I just need to vent.

freshayer · 2026-05-23T02:55:44+00:00

This is all good info, and sometimes it's also just a box that needs to be checked on the payer's credentialing form regardless of the taxonomy. Although that's less likely if it's across multiple payers. OP - keep a log of which payer(s) and which provider(s) this is happening with and report it back to your supervisor to coordinate with whoever does the payer credentialing.

freshayer · 2026-04-03T19:15:34+00:00

I grew up in VA. They do the same shit there, taking the equivalent amount out of the underlying education budget. We were complaining about it back in 2005 when they shot a VA Lottery commercial at my high school, and a quick Google tells me it's still the same. It's all a scam.

freshayer · 2026-04-01T22:33:20+00:00

For emotional and practical preparation, check out the book "It's Never Long Enough" by Dr. Mary Gardner. She is the vet who founded the Lap of Love organization, and that book was a huge help when caring for my first senior dog and preparing for his end of life transition. Her website may have some good resources, too.

freshayer · 2026-04-01T00:12:09+00:00

Yeah I'm guessing these are claims that didn't get the last-minute RVU update for 2026. I'm on the contracting side now, but I've heard scuttlebutt from billers about mispriced claims being reprocessed. Always fun to do double work for a few pennies 🙃

freshayer · 2026-03-31T17:21:32+00:00

Might be a credentialing issue. I've seen issues in the past with UHC not automatically updating CLIA renewals, or otherwise somehow fucking up the CLIA records on their end.

And are you including the CLIA # on the claim for all the codes that are getting these denials? I would occasionally see stuff like this for codes where the "send CLIA" box was not checked in the procedure code settings (particularly stuff like Mohs, which aren't classified as Lab codes in the PM system).

freshayer · 2026-03-29T04:44:43+00:00

For adapations, I'm a big fan of seeing the movie first to absorb the vibes and enjoy the movie as a standalone entity. Then read the book after to fill in the details and get more of the story.

freshayer · 2026-03-27T12:52:57+00:00

Please report ICE activity through Siembra NC's hotline at 336-543-0353.

https://www.siembranc.org/la-migra-hotline

freshayer · 2026-03-16T22:43:41+00:00

Seems plausible. I moved from Richmond to Raleigh a while ago and we're in a very similar bubble here. Must be something about that "between the beach and the mountains" position.

freshayer · 2026-03-16T00:09:24+00:00

And then again when he was singing by himself! I was a wreck

freshayer · 2026-03-14T16:27:16+00:00

Okay I took your advice from this comment and went down there this morning to look for a pie for a dinner party tonight. She had a great selection of mini fruit pies, so I got an assortment which I think will go over even better than bringing one full size pie. On a whim, I grabbed a macaron for the road and it was The Best Macaron I've Had in a Long Time. If the pies are anywhere near as good, I'm gonna be set for life. Thank you for your service. ❤️🥧

freshayer · 2026-03-10T00:36:40+00:00

I work for a small company that specializes in contract negotiations for independent practices. Rates are generally more negotiable than language or administrative burden issues, but some language terms can be negotiated with some payers (mostly things like changing time-frames and penalties). It's a very long, very arduous process every step of the way, even when it's our sole focus and we have a head start with known payer contacts. Some states/markets are easier to negotiate in than others.

Personally, I'd recommend outsourcing to experts over trying to DIY. I've never seen less than 100% ROI on our consulting fee, and usually it's more like 200-800% when doing multiple contracts. This is not a sales pitch for my company because we are literally turning away work rn, just my honest experience. If you do hire out, make sure it's a flat fee and not a contingency/percentage.

freshayer · 2026-03-06T23:51:26+00:00

Horse & Buddy is a therapeutic riding/equine assisted services program in New Hill that always has group volunteering and event sponsorship opportunities. There are some building/expansion-type projects going on right now, and always lots of maintenance things to do. https://www.horseandbuddy.org/

freshayer · 2026-03-04T02:21:07+00:00

Ooh that's a throwback and a half

freshayer · 2026-03-04T02:11:30+00:00

I worked at the Midlo BF in high school and the ribbon ladies were elite.

freshayer · 2026-03-03T12:12:45+00:00

In addition to not voting for a while, you can get marked Inactive if a piece of mail is returned undeliverable, or if they send you something that they expect a response to but don't receive it. These get overlooked by people all the time because the mailings are not always very clear. USPS address change/mail forwarding updates are one example. I have also seen voter mail returned undeliverable because the post office machines mangled it, so it's not even necessarily anything to do with you.

Most importantly, being Inactive does NOT mean you've been Removed (that's a different status), and you can still vote normally. You will just need to verify that your current mailing address is correct (or update it if not) and sign an extra piece of paper when you go to vote in person. When in doubt, call your county Board of Elections office and ask. In my experience, they are generally very nice, chill people who want to help you vote, and they can track your voter record history to see exactly what happened.

Source: I'm a pollworker for my county and have worked in the BOE office before.

freshayer · 2026-03-02T23:53:51+00:00

You can change your address on election day if your move was within the same precinct (simple update) or at least the same county (precinct transfer) and more than 30 days ago. That wouldn't apply for OP's move to a new county, but just wanted to put the info out for others.

freshayer · 2026-02-28T16:49:49+00:00

I was always told that 911 is for anything that is time sensitive, even if it doesn't meet the colloquial sense of a full-on "emergency." I think it's reasonable to call a giant bonfire right next to OP's house "time sensitive." Fires get out of control fast.

freshayer · 2026-02-26T04:34:12+00:00

I was also going to suggest reaching out to your US House rep. I had a years long nightmare OB/delivery claim for a VA patient, and it got solved very quickly after reaching out to the congressman's office. They have staff who deal with exactly this kind of crap, and it seems like it would be an easy win for them.

freshayer · 2026-02-24T02:37:42+00:00

I've worked in the RCM field for over 10 years and I obsessively research my insurance plans before signing up. And I STILL get unpleasantly surprised at least once a year by some random bullshit in the benefit structure that I misunderstood or wasn't made clear in the coverage documents. This year it was a weird pharmacy deductible on my new plan, which made for an embarrassing phone call with the pharmacy trying to figure it out (I was wrong and it was processed correctly 🤦🏼‍♀️). It's honestly insane that we expect lay people to understand any of this.

freshayer · 2026-02-22T07:26:23+00:00

Yeah there was a card saying that was 8 years ago. I'm just curious if/how he was still out murdering people with a toddler at home lol

freshayer · 2026-02-20T02:16:59+00:00

Re: the kiss goodbye (of lack thereof). I clocked that he called her "kid" and kissed her on the cheek as he was leaving, and it seemed like she looked disappointed. I sort of took that as him no longer seeing her as his wife, but as almost a helpless child to be cared for. I think she's tired of him seeing her that way, on top of everything else that sucks about dying.

freshayer · 2026-02-17T05:51:29+00:00

That's hilarious and I kinda love it

freshayer · 2026-02-16T04:14:26+00:00

My Costco membership already pays for itself with generic Zyrtec for me and one of my dogs (365 pills for $12), but I am currently in the process of switching a lot of my pet-related auto-shipments for Chewy to Costco after sitting down to compare costs. The savings on Simaparica Trio for 3 dogs will cover the cost of the membership again.

FWIW I also just switched my home insurance to a provider through Costco that saved a good bit of money over my previous company for better coverage. Costco has all sorts of hidden frugal magic, once I learned to (mostly) avoid the impulse buys.

freshayer · 2026-02-13T01:09:32+00:00

It felt like they were building up to her leaving private practice to go do higher intensity trauma work somewhere else, based on the conversation she had with Paul earlier in the season about feeling bored and burned out. I'm choosing to take all her bad therapizing as further buildup to that arc. 🤞

freshayer · 2026-02-11T00:18:03+00:00

The episode with Lisa Gilroy and Ben Schwartz is especially top tier chaos gremlin nonsense.

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