#Ris system

[adhdtsukasa]

as a firm transmasc tsukasa truther. i like to believe that his first transmasc awakening was seiichi amami and his second transmasc awakening was kaito but he was completely oblivious that it was, in fact, trans awakening until last year of middle school

tsukasa age 7, staring at seiichi amami's performance: wow he's so cool i wish i was just like him :) (because i want to be a star and make saki smile, obviously)

tsukasa age 9, after kaito v3 has released: wow he's so cool i wish i was just like him :) (because he's my favorite vocaloid and a big inspiration for me, obviously)

tsukasa age 14 after he got hit by the realization that "i wish i was just like him" is actually on a bit more personal level:

[ayatakanosstuff]

i look horrendous due to my sickness it’s not even funny.

[ridragon]

I'm surprised at the amount of people who reblog tutorials on how to forcibly turn stuff off on their computer without knowing what said thing does. Like the Tumblr post going around now is probably fine, it's just a Windows search function, but you guys need to NEED TO fucking check if they're basically telling you delete system 32 to make your computer go faster because PEOPLE USED TO DO THAT. A LOT. IT STOPPED AFTER PEOPLE STOPPED FALLING FOR IT. BUT GODS DAMNED IF IT DOESN'T LOOK LIKE PEOPLE WOULD DO IT NOW IF THERE WAS A TUMBLR POST SAYING SO.

[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.

[boypr1ncesss]

the thing about the queer media tournament that really gets me is that last i checked there wasn't a single mxtx work on it. like not even the untamed made it in and don't get me wrong the og mo dao zu shi books are huge but cql is def more popular among tumblr circles. idk it just really rubs me the wrong way how every single piece of western media that ppl have ever gotten a lil bit aggressive abt shipping with is there and then for east asian media there's utena and madoka magica and the handmaiden and last i checked that was pretty much it. and then for the rest of the world there's next to/nothing but idk enough to really make judgements there.

[the-girl-with-too-many-ideas]

What if the person who transmigrated into SVSSS was Fang Yuan from Reverend Insanity? How would that have played out?

[stuck-in-the-ghost-zone]

HI HI MAC. I JUST WATCHED THE NEW GEMINI VIDEO (was going 2 watch it this morning but i forgor 💀) HOLYYYY SHIT i am so creeped out EAUGH it was so good. creepy faces fuck me up AUGHHH. many thoughts head full. also i apparently love drawing characters as teru vash plush bc i started drawing teru vash and then realized oh iam just. drawing patton. so then i drew el woowoo 2 keep him company!! holds out my hands and places these guys in ur palm <3

OH FUCK LITTLE GUYS...... ohbtheyre so perfect. squeezing them like stress balls. <3333

UGH THE GEMINI HOME VIDEO. GOD. I KNOW. i rewatched it like 3 times this morning. that bit after it says the deal is broken with the body that gets progressively more shriveled up made me feel soooo fucking crawly. also the comeback of the jack dialogue. fuck yes. jack do you see me... i have become something else... im still in here dont leave me you bastards..... god that bit was so cool. the face jn the window at the end was what absolutely broke me last night tho like holy fuck thay shit gets me so bad

[wolfriver777]

Okay hehe gonna have some art for queue should post in about 4 hours 😟

[adhdtsukasa]

that's just a random thought that has popped in my head while trying to fall asleep, but... thinking about how tenma siblings' childhood and middle school days were filled with the fear of uncertainty of the next day, but they both probably experienced it so differently...

saki's fear of uncertainty was connected to a fear of the night — but she wasn't afraid of nightmares, of the dark or anything like that. it was not what's waiting on the other side of the dark room what was scary to her, it was what was going to happen to her that was truly frightening her so much. her days, in middle school especially, were always the same and repetitive, so she did not have to be scared of the well-known routine. but as soon as the night was coming, as soon as she had to close her eyes, she could feel this unpleasant, cold feeling creeping onto her weak body, she could hear this scary voice sound in the back of her head: what if she doesn't wake up tomorrow? what if this night is her last? how can she rest easy, when tomorrow is so uncertain?

tsukasa's fear of uncertainty was connected to a fear of the morning — he was the privileged one, after all. nights weren't scary for him, because he didn't have to be afraid of not waking up and wasting his youth forever. the night coming was just a sign of another day coming to an end and that was a good thing, because tomorrow surely will be better, right? the morning, however, was a bridge that was connecting the night with the next day; it was these few simple moments after he regains his consciousness that were going to determine this day, and he was afraid of them, he could feel this in his whole body, he could hear it deep down in his mind: is saki going to be okay today, will his family finally be happy at least for these few hours? are the things going to spiral down and will everything be even worse than it already is? will saki smile, or will saki cry once again? how can he feel rested, when today is so uncertain?

but now, they don't have to be afraid anymore. the uncertainty isn't as bad anymore.

because the night means that another wonderful day has come to an end, and the morning means that today will surely be a hopeful day full of smiles.

and they're both aware of it.

[pissed-whizard]

It's always interesting to see how differently people see things lol I've lived in RI my entire life, so I'm biased, but I don't personally associate any of these things with the state? 🤷‍♂️

Now I doubt anyone is super interested in this, but I'm weird and bored, so I threw together a quick list of the "something else" things that I associate with the vibe of Rhode Island.

[In no particular order]

🍋Dels Lemonade: A local frozen lemonade chain. To be eaten without a straw or spoon, you just slurp it up.

🎩Roger Williams: Our very own colonizer! "Founder" of Rhode Island, has lots of stuff named after him, including an ok park and zoo.

🍺Narragansett beer: It's beer! it's cheap! What more do you want? fun fact, there is a dels lemonade crossover flavor.

🦟The Big Blue Bug: Our very own state kaiju! Yes it's definitely that and not just an advertisement for a pest control company on a rooftop next to the highway. They do dress him up in cute outfits for all of the holidays though.

🌭NY System wieners: Don't think too hard about this one, just get a couple wieners all the way (mustard, chili, onions) with some coffee milk and shut up about it.

🌊🔥Waterfire: A series of festivals in the summer where they light up torches that are in a river that flows through the capital city of providence.

🥤Awful Awfuls: "It's a drink!" (It's a milkshake)

🪦H.P. Lovecrafts Grave: We gotsa dead author here

🍕Pizza Strips/Party Pizza: Dough, and sauce. that's it. popular at kids parties. It's better than it sounds.

☕🥛Coffee Milk: You heard that right. No, it's not iced coffee, it's a syrup you mix with milk, like chocolate milk, just coffee flavored. It's amazing. Another fun fact, there's an Autocrat X Narragansett coffee flavored beer as well, because of course there is.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

There's a lot more I could probably add, and I'm sure I'll think of more stuff later, but this is what comes to mind initially.

Reblog for a bigger sample size.

Say in the tags what you voted for and if you live in or outside of the US

[therpistlr]

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[ridragon]

i think its funny that i was so against tone indicators at first and i think it's just because like, we already had tone indicators and they were silly text emotes and i miss them, and theyre also easier to pick up for me

:v :> :u - sarcastic

xD x3 - a joke meant to be silly

o.o o_o - actually kinda confused or flabbergasted

o: or o:? or somn like those: genuine question

orz OTL - i refuse to stop using this one usually means dramatically upset

i need to use em more and i think we all should.........maybe alongside tone indicators idk.....

[rhode-island-empire]

There are two types of summer programs you apply to. The ones with a few basic questions and require an essay and a rec letter, and the crazy ones that ask questions like do you attend Providence Public Schools, if you could be an animal what would it be, you don't HAVE to submit a rec letter unless you fit one of these hyperspecific criteria that only apply to two people, but you kind of SHOULD submit a rec letter anyways, oh and I need all your transcripts from seventh grade until now to make sure you're not an academic fraud. If you cheated in sixth grade we'll let you get away with it though!

[agreekdemigod]

Ah so I was burnt out

[aconstantallegory]

also another question for one of my fellas she doesn't wanna ask directly: what's a mythical species that nails, perfectly, the area between alien and fair folk

[ss-1990]

Advancing Diagnostic Imaging: The Importance of Radiology Machines Interfacing

In the ever-evolving landscape of medical diagnostics, Radiology Machines Interfacing has emerged as a pivotal component in enhancing efficiency, accuracy, and patient care. At the heart of this advancement lies the integration of Picture Archiving and Communication Systems (PACS) with radiology machines, enabling seamless communication and data exchange across the healthcare network.

DICOM Standards serve as the backbone of this integration, ensuring compatibility and interoperability among different imaging devices and software systems. By adhering to DICOM protocols, radiology machines can effectively communicate with PACS, transmitting high-quality medical images along with relevant patient data.

Furthermore, HL7 Integration plays a crucial role in streamlining the exchange of clinical information between disparate systems within the healthcare environment. By integrating HL7 messaging standards into the interface between radiology machines and PACS, healthcare providers can achieve real-time data exchange, thereby expediting diagnostic processes and improving patient outcomes.

Workflow Optimization is another key benefit derived from the seamless interfacing of radiology machines with PACS. By automating tasks such as image acquisition, storage, and retrieval, healthcare facilities can optimize their workflow, reducing manual errors and enhancing overall efficiency. This not only saves valuable time for radiologists but also ensures timely delivery of diagnostic reports to referring physicians.

Moreover, effective Image Storage Solutions are essential for managing the vast amount of medical images generated by radiology machines on a daily basis. PACS serves as a centralized repository for storing, archiving, and retrieving these images, providing instant access to authorized healthcare professionals whenever needed. Implementing robust image storage solutions not only facilitates efficient data management but also ensures compliance with regulatory requirements regarding data security and patient privacy.

Complementing the integration of radiology machines with PACS is the utilization of Radiology Information Systems (RIS), which serve as a comprehensive solution for managing radiology workflows, scheduling appointments, and tracking patient information. By integrating RIS with PACS and other clinical systems, healthcare providers can achieve a holistic approach to diagnostic imaging, streamlining operations and enhancing the overall quality of patient care.

In conclusion, the advancement of diagnostic imaging hinges upon the seamless interfacing of radiology machines with PACS. By adhering to DICOM standards and integrating HL7 messaging, healthcare facilities can achieve greater workflow optimization and ensure efficient image storage solutions. Combined with the capabilities of Radiology Information Systems (RIS), this integration paves the way for enhanced diagnostic accuracy, improved patient outcomes, and ultimately, the advancement of healthcare delivery.