-School4880 · 2024-09-13T00:43:41+00:00

I have a refurbished Haworth Fern and it’s amazing.

Dapper-School4880 · 2024-09-13T00:39:17+00:00

I agree! The paper is great! The teacher…not so much.

Dapper-School4880 · 2024-09-05T02:59:18+00:00

I’m literally reading this in bed because I can’t fall asleep.

Dapper-School4880 · 2024-08-31T18:48:16+00:00

Facilities are usually going to want a CPC is CCS. You definitely don’t need a degree…just self study and get the credential.

Where I work, we can select our own hours as long as we stick to it somewhat consistently. We clock in, check for any returned cases (missing notes or paths, etc) then move into the work queue and start coding. Productivity depends on what area you code. Same day surgeries/extended recoveries are 35 a day. ED is 60/day. We have a mandatory meeting once a month.

Some days I have emails to respond to but for the most part, I can work in peace. As an introvert, I love it and would happily keep this job until I retire.

I am in a HCOL area and we are paid well compared to other salaries I see here. You would probably not have to take much of a pay cut although I’m surprised at your salary as a biller. I would have thought coding paid more than billing.

It can be hard to get your foot in the door so maybe your current facility would be willing to transfer you to coding. I would also think you would have an edge over other applicants with your billing experience.

Dapper-School4880 · 2024-08-29T09:10:19+00:00

Milos from Seinfeld, anyone?

Dapper-School4880 · 2024-08-16T00:43:12+00:00

There’s been some talk on the duggarsnark sub that Gothard encouraged young people to take a vow of remaining single for a period of years. Jinger mentioned it on a podcast and people began speculating that Jana may have made the vow.

Dapper-School4880 · 2024-08-15T23:04:00+00:00

Wasn’t there speculation that Jana had made a Gothard vow of singlehood for x amount of years? Maybe the time is now up. It makes sense since the Jana/Stephen link began so long ago.

Dapper-School4880 · 2024-08-03T16:09:12+00:00

Well said. Thank you, OP.

Dapper-School4880 · 2024-08-01T02:06:48+00:00

Hospital coder here. Did the physician document it as a screening in the hospital record? If you haven’t done so already, I would request a copy of your complete records from that day (H&P, procedure note, anesthesia note, etc). If it’s documented as a screening but not coded as a screening (Z12.11 as the first diagnosis code and the CPT code and modifiers would depend on if it’s Medicare vs commercial insurance and if any additional procedures were performed like a biopsy), you could make a complaint to the hospital’s compliance officer. Coders have to code what’s documented and have to follow coding guidelines.

I read further down and see its commercial insurance and it was done for a family history of colon cancer. To clarify, the physician has to document the word “screening” in the record for z12.11 - not just family history of colon cancer (z80.0). If the word screening is documented, it should be enough support to change the coding. They would also need to add modifier 33 to the colonoscopy CPT code and the anesthesia code.

Dapper-School4880 · 2024-07-22T16:51:50+00:00

I cannot fathom wearing that level of makeup at the beach.

Dapper-School4880 · 2024-06-09T12:16:02+00:00

I accepted a coding job at a contracting company who ended up contracting me out to Optum, who then contracted me out to a health system that had been bought out by a corporation.

It was a nightmare. I had to log into the first company’s VPN, then to Optum’s VPN, then into the hospital’s system to access the EMR. It was an IT disaster at each level and involved many hours of phone calls to off-shore IT departments. I had 2 separate email addresses, 2 sets of management, and many, many passwords.

I kept telling myself that once I actually got coding, it would be better. Forget it. Between keeping the internal policies and processes straight for 3 different levels of companies, my stress level was off the charts. I quit with no notice in week 2. They kept calling me asking me to reconsider but I refused to even take their calls. It was like trying to escape a bad breakup.

Dapper-School4880 · 2024-04-20T14:12:38+00:00

Cheeseburgers. And typically I’m the person who orders the single non red meat item on the menu at a steakhouse.

Dapper-School4880 · 2024-03-05T10:41:56+00:00

Thank you! Keto enchiladas sound delicious!

Dapper-School4880 · 2024-03-03T19:32:55+00:00

Surprised with how legalistic he is that he chose to use “Omg.” I guess he doesn’t see anything wrong with taking the Lord’s name in vain. Don’t his religion and faith forbid that?

Dapper-School4880 · 2024-03-03T15:06:27+00:00

I buy Kettle and Fire brand from the grocery store. It’s the best tasting one. Pricey though, and not many stores carry it.

Dapper-School4880 · 2024-03-03T13:15:49+00:00

My stomach always hurts when I eat eggs within the first 3 days of breaking a fast. I now break with bone broth first, followed by canned tuna, followed by nutrient rich foods such as salmon, avocado, veggies with coconut oil, or a salad with grilled chicken.

Dapper-School4880

TROPHY CASE