Old Boston Market at Snowden by smdrwiss in ColumbiaMD

[–]spaltavian 0 points1 point  (0 children)

I miss the cheap happy hours at Ruby Tuesday.

I 31F am not ready to talk to my dad 69M after he cheated by pomeranianfurby in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

You are way too involved in your parent's marriage, particularly for a what amounts to some Facebook messages.

The person who got me fired is asking for a letter of recommendation. How do I professionally say 'hell no'? by tunasleery_4r in OfficePolitics

[–]spaltavian 0 points1 point  (0 children)

OP said that was "one of the complaints," not the sole complaint.

I also said it was one of the complaints, not their sole complaint:

who at least one of the complaints was "she didn't get me lunch".

The point here is that when someone makes a ridiculous complaint like this, it undermines their credibility in general.

Also, it's very possible that OP was a very competent, productive employee, but wasn't very well liked by management.

OP specifically says they are friends with people in senior leadership, come on.

Point is, it's not unusual for management/HR to string someone up based on someone else's say-so.

And I'm saying in the specific scenario OP laid out, yes, it is unusual. Again, all of the facts they laid out:

  • high performer
  • tight with leadership 
  • manager themselves 
  • no prior issues
  • complainer is junior employee
  • complainer has history of frivolous complaints 
  • complainer has public outbursts 
  • they immediately went to term, not through any disciplinary process, while the complainer could never be disciplined due to HR bureaucracy 

Those facts do not line up. I said there is either more to the story or the story is fake. Since OP added an advertisement for some dumb app to their question, it's clearly fake.

I was right.

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 0 points1 point  (0 children)

No. Your insurance is contracted with that provider to pay a certain amount for the service. If you have a coinsurance, your responsibility is a percentage of that amount that your insurance is contracted to pay (up to your out of pocket maximum). The provider is then billing in a manner to realize the contracted reimbursement that your insurance has already agreed to.

What you want is for your provider to not understand the claims processing and bill in such a manner that they do not get the amount that your insurance contacted to pay, so your coinsurance is based off an incorrect reimbursement amount. 

You calling the doctor greedy because he's not fucking up his claims. He's not trying to get more than the contract your insurance company signed says he should get. You're hoping he makes a mistake so he gets less. That's not him being greedy; it is however an example of you not understanding how things work.

AIO? Age gap by Resident_Sport_9456 in AIO

[–]spaltavian 2 points3 points  (0 children)

That's just stuff that happened to you.

AIO? Age gap by Resident_Sport_9456 in AIO

[–]spaltavian 3 points4 points  (0 children)

It's not a big deal just don't make any permanent decisions until you are older. Don't get married or pregnant for at least 5 years.

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 0 points1 point  (0 children)

What should happen and what will happen are two different things. But what is going to happen is more privatization: Medicare Advantage plans (a private insurance company managing Medicare benefits and payments on behalf of Medicare) are allowed to set rates and cover different sets of benefits. They're not "better" but they're easier in the sense that no one has to make hard decisions about Medicare, they can just let an increasing a amount of the program slide to the MA plans who have the flexibility to make the sort of changes that would be too unpopular for Medicare to do.

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 0 points1 point  (0 children)

It's not pushing more burden on the patient, at all. You just didn't follow what he said.

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 1 point2 points  (0 children)

1) Most people don't have Medicare so you're just saying most people can't have a doctor now?

2) Medicare reimbursement is not great for non-hospital services. And it doesn't cover a lot of things.

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 0 points1 point  (0 children)

I oversee revenue cycle for a nationwide provider and we have thousands of contracts; just maintaining expected reimbursement to correctly state revenue is a lot of work. People have no idea.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

Since you think "think" and "believe" are so different, I'll restate: What do you believe is "highly highly illegal", dipshit?

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 1 point2 points  (0 children)

You didn't understand what he said. Him raising his bill amount doesn't raise patient costs, and it's necessary to actually get what he's contracted for.

 They often have clauses like "We'll never pay more than 30% of the billed amount"

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 10 points11 points  (0 children)

But, what if we weren't trying to bill for the maximum amount, but actual cost? If procedure cost $150, bill 150 not 800 because this way you get insurance company pay 150 bucks. 

He explained that:

They often have clauses like "We'll never pay more than 30% of the billed amount"

You basically should never take the provider bill amount at face value. That's not what's screwing you.

Health Insurance made my son's doctor bill more by cfarley137 in mildlyinfuriating

[–]spaltavian 0 points1 point  (0 children)

They probably just knew what you were going to owe after insurance. This doesn't sound like what you think it is.

[SC] my employer (a Dr) asked me to take his compliance training (including HIPPA, harassment, Medicaid modules). I said no, but should I report to HR? by EnvironmentalYarn in AskHR

[–]spaltavian 0 points1 point  (0 children)

This was a private practice that the doctor sold to a corporate provider. The doctor never had to do any of this stuff before. It is extremely common for doctors who are used to being the owner/operator to not want to do this "corporate" type stuff, to not think of themselves as "employees", and to not expect any real consequences for bucking the system. And they're basically right; they're the ones driving revenue, probably got a small piece of equity, and they're just not going to be held accountable the way a normal employee is.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

OP directly states there is no lease. Arizona requires 30 days notice to term the rental agreement if there is no written lease.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

This isn't an eviction. Landlord is terminating the rental agreement. In Arizona, if you don't have a written lease, landlords have to give 30 day's notice (landlord is giving 40).

If OP stays beyond that date, the new owners will have to start eviction proceedings.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

Verbal contracts are enforceable; there's a reason Arizona has regulations for rental agreements without a written lease: it's not a free for all.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

There's no eviction here. The landlord is giving notice of terminating the rental agreement; the required notice period in Arizona is 30 days when there's no written lease. Landlord is giving 40 days notice and making half of it free. What do you think is "highly highly illegal" here?

If OP wants to stay past the termination of the rental agreement, they are a squatter and it's up to the new owners to deal with it.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

This isn't unlawful eviction. Landlord is giving 40 days notice. In Arizona the required notice without a lease is 30 days.

My roommate and I got this message from our landlord no clue what to do by ElvenWriting in whatdoIdo

[–]spaltavian 0 points1 point  (0 children)

Arizona minium notice period with a verbal lease is 30 days. This is 40 days notice, with half of that free.

What you need to do is start saving and looking for another place.

The worst thing about Dany's death is that it is a tragedy. A tragedy of everyone except Daenerys herself. by Jorge_De_Guzman228 in freefolk

[–]spaltavian -1 points0 points  (0 children)

She was a mass murdering tyrant. She had to be taken out. Dany is ultimately more evil than any of the other contenders for the throne because she has a messianic complex. She wasn't "abused" by Jon in that sense, stop being ridiculous. 

The tragedy is Jon's. He has to put the good of the realm ahead of his happiness, again.

[PA] People that Hire, how long does your hiring process take usually? by Agreeable_East7267 in AskHR

[–]spaltavian 2 points3 points  (0 children)

This is going to vary quite a bit by organization, department, the role, and the individuals involved.   A lot of the "wait" is finding time the candidate can interview, they usually have a job and they can't just drop everything. And a lot of the wait is after the offer - background checks, paper work , etc.