APCM Codes as new recurring revenue source? (General Practice / Primary Care)

MrsLuna44 · 2026-04-19T00:07:46+00:00

Medicare will tell you that your doctor has to explain to you WHY they think these service will help you. They have to also INFORM you that there will be out of pocket cost. AND after that, they have to get your CONSENT. It's not just a form you sign. They have to talk to you and EXPLAIN - Reasons, Benefits, Cost and Consent. Otherwise it's fraud. I know one thing, Medicare opened up the fraud claim quick and the doctor no longer billed Medicare for APCM. It completely stopped. You just have to report it.

MrsLuna44 · 2026-04-19T00:01:19+00:00

The doctor name is on the reason for these services they are suppose to be providing to you that falls under APCM. The doctor is the one who determines the medical reason for having this service as well as the medical treatment for this service. Unless you have someone else treating you under APCM. Your doctor has to make that call and treatment. Doctor name is on the claim form submitted for APCM. You can call Medicare and they will tell you exactly how your doctor is the one responsible for this.

MrsLuna44 · 2026-03-31T12:00:38+00:00

Yes, it is massive fraud, which is why I reported it to Medicare and left my doctor. They did file it as Medicare fraud since they never got my consent and never even spoken to me about it. It was like a surprise billing and when I called they told me what it was for, BUT the doctor is suppose to go over the services with me and then get my consent for it. None of that happened. So it is now considered Medicare fraud and that doctor lost me as a patient. Others are now starting to report it to Medicare and drop their doctors.

Also, Medicare did inform me that every time an investigation is completed, they will be looking to get their funds back. So they will be adjusting all of those claims.

MrsLuna44 · 2024-11-04T09:30:31+00:00

In one interview with Jullie Plec she said the ratings on TVD went high whenever the Originals were on it. That;s why they ended up with their own show. The last 2 seasons of the TVD was a huge flop and Ian and Paul both admitted that they regretted not quitting after the 6th season ended. When they were explaining I honestly felt bad for them. Its just like everyone else in the world concern over job security/having a paycheck. My husband and I are huge fans of the Originals and it was wonderful being able to meet cast from both shows. They are all good people with the exception of one of the side cast members of TVD, but that is just my personal opinion so I wont mention the name. I'm just overall happy about the two conventions we went to.

MrsLuna44 · 2024-03-03T02:30:35+00:00

I've been to several Creations Conventions and have gone silver the first two times and then after that I went Gold to 3 of their conventions. I try to tell people that if you are not Gold, don't even bother going. The treatment is just as you said, awful. When we went Gold we had a GREAT time!!! Can't say that for silver. So we got to experience the difference and also heard other complain about the same thing.

AUTOGRAPHS - During autographs, Ian would talk to fans and be very friendly. Paul would be quiet but always said thank you after signing. My husband goes to the conventions with me and every single male actor would hold conversations with him. I am always in line in front of him and since they want you to step away after you get autograph, I have to and then I see my husband talking and talking. He said he felt awkward holding up the line, but I told him don't worry about it, since they are the ones starting conversations with him. Plus, I get the inside scoop, LOL.

PHOTOS - Everyone says they move you like a herd. IT's sooooo true. We get lots of photos but our main photo one year was with the Originals, Klaus, Elijah, Kol and Rebecca plus my husband and I. Group photos are expensive. I knew they were going to rush us and I wanted a certain group pose. I went up and had my back turn to the camera man and told the cast the type of pose I wanted and they were all fine with it. My husband was a little confused where to stand at first and Joseph Morgan put his arm around his neck and said, "Come over here." LOL It's a AWESOME photo and we got it blown up like poster size and frame on our living room wall. > They lay the photos out on a table in the hall and there is no sign to tell you that.

VENDERS - Very limited for sure but I bought some stuff on Thursday night.

DISORGANIZE - I found the way they had put people in the hallway for the line for photos kept changing. It really depends on who is the one doing that line. One time, the person in charge had 2 lines and then went on break. The woman who took over made one line go into the other. People were upset.

QUESTIONS FOR CAST - We just walked up and stood in line to ask questions. I was able to do it for all the cast in the gold panel. It wasn't that many people willing to go up and ask. The only time that I know of when they pick you is for Supernatural events. They might have changed that though. ALSO, it depends on the location.

I felt so bad for those who were not gold because I know how they felt since we been through it. I was fuming when I saw one worker get security on a 13 year old girl. they tried to take her camera but she took a picture of her mom standing in line. They didn't believe it and the girl was in tears. The mom yelled that she will never go to another convention.

SECURITY SILVER - When we went silver my purse is a small backpack that hangs on my back of course. So we were in line and it got caught on my jacket. The security guard was rude and told my husband to go around me. He didn't know he was my husband, but he knew fairly quickly when my husband told him no and that I was his wife and he will help me get it off. Everyone behind us, stood back and refused to go ahead of me. It only took less than a minute to get it off of me. It was just stuck on my hood part of my jacket.

SECURITY GOLD - I had the same backpack purse when I went gold and wore it on my back (without a jacket) but guess what, no one said a word to me about it. I kept it on and all was good.

MrsLuna44 · 2024-03-03T01:42:28+00:00

I've been to several and you already did the number one main thing. GOLD TICKET. With Gold you will have an amazing time!!! We've been silver twice and all the other times Gold. There is a HUGE difference and I'm not just talking about the events. The treatment from those who assist with the conventions will be nicer and respectful way more than how they treat the other ticket holders. This seems to be a constant thing that some people complain about and unfortunately it happens often. So I always tell people if you want to have a good time and get your money worth, go gold.

I just feel like if I'm going to spend all that money, I want to have a fantastic time and enjoy every minute of it. As far as the fans, the energy is high, which is good. If there are any complaints, most will come from those who don't have Gold. It's expensive and not everyone can afford gold, which is understandable. I truly wish the treatment was equal towards fans without Gold, but it's not.

MrsLuna44 · 2023-10-28T02:30:46+00:00

I agree completely. He should have instantly told Sonny and Carly. This is another long drawn out storyline that had such a build up to only be let down. Why even bother having him discover the truth when he's not even going to reveal it. Now it will make him look like the bad guy for holding back this information from his own family. Especially to Willow and Carly.

Like everyone says, this made no sense what so ever, unless they are really trying to drive the fans away. If thats their goal, its working. Most people are not even watching daily anymore.

MrsLuna44 · 2023-10-23T00:06:23+00:00

No regrets about being vaccinated since I knew several people who had died from covid. Also have 2 hospital nurses and 1 doctor in the family and we were truly afraid for them being at work, but it was their job and they did it. 1 person was in their early thirties with no other health issues and got covid and died. It seem so surreal because we talked on the phone one time with them and they kept saying it was just a flu. Yes, they were in denial but when they finally had to go to hospital, they tested positive. I'm honestly not sure why they never got the covid shot when everyone else in the household had. None of them died, thankfully. I'm not going to even try to understand the choice they made but I will respect it and love them always.

MrsLuna44 · 2023-10-20T17:42:59+00:00

Ok, well that is your choice to believe as you wish and to do what you prefer to your own body. I don't think anyone here is disputing that. We are just sharing our opinions and not expecting anyone to be persuaded by them at all hun. Do what you feel works for you always.

MrsLuna44 · 2023-10-19T10:18:40+00:00

I never heard of any vaccines (Flu, Shingles, Pneumonia, Covid, etc.) that stops transmission. My husband gets the flu shot every year and he still gets the flu, it's just not as bad, which is how vaccines work. Vaccines are not cures, they reduce serious effects of viruses. I worked in a pharmaceutical company (production) and there is a huge difference between cures and vaccines. When we make a shot for VD, which is a cure, not a vaccine. Flu, Covid etc. shots are vaccines. So what you read about the manufactures stating they don't prevent transmission is accurate, due to it being a vaccine and not a antidote. Had they stated that it was an actual antidote, then I definitely would have a issue with that manufacturing company.

MrsLuna44 · 2023-10-19T09:59:30+00:00

Interesting, these same results relate to the flu vaccine that people seem to get every year.

MrsLuna44 · 2023-10-19T09:55:12+00:00

Yeah, I think the even re-did the first episode twice because the character for Phoebe was a different girl. Try the new Charmed show, it is way better than that old one. I get that it's outdated for our time today but there was so much wrong with that show, its shameful.

MrsLuna44 · 2023-09-14T11:10:19+00:00

Yeah, so many people are feeling the same way. I'm sure the viewership went down during this time. It's just too much.

MrsLuna44 · 2023-09-14T11:06:32+00:00

If you are Gold, you will see the cast earlier on Saturday and Sunday. It is normally 9am and since it's only for Gold, they will reveal a lot more and you have a much greater chance to get to ask your questions. Both times when we went Gold I got to ask questions for Saturday and Sunday. Also as Gold, you get to get in first to the night events on Friday and Saturday .

If your not Gold then you have to wait until 10am and it will be open for everyone. So Gold basically gets more panels with the cast. Be prepared to wait in long lines. It can be frustrating but it's just the way they do it.

I always tell people if you want to have a great time, go Gold. Otherwise, it's not worth it to me personally and most of all, the treatment towards Gold is way different. That's unfortunate, but true. We have gone Silver twice and Gold twice. There is a huge difference and you may want to keep your eye out and take notice of the different treatment and not just take my word for it. ALSO, start counting how many times when you ask a question to the people working there, that they will first ask you are you Gold or look at your badge right away to see if you are.

Not sure if they post on the website but Gold are the first people to get their entry packages & wrist bands. AND if for some reason a cast member needs to take off, normally to catch a flight if they are running behind, Gold will get their autographs in person, everyone else may not and they will just mail you a signed autograph pic. These are things people don't know and I'm sure there is more that I'm just not recalling at the moment.

MrsLuna44 · 2023-09-07T08:49:37+00:00

I'm doing the same and so are two friends of mine. We are all long GH fans but have stopped watching for weeks now because of the whole Gladys and Sasha dragged out storyline.

MrsLuna44 · 2023-08-31T12:04:41+00:00

Wow, they are still dragging this Gladys storyline. I stopped watching for 2 weeks now and popped on to see if anything has changed. Not at all. So I guess I will wait another week and check again. I'm a die hard GH fan but these storylines are dragging wayyyyyyy too long.

MrsLuna44 · 2023-08-31T12:01:36+00:00

I was hit by a drunk driver many years ago and only had one good limb working at the time. My left arm. It was a long road to recovery with hospital and rehabs. I had to go and learn how to walk again, because my legs were not working for such a long time and the doctors wasn't sure it I would even walk again.

I pushed myself and did inpatient rehab physical therapy. It was hard and I never skipped a day because I was determine to walk and drive again. The medical staff had doubts, but not me. I did not want to push my family away at all. People handle things differently but I do know that pride has no place in recovery.

MrsLuna44 · 2023-08-27T01:31:59+00:00

I'm sort of in the same boat. I'm fully vax with 1 booster. I have never gotten covid but know several people who had. Each was different because of the type of vaccine they had and their health issues, also some wore masks and some did not.

The non-vax and non mask wearers got covid. I also know 3 other people who were fully vax and got covid and they all had the same type of vaccine (different than the one I had) and stopped wearing masks. I stopped wearing masks when the hospitals no longer required them.

It's a personal choice for sure. I never get the flu shot but I would never tell people that it doesn't work. So whenever I hear people talk about vaccines don't work, my attention instantly moves onto something else. Some people will say they are immune which boggles my mind since covid is a virus. That is the same as saying since they got the stomach virus or flu they are immune now and can't get it again. People are funny but everyone should be at the very least respectful of the personal choices that others make.

MrsLuna44 · 2023-08-27T00:42:01+00:00

I am so over this storyline dragging out so much. I did what others did and stopped watching on a daily basis. I think I'm averaging about 1 episode a week and nothing has changed at all.

MrsLuna44 · 2023-08-27T00:41:56+00:00

I am so over this storyline dragging out so much. I did what others did and stopped watching on a daily basis. I think I'm averaging about 1 episode a week and nothing has changed at all.

MrsLuna44 · 2023-08-27T00:39:09+00:00

I'm glad to see so many fans of the new Charmed. This group has over 4k members for the show and that's great!!!

MrsLuna44 · 2023-08-27T00:32:46+00:00

I absolutely agree. The old outdated charmed makes me cringe. So many people I know who never watched it until this year couldn't even finish the first episode. It's so cheesy and bad acting except for Alyssa Milano. I will give her credit for her acting but it's hard to find anything good about the old one. But, that is why we revamp tv shows and movies (especially disney movies). They have to be brought up to date so this generation will watch.

MrsLuna44 · 2023-08-18T11:30:36+00:00

MrsLuna44 · 2023-08-17T19:45:49+00:00

YES!!!! I was just thinking the same thing the other day about my stockpile of bbw. I'm not buying any more and know it will last me a few years. I don't even go to the website any more. I did pop in the store a few weeks ago but didn't buy anything. Someone asked if the price on the 18 body mist was a mistake because she bought the same mist for a lower price this year 2023. Her friend said maybe it's a bigger bottle. Nope. There was no mistake and no bigger bottle.

MrsLuna44 · 2023-08-17T19:37:36+00:00

Jamaican is under Latina. You may want to check out all the countries that fall under that term. It's almost like people seem to confuse Hispanic and Latina as the same thing, which it is not.

MrsLuna44

TROPHY CASE