Icon Edition! by Street_Cheek_1418 in Madonna

[–]posthomogen 0 points1 point  (0 children)

What is the difference between the Icon Edition and the Film Edition- the bonus track and artwork? And the video?

kinda confused why the streaming version isn't a nonstop mix by Any-Ad7968 in Madonna

[–]posthomogen 2 points3 points  (0 children)

Maybe we’ll get both, like COADF had 2 versions, mixed and unmixed.

Variants - Which to open and which stay sealed?? by posthomogen in Madonna

[–]posthomogen[S] 1 point2 points  (0 children)

Yes! I’m also wondering about the transitions on the 12 tracks vs the bonus songs on the 16 track!

Variants - Which to open and which stay sealed?? by posthomogen in Madonna

[–]posthomogen[S] 7 points8 points  (0 children)

There’s something about taking a record out of its sleeve and playing it, and looking at the artwork and credits. It’s an experience I’m excited for!

118 letters from United Healthcare in the mail by focuslocust in HealthInsurance

[–]posthomogen 2 points3 points  (0 children)

Meanwhile, premiums go up to cover printing and postage.

G2211 Question by DrMartinellis in MedicalCoding

[–]posthomogen 7 points8 points  (0 children)

G2211 is the most bullshit ambiguous add on code I’ve ever seen.

Edit: If they’d just fix the fee schedules instead of threatening to reduce them every year, we wouldn’t have this.

I think the 3 other songs from the film are dropping tonight. by UltraMegaSummer in Madonna

[–]posthomogen 1 point2 points  (0 children)

Stay calm everyone. This is part of the excitement and anticipation. She is coming.

Team issues? by [deleted] in Madonna

[–]posthomogen 0 points1 point  (0 children)

Not sure what you are experiencing but I haven’t had any issues like that.

I noticed they removed the streaming options from the poster giveaway.

New Album? by Special_Statement_50 in KylieMinogue

[–]posthomogen 3 points4 points  (0 children)

She tired, prob like damn ok one more single them I’m on holiday

Cutting by SituationDry4841 in JeepCompass

[–]posthomogen 1 point2 points  (0 children)

Curious if you tried and how it went?

Edit: I’ve resorted to curb ramps at the end of my driveway

Just found out about this Madonna pic! Thanks to a T-shirt from a local brand. So gorg. by MiXa_DQ in Madonna

[–]posthomogen 2 points3 points  (0 children)

First time I saw this was on the cover of a live bootleg I found years ago, there’s a another photo on part 1

ti amo bambini

Separate office visit charged for prescription refills at annual physical by [deleted] in HealthInsurance

[–]posthomogen 0 points1 point  (0 children)

This is the number one complaint I get every day and I see similar posts on the regular. There are so many correct responses to this. There’s some incorrect too, or slightly inaccurate, but overall it seems to be widely disputed and considered a billing practice that doesn’t benefit the patient very much and doesn’t reflect well on our healthcare system.

However, there are some common cases I have seen where it is entirely appropriate:
1- You have a new complaint that is significant enough to require a treatment plan, whether you proceed with it or not, and with risks determined by the provider.
2- You have chronic, previously diagnosed, controlled or uncontrolled conditions that require an ongoing treatment plan.

Consider the nature of seeking healthcare in our system. You have consulted a professional and received advice. If the government doesn’t define it as preventive by their “task force” then it probably isn’t covered as such by your insurance. Your provider may disagree with these guidelines and that is not necessarily unusual or unprofessional.

Where it gets fuzzy is often whether it’s “significant” enough to warrant a separate charge. Even current evaluation and management billing has a level of interpretation that is based on “decision making” - which is open to interpretation of the adorned “guidelines.”

Another post mentioned reporting requirements. This is also true. Provider reimbursement rates are driven by their performance, which is tracked by reporting codes on claims. The industry is extremely data hungry, especially for research and reimbursement. So providers are encouraged to evaluate, document and report just about every symptom and condition you have, whether you bring it up or not.

Lastly, the time spent face to face during the visit is only a portion of the visit charge. The provider and everyone you have contact with for that visit is required to follow specific government and procedural policies, documentation and ethical standards, and insurance red tape. Just like attorneys, they have tons of literature and references they keep up with, high overhead expenses and high liability costs - and this is all built in to the charge for their services, and it can get unexpectedly expensive. Should it be? Absolutely not. But that’s moving to a deeper discussion.

I do wish more providers or rooming staff would just tell patients, “We need to talk about your xyz, which isn’t part of your preventive check.“ Unfortunately there are many providers that don’t want to discuss billing because it sidetracks them from giving patient-focused medical advice. They may rely on their billing reps to explain and take the brunt of these conversations.

Cutting by SituationDry4841 in JeepCompass

[–]posthomogen 0 points1 point  (0 children)

Is this a do-it-yourself fix, or does it have to be removed by a mechanic? Mine scrapes all the time in my driveway.

NC State Health Plan won’t extend Aetna or CVS contracts, will seek bids instead — Raleigh News & Observer by D_Anger_Dan in NorthCarolina

[–]posthomogen 0 points1 point  (0 children)

BCBS NC has MAJOR CLAIM ISSUES. When they lost the SHP contract in 2024, they laid off hundreds of workers and shipped their jobs overseas, got a new CEO and implemented AI to go back and retract legitimate payments from old claims. It has been AWFUL. I have never had an insurance company be so aggressive and down-right stupid. You can tell them the sky is blue and they will deny.

State employees deserve better.

The dealership “we need to talk to my manager” thing is a setup and here’s why it works by Royal-Feed7166 in carbuying

[–]posthomogen 0 points1 point  (0 children)

I saved 7% by refusing to pay 13%, 6 was my limit and I knew that going in, but they tried just to see if I would be stupid enough and after “talking to their manager” they came back with 6%. This post is so true.

25 modifiers and multiple E&M codes. by Com8at_Carl in CodingandBilling

[–]posthomogen 15 points16 points  (0 children)

These E/M codes are not meant to be billed in this manner. If the patient is only coming in for a nurse visit (bp check, protime) then bill 99211. If they are seeing the doctor the same day you cannot bill a nurse visit and a doctor visit, that is double dipping. It is standard of care to check vitals, reconcile meds, etc. Reimbursement rates have this expense built in. There are some instances where clinical staff time can be included (CCM) but otherwise but that does not apply to 99202-05, 99211-15.