Posted on 04/05/2020 2:16:53 PM PDT by 4Liberty
I too am retired Hospital Reimbursement Sr Financial Analyst. The hospitals will get lot of $$ from Fed government for patient expenses related to COV19.
Cuomo budget was 6B in the whole and he had until April 1 to fix it. Now he gets a boost from the Federal Government due to State of Emergency. He closed hospitals, lost 20K beds due to Medicaid and Uninsured patients. Government will help pay for uninsured patients (100B).
Hospitals who claim they are being over-run, desperate, not enough beds, staff, equipment, we’re all going to die, will get the biggest chunk of FED funds.
Connecticut is about to go bankrupt due to their pensions and need COV19 Federal funds to offset their budget problems.
CDC has changed the rules and now it’s not if they had COV19 and died it’s if you even assumed, presumed they died from COV19 then you can also count those as COV19 deaths.
Anyone else notice on CDC website they are calling COV19 a DISEASE not a VIRUS?
FOLLOW THE MONEY. Cuomo closed hospitals due to Medicaid debt, uninsured patient debts, which led to 20K less hospital beds and has 6B budget hole to find money for to fix.
Anybody dies in NY hospitals will be determined death by, from COV19 so they can add to the body count.
“I am convinced this is a total hoax.”
A worldwide hoax just to take down Trump. Wow.
Are you wearing tinfoil too?
This hoax is about far more than removing Trump.
We’ll have to wait and see the coming changes...economic reset, microchipping, global control, etc.
It’s clear to me that the medical-socialist complex wants to treat us like cattle.
Ooooh. We will have to talk Medicare Cost Reporting, Disportionate Share Calculations, plus other arcane stuff sometime. Then there are outliers, RAC audits, contract compliance, and utilization review length of stay management. I am thankful I got out five years ago.
that is true unless absolutely necessary. It is not a good time for any immunosuppressed individual to be in the hospital. Besides covid we are still seeing some influenza and other respiratory viruses as well as bacterial pneumonias. And there is not adequate PPE. as long as they are well enough to be at home they should be at home.
follow the money
A good friend, 82 with borderline diabetes, overweight, recovering from a hip replacement this past summer.
Recently, he had lower respiratory problems, slight temp/fever and feeling really tired went.
He went to our local hospital and was quickly admitted.
He was put in the CV ward (2 beds) Wed., shortly after he was admitted.
His tests came back negative for CV, and he was allowed to come home Saturday/yesterday. His daughter is a nurse, and he is now at her home.
She said that he just knew that he had CV, since he was admitted to the CV icu.
When he found out that he didn’t have CV, he said “Get me out of here in good Navy words!”
He was discharged and put on an oral antibiotic for his pneumonia.
It will be more easy to classify the cause of death as a Covid-19 death. That is what is being reported (and misreported) now. But how many of the deaths are CAUSED by, how many are INDUCED by, how many are ASSOCIATED with, and how many are UNRELATED to - we don't know but we do need to know.
The federal government is spending money like a sailor on a bender. We can spend the money to know. We need to tie some of the state's reimbursements to verifiable autopsies results and/or use military resources to conduct the autopsies.
Let me illustrate, we had no financial need to “up diagnose” in the government clinics. But certain diagnoses qualified for treatment and services and some did not. It was not unusual to see a diagnosis of Major Depression or even Bi-Polar I that had been made “benevolently.” Another, several years after a university hospital had conducted a study of adolescent Bi-Polar disorder it was quite common to meet individuals with no clinical presentation of that disorder, and no hospitalization or significant treatment. Unfortunately, once a diagnosis is given, parents or patients are sometimes reluctant to part with it, more so if there are rewards for keeping it.
It will be more easy to classify the cause of death as a Covid-19 death. That is what is being reported (and misreported) now. But how many of the deaths are CAUSED by, how many are INDUCED by, how many are ASSOCIATED with, and how many are UNRELATED to - we don't know but we do need to know.
The federal government is spending money like a sailor on a bender. We can spend the money to know. We need to tie some of the state's reimbursements to verifiable autopsies results and/or use military resources to conduct the autopsies.
Let me illustrate, we had no financial need to “up diagnose” in the government clinics. But certain diagnoses qualified for treatment and services and some did not. It was not unusual to see a diagnosis of Major Depression or even Bi-Polar I that had been made “benevolently.” Another, several years after a university hospital had conducted a study of adolescent Bi-Polar disorder it was quite common to meet individuals with no clinical presentation of that disorder, and no hospitalization or significant treatment. Unfortunately, once a diagnosis is given, parents or patients are sometimes reluctant to part with it, more so if there are rewards for keeping it.
The elderly, the severely obese, and those with chronic medical conditions seem at risk; OK - so carefully quarantine them. Will we shut the economy down again and sling about added Trillions in subsidies every "novel" flu season now?
One can't mention these concerns publicly without being labeled a "hater" of America's exhausted hospital workers. Yeah well, they wouldn't be overburdened," if the media (including Fox), the politicians and the CDC hadn't whipped up hysteria in the first place. Would they. I got a long email from a friend who is a Nurse, complaining about how tired and stress she is, and BEGGING people to "stay at home!!" Her email itemized how many cleaning and disinfecting steps she had to go through daily, and also how itchy the protective gear was, and how many people were coming in with alleged symptoms - and how hard her job had become -- but curiously, her entire email lacked any actual data on body bags piling up - or about people becoming critical, etc. Isn't that what we really need to know -- to understand the public danger? Not how "tired and overworked" they feel? Was amazed at how vacuous her email's contents actually were. Not blaming her but - come on, where are the millions of "covid war" casualties we've been warned about (as happened with Spanish Lady Flu of 1918)? The 1918 flu killed about 20 Million globally. Covid has so far killed.....about 69,000.
I wonder how Trump got talked into this. Yes, it's very "contagious" - so? Quarantine those at highest risk, let the rest of us get back to work. Driving on the highway is "hazardous" - will that be ended now too? Guess we'll find out down the road what's driven Trump's decisions......
I go to the grocery store a couple times a week, no mask, just a regular shopper. Being in my early 60s I'm apparently in a marginally high risk group. Big deal. If I haven't caught a flu the past 4-5 months shaking hands, handling door knobs and cruising Walmart, etc. it's not likely going to happen now.
“rent seek “
I hate that term. It’s misleading to the max and libels landlords.
It should be “seeking political favoritism”, or better yet “co-opting politicians” and the politicians counterpart is “influence peddling”. It has nothing to do with “rent” as it is commonly used.
It’s actually a technical term used in Economics to mean closed-monopoly (protectionist) gains or profit - not meant to disparage landlords, who are awesome people. :)
ALUMINUM foil is the latest thing.
Don’t forget IME, DGME, HRRP(HOSP READMITS REDUCTION PROG), Wage Index, PS&R’S and 340B program too. Oh yes DSH. Hated the work for DHS final numbers. I did the admits, discharges, observations, for the hospital and also to get the IME calc’s. I also updated the rate changes for Medicare, Caid, BC. Our Medicaid and Medicare cost report season ran from Aug until end of November. Long hours, mind burnt by then. I was in charge of posting the cash from Medicare, Medicaid, BC and Commercials.
I hated reading the Federal Register for the rate changes, amends, rules, proposals vs. final, ugghh.
Medicare auditors said they loved coming to our hospital because our financials, data, support was so well documented.
I retired a year ago. It was a good time to leave. I worked for a really big hospital in Michigan hint hint.
Reimbursement analysts are a rare specialty and are pursued by head hunters.
Nice to know another analyst here in the field.
I know what it means, but it’s a crappy term. Leads people to think the wrong thing and doesn’t at all describe what it actually is.
I think “favor seeking” is much more accurate. But the “experts” in any field, including economics, to make themselves feel important and blow smoke in people’s faces always come up with obfuscating terms.
Another of my (un)favorite ones is “quantitative easing”. I guess “printing money” is a bit too obvious.
Thanks for your replies regarding the $ game-playing by Cuomo et Al.
If you’re in an area that isn’t seeing much in the way of CV-19, count your blessings. I’m a freeper about 25 miles north of Detroit, and the county I’m in had ONE case diagnosed on 3/13. We’re now up to 3035 cases, 163 deaths so far.
I understand what you’re all saying about the “cooking the books” thing, and the media is always going to make as much a story as they can. But being just at the fringe of the “thick of it”, believe me this isn’t made up. There was a bus driver the other day (Jason Hargrove) that had a video pointing out a lady coughing on his bus without even covering her mouth. He’s not with us anymore due to CV-19(!!!). There’s plenty more stories where that came from locally. Yes some have underlying conditions, but definitely not all of them. Take this seriously.
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