There was this article from back in 2011 which a woman in Oregon claimed it was her Uncle, who had died in 1999. I don't know if it was ever proven or not.
I think for some (and I'm not saying mschuyler fits this, as I don't know the person at all) it's the status thing. Example.. this is an actual conversation I had with the CEO of the company I worked for:
Him: "Hey.. I got a new truck this weekend!" Me: "Really? Cool - what did you get?" Him: "Oldsmobile Bravada"
For him, it was status/look/etc. The thing never left pavement, ever. The most he hauled was groceries in the back seat. Same guy used to park his sports car under the sidewalk awning when it rained...
For some though, having the perfect paint job on their truck just means they take better care of it than most, and that's not a bad thing either. Or maybe they only use it for it's truck functionality occasionally, which is fine too. Mine never looked perfect when I had it, but I hauled stuff, towed stuff, etc all the time.
I'm glad I got out of the field before ICD-10. ICD-9 seemed fine enough and covered all the bases. The only thing I didn't see in ICD-10 was "captured by aliens, probe rear entry, subsequent encounter" Sure has everything else though..
If I recall correctly also, the 3 digit codes are facility revenue codes. She probably could have searched online for the CPT and rev codes to determine what they are - there's a million resources and they're all standard.
I don't know if the figure is accurate, but could be. I know it was a constant battle with physicians who always wanted more money, the carrier trying to both keep costs low *and* hold physicians accountable for patient care. For example, Patient sees Dr and Dr recommends an MRI. This can go one of two ways:
1> Dr. "My patient needs an MRI"
Carrier: "Ok, please provide the medical documentation to prove it's a necessary procedure"
Dr. "Sure, here you go"
Carrier: "Looks great - go for it"
2> Dr. "My patient needs an MRI"
Carrier: "Ok, please provide the medical documentation to prove it's a necessary procedure"
Dr. "No.. they need it because I said so."
Carrier: "Please provide the medical documentation to prove it's a necessary procedure"
Dr. "Don't you know what I do for a living? (lengthy argument follows)"
Frustrating because in the time it took 2 to have the argument and whine, they could have gotten the documentation in and had approval and had the procedure done and paid for. Unfortunately with 2, the patient is caught in the middle, and because the Dr. is someone they have known for some time, tends to be believed when they say "I just don't know why your insurance carrier won't approve this - I mean, I told them you need it!"
Case in point.. Chiropractor in California. The member had coverage for Chiropractic care, and the plan, as determined by the employer, asked the Chiro to send in medical notes after 5 visits to prove that progress was being made to correct the injury. Most had 0 issue providing this. This one refused. Flat out refused. The notes (I read them) basically stated, 'patient came in for adjustment and 2 modalities" No documentation or measurement of progress at all. I call the Chiropractor. Either they wouldn't pick up the phone, or when they did, spoke perfect english until I identified myself as calling from the insurance carrier to discuss what we need to pay patient x's claim. Suddenly the call would mysteriously disconnect and on callbacks, if they did answer, english was no longer an option. (this isn't me with a dig on any non-english speaking persons.. this is purely their reaction to my call). Frustrating for me, frustrating for the patient who finally had to go confront her Chiro face to face and demand they provide medical documentation, after which the patient had the expense of time and money to fax in to me so I could get the claim paid.
This is part of what is broken in the medical system. And yes, your insurance carrier isn't always part of the problem. Sometimes it is, but sometimes it's just as frustrated as you are.
As a former employee of a large insurance carrier in the US, I can tell you that the insurance carriers would love it to be simpler as well. My daily job was to sort out insurance claims and billing issues for customers, contacting Dr offices and hospitals. Some were great to deal with, and happily corrected the occasional error. Some were a constant may-as-well-put-you-on-speed dial and they were never wrong, just ask them. So many hands in the mix, so many variations on training, and so often, easily corrected errors that should never have happened in the first place. And from the carrier side, you can't tell an office, "you billed this with the wrong code" - legally hands are tied. Have to guide them and hope the light goes on.
And they'd never tell the patient that if you go in for a procedure, you'll be billed by the facility, the doctor, the anesthesiologist, the labs, and maybe assistant surgeon all separately.
I left to get back into my original IT career, but I can tell you the people, at least where I worked, really did care about the customers/patients and were just as frustrated with the system. The executives constantly were both asking for and implementing ideas from the rank and file, and were very open to any suggestions. They all wanted a simpler system, and were doing what they could do to make it like that, while still following the plethora of laws that need to be followed.
Is the plan to replace YouTube for Education with this? YTE never quite worked right, and the filtering YT offers itself blocks content randomly, almost laughable sometimes at what it deems objectionable.
What's that old saying? War is politics by other means.
I completely agree with you.. we could better spend resources on more important things and yet, the world we live in leads us to this. Too bad the entire world couldn't pull its collective head out of its butt and realize that we're all pretty much the same, and want the same things from life - no matter where you're from.
Think of it as job security. Sold to First responders - check. Sold to general public - check. General public uses it, crashes, and calls first responders - check!
The cost to run cable in the floor of the classrooms that are already built would far outweigh the benefit gained from wired, and you'd never get that cost passed by a school board or the community. There would also be the additional expense of PoE switches (about $6K+ a piece if you go Cisco, about half that if you don't), and a mess of patch cables (financially and physically). Nice idea on paper, but honestly wouldn't be practical in a classroom environment. WiFi AP per classroom is where it's headed - and you don't need to power it down. If setup correctly, each AP knows the APs around it, and will work together to provide bandwidth where needed (in range). Disclaimer: I work in a K-12
Not with Internet, but with regards to cable service - I called around a couple of years ago to TW, Dish, DirectTV (the providers in my area). Dish and DirectTV were able to tell me exactly what my costs would be Time Warner was advertising it's "First year for $X.xx" plan - so I asked them what I thought would be a simple math question - "What is my bill going to be after the yearly promotion ends?" The answer, "We can't tell you that." (that's a direct quote). So I further inquired as to why they couldn't tell me - and the answers varied between "We don't know" to "We can't tell you". Guess who didn't get our business.
Whether it be poorly trained customer service reps, or actual business practice remains to be seen - but when you can't quote me a price for a service you want to sell me - I have an issue with that.
Ever find it odd that most PC manufacturers (at least the variety I've seen over the years) disable S.M.A.R.T. in BIOS by default? Never understood the reasoning behind that...
You shouldn't stereotype. I've been in IT for over 20 years professionally, another 10 as a hobby prior. In past lives I've been everything from NetWare Admin, support of OS/2 before and after Warp, dabbled in Unix shells, and have used and supported various flavors of Windows from it's early days. I consider myself pretty well rounded and open to suggestions and change in the IT realm. The district where I work happens to run AD. I've brought myself up to speed on it, and feel pretty comfortable with it, but I'm not one of the "AD or Bust!" types that you may have run into in the past. Those folks just irk me:)
That's kind of the point of this venture - if we can streamline the login process, that in turn would take that waste of time out of the equation and they could focus more on using the technology more effectively.
GADS is nice - we make AD changes, and on the sync, Google gets them. That part rocks. SSO itself would be ideal, however. Starting to read though and it does look like a good challenge. From what I'm reading so far, ADFS may do what is needed. Lots more research needed though before I fire anything in.
You are correct that AD manages the passwords. We can setup GAPS very easily (Google Apps Password Sync) and already utilize GADS (Google Active Directory Sync). So there is *that* LDAP integration. Haven't missed it. The actual question was SSO, not password sync, and they aren't the same thing. I want a student (elementary, for example, ages 4-10 or so) to be able to use one small login, and be able to access all they need to.
I was able to and have been doing research prior to posting, and after posting - I consider the/. community a good resource for brainstorming an idea from those who may have already invented that wheel. Also, when you're a staff of 2, plus a very busy supervisor for 6 buildings and over 1000 users... your time is kind of limited for research, and sometimes you have to reach outside for help.
You are correct - having elementary students type the @domain.etc.yadda.yadda that GAFE requires can be painful for the teaching staff to work through. I appreciate your comments and information - really has given me a lot to read over and I'm thinking that may just do the trick. Thank you!
Slashdot Mirror
There was this article from back in 2011 which a woman in Oregon claimed it was her Uncle, who had died in 1999. I don't know if it was ever proven or not.
Shouldn't you be running Lotus 1-2-3, and Netscape Navigator Gold 3.0?
Funny thing.. I was helping empty a lab today and we found install disk #6 for WFW 3.11. No joke :-D
Good call on Kermit!
http://www.columbia.edu/kermit...
Used to use that to get into my *nix shell accounts. Man do I miss those days..
Hmm.. internal or external? And would you be transferring those files with Xmodem? :)
I think for some (and I'm not saying mschuyler fits this, as I don't know the person at all) it's the status thing. Example.. this is an actual conversation I had with the CEO of the company I worked for:
Him: "Hey.. I got a new truck this weekend!"
Me: "Really? Cool - what did you get?"
Him: "Oldsmobile Bravada"
For him, it was status/look/etc. The thing never left pavement, ever. The most he hauled was groceries in the back seat. Same guy used to park his sports car under the sidewalk awning when it rained...
For some though, having the perfect paint job on their truck just means they take better care of it than most, and that's not a bad thing either. Or maybe they only use it for it's truck functionality occasionally, which is fine too. Mine never looked perfect when I had it, but I hauled stuff, towed stuff, etc all the time.
I'm glad I got out of the field before ICD-10. ICD-9 seemed fine enough and covered all the bases. The only thing I didn't see in ICD-10 was "captured by aliens, probe rear entry, subsequent encounter" Sure has everything else though..
If I recall correctly also, the 3 digit codes are facility revenue codes. She probably could have searched online for the CPT and rev codes to determine what they are - there's a million resources and they're all standard.
I don't know if the figure is accurate, but could be. I know it was a constant battle with physicians who always wanted more money, the carrier trying to both keep costs low *and* hold physicians accountable for patient care. For example, Patient sees Dr and Dr recommends an MRI. This can go one of two ways:
1> Dr. "My patient needs an MRI"
Carrier: "Ok, please provide the medical documentation to prove it's a necessary procedure"
Dr. "Sure, here you go"
Carrier: "Looks great - go for it"
2> Dr. "My patient needs an MRI"
Carrier: "Ok, please provide the medical documentation to prove it's a necessary procedure"
Dr. "No.. they need it because I said so."
Carrier: "Please provide the medical documentation to prove it's a necessary procedure"
Dr. "Don't you know what I do for a living? (lengthy argument follows)"
Frustrating because in the time it took 2 to have the argument and whine, they could have gotten the documentation in and had approval and had the procedure done and paid for. Unfortunately with 2, the patient is caught in the middle, and because the Dr. is someone they have known for some time, tends to be believed when they say "I just don't know why your insurance carrier won't approve this - I mean, I told them you need it!"
Case in point.. Chiropractor in California. The member had coverage for Chiropractic care, and the plan, as determined by the employer, asked the Chiro to send in medical notes after 5 visits to prove that progress was being made to correct the injury. Most had 0 issue providing this. This one refused. Flat out refused. The notes (I read them) basically stated, 'patient came in for adjustment and 2 modalities" No documentation or measurement of progress at all. I call the Chiropractor. Either they wouldn't pick up the phone, or when they did, spoke perfect english until I identified myself as calling from the insurance carrier to discuss what we need to pay patient x's claim. Suddenly the call would mysteriously disconnect and on callbacks, if they did answer, english was no longer an option. (this isn't me with a dig on any non-english speaking persons.. this is purely their reaction to my call). Frustrating for me, frustrating for the patient who finally had to go confront her Chiro face to face and demand they provide medical documentation, after which the patient had the expense of time and money to fax in to me so I could get the claim paid.
This is part of what is broken in the medical system. And yes, your insurance carrier isn't always part of the problem. Sometimes it is, but sometimes it's just as frustrated as you are.
As a former employee of a large insurance carrier in the US, I can tell you that the insurance carriers would love it to be simpler as well. My daily job was to sort out insurance claims and billing issues for customers, contacting Dr offices and hospitals. Some were great to deal with, and happily corrected the occasional error. Some were a constant may-as-well-put-you-on-speed dial and they were never wrong, just ask them. So many hands in the mix, so many variations on training, and so often, easily corrected errors that should never have happened in the first place. And from the carrier side, you can't tell an office, "you billed this with the wrong code" - legally hands are tied. Have to guide them and hope the light goes on.
And they'd never tell the patient that if you go in for a procedure, you'll be billed by the facility, the doctor, the anesthesiologist, the labs, and maybe assistant surgeon all separately.
I left to get back into my original IT career, but I can tell you the people, at least where I worked, really did care about the customers/patients and were just as frustrated with the system. The executives constantly were both asking for and implementing ideas from the rank and file, and were very open to any suggestions. They all wanted a simpler system, and were doing what they could do to make it like that, while still following the plethora of laws that need to be followed.
Is the plan to replace YouTube for Education with this? YTE never quite worked right, and the filtering YT offers itself blocks content randomly, almost laughable sometimes at what it deems objectionable.
What's that old saying? War is politics by other means.
I completely agree with you.. we could better spend resources on more important things and yet, the world we live in leads us to this. Too bad the entire world couldn't pull its collective head out of its butt and realize that we're all pretty much the same, and want the same things from life - no matter where you're from.
Think of it as job security. Sold to First responders - check. Sold to general public - check. General public uses it, crashes, and calls first responders - check!
The cost to run cable in the floor of the classrooms that are already built would far outweigh the benefit gained from wired, and you'd never get that cost passed by a school board or the community. There would also be the additional expense of PoE switches (about $6K+ a piece if you go Cisco, about half that if you don't), and a mess of patch cables (financially and physically). Nice idea on paper, but honestly wouldn't be practical in a classroom environment. WiFi AP per classroom is where it's headed - and you don't need to power it down. If setup correctly, each AP knows the APs around it, and will work together to provide bandwidth where needed (in range). Disclaimer: I work in a K-12
Not with Internet, but with regards to cable service - I called around a couple of years ago to TW, Dish, DirectTV (the providers in my area). Dish and DirectTV were able to tell me exactly what my costs would be Time Warner was advertising it's "First year for $X.xx" plan - so I asked them what I thought would be a simple math question - "What is my bill going to be after the yearly promotion ends?" The answer, "We can't tell you that." (that's a direct quote). So I further inquired as to why they couldn't tell me - and the answers varied between "We don't know" to "We can't tell you". Guess who didn't get our business.
Whether it be poorly trained customer service reps, or actual business practice remains to be seen - but when you can't quote me a price for a service you want to sell me - I have an issue with that.
Ever find it odd that most PC manufacturers (at least the variety I've seen over the years) disable S.M.A.R.T. in BIOS by default? Never understood the reasoning behind that...
Ok, I'll bite. Just because it was fun? Why not? Sorry if you took my hyperlink to a wikipedia article personally.
In a perfect world with unlimited funding, that would be easy. It may get there eventually. For now, we need both and need to make both work.
You shouldn't stereotype. I've been in IT for over 20 years professionally, another 10 as a hobby prior. In past lives I've been everything from NetWare Admin, support of OS/2 before and after Warp, dabbled in Unix shells, and have used and supported various flavors of Windows from it's early days. I consider myself pretty well rounded and open to suggestions and change in the IT realm. The district where I work happens to run AD. I've brought myself up to speed on it, and feel pretty comfortable with it, but I'm not one of the "AD or Bust!" types that you may have run into in the past. Those folks just irk me :)
That's kind of the point of this venture - if we can streamline the login process, that in turn would take that waste of time out of the equation and they could focus more on using the technology more effectively.
Thank you - I will!
Thank you - I'm reading though it now.
GADS is nice - we make AD changes, and on the sync, Google gets them. That part rocks. SSO itself would be ideal, however. Starting to read though and it does look like a good challenge. From what I'm reading so far, ADFS may do what is needed. Lots more research needed though before I fire anything in.
That's the login format for schools across the country. It's not exactly a state secret.
You are correct that AD manages the passwords. We can setup GAPS very easily (Google Apps Password Sync) and already utilize GADS (Google Active Directory Sync). So there is *that* LDAP integration. Haven't missed it. The actual question was SSO, not password sync, and they aren't the same thing. I want a student (elementary, for example, ages 4-10 or so) to be able to use one small login, and be able to access all they need to.
I was able to and have been doing research prior to posting, and after posting - I consider the /. community a good resource for brainstorming an idea from those who may have already invented that wheel. Also, when you're a staff of 2, plus a very busy supervisor for 6 buildings and over 1000 users... your time is kind of limited for research, and sometimes you have to reach outside for help.
You are correct - having elementary students type the @domain.etc.yadda.yadda that GAFE requires can be painful for the teaching staff to work through. I appreciate your comments and information - really has given me a lot to read over and I'm thinking that may just do the trick. Thank you!