Wednesday, April 07, 2004

A link from oldwhig

Funny How the Democrats keep poppong up just when America is crushing some slave nation-thinking to save us from crushing some slave nation.
From ejectejecteject
Then, as now, the newspapers were ablaze with lurid headlines of the failure of the war, and then, as now, a Democrat was running on a peace now platform. He too was a former soldier who claimed to want to protect the troops by bringing them home from a fight they should never have been in in the first place.

I like the way he put's this.
They are counting on Janeane Garofolo and Kos and Michael Moore and Sarandon and Franken and Rather. The bodies on the Fallujah bridge are for them. And, sadly, it seems they know their audience.

I would like to say it this way.
The god of the Iraqi rebels is not Allah but people like Garfolo and Kos and Michael Moore and Sarandon and Franken and Rather. How do I know this? Because thay sacrifice so many lives for them and Rather and Franken and Sarandon and Michael Moore and Kos and Garfolo give them their rewards.

Tuesday, April 06, 2004

Muslims in the U.S.

Contrary to Muslim American rhetoric Muslims in the U.S. are not pro American.

Tolerating Terrorism
Joel Mowbray
April 6, 2004


Council on American-Islamic Relations (CAIR).
Nowhere in the statement, in fact, did CAIR condemn the murder of the four Americans.

Evolution

As you can see I have nothing to say good for
evolution



Quote frome Gary Jerkins

"If theory of evolution is correct then we should be seeing new life continously poppin out of the swamps."

----------------------------------------------------------------

Like I said. Prove it.

Monday, April 05, 2004

The Reality of Outsourcing in the Hospital Industry

Authored by Karen Erkkila

I want you people to listen up or should I say read up! This will effect most YOU at one point or another. When a hospital business office is outsourced where do you think you are going to go to get your medical claims resolved? The company that outsourced the business? Ha, ha, ha. Not so they are out of town. Ha, ha, ha. Does anyone know what it takes to get a claim paid? Guess what, hospitals and doctors do not have to bill your insurance or have any contract with your insurance that allows so much of your account to be adjusted off. The UCR. This is a courtesy. Once there are no contracts between hospitals and doctors you will be responsible for what ever your insurance does not pay no matter who you have insurance with and YOU will be responsible for filing your own claims and for the total bills due.
Hospitals file claims for a number of reasons one of which is a service to the customer and the other is because they are better prepared to run the gauntlet that getting an insurance premium paid.
A business office consists of 3 to 4 groups. Claims, billing, customer service and collections. In a medium sized hospital of 300 beds or so it takes 30 to 35 people to take care of claims and the resulting customer responses.

First when you come to a hospital you have to go thru registration, so that your insurance and personal information can be entered into the computer for insurance filing and billing. Then once you have test, labs, x-rays, outpatient surgery, surgery or hospital stays the hospital has the info needed to file your claim. Before a claim can be filed it has to go to medical records where the diagnosis and charge codes are put in along with the type of bill,ie hospital surgery, outpatient surgery, lab, xray and hospital stays, revenue codes and occurrence codes. These codes are used for the insurance company to determine what kind of service was done, when, where and why and from there determine proper payments .
Do you know what a revenue code is? Do you know what an occurrence code is? do you know what a HCPC is? A CPT-4 code or an ICD-9 code is? Do you know what an meob, eob or cob is? All used identify and create your bill to send to your insurance company

Primary insurance is the insurance that you have that pays for your lab work, out patient surgery, surgery, hospital stays and x-rays. Any medications that you need and any supplies used during this time of the visit. That is why we need a copy of your insurance card. Now a secondary insurance is an insurance policy if both spouses work and the husband has insurance on him and his wife and the wife works and has insurance on her and her husband. For the husband his insurance would be primary and the insurance his wife has taken out on him would be secondary. and the wife's insurance would be primary for her and the insurance her husband took out would be secondary. Some people have Medicare when they retire and that would be primary and if they keep the insurance thru their employer this insurance would be secondary and then there can be third and fourth insurance's.
All of these things are needed to file a claim. I would say that on average 40 to 45% of all claims have errors or problems with the insurance information that needs to be corrected. The insurance companies have to have the proper codes for what you are being billed for these are the CPT or ICD 9 and the proper diagnosis codes the for the claim which are the CPT-4 codes. If there is secondary insurance we have to have the meob, eob or cob. This stands for Medicare explanation of benefits, explanation of benefits and coordination of benefits.

There are a lot of positives to having a business office avilable in the facility where you recieve cares.
A lot of claims are sent electronically to your insurance company which means if there is an error the claim will kick out; in other words the insurance company receives the claim reviews it and if there is an error that info is given to the hospital within a week for correction.
Claims department makes sure your claim gets to your insurance company with all the proper coding and codes. Sometimes when you register, a mistake is made. Then it goes to billing and customer service. There any problem is found or the patient is called or sent a letter telling them to contact the hospital so the claim can be processed and paid for the patient. Billing and customer service are the interface between and their insurance companies and most hospitals you can walk into and ask for help with claims or billing. Most Customer Service Representatives are hardworking and honest people that will go the extra mile to help you.

Now if do not respond to calls or letters your account will go to collections. Usually by then the patient will call and give us the correct information we need and the claim is refiled. If not then the patient is responsible for that bill because we only have 90 to 180 days to get your claim filed. We even have charity or indigent care for those patients who cannot afford to pay the balance on their claims. collections and customer service are also tasked with helping patients with this.

All of these services are performed by the hospital business office and representatives have at there disposal in a hospital all of the resouces close at hand . If the insurance company needs a file the CSR's can run down the hall and get it from records and fax it. Any clerical errors are easily corrected. We also have to remember that these same office workers work in the cities and communities of the hospitals.. They have a vested interest in seeing these hospitals flourish. Outsourcing almost always takes the business office out of town. The people who would have interfaced directly with the insurance company, customers, and hospital are invariably moved to other positions in the hospital or laid off. Bad for the local community. Good for the gobal economy but I don't think that the people who are laid off or the local community at large are served.

If this business office is outsourced where are you going to go to get your claim paid correctly? The new outsourced billing company? They couldn't care less they do not have access to your files and it could take weeks or months for them to get back to you. Remember you only have 90 to 180 days to get your claim filed. Happy trails trying to say to the hospital that they didn't file your claim properly because they don't have to do it for you . Is this what America wants? Is this what YOU want? Just think if hospitals can do it so can everyone else. . And by the way, usually when an office is outsourced it goes to another state completely. Gonna call or go to Tennessee or California to get results, it will not happen.

I have worked for hospitals who have outsourced their billing and 6 months to a year later they get their claims back in hundreds of boxes that these companies cannot get paid because they didn't care to work at it . So I don't know about you, but I would rather have someone who knows what they are doing and can help me right here and right now. And I do not want to be stuck with a bill just because that outsourced billing company has no idea of what they are doing. And how about those automated telephone systems. There great aren't they until the problem you have doesn't fall under the category you need help with.Sure it is ok for small doctors offices who cannot afford the software or the people to do the billing, but let's look at the big picture, no one there at the hospital to help you, what are you going to do? You are stuck with the bill. So let's keep outsourcing for the smaller companies or doctor offices and let's keep the hardworking and honest people there in that hospital or large company to help you when and where you want it.

One other thing. How do I know all these things happen? You should have seen the mess that a local hospital billing was in after their foray into outsourcing. They lost millions, Millions. They almost went under. It took two years to get the hospital back in the black.

Well anyway Good luck if your hospital outsources. Hope you don't get stuck with your bill. Ha, ha, ha, ha.

Sunday, April 04, 2004

OUTSOURCING: with a side note

In any given business there are going to be problems. In the past companies used to have all of the people who were experts in there respected areas. If a problem cropped up the company would just call get one of their own people up there and solve it. If a toilet broke down they would call maintenance and get it fixed. If they ran into a glitch with software they called one of their own programmers in. If a there were changes in the laws that affected accounting or management then they got their accountants and management teams in to work out the details. Now if it is all outsourced and believe you me if you call me( a service technician) in I am going to charge you a damn pretty penny to fix your ----! I call it ---- because by the time I get there in a great many cases because of the lack of maintenance people on site the equipment has turned to ----. Oh in case you are wondering what---- means it has something to do with what you flush.

The vast majority of people who work in the white collar management industry are TOTALLY stupid when it comes down to gettin their hands dirty. You people are trying to outsource all the little things you buy in your houses. I remember sitting in colledge class business 101. The first thing that my proffessor says is that the new emerging information age was going to replace our current factory based economy. The first thought I had was_no it is not! Let me see you people wear elctronic clothing, live in a virtual house, eat paper. That gets the dreaded HAHAHAHAHAHAHA from me. Information is a tool that helps us make what we wear, build what we live in, and grow what we eat faster, better, and cheaper, not replace it. It supports the factory part of our economy and adds a complimentary industry not a replacement industry you cumquats! If we outsource what we wear, build, and eat we are only going to make ourselves freeze to death, burn to death, and starve to death. Our factory based economy used to provide 25% of all jobs in the U.S. now it is down to 17%. If we outsource The information industry then we have one final bastion in our economy. Construction! Little do you Numbrains know that we are year by year outsourcing that industry as well by shear laziness. with the importation of cheap labor (Mexico) just because we don't waaaana get our fingernails dirty.

Just a little side note:

I have got a suspicion that maybe some of it is slave labor. HUH you say? Yeah slaves! The incredible number of freeway businesses bought by those child laboring, slave owning, sweatshop believing Indians (street slang,dot heads)SLAVES! There are an estimated 21 million slaves in India so reports Paul Harvey. I would be willing to bet that we are hosting slaves. I'm so proud of this country I think I will be sick. Yeah it is not bad enough that We the people of the United States of America give those greeds tax free interest free money to buy those stations and motels. Guess what President that prospered under? BILL CLINTON! A DEMOCRAT! The very thing that 500,000 Americans died fighting over during the war between the states we may be by ignoring party to. (vomit)
They need to go back to their own country and make it just like ours. Hell they got a consumer market of 1.2 billion people. They should have been able to create an economy worth 24 trillion by now. Oh I forgot they got a different culture than ours. SO eat our dust! If they squelch their own ingenuity doesn't mean they have to bring their squelch here.


Back to my main subject:

Here is a saying I've started: Management works employee's work. Management don't work-employees don't work!

I will put it this way. Talk is cheap, if management is all yak and no clap then employees are going to do the duh-huh and go right back to what they were doing and that is nothing. That is a good money maker for the companies ain't it.
Here is another saying: Money talks and bs walks. I want to change that a little to: Results talk and bs walks.
People who only learned how to talk the talk but know nothing of the walk don't belong in management and are nothing but clanging gongs and banging cymbals. That is why the people in the trenches are griping about the idiots in the front offices. These people know that those people are ruining the very companies they are working for. And oh the management who is the problem comes to the conclusion that It's tooo much trouble to do all the paper work ourselves we should outsource our business offices.

I love the movie Forest Gump. The character says it like this: Life is like a box of chocolates, You never know what you are going to get.


Is the company that outsources being lied to and are they going to get what they pay for;
or are they going to get what they paid for? Right now it's a crapshoot.


The main reason that companies are outsourcing is because they are cowards and morally corrupt. They are running away from the difficulties of trying to manage the prima donnas that they hire and the stupid management doesn't know the difference between prima donnas or good employees. In fact every time I turn around the stupid managers are giving their good hard working employees that actually care about their damn companies a bad time and rewarding their lying cheating idiots they hire. The old saying goes; Misery loves company so the miserable keep the miserable around and get rid of the good, perpetuating their misery. That is the ultimate in stupidity.


Management is morally corrupt and irresponsible. Responsibility takes courage. It is not easy to stand by watching over the employees Helping them solve the problems that crop up. It is not easy taking the chance that you will be wrong it is not easy taking the initiative making decisions that might be wrong later. It's not easy admitting that you were wrong It ani't fun getting your ass chewed out because you screwed up. It is one of the hardest things humans do to humble themselves. Feeling humiliated because we've been dumb or forgot a detail. In fact it can be downright harrowing stressful nagging crap. Hack it! Do like I do hack it nice! That's why they call it WORK. That is what you get paid for. That is why they call it a service. It is work and work is damned. Sweat of the brow! In fact God damned work, in the truest sense of the word Goddamned. If you can't hack work then quit working. Idiots!
Spare the rest of us who can hack work the misery of having to put up with your lying miserable animal asses.

Know what the answer is? Jesus Christ. For further information on the subject of Jesus check my archives. If you find that unsatisfactory check my reference book. The King James version of the Bible. The books of Mathew ,Mark, Luke, and John. For further information on how to manage read the rest of the bible.

For those of you who don't like the way I put things, keep in mind that I can say stuff any way I like! Why? Cause this is America and it's called the freedom of speech. And by God I'm exercising it whether you like or not!



Saturday, April 03, 2004

Fuel prices aint that bad yet

Price of gas in 1980 $1.20 a gallon

Average price of gas today $1.77

What it could be (1980 price inflation adjusted) $2.30

This is the reason that higher gas prices aren't hurting the economy as much as the demoncrats are whining about.


Butchy Cataldo?

Larry Elder
April 1, 200




The people who know Kerry best consider Kerry aloof, imperious and condescending. Even worse, Kerry can't seem to retain their names. At a 1996 Massachusetts political affair, a Democratic Massachusetts State legislator said to his friends, "Watch this."
He walked up to Kerry and said, "Hi, Senator -- Representative Butchy Cataldo." At this, Kerry smiled, slapped his back and exclaimed, "Butchy, so good to see you again!" One problem -- the guy, the state rep -- was not Butchy Cataldo. In fact, Butchy Cataldo ran and lost to this Kerry-greeting legislator whose name is Bill Reinstein, a man bearing no resemblance to the tall, dark-haired Cataldo.



Oh you poor waaa-iners

Jeff Jacoby (archive)
April 2, 2004



In a nationwide survey conducted for ABC and the BBC by Britain's Oxford Research International, 56 percent of Iraqis say their lives are better now than before the war; only 19 percent say things are worse. Asked how things are going for them personally, seven out of 10 Iraqis say that life is good. Because of "Bush's war," Iraqis today brim with optimism. Fully 71 percent expect their lives to be even better a year from now; less than 7 percent say they'll be worse. Iraq today may just be the most upbeat, forward-looking country in the Arab world.

__________________________________________________

Hey that's up from 53% in the last pole I blogged on the subject..

Fuel effecient cars

I'm slightly miffed that there are no American made cars in this lot


Top 10 fuel-efficient vehicles

Rank


1
Model Honda Insight (manual)
Car type Small car
Overall mpg 51
City mpg 36
Highway mpg 66

2
Model Toyota Prius
Car type Small car
Overall mpg 44
City mpg 35
Highway mpg 50

3
Model Volkswagen Golf GLS TDI (manual)
Car type Small car
Overall mpg 41
City mpg 29
Highway mpg 54

4
Model Toyota Echo (manual)
Car type Small car
Overall mpg 38
City mpg 29
Highway mpg 46

5
Model Honda Civic Hybrid
Car type Small car
Overall mpg 36
City mpg 26
Highway mpg 45

6
Model Volkswagen Jetta GLS TDI (manual)
Car type Small car
Overall mpg 32
City mpg 22
Highway mpg 46

7
Model Toyota MR2
Car type Sporty car
Overall mpg 31
City mpg 25
Highway mpg 36

8
Model Mini Cooper
Car type Sporty car
Overall mpg 30
City mpg 23
Highway mpg 38

9
Model Honda Civic EX
Car type Small car
Overall mpg 29
City mpg 20
Highway mpg 41

10
Model Toyota Corolla LE
Car type Small car
Overall mpg 29
City mpg 20
Highway mpg 39



And the winner is? The Honda insight manual shift with the incredible 51 mpg overall and the totally awsome 66 highway.


Friday, April 02, 2004

Evolution?

Yup! You guessed it Libertybob.
I have one thing to say about evolution.

PROVE IT!

Until then Georgia will be just fine and better thankyou.

By the way do you know who controls the economy? Mabey businessmen you think? How about the government? Nope. It's the consumer. Did you know that 86% of those consumers were christians? Wow, that is 240 million out of 285 million people. You all better start catering to us or find another country.

Georgia will be just fine but mabey your state will not Libertybob.

Their will be no muslim religion by the year 2070

This is the Muslims lot today,


Da 8:5And as I was considering, behold, a he-goat came from the west over the face of the whole earth, and touched not the ground: and the goat had a notable horn between his eyes.
Da 8:6And he came to the ram that had the two horns, which I saw standing before the river, and ran upon him in the fury of his power.
Da 8:7And I saw him come close unto the ram, and he was moved with anger against him, and smote the ram, and brake his two horns; and there was no power in the ram to stand before him; but he cast him down to the ground, and trampled upon him; and there was none that could deliver the ram out of his hand.

For the unitiated in the bible or too lazy to go and look the Ram is the Medo-Persian kingdom with two kings. The He-goat is the grecian king with one king. These events described are near end of times events.

Believe it or not, but watch and see if Democracy doesn't grow and become even more predominant upon the face of the earth. Also watch as the Muslims retreat as a religion.
Let's see if I'm right in-MY-interpretation of these verses.

ODE TO HOBBS

Don't listen to my words

And you won't hear your DOOM

Don't read my words

And you won't see your DOOM

Jokes

THE TECHNOLOGICALLY CHALLENGED
Just in case you think YOU are TC (technologically challenged), there's still hope:
1. Compaq is considering changing the command "Press Any Key" to "Press Return Key" because of the flood of calls asking where the "Any" key is.
2. AST technical support had a caller complaining that her mouse was hard to control with the dust cover on. The cover turned out to be the plastic bag the mouse was packaged in.
3. Another Compaq technician received a call from a man complaining that the system wouldn't read word processing files from his old (5-1/4") diskettes. After troubleshooting for magnets and heat failed to diagnose the problem, it was found that the customer had labelled the diskettes, then rolled them into the typewriter to type the labels.
4. Another AST customer was asked to send a copy of her defective diskettes. A few days later a letter arrived from the customer along with photocopies of the floppies.
5. A Dell technician advised his customer to put his troubled floppy back in the drive and close the door. The customer asked the tech to hold on, and was heard putting the phone down, getting up and going across the room to close the door.
6. Another Dell customer called to say he couldn't get his computer to fax anything. After 40 minutes of troubleshooting, the technician discovered the man was trying to fax a piece of paper by holding it in front of the monitor screen and hitting the "send" key.
7. Yet another Dell customer called to complain that his keyboard no longer worked. He had cleaned it by filling up his tub with soap and water and soaking the keyboard for a day, then removing all the keys and washing them individually.
8. A Dell technician received a call from a customer who was enraged because his computer had told him he was "bad and an invalid". The tech explained that the computer's "bad command" and "invalid" responses shouldn't be taken personally.
9. A confused caller to IBM was having troubles printing documents. He told the technician that the computer had said it "couldn't find printer." The user had even tried turning the computer screen to face the printer - but his computer still couldn't "see" the printer.
10.An exasperated caller to Dell Computer Tech Support couldn't get her new Dell Computer to turn on. After ensuring the computer was plugged in, the technician asked her what happened when she pushed the power button. Her response, "I pushed and pushed on this foot pedal and nothing happened." The "foot pedal" turned out to be the mouse!
11.Another customer called Compaq tech support to say her brand-new computer wouldn't work. She said she unpacked the unit, plugged it in and sat there for 20 minutes waiting for something to happen. When asked what happened when she pressed the power switch, she asked "What power switch?"
12.True story from a Novell NetWire SysOp:
Caller: "Hello, is this Tech Support?"
Tech: "Yes, it is. How may I help you?"
Caller: "The cup holder on my PC is broken and I am within my warranty period. How do I go about getting that fixed?"
Tech: "I'm sorry, but did you say a cup holder?"
Caller: "Yes, it's attached to the front of my computer."
Tech: "Please excuse me if I seem a bit stumped, it's because I am. Did you receive this as part of a promotion, at a trade show? How did you get this cup holder? Does it have any trademark on it?"
Caller: "It came with my computer, I don't know anything about a promotion. It just has '4X' on it."
At this point the Tech Rep had to mute the caller, because he couldn't stand it. He was laughing too hard. The caller had been using the load drawer of the CD-ROM drive as a cup holder, and snapped it off the drive.
13.Another IBM customer had troubles installing software and rang for support. "I put in the first disk, and that was OK. It said to put in the second disk, and I had some problems with the disk, but I squeezed it in. When it said to put in the third disk - I couldn't even fit it in..."
The user hadn't realised that "Insert Disk 2" meant to remove Disk 1 first

From keepahead.com

Out fre fre standing Newt

EEEVIL Muslims

This is what I mean by truth.

© 2002 WorldNetDaily.com
For more information, see the video, "Sudan: The Hidden Holocaust



Women who answer "Muslim" are set free, but typically soldiers gang-rape those who answer "Christian" then cut off their breasts and leave them to die as an example for others