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golfing eagles 06-10-2021 06:27 AM

Quote:

Originally Posted by drducat (Post 1957139)
So...What do you think of this study from Japan. Granted it covers the vaccine... however...would this apply also to the long term issues with the virus with sleen, liver, etc retaining the spike protein? https://files.catbox.moe/0vwcmj.pdf

No. It's a description of the pharmacokinetics of the vaccine (AVD, metabolism, excretion, tissue penetration, etc.). It does not address anything clinical at all. Looks like it might be information that Pfizer pharmacists and molecular geneticists put out as part of their bid to get full FDA approval (although I doubt the radioimmunoflourescence study in 6 rats will pass the committee

Altavia 06-10-2021 06:27 AM

Just sharing another pre-peer reviewed (limited) data point - information only.

COVID affects nearly all organs
A pre-peer reviewed study examined tissue samples from autopsies of patients who passed away from COVID, and found that SARS-CoV-2 was present in nearly all organs.

This helps explain how multiple organ systems are affected in severe COVID. Read at medRxiv.

Multisystemic cellular tropism of SARS-CoV-2 in autopsies of COVID-19 patients | medRxiv

golfing eagles 06-10-2021 06:34 AM

Quote:

Originally Posted by Robbie0723 (Post 1957154)
Just sharing another pre-peer reviewed (limited) data point - information only.

COVID affects nearly all organs
A pre-peer reviewed study examined tissue samples from autopsies of patients who passed away from COVID, and found that SARS-CoV-2 was present in nearly all organs.

This helps explain how multiple organ systems are affected in severe COVID. Read at medRxiv.

Multisystemic cellular tropism of SARS-CoV-2 in autopsies of COVID-19 patients | medRxiv

Not really.

First of all, there is a big difference between "present" and "affected" In fact, the following quote from the article states that clearly:

"Interpretation: SARS-CoV-2 could be observed in virtually all organs, colocalizing with ACE2 and TMPRSS2 mainly in epithelial but also in mesenchymal and endothelial cells, and viral replication was found across all organ systems. Apart from the respiratory tract, no specific (histo-)morphologic alterations could be assigned to the SARS-CoV-2 infection."

There is a big difference between the epithelial and endothelial cells of an organ vs. the parenchymal cells

Second, this was an autopsy study on a small number of individuals, and represented the sickest of the sick. (But I doubt anyone who tested positive without any symptoms would volunteer to have their organs cut up for comparison:1rotfl::1rotfl::1rotfl:)

Petersweeney 06-10-2021 06:39 AM

Jury selection
 
Quote:

Originally Posted by golfing eagles (Post 1956742)
And again, maybe

There is no way to quantify fatigue, brain fog and loss of taste/smell. It is 100% subjective. That doesn't mean it isn't true, it just means we don't know

It's sort of like the guy in a car accident complaining of back pain and can't work. His x-rays, CT and MRI are all negative, the neurologist finds nothing objective, neither does the orthopedist. So now he goes to 2 places----a chiropractor (yuk) and Dan Newlin while he applies for SSDI. He goes to court for disability with testimony from the chiropractor (again yuk), conveniently not presenting the x rays, CTs, MRIs, nor the opinion of the orthopedist or neurologist as evidence. The judge then grants him disability, and the rest of us are supporting him for the rest of his life (or until age 65).
The last one of these I got drawn into I later saw working on the roof of a building hauling 75 pound bundles of shingles up a 20 foot ladder.

So the moral of the story is we still don't know. But from experience, I always look at these cases where there is substantial secondary gain with a jaded eye.

If you ever get selected for jury duty please tell the judge how you feel about these cases and they will give you a free rid home….

JMintzer 06-10-2021 06:40 AM

Quote:

Originally Posted by Becca9800 (Post 1957067)
Please provide that link again, it is not included in the now closed thread. I'm sincerely interested in understanding why/how you could make such a claim.

Here is a quote from the article (Link to entire article posted below)...

"Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1. The test must be performed within 14 days of admission, and the results must be documented in the patient’s medical record."

Notice they said ON or AFTER September 1... Before that, no positive test was required. Only an assumption of Covid...

CMS Will Require Positive COVID-19 Test Results for Increased Inpatient Payment | HealthLeaders Media

JMintzer 06-10-2021 06:42 AM

Quote:

Originally Posted by Eg_cruz (Post 1957121)
For someone who does not know you sure have a lot of opinions on the subject.
Why speak of someone you have no first hand experience with.
I have 3 family members (yes they all work) who have long-term effects from the virus.
Guess this is what happens when a virus is made in a lab.

For someone who does not know...

Andyb 06-10-2021 06:43 AM

Long haul effects
 
Quote:

Originally Posted by coffeebean (Post 1956707)
This is for you JMintzer. In another thread that was CLOSED, you asked for a link siting the percentage of Covid survivors who develop long haul side effects. Here is an article...........

A Third of COVID Survivors Have Long-Haul Symptoms

It would be interesting to know the deaths and adverse effects of the “vaccine” as well. I understand that some of that information is being censored, so I’m not sure we can get the true answers. It may be to early determine any long term effects too?

JMintzer 06-10-2021 06:44 AM

Quote:

Originally Posted by golfing eagles (Post 1957124)
Really?---let's see-----

I am retired professor of Internal Medicine at the University of New York, Chief of Staff at a 350 bed hospital, former Chairman of both the Pharmacy and Therapeutics Committee and the Quality Assurance Committee. Oh yes, and education wise I have a BS in microbiology with published papers and received high honors in both virology and epidemiology in medical school.

And your credentials are.......wait for it......you have a family member who claims to have some symptoms.

Now do you want to continue the debate over "who doesn't know what they are talking about"? At this point you should just cry "uncle" because you'll lose badly

And btw, I never said it couldn't happen----the operative word was MAYBE, and I never referred to a specific person. Perhaps you should brush up on reading comprehension before trying to engage in a medical debate with an expert.

Did prescribe a salve for that burn? :bigbow:

JMintzer 06-10-2021 06:45 AM

Quote:

Originally Posted by Andyb (Post 1957176)
It would be interesting to know the deaths and adverse effects of the “vaccine” as well. I understand that some of that information is being censored, so I’m not sure we can get the true answers. It may be to early determine any long term effects too?

Of course it's too early...

It hasn't been around "long term" yet...

golfing eagles 06-10-2021 06:46 AM

Quote:

Originally Posted by Petersweeney (Post 1957167)
If you ever get selected for jury duty please tell the judge how you feel about these cases and they will give you a free rid home….

I certainly hope so. But as a medical expert, neither attorney would ever fail to exclude me during voir dire

golfing eagles 06-10-2021 06:51 AM

Quote:

Originally Posted by JMintzer (Post 1957178)
Did prescribe a salve for that burn? :bigbow:

To be fair, I think he loves his daughter and is unhappy that she has some symptomatology regardless of cause. Unfortunately, he rushed to his keyboard without realizing that he was so far out of my league that he wasn't even playing the same game.
It's OK, I can understand that. He was coming from a very narrow perspective and can't see the big picture.

Joe C. 06-10-2021 06:53 AM

Don't believe everything you read. It's like reading this forum. If you believed everything on this forum, you'd be a an idiot. I take everything I hear and read with a "grain of salt".

scottiesrgreat@gmail.com 06-10-2021 06:58 AM

Quote:

Originally Posted by dewilson58 (Post 1957123)
My neighbor is still experiencing effects from the virus.
Not sure of the definition of "long-term"...............but he is coming up on a year.
He was the picture of good health & fitness.
:pray:

When was it ever expected - thru the history of humankind - that people in their 50s, 60s, 70s+++ were expected to live lives free of physical discomfort and health issues? Goodness - every cold, bout of the flu, cancer diagnosis, stiff joints, cataracts, heart attack, stroke, etc……- will in many cases - now be blamed on Covid….. goodness - what caused all these things pre-covid?

dewilson58 06-10-2021 07:02 AM

Quote:

Originally Posted by scottiesrgreat@gmail.com (Post 1957200)
When was it ever expected - thru the history of humankind - that people in their 50s, 60s, 70s+++ were expected to live lives free of physical discomfort and health issues?

Never said it was expected.

What a stupid post.

BlackHarley 06-10-2021 07:04 AM

Unfortunately I've fallen victim to a common and measurable disease....
CRAFT's disease. It's by no way caused by Covid-19, simply too many years of fun! BTW, CRAFT's disease is an acronym for Can't Remember A F*****g Thing.....lol

golfing eagles 06-10-2021 07:04 AM

Quote:

Originally Posted by dewilson58 (Post 1957202)
Never said it was expected.

What a stupid post.

I don't think his post was "stupid"

I think it fits better into the category of "Captain Obvious says...":1rotfl::1rotfl::1rotfl:

golfing eagles 06-10-2021 07:07 AM

Quote:

Originally Posted by BlackHarley (Post 1957205)
Unfortunately I've fallen victim to a common and measurable disease....
CRAFTS disease. It's by no way caused by Covid-19, simply too many years of fun! BTW, CRAFT,s disease is an acronym for Can't Remember A F*****g Thing.....lol

Yes, but there are those, even some on this site, that will blame your symptoms on the "brain fog" of "long haul" COVID-19

oneclickplus 06-10-2021 07:07 AM

Quote:

Originally Posted by coffeebean (Post 1956810)

And we also have teens having heart problems AFTER getting the shot (not a vaccine). So, it is reasonable for someone to make the decision to steer clear of the shot.

Becca9800 06-10-2021 07:09 AM

Quote:

Originally Posted by JMintzer (Post 1957169)
Here is a quote from the article (Link to entire article posted below)...

"Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1. The test must be performed within 14 days of admission, and the results must be documented in the patient’s medical record."

Notice they said ON or AFTER September 1... Before that, no positive test was required. Only an assumption of Covid... Yes, so noted. But neither the Hospital Administrators nor billing clerks can add a Covid diagnosis, assumed or proven, to a patient's medical record, that comes from the doc. And a signed order from a doc/authorized designee is required for any testing, including Covid testing. Hospital admins don't routinely access medical records, and billing clerks (coders) bill only based on the documentation in the record. Compliance is my gig, I know that's how it works. So I'm still not understanding why you don't blame physicians, instead blaming hospital admin and billing clerks for the Covid dx.

CMS Will Require Positive COVID-19 Test Results for Increased Inpatient Payment | HealthLeaders Media

From your article: "However, organizations should prepare to comply with the new requirement by September 1. Organizations must ensure processes are in place to obtain accurate test results for all COVID-19 admissions. Clinical, HIM, CDI, and billing staff should be informed of the change, and coders and CDI specialists should query for missing test results. Organizations may need to review processes for obtaining test results from outside entities and should consider processes for holding inpatient COVID-19 claims that are pending test results. Organizations should reach out to their MACs to discuss operational and technical questions." Or are you suggesting hospital administration should not seek out permissible payments? No way, I don't think that's what you meant, you'd never pass up the same opportunity within your business (i.e. private practice).

dewilson58 06-10-2021 07:14 AM

1 Attachment(s)
Quote:

Originally Posted by golfing eagles (Post 1957206)
I don't think his post was "stupid" I think it fits better into the category of "Captain Obvious says...":1rotfl::1rotfl::1rotfl:

...

JMintzer 06-10-2021 07:24 AM

Quote:

Originally Posted by Becca9800 (Post 1957212)
From your article: "However, organizations should prepare to comply with the new requirement by September 1. Organizations must ensure processes are in place to obtain accurate test results for all COVID-19 admissions. Clinical, HIM, CDI, and billing staff should be informed of the change, and coders and CDI specialists should query for missing test results. Organizations may need to review processes for obtaining test results from outside entities and should consider processes for holding inpatient COVID-19 claims that are pending test results. Organizations should reach out to their MACs to discuss operational and technical questions." Or are you suggesting hospital administration should not seek out permissible payments? No way, I don't think that's what you meant, you'd never pass up the same opportunity within your business (i.e. private practice).

I've not read a single thing regarding "post-payment review" of covid payments...

And yes, I was referring to the first 6 months of the outbreak, where everything was deemed to be covid...

Dbraisted 06-10-2021 07:46 AM

No related symptoms here post covid.

Becca9800 06-10-2021 07:52 AM

Quote:

Originally Posted by JMintzer (Post 1957223)
where everything was deemed to be covid...

Yes, and so deemed by physicians! So what are you blaming hospital admins and billing clerks for? Your original post suggested questionable activity on their parts, and it just ain't so. I do understand the hospital/physician politics, always a love/hate relationship. But I bristle that your followers believe that administrators and billing clerks are responsible for everyone being diagnosed w covid. And they will believe what you wrote, you are a respected voice on this forum. I think I've made my point, we can drop this line of discussion. It's been fun though, thank you for your always respectful responses.

JMintzer 06-10-2021 07:58 AM

Quote:

Originally Posted by Becca9800 (Post 1957253)
Yes, and so deemed by physicians! So what are you blaming hospital admins and billing clerks for? Your original post suggested questionable activity on their parts, and it just ain't so. I do understand the hospital/physician politics, always a love/hate relationship. But I bristle that your followers believe that administrators and billing clerks are responsible for everyone being diagnosed w covid. And they will believe what you wrote, you are a respected voice on this forum. I think I've made my point, we can drop this line of discussion. It's been fun though, thank you for your always respectful responses.

I'm respected? Well, shame on you! ;)

But yes, administrators/billing depts are most definitely trying to find ways to maximize charges, including changing diagnoses...

I've seen it in person... And I've seen the arguments that ensued...

scottiesrgreat@gmail.com 06-10-2021 07:59 AM

Quote:

Originally Posted by dewilson58 (Post 1957202)
What a stupid post.

It says a lot about someone when all they can say about your post is that it was “stupid” hahhahaha

oneclickplus 06-10-2021 08:02 AM

Quote:

Originally Posted by butlerperkins@gmail.com (Post 1956869)
2021 0609 Wednesday @ 12:51
I have been "on the fence" about the COVID shots since they were first announced. As I type this, my significant other has her back to me; she is working. She has received two shots. I haven't had anything - yet. However, I write to say how immensely appreciative I am of all of you; you, who waffle back and forth; those of you who have been "jabbed"; those of you who have not been "jabbed". I hear such strong "arguments" for both "sides". This decision is a tough one for me: new science and faith vs "bad" science and doubt.

Note: I am thankful to the moderators who do allow this topic to pop up again and again. I read them to <learn>; to "listen", to help me make my choice. Til then, I mask and I keep as much distance as possible.

Well, keep in mind that after the human trials (on most of the US population and much of the world) are finished, you can always decide to get the shot if that's what you want. However, if you get the shot now and find out later (when the trials are done) that there is a major downside, you can't "un-get" it.
.
By the way, it has been determined now that I had COVID-19 in February 2020 (anti-body test). My experience was a short flu-like event; fever for 2-3 days. Did not lose smell / taste. No lasting effects of any kind. Apparently, my wife was also infected but had no symptoms then or later. So, while the FDA / CDC / NIH / blah blah blah will not say that survivors continue to have immunity, I think the fact that I have been around many infected people over the last 16 months speaks for itself. Spent 6 hours in a car with my wife's sister (who we later learned was infected at the time) and did not get re-infected ourselves. I'm quite sure we are immune. I'm 64, wife is 60.

And, I don't give any weight to the "asymptomatic spreader" message. The common flu and common cold can also be acquired from someone without symptoms; and, yes, the common flu can and does KILL every year. I never got the annual flu shot and never ever got the flu. I also don't remember anyone ever pressuring me to get a flu shot or trying to guilt me into doing so "for others"; or calling me selfish for not getting a flu shot. It's just nonsense. Look around at all the people who got the shot and still think they are at risk from this thing - they wear masks while alone in the car; they insist others get the shot when they themselves are theoretically protected; they worry about wearing a mask (themselves & others); they won't get on a cruise ship unless every plays by their rules; they are indoctrinated. I refuse to be indoctrinated.

To paraphrase one of my favorite people: "If you are vaccinated, act like it".

golfing eagles 06-10-2021 08:03 AM

Quote:

Originally Posted by scottiesrgreat@gmail.com (Post 1957260)
It says a lot about someone when all they can say about your post is that it was “stupid” hahhahaha

No, I don't think it says anything about her. It MAY speak volumes for the post:1rotfl::1rotfl::1rotfl:

JMintzer 06-10-2021 08:05 AM

Quote:

Originally Posted by scottiesrgreat@gmail.com (Post 1957260)
It says a lot about someone when all they can say about your post is that it was “stupid” hahhahaha

Sometimes, less is more...

golfing eagles 06-10-2021 08:08 AM

Quote:

Originally Posted by oneclickplus (Post 1957265)
Well, keep in mind that after the human trials (on most of the US population and much of the world) are finished, you can always decide to get the shot if that's what you want. However, if you get the shot now and find out later (when the trials are done) that there is a major downside, you can't "un-get" it.
.
By the way, it has been determined now that I had COVID-19 in February 2020 (anti-body test). My experience was a short flu-like event; fever for 2-3 days. Did not lose smell / taste. No lasting effects of any kind. Apparently, my wife was also infected but had no symptoms then or later. So, while the FDA / CDC / NIH / blah blah blah will not say that survivors continue to have immunity, I think the fact that I have been around many infected people over the last 16 months speaks for itself. Spent 6 hours in a car with my wife's sister (who we later learned was infected at the time) and did not get re-infected ourselves. I'm quite sure we are immune. I'm 64, wife is 60.

And, I don't give any weight to the "asymptomatic spreader" message. The common flu and common cold can also be acquired from someone without symptoms; and, yes, the common flu can and does KILL every year. I never got the annual flu shot and never ever got the flu. I also don't remember anyone ever pressuring me to get a flu shot or trying to guilt me into doing so "for others"; or calling me selfish for not getting a flu shot. It's just nonsense. Look around at all the people who got the shot and still think they are at risk from this thing - they wear masks while alone in the car; they insist others get the shot when they themselves are theoretically protected; they worry about wearing a mask (themselves & others); they won't get on a cruise ship unless every plays by their rules; they are indoctrinated. I refuse to be indoctrinated.

To paraphrase one of my favorite people: "If you are vaccinated, act like it".

I think the fact that the FDA/CDC/NIH/blah blah blah decides based on well designed medical studies involving thousands of people and that you have decided, for yourself, based on a "study" of two that you are immune SPEAKS FOR ITSELF

I do , however, agree that getting vaccinated and then driving around in your car alone with a mask is idiotic. Of course, it was just as idiotic before that person got vaccinated as well.

Becca9800 06-10-2021 08:24 AM

Quote:

Originally Posted by JMintzer (Post 1957258)
I'm respected? Well, shame on you! ;)

But yes, administrators/billing depts are most definitely trying to find ways to maximize charges, including changing diagnoses...

I've seen it in person... And I've seen the arguments that ensued...

Maximizing payments is a must and you know it. Changing a diagnosis is absolutely fine IF the medical record documentation supports that change. And that's the bottom line. Do you know how frequently the coder has to chase down a doc that picked the wrong diagnosis in the electronic system? Or left out a supported dx? Picking the wrong dx is so easy to do too but it's the hospital, and just as often, the patient that loses because of a wrong key stroke entry. Now I would never say there isn't greed out there, all you need to do for proof of that is take a gander at the OIG's Fraud&Abuse Enforcement page. Those providers are not only greedy, they're incredibly arrogant to think they can scam the system and keep getting away with it. But it's not generally hospital administrators or billing clerks being prosecuted and convicted of fraud, can you guess which profession is the usual culprit? Have a look, it's actually quite interesting Enforcement Actions | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services

oneclickplus 06-10-2021 08:28 AM

1 Attachment(s)
Quote:

Originally Posted by golfing eagles (Post 1957273)
I think the fact that the FDA/CDC/NIH/blah blah blah decides based on well designed medical studies involving thousands of people and that you have decided, for yourself, based on a "study" of two that you are immune SPEAKS FOR ITSELF

I do , however, agree that getting vaccinated and then driving around in your car alone with a mask is idiotic. Of course, it was just as idiotic before that person got vaccinated as well.

Perhaps. But, I am not stating that my "study of two" should be evidence for anyone to follow suit. I am justifying my own decision to forego the shot. I consider myself protected enough and further consider the shot to be a higher risk than not getting it. The person I replied to was "on the fence" and I gave him/her my take on the matter. And I was explaining that you can't go back in time and not get it later. That's all. Studies or not, I'm not obligated to base my decisions to get the shot on how well it will protect others.

JMintzer 06-10-2021 08:30 AM

Quote:

Originally Posted by Becca9800 (Post 1957285)
Maximizing payments is a must and you know it. Changing a diagnosis is absolutely fine IF the medical record documentation supports that change. And that's the bottom line. Do you know how frequently the coder has to chase down a doc that picked the wrong diagnosis in the electronic system? Or left out a supported dx? Picking the wrong dx is so easy to do too but it's the hospital, and just as often, the patient that loses because of a wrong key stroke entry. Now I would never say there isn't greed out there, all you need to do for proof of that is take a gander at the OIG's Fraud&Abuse Enforcement page. Those providers are not only greedy, they're incredibly arrogant to think they can scam the system and keep getting away with it. But it's not generally hospital administrators or billing clerks being prosecuted and convicted of fraud, can you guess which profession is the usual culprit? Have a look, it's actually quite interesting Enforcement Actions | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services

Yeah, they go for the low hanging fruit...

The docs are always on the hook... For everything...

And as I said before, I've served on multiple hospital committees. I've seen, first hand, the arguments over "correct" diagnoses...

golfing eagles 06-10-2021 08:32 AM

Quote:

Originally Posted by Becca9800 (Post 1957285)
Maximizing payments is a must and you know it. Changing a diagnosis is absolutely fine IF the medical record documentation supports that change. And that's the bottom line. Do you know how frequently the coder has to chase down a doc that picked the wrong diagnosis in the electronic system? Or left out a supported dx? Picking the wrong dx is so easy to do too but it's the hospital, and just as often, the patient that loses because of a wrong key stroke entry. Now I would never say there isn't greed out there, all you need to do for proof of that is take a gander at the OIG's Fraud&Abuse Enforcement page. Those providers are not only greedy, they're incredibly arrogant to think they can scam the system and keep getting away with it. But it's not generally hospital administrators or billing clerks being prosecuted and convicted of fraud, can you guess which profession is the usual culprit? Have a look, it's actually quite interesting Enforcement Actions | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services

I realize you must have worked in medical billing/coding at a hospital and therefore tend to blame all coding irregularities on the physicians. However, with a 20% premium on the DRG cohort at stake, if you don't think the word went out to medical staffs at every hospital in the country to add COVID as a diagnosis, even if only suspected, then you are living in Fantasyland.

golfing eagles 06-10-2021 08:38 AM

Quote:

Originally Posted by oneclickplus (Post 1957288)
Perhaps. But, I am not stating that my "study of two" should be evidence for anyone to follow suit. I am justifying my own decision to forego the shot. I consider myself protected enough and further consider the shot to be a higher risk than not getting it. The person I replied to was "on the fence" and I gave him/her my take on the matter. And I was explaining that you can't go back in time and not get it later. That's all. Studies or not, I'm not obligated to base my decisions to get the shot on how well it will protect others.

Actually, the word you are looking for is "rationalizing". I wouldn't recommend getting the vaccine for others----you should do it for yourself. And you are right---with any new vaccine/drug/treatment there is a SMALL risk of the unknown----but right now the risk of COVID is greater. I probably had COVID early this year. My fiancee, her sister and husband were staying with us and they all became symptomatic and tested positive. I didn't have any symptoms, and didn't get tested because a positive result wouldn't have changed anything I was doing, and I was going to get the vaccine regardless (and I did)

PS: love the picture, and there is some truth in it

JMintzer 06-10-2021 08:41 AM

Going back to the over diagnosis of covid deaths, please view this short video...

Dr. Ngozi Ezike | How COVID Deaths are Classified - YouTube

golfing eagles 06-10-2021 08:42 AM

Quote:

Originally Posted by JMintzer (Post 1957291)
Yeah, they go for the low hanging fruit...

The docs are always on the hook... For everything...

And as I said before, I've served on multiple hospital committees. I've seen, first hand, the arguments over "correct" diagnoses...

Might I ask in what capacity????

drstevens 06-10-2021 08:48 AM

Vaccine Adverse Effects Reporting System (VAERS) Information
 
Quote:

Originally Posted by coffeebean (Post 1956707)
This is for you JMintzer. In another thread that was CLOSED, you asked for a link siting the percentage of Covid survivors who develop long haul side effects. Here is an article...........

A Third of COVID Survivors Have Long-Haul Symptoms

Go to The COVID Blog - Official blog of COVID Legal USA. Vaccines are the leading cause of coincidences. Stay Vigilant. Some don't do so well!

Becca9800 06-10-2021 09:06 AM

Quote:

Originally Posted by golfing eagles (Post 1957294)
I realize you must have worked in medical billing/coding at a hospital and therefore tend to blame all coding irregularities on the physicians. However, with a 20% premium on the DRG cohort at stake, if you don't think the word went out to medical staffs at every hospital in the country to add COVID as a diagnosis, even if only suspected, then you are living in Fantasyland.

No, not records/coding. Risk & Compliance. We weren't talking about all coding irregularities though, we were discussing specifically a covid dx. Exaggerations only muddy the waters. I'm sure word did go out to the medical staff reminding them to include the dx when supported, 20% x the several hundred covid + patients treated at my little 300 bed hospital is a freaking significant amount of money. But if you're asking me to believe that in general, administrators expected the medical staff to add a covid dx, deserved or not, to realize that 20%, afraid I'll have to pass. But let's just say that did happen, it is entirely up to the physician to "obey". It is entirely up to the physician to enter documentation to support that covid dx. If the dx is undeserved but the support is documented anyhow, that's fraud on behalf of the documenting physician. If the dx is added but not supported by documentation it won't be billed for. And here I thought this was a respectful conversation, I'm sorry you felt the need to attempt to belittle me with your "Fantasyland" comment. Too bad.

JMintzer 06-10-2021 09:11 AM

Quote:

Originally Posted by golfing eagles (Post 1957306)
Might I ask in what capacity????

As one of the docs on staff at the hospital...

I was on the OR Committee, Credentials Committee, Dept of Surgery Committee, (I'm sure I'm missing one...) over my 33+ year tenure...

Now, I just tend to my own practice and leave all of that to the younger docs... I'm preparing my exit strategy, so I can move to TV full time...

golfing eagles 06-10-2021 09:12 AM

Quote:

Originally Posted by Becca9800 (Post 1957321)
No, not records/coding. Risk & Compliance. We weren't talking about all coding irregularities though, we were discussing specifically a covid dx. Exaggerations only muddy the waters. I'm sure word did go out to the medical staff reminding them to include the dx when supported, 20% x the several hundred covid + patients treated at my little 300 bed hospital is a freaking significant amount of money. But if you're asking me to believe that in general, administrators expected the medical staff to add a covid dx, deserved or not, to realize that 20%, afraid I'll have to pass. But let's just say that did happen, it is entirely up to the physician to "obey". It is entirely up to the physician to enter documentation to support that covid dx. If the dx is undeserved but the support is documented anyhow, that's fraud on behalf of the documenting physician. If the dx is added but not supported by documentation it won't be billed for. And here I thought this was a respectful conversation, I'm sorry you felt the need to attempt to belittle me with your "Fantasyland" comment. Too bad.

Not "belittling" you at all. It was a conditional statement (preceded by if). And we agreed, that the word went out, if only as a reminder, not to encourage fraud. Very respectful intent


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