#RCM

[emsterish]

What I think thier rcm pictures look like p.1 (unfinished)

havent decided who to do next so suggest if you like

[cuso4draws]

That tie had it coming (and Kim's electrochemistry is having a field day)

[votive-candle]

27 / 07 / 2024

guys don't quote me on this (and dont spoil the game for me either i'm very early in) but........ i think Disco Elysium is teaching me colour theory.......?????

[freezebobs]

I put together a little Disco Elysium graphics pack in 2023! Has vectors for my take on the RCM logo/watermark and a vectorized version of the Revachol map, all based on official/in-game sources. You can find it here on google drive :)

[worlds-end-discotheque]

This isn’t a fully finished thought-project yet so please bear with me but I’m pretty sure Cuno is the one paying the bills for the de Ruyter apartment.

Or at least he’s trying to.

When you go into Cuno’s apartment, the first thing you realize is the chain and the warning about the electricity. From what we know about how Cuno protects his shack (and the state of his inebriation-comatose father) we can safely assume that Cuno’s the one who chains the door closed whenever he leaves. Obviously, no one in Martinaise would want to leave their home open for any reason, but the apartments clearly have deadbolts installed in the doors— so the chain is an extra measure. Cuno can’t have anything being stolen, even taking the extra effort beyond confidence in his own intimidation to chain it up.

The apartment has two rooms: Uuno’s bedroom, and the living room. Uuno’s bedroom consists primarily of the bed, the clothes line, presumably a dresser or some end table-like surfaces. Plenty of room for his substances and shit.

The living room has the sofa, which is clearly covered in Cuno’s clothing and a makeshift sleeping setup. The risqué pinup on the wall is basically confirmation that this is Cuno’s “space,” not something that he and his dad alternate or share. The L-Couch is Cuno’s bed, bedroom, and dresser, effectively.

Which leads us to the tiny desk. The items on the desk are minimal, but crucial: Cuno’s speed with the straw, Cuno’s textbook and homework, a lamp, the stack of bills, and an open phone book.

We’ve established already that Cuno and his father do not share space. Cuno is already a territorial kid, established by his limited safe zones in his own home. He wouldn’t leave his damn homework out somewhere where his dad could access it; the fact that the homework exists means that beneath his attitude, Cuno clearly has a deep level of care for his schoolwork and at least a desire to complete it. With how terrified he is of his father, there’s no way in hell Cuno would leave his schoolwork out in a place that his father could damage it or get angry for it. Which essentially confirms that the desk is Cuno’s space only.

The speed has its little straw, making it convenient to sip on consistently while doing work at the desk. (I do this with my water tumbler.) especially if you’re at the desk for a long time. With the open phone book, it’s clear that Cuno is at least trying to find the numbers for the companies that the bills are coming from. It’s not just a pile of mail on the desk— he’s doing research into it. Gathering phone numbers to take outside to one of the payphones. The desk is organized, business-like, unlike anything Cuno is— except for how he deals.

Which leads me to my last bit. Cuno’s insistence on selling you shit. Obviously, the best way for this kid to maintain a steady supply for his own addiction is to be a dealer. However, for a 12-year-old boy with a substance addiction in the world of DE where there’s nothing else to do, that level of self-control is absurdly high. There’s a meticulousness to it that betrays a primary aspect of Cuno’s approach: business. Cuno isn’t doing it for popularity, for “cool” points, and if his focus was only his own addiction then he would likely just steal them, take it all for himself. He’s not supplying his dad, that’s for sure. On top of that, he’s got a side hustle selling clothing and other crap he picks up, enough to try and pitch it to Pigs— repeatedly. There’s a lot to buy off Cuno, and it’s the one thing he repeatedly brings up in dialogue options, aside from insults. He wants you to know he’s willing to do business. He needs the money. Because the bills are stacking up, his dad could die any minute, and now he’s got Cunoesse too. (It’s not confirmed if she stays in the apartment with him, and I’m inclined to think not, considering the chain, his fear of her too and the fact that she stands on the other side of the fence than him— there’s a special separation there. There’s also no trace of Cunoesse-noted belongings nor a second space to sleep indicated on the couch; shivers, empathy, none of the skills speak up when inside the apartment about anyone but Cuno and his dad. At the same time, this is again unconfirmed).

I lost what I was talking about here, but the point is. Cuno breaks my heart and I want to adopt and take care of him so badly. It’s one thing to be a delinquent kid, it’s another to be a 12-year-old delinquent kid trying to pay your own damn bills in Martinaise. Fuck, man. I love this kid so much. He breaks my heart.

As much as I yap about my old man yaoi, I think Cuno is my favorite character in DE. He’s just… I need to take care of him. God help me. I wanted to kill his dad so badly. Sigh.

Anyways. That was my thought project. Thought Cabinet just adopted Cunology.

[cupozo]

I have Disco Elysium Stickers up on my red bubble : )

you can now let everyone know you are very normal about these middle aged men <3

Im also working on some more DE designs to add to what I'm offering here's a sneaky peek : )

[placeboelysium]

Eyes taking the bullet (and the L) for Kim

Closeup:

[pedroam-bang]

Disco Elysium (2019) - The Final Cut (2021)

[deathstardroid]

Enemies now.

[allmightyscroll-swag]

Made myself a RCM patch! :)

I used @freezebobs vectors/renders as a base, but used blues instead of black and white because I wanted to reference forget me nots.

Also shortened district names besides Martenaise due to size. Black border is to have a place for the safety pins.

It's actually my second attempt, so I'm pretty happy with it!

[nipsu22]

Judit Minot. This was made pretty hastily so the the porportions are kinda wonky but I had to just draw something to get it out of my system.

[flhoarder]

RCM, also known as Reinforcing Codependent Mechanisms

[reallysleepymermaid]

BANG!

[en-garte-au-cafe]

uhh, hi, i'm here to apply for the cook position-- i heard you were hiring? i have no experience but i *do* have a winning personality and a pretty nice apron

This sounds suspiciously like something Lieutenant Double-Yefreitor Harrier du Bois would say. So no.

Unless you would like to submit a legitimate application and not just an anonymous text.

What is wrong with you all.

I genuinely need help or I’m going to lose this place. Good luck finding another RCM-friendly hostel, if this is Officer du Bois. And if it’s not… then please reconsider. Just. Please.

Neutrally,

— L. Garte, Manager

P.S. @lieutenant-hdb was this you? If so, is that one of Sylvie’s left behind aprons you stole? Please give it back.

P. P. S. — If you are looking to quit the RCM, Officer, we could discuss working something out. The Whirling is in a dire situation, business-wise. I would hate to see it go, especially after all you did. To protect it, I mean.

[freezebobs]

RCM watermark/logo sticker project from 2023!... I think these were pretty cool and I put a lot of thought into the design + the cards and envelopes I put them in ☺️ Not selling them anymore but I ended up putting the files for these on google drive (see separate post with disco elysium graphics)!

The envelope, card & how it came together!

In-game references that were considered in the design for the stickers and cards:

[wanderingfool2023]

How it works on the inside - billing inside hospitals and clinics

Years in this field. There are not enough words to explain my anger at the system. The primary point is that it is broken, everyone on the "inside" has known for ages, COVID was the death knell.

I could make post after post on why it is broken but I think it is easier to explain how it is intended to work for the first one. Because I will be real with you people on the inside that WORK ON THESE TEAMS do not even fully get it.

This example is for a hospital (think ortho, cancer centers, surgery, etc) - clinics, like your primary care clinic use a very simplified version of this.

The first people you usually speak to are called "Patient Registrars" the team is usually called PAS (Patient Access Services). These are the front line staff that get you scheduled, take your insurance, get your authorizations. It is the doctor that SENDS the referral who is responsible for getting your initial authorization. Usually this is for a consult. The authorizations after are done by the folks above.

Side bar - what is an authorization? it is a request by your doctor for something you need that the payor/insurance company agrees that they will pay for. These can be for a one time service like a MRI, or something that is based upon time/dosage - like chemo. The latter must have re-auths done by the team mentioned above.

Lets say this all goes according to plan, which it does for the most part. What happens after you get your first visit?

The doctor goes into their medical record (sometimes called an ELECTRONIC MEDICAL/HEALTH RECORD -EMR/EHR; these used to not be electronic and be on paper, some facilities are still on paper. The medical field is the last bastion of faxing in this nation) and documents what was found/discussed - their diagnosis, prescriptions, next steps like treatment or routine meetings etc.

That information (regardless of format) flows to a team called the Medical Records Team. They do a QA, make sure the registration folks didn't miss any forms, the nursing staff got all the stuff they need and then ship it over to coding/charging.

Now this next step does involve traditionally 2 teams. It can deviate by facility, some are merged, some are not. Lets talk about a bigggg ass facility with all the proper teams and staff.

Charging - this is a sub team of either 3 different departments: Health Information Management (HIM), Patient Financial Services (PFS), or Revenue Integrity (RI). Regardless these folks sit down, review what the doctor wrote and generate charge codes based upon it. There is a dictionary (several truly) in every hospital with every price for every service. These prices are set based upon a few factors but I will delve into that in another post called Charge Master or CDM.

From there it goes to coding. Coding reviews these records and documents in extreme depth. They assign codes (which are dictated by CMS - the gov office that oversees Medicare) that is digestible to insurance companies. If anything looks off they send it back to the correct team to fix - most of the time their communication is directly with the doctors themselves. These communications are part of your EHR and available to you if you request them.

Once coding is done then it goes to billing/PFS. PFS then does another QA (sometimes this is done via the tools not a human) and a claiml is generated and sent to a clearing house.

A clearing house is not a bank - it is like a transit center for facilities and insurance companies and their banks (Change Healthcare is owned by UHC and is the biggest clearinghouse in the nation). So a claim goes to the clearing house, it is scrubbed AGAIN for errors, and then sent to the respective insurance company. The insurance company then goes through a fun little circus which is again another post. Eventually they tell the facility (via the clearing house) the claim is either denied, partially denied or fully approved and sends the $ to the clearing house. Sometimes that money goes directly to the bank of the facility ymmv. Regardless the PFS team goes and pulls this data from the clearing house and updates the patients record accordingly.

They will then begin the denial process of fighting the insurance companies. There are hundreds of denial types, but generally they are called technical denials or medical necessity denials. Another post.

This usually takes months of arguing, sending information, resubmitting, rinse and repeat. At the very very end of it the patient (only if the insurance agrees) gets a bill. From THERE the patients will then reconnect with the hospital billing team and maybe the financial assistance team.

This lovely system is called the REVENUE CYCLE. It is sometimes a division, sometimes its left as standalone departments, each functioning on their own. Sometimes the facility is small enough there is only 1 person responsible for a function instead of teams.

I will make a few more posts - specifically break downs. Reach out if you want me to dive into anything specific.