#Neurology Medical Billing

[mososimos]

Neurology Coding Challenges

Providers in neurology often encounter obstacles like claim denials, payment delays, insurance coverage disputes, and regulatory compliance issues. To navigate these challenges effectively, leveraging specialized neurology medical coding services is essential.

[fae-fire]

30th Birthday (Personal Gift + Charity Link)

I turn 30 on 11/18 and I am looking to buy a wheelchair and help with some other medical funds for my neurological disease (Stiff-Person Syndrome) and transportation for appointments and testing and IVIG. I have a lot of tests, infusions, etc. coming up in the next month, plus speech therapy as my voice has been affected by the disease. 

Stiff-person syndrome is a terminal neurological disease, and my treatment has helped me a lot, especially the IVIG. I’d like to be able to keep getting it, but my infusion center is an hour away and it’s $100+ round trip. Plus I have many more appointments related to the disease and testing and treatments for secondary illness that the disease has caused.

If you’re feeling generous and want to help a disabled nerd:

venmo is @ rae-first (no space after the @ )

Paypal: https://www.paypal.com/paypalme/raefirst

(both links contain my deadname)

Alternatively, I have a gofundme for The Stiff Person Syndrome Research Foundation here: https://www.gofundme.com/f/help-fund-research-for-this-rare-disease

No funds for the charity link touch my hands and all go directly to the charity itself

[instapayhealthcare]

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[rmhealthcare]

Neurology Billing and Coding: A Step-by-Step Guide

Navigate neurology billing and coding effortlessly with our step-by-step guide. Ensure accuracy and compliance in your practice's financial processes.

[this-smile-is-real]

Hi, I’m Hannah.

I am trying to build my life after 49 hospital admissions in 8 years. After 20+ years of trauma, an eating disorder etc. I have diagnoses of cPTSD, Anorexia, Fibromyalgia, Functional Neurological Disorder and my large bowel no longer works. I have been on the disability pension since 2019 but have increasing medical costs, increase in rent, more and more specialists and appointments weekly, fortnightly and monthly. I currently have 11 people on my team but can only afford to see 2 regularly.

I am needing help financially that I can’t find elsewhere. I am doing all that I can and am also currently studying at university but have become so overwhelmed, in thousands of dollars debt and am always behind in bills. I would be so grateful for any donations. Thank you

[anexperimentallife]

EDIT: CRISIS AVERTED, THANK YOU!

Interracial US family w/ disabled autistic dad and toddler needs to get to the US for medical treatment

(New post because the old one was getting LONG with the updates. Details are under the "read more" to save your dash, with updates in the notes.)

TL;DR: If I'm going to live long enough to watch our daughter grow up, we need to get back to the US and get set up in a disability-friendly place where I can use my medical benefits.

Although I was already disabled (autism, adhd, and spine, joint, and head injuries), my health was stable--until four bouts of COVID left me immunocompromised, and utterly destroyed my health (including damage to my heart, blood clots that damaged one eye, neurological and joint issues, etc.), and although we started off fine, we've been hammered with one crisis after another, both medical and financial, that no one could have predicted.

Until we have enough to get back to the US, a chunk of whatever comes in has to go towards medical care that can't be put off, so the sooner we can reach critical mass on that, the better.

If you can help, or reblog, or share the links on other platforms, we'd be grateful!

The "Donate to Little or None" Paypal donation link takes the lowest fees, I think. (Kept the same link from when we were fighting to get our daughter's birth certificate fixed so we could get her citizenship affirmed.)

Then there's Ko-Fi:

And my little sister started a GoFundMe for us!

EDIT: The donation links above still work, but I removed the GoFundMe link.

IF YOU WANT ALL THE DETAILS SEE THE "READ MORE."

(There's more in my "rob gets medical" tag if you want a blow by blow account of how we got to this point over the past few years, but this is the gist.)

HOW IT STARTED:

I moved to the Philippines six years ago, after the deaths of my adult sons, in part to make my disability payments stretch further. Shortly afterwards, I was joined by my now-wife @thesurestthing (also from the US) for what was supposed to be a visit, but which turned into a permanent arrangement.

After I got a contract to license an old story for a mobile game (which tripled our income*), we found out we were having a baby, which was fine, because despite my disabilities (autism, adhd, two spine injuries, traumatic brain injury, a herniated esophagus, joint issues, etc.), my health was stable, and thanks to the contract, we were fine financially as well.

HOW IT STARTED GOING DOWNHILL:

Zoey's pregnancy was complicated, requiring two hospitalizations, and our daughter's birth was complicated, too--requiring a C-Section--which tripled our hospital bill. A few weeks after our daughter was born, the aforementioned contract was canceled without warning. THEN, when we tried to register our daughter's birth with the US embassy, we discovered an error on her birth certificate that left her stateless, and which took nearly two years, all our savings, and a fundraiser (thank you, generous people!) to resolve. Combined with medical expenses, that left us in a lot of debt.

A brief summary of went else wrong (leaving a lot out for brevity's sake):

I got COVID three four times during all this, became immunocompromised, and developed a slew of other medical issues (heart damage, eye damage and temporary facial paralysis from blood clots, persistent infections, a worsening of my joint issues, neurological issues, etc.) as a result of Long Covid.

I've had to be hospitalized a couple of times, undergo surgery, and was on an oxygen machine twice--once for an entire month, while I was bedridden. As of 24 January, 2024, I'm still recovering from my fourth bout of covid, which started at the beginning of October 2023.

There's a lot more, but you get the idea. COVID has completely wrecked my health, including tearing up my immune system.

And yes, I'm as fully vaxxed against COVID as one can be in the Philippines, with all available boosters, but again--I'm immunocompromised, plus they don't have the vax for the newest variant here yet. Zoey is vaxxed, also, and as a result, her bout with covid was extremely mild. El isn't vaxxed yet because they won't give the covid vaccine to kids under five here, but she's been able to share Zoey's antibodies from breast-feeding--which is apparently a thing.

The only way we can see for me to stay alive long enough to watch Eleanor grow up is to get back to where I can use my Medicare and VA benefits**.

WHY SO MUCH MONEY?

First, while we're still here, we need to pay for whatever medical care can't be put off. Plus, since I'm now immunocompromised, we have to get LOTS of vaccinations before we have to spend 24 hours or so in crowded planes and airports.

Second, we're going to be arriving with only what we can carry with us on the plane, and we'll need to get into a place near a VA hospital that I can easily get around in while I'm recovering from surgeries and getting various treatments. We'll need to pick up some secondhand household goods, and some kind of used transportation (because, you know, it's the US, where you kind of need a vehicle to get around).

We'll also need enough on top of my and El's disability payments to get by for a couple of months while Zoey looks for work. And all this is while we're still paying off the debt from the stuff I mentioned above.

So we're figuring that unless we catch some very lucky breaks, it'll probably cost between 20K and 36K altogether.

(We can't simply stay with friends when we get back, because literally every single close friend we have in the US with extra room and who lives close to a VA hospital has cats--to which I have a severe anaphylactic reaction. As in my entire respiratory system shuts down, and I have to be rushed to the ER to keep from dying; this has happened more than once. The only way I can be around cats is if I'm on immunosuppressants, and my immune system is ALREADY compromised, so I CAN'T do that.)

So again, if you can kick in, or reblog, or post our crowdfunding links (or the link to this post) on whatever other platforms you use, we'd appreciate it.

(*When I told social security about it, they said I could keep getting disability, too, because licensing IP rights didn't count as work income, and since it was a Moldavian company, it also fell under a special tax clause for getting paid by a foreign company while living overseas, so no taxes on it, either. )

(**VA benefits--I was a cold warrior in 1980s Germany. It was less than forty years after WWII, there was a lot of sabre-rattling--some of it nuclear--and we were there as a deterrent to prevent in Germany the kind of thing that's happening in Ukraine right now. Disclaimer because I'm tired of people accusing me of "invading" folks in the early 1980s when I was a dumb, heavily propagandized pre-Internet kid fixing generators in Europe. I wouldn't join today even if I could.)

[plasma-tree]

Help a Disabled Friend (and her service dog)

It's day one of Disability Pride Month (literally, july 1st is when Disability Pride Month lol) and I'm already struggling to get things that will make my life easier. The mort important thing on this list is a mobility harness for my service dog.

if you don't know, I have neurological problems, dysautonomia, and ehlers-danlos syndrome, and they are the most problematic for me because of the motor/mobility and digestive issues they cause. While I'm doing all that is medically possible for the digestive issues, the motor and mobility issues are basically not being dealt with.

I have a service dog, and part of what he does is help me with walking/standing/getting up/getting down, and that's lovely, but I do not have an appropriate mobility harness for him-- which would be sturdy and built specifically for differences in weight, pressure, etc, and have a rigid handle. In the past, I have used a secondhand mobility harness but it lacks the correct handle. I would strongly prefer to use a safe, sturdy harness that is built for my needs and my service dog's safety.

I also need guide attachments for this harness so Heathen (my service dog) can do better at guide tasks at night and during very bright parts of the day. The feedback of a pullstrap isn't quite enough.

With all appropriate options, this harness costs $349 USD.

The guide handle I need is $71.

I have $50 in my paypal account to put towards this, and being on SSDI, I only get paid once a month, and not much-- $1311. 500 goes to my mortgage. Most of it goes towards caring for my service dog and paying medical bills, and it really, really is not enough. I have literally tried appealing to SSA to raise my monthly payment, but I've been told that is not a thing they even entertain.

Please, if you can, help me get this mobility harness. It would mean a lot more mobility and freedom for me, considering my wheelchair is still damaged and my insurance will not tell me yet whether they approved the repair or not.

My paypal is n.cantrell.010@gmail.com

My venmo is nikkicantrell96

Please, please help if you can.

[shibalatte]

whatevr ill post my stupid baby bill poem nonsense on this app

i hold my son close to me. we just went to our first eye doctors appointment. his big round eye is closed as he sleeps. he clings to me as he naps in my arms. i look at the medication they gave me. the bottle doesnt even seem to have proper dosage. i sigh. ever since my son has started his diagnosis journey, i've worried for him. all the doctors flock around him when he starts looking up nobody has ever seen what he calls up, it perplexes the specialists, the teachers at school, his peers. and yet, i feel like there has to be someone who has there has to be more like him, correct? today's my baby billy's first day of second grade hes grown so big from when he was in his baseball sneakers. i measure him from angle to angle, hes grown somewhat taller. he beams. i walk him to school, he tells me about the stars once again. how they glitter and glow. i tell him that even if i can't see what hes talking about, i see him, and always will. he smiles with his eye i tell him he'll have his silly straws clean when he gets home billy has started telling me he can't see. i check his medication. they've upped his dose from 2 sips to 3. i yelled at the doctor for not even giving me a proper dose for him. they told me not to worry, that they know best. i dont believe them. i have stopped giving bill his "eye medication" it turns out that it wasnt helping him at all, the doctor who gave it to us was outed as a fraud he looks at me with that round eye and wonders why ive stopped i tell him he'll be safe this is billy and i's first appointment at a psychologist. billy looks at me with worry in his big round eye. he's never had to have an appointment where he has to talk about himself. i tell him he'll be safe and that i'll hold his hand through the whole thing. they were perplexed to say the least, but they were helpful they told us to come back for an assessment they said they might have the answer the psychologists have a diagnosis its a thing they dont know a lot about, hes the first one to be officially diagnosed the doctors want to name it after him but i insist they don't. i don't need my boy to be the center of his condition he looks at me in the car with fear. i tell him that everyone is still learning, even doctors. he smiles with his eye again . i make him a sandwich with the crust cut off when we come back, he beams years later, the diagnosis has been named silly straw syndrome its considered a neurological conditon that effects the way someone sees the world. people are still scared of my son when he looks up at the stars but we're getting somewhere, the world of shapes is making progress. bill brought home a friend im overjoyed, hes never had a friend over and for once, i see a kid other than my own look up at the stars with him! and i finally see that my son is understood! i tear up, my beautiful boy is finally understood by his peers. i dont have to worry. im at peace. my son will be ok in the world, there IS people like him! i cry, i sob. my son is finally finding a place. hes finally ok.

[800-dick-pics]

Disabled Household and Black Elder in need to support!!!

In late Aug throught Sept my mom has been experiencing an increase in her symptoms, she went to the ER over 7 times and not much came of it until, we found out shes been having MINI STROKES, and her heart could be spurting out blood clots as well, so currently my mom is undergoing intense treatments to help with her heart and brain damage due to the anti black ,fatphobic medical system continually missing her symptoms

My mother is trying to still work to keep the lights on but its killing her straight up, and the drs "aren't sure" if my mom "really needs" disability atm so were gonna start up a fund so my mom can retire asap and to help make this house accessible to a stroke survivor with increasing mobility and neurological issues!

I have more than 1 job, and so does my partner but its not enough to take care of all 3 of us esp my mom. We need help with almost everything since insurance wont pay for a caregiver or to make the house accessible. We have to do everything out of pocket so we need funds for; Medical supplies, drs visits and medical bills;To make the house accessible as possible and to get a retirement fund going so my mom can stop working herself into an early grave

For the retirement fund Im going to be asking and aiming for 300 weekly and I am going to prioritize this as this going to be the only funds my mom will have after retirement. Once we hit 300 everything else goes into accessibility products and the current house repairs were sitting near $700, thats to fix our steps, for getting a shower chair, grab bars around the house, getting carpet, and replacing every door handle for something she can grip. And for her medical supplies/bills and appts Im still trying to figure out the grand costs of it all (its alot alot) and trying to see if insurance will cover more than they are.

Retirement Fund: Week 10/30 - 11/6

$0/$300

Accessibility/house repairs

$0/$700

CA: $sleepyhen OR $grumblybear

VN: wildwotko OR XochiRose

TLDR: We are a disabled house of 3 trying to take care of my mothers since she has had mini strokes and severe heart issues. We need to take steps to make this home more accessible for her, start saving funds for her unexpected retirement and all of the medical bills we are now paying out of pocket

Thank you for reading and thank you to everyone who has been following along with my mothers health, I do appreciate it so very deeply. Even if youre unable to donate please share it esp to those who can give a lil bit.

[mososimos]

Major Medical Coding and Billing Challenges in Neurology

The significant medical coding and billing challenges in Neurology demands experienced neurology billing services to maintain precise and detailed documentation. https://www.outsourcestrategies.com/blog/medical-coding-billing-challenges-neurology/

[all-pacas]

#he's good in a crisis ok#and a dumb whore everywhere else

I'm the anon that asked why you think Chase is generally stupid,except for some talents. Can you talk why do you think he's a dumb person with a single talent,instead of a generally smart person who lacks common sense at times?

I mean, the short version is I’m joking. Just like when I call Cameron insufferable. The show itself likes to call Chase a Dumb Whore.

But the fact of the matter is that Chase isn’t stupid. House doesn’t hire idiots, even if he calls his employees stupid roughly twice a week. We see in S4 that he will fire someone immediately (CIA chick) if they can’t pull their weight; Chase does.

He does, in show, have a bit of a reputation for being dumb and lazy, and I think both have their… moments? Lazy is easier to prove: Chase tends to be quieter in differentials than Cameron and Foreman. He’s the least likely to argue his points or insist he’s right. Time and time again, he also shows he’s a bit apathetic: in Safe he and Cameron discuss the teenage patient’s boyfriend. They need to test his sperm, and Cameron worries that they should tell the parents, who will not be pleased. Chase shrugs it off. They’ll find out when they get billed for the test. Cameron asks if he’s really okay with them finding out like that; he doesn’t even hesitate before confirming “pretty much.” He prefers to take the easier path.

The dumb is a little more… meta-textual, let’s say. First of all, Chase is an intensivist. Foreman and Cameron are top level experts in their fields of disease. Foreman always thinking neurological is practically a running joke; I’m not sure if fandom has pinged on the fact that Lupus is a running joke because Cameron keeps suggesting it, because she’s an immunologist. They both tend to brainstorm in their specialties, they know a lot of very specific illness and disease stuff for them. Same with House: he has a double specialty in infectious disease and kidney stuff. Chase doesn’t have that kind of background. He’s not an expert in any body part or type of sickness. He’s… good at keeping people alive. And that is not easy, and we see time and again that he’s really good at it. But he doesn’t have that same kind of knowledge specialty, and so in differentials he… contributes, for sure, but he doesn’t have the “it must be lupus!” “it must be neurological!” thing. House also doesn’t defer to him as much — House recognizes Foreman knows more about Brain Stuff than he does, so when it’s a brain thing, Foreman is expected to know. Chase doesn’t have that kind of niche, so he comes off as a little less… brainstorm-y. Cerebral.

There’s also moments here and there in the show where they outright joke or imply he’s a little dim. There’s the “dumb whore” bit and him choosing password as his password. Way back in episode two of the show, he’s doing a crossword puzzle with a medical clue and can’t figure it out; Foreman does instantly. We know about Foreman and Cameron’s very prestigious CV and schooling history (he went to one of the top schools in the US and had perfect grades; she interned at the mayo clinic). All we know about Chase until S7 is that his dad, apparently, got him the job. Also, because Chase is the dedicated Keep ‘Em Alive Guy, there’s a whole bunch of episodes where, say, Foreman and Cameron are trying to figure stuff out or searching the home while Chase is busily working on the patient, so he seems to do “less” than the other two. This is probably where the “Chase screwed up” running theme comes from too: he cuts people open more than the other two, so if there’s a physical procedure (and potential mistake), it’s him and not Cameron who probably made it.

But that all said, all jokes aside, I don’t think he’s dumb. I mean — he’s dumb, but he’s not stupid. He might not be a disease or organ specialist like the others, but he still is able to keep up. He’s very good at keeping people alive. He also has a real penchant for out of the box thinking and creativity that bumps his Solve Rate up higher than any of the other fellows. As early as the Pilot he’s able to come up with a creative solution to prove the patient has Ham Worms. He’s shown plenty of times that he is incredibly good at reading people; he’s a good manipulator and lowkey House’s default “schemes guy” in early seasons, when he needs to trick a patient (or scam money out of the S4 betting pools and Kutner). He’s able to completely see through House and Foreman multiple times; House even goes so far as to say it’s why Chase was hired.

I think if anything it’s laziness that’s Chase’s biggest issue. He’s shown plenty of times he can be brilliant and is observant and creative, he just rarely bothers or cares enough to try. He’s… kind of a spoiled rich kid. He doesn’t have to work hard for things, so he doesn’t. He’s passive and more than a little spineless, and finds it easier to go along than assert himself in early seasons. He might not be dumb, but people see him that way, and I really don’t think he minds. Because it’s easier, and because he doesn’t really care what Foreman (or whoever) thinks. The rare times he does go all out tend to be exceptions: he works his ass off to prove his father wrong in S1, and Treiber in S8, because he’s mad more than because he’s that worried about the case. He figures out the same thing as House in Control, why the patient is really sick, but only because he’s afraid he’s about to be fired. He’s lazy. He works well under pressure.

I’m going to be super pretentious here, but when I was younger I read the short story “A Good Man is Hard To Find.” The main character is a deeply unpleasant and vain older woman. When her life is threatened, however, she becomes desperate and kind and empathetic. One of the last lines is another character’s musing (and I've thought about this line nearly every day of my life since): 

"She would of been a good woman," The Misfit said, "if it had been somebody there to shoot her every minute of her life."

In a way, that’s Chase. He does great when he’s sufficiently motivated; it’s just that most of the time, he’s only motivated for personal reasons.

But he’s not stupid.

[verdemoun]

Do any of the gang members find out that they have any disorders/mental illnesses/etc. once they get timewarped and if so what are their reactions? Ranging from “oh, I though that was normal” to “NUH UH!”

timewarp was founded on the gang realising they have ptsd and kieran's autism being more obvious and worse in timewarp. but in detail

kieran is autistic

sean might have adhd but he doesn't actually have hyperactivity as a symptom. plot twist he just has that erratic trauma avoiding energy. it is a lot more masking severe c-ptsd and imposter syndrome that is his behind his exaggerated happy personality. see reform school lore

arthur is one of the few diagnosed he definitely had an acquired brain injury which while a physical injury manifests with mostly neurological symptoms. sometimes he gets confused or irritated for seemingly no reason, and this has been a thing since long before timewarp. the gang move on from joking about how dumb he is he does have an intellectual disability as part of his ABI. his response was very "oh I thought that was normal" and "bah i ain't need help".

the gang have subconsciously been aware of this long before they had the medical knowledge to understand it and are all pretty used to quickly explaining things or reminding arthur of stuff he forgets. lowkey consider this canon ever notice how the gang talk to arthur sometimes not entirely condescending but explaining things on his level eg sean being the one to point out the grays will definitely recognise him and he should hide in the wagon, grimshaw almost playfully reminding a grown man to wash because he straight up forgets, gentle reminders of what they're doing through heists even beyond game mechanics a lot of heist cut scenes are super repetitive like charles very much breaking down we're blowing a hole in the bank. take the spool and connect it to the detonator. the detonator is over there. it just feels like they know arthur isn't always entirely there and are v supportive. arthur is so curious and asks so many questions and the gang just roll with it and answer most of the time it feels so kind and positive.

arthur also definitely has adhd. hyper-fixates on new interesting thing for a month and then completely forgets everything he ever learned about it

almost the entire gang acknowledge they have ptsd/c-ptsd and varying levels of trauma as a response their lives/childhoods/relationships with parents/being a VDL. acknowledging it doesn't mean they do anything to move towards recovery because they are still mostly men raised with 19th century values who hang shit on each other for flinching at loud noises or being 'is someone shooting at us' alert

lenny and isaac as the most aware begging their friends/family to take their mental health seriously and are constantly met with 'lmao no' 'that's?? normal?? what do you mean' and 'NUH'. lenny cries 'please this is re-traumatising you are actively upsetting yourselves' while the gang go 'boo grow a pair' despite experiencing varying levels of anxiety attack in response to triggers.

john will only bring up 'hey stop making wolf jokes about me it is Actually a Trigger' to stop the gang bullying him. very genuine trigger and phobia of wolves and wolf-like dogs but still doesn't take it seriously himself

bill has recognized anger management issues and is in therapy. alcoholism is a definite concern. he's also just got a lot of internalised homophobia and complex feelings about the gang and his own childhood to unpack and learn how to articulate and express his feelings in a healthier way. only one of the adult gang who is actively trying to improve his mental health through therapy go king

the d in dsm-5 stands for dutch and he is thriving in in-patient care. not even the doctors know entirely what to diagnose him because he seems to have symptoms of everything but is responding best to medications traditionally used to support bi-polar

special acknowledgement to karen who is very very depressed but is a thriving with anti-depressants because trying to get the gang to go to actual psychologists and therapy is Hell. her and sean send each zoloft memes constantly

[instapayhealthcare]

https://handyclassified.com/neurology-billing-made-easy-increase-your-earnings-today

[tswwwit]

Thinking about it now, having a mind demon for a husband is sort of like marrying a psychologist or a doctor, just with eons of in-field experience and zero empathy. Dipper has a lot of his own problems, but being raised by Stan, who probably didn't take him to the doctor for anything that could be remedied at home or just flat-out ignored, I don't really think he'd have it in his mind like, "oh, this physical/neurological trait is causing issues, maybe I should see someone about it." He just sorta shrugs his shoulders and figures it's another Problem added to the already-huge mountain of issues that trail him everywhere. Bill can clearly see what's wrong with him, but being that Dipper's not making an out-right stink about it, he sort of figures- well, if he's not making a big deal or anything, then he must not care! And he just doesn't bother bringing up his Diagnosis. Until one day, Dipper does something and it's Slightly Harder To Do than for the average people, and he gets really frustrated about it. And Bill, trying to be semi-supportive is just like "Don't beat yourself up, Sapling! For someone with [insert neurodivergent term], you're practically breaking barriers!" Que a very shocked, very confused Dipper, and an equally confused demon husband who thought it was Super Obvious, and just never brought it up because? Well, his brain is beautiful, medicated or not 😌 Work it, baby! Au naturel~