#cpt margin
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100% on my practice FRQ, drew a new guy to celebrate <3
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I really ought to be going to bed but I want to add some context as a Medical Coder tm (i'm the guy who looks at the codes, makes sure it looks right, and fights insurance if they disagree).
Sometimes the provider really doesn't know ~exactly~ what they're going to bill, especially if you're in for emergency services so sometimes the answer really is "i don't know exactly."
that being said, 99.9% of the time so long as the doctor has a general idea of 1. what's wrong with you and 2. what they need to do in order to treat it, they can make an educated guess as to what codes will be needing billed. From those codes, they (or their billers) can then find out 1. have there been claims for this same code sent to this same insurance (or at least a similar plan under this carrier)? If so, what did they pay? and then 2. based on your benefits, what portion of that you will be expected to pay. Hence why it's a good faith estimate, and why that margin of error of $400 exists. (like maybe the needed an extra lab so that ends up being an extra $23 coinsurance for you, etc. not balking at $400 but trust me these codes are Expensive)
Definitely definitely definitely exercise your right to a good faith estimate. Name drop the act if you must. And if you get an explanation of benefits and something looks fishy ("i don't remember getting a blood draw?" etc.) you will usually find the CPT codes on your explanation of benefits, as well as the "allowed amount" (what insurance paid) and your cost share. You can always call up the insurance and ask them for code specifics. You are also entitled to your chart notes (it shocks me how many people don't know this) so you can also look at what the doctor put in the notes and contest it if need be.
Also keep in mind that the insurance is oftentimes really cagey about what it will pay with providers. they don't want providers to know either. the whole industry relies on smoke, mirrors, and ignorance and that includes those of us working within the beast.
I’m seeing a bunch of posts that make me think most USAmericans don’t know about The No Surprises Act.
It was passed in 2021 (thank you Biden) and essentially states that if you don’t have insurance or your insurance doesn’t cover a service you need (or want) you are entitled to a Good Faith Estimate of the cost of care. (If your insurance does cover the service, you should be able to estimate the cost of care based on your deductible and co-pay.)
As a healthcare provider who does not accept any insurance, I am very careful to not violate The No Surprises Act. Why? Because for every penny more than $400 that the Good Faith Estimate was “off” (or if it wasn’t provided), you are entitled to a refund for that amount.
Y’all. Ask for a Good Faith Estimate. Get it in writing. Compare it to what you are paying. If you are not provided an estimate or if it’s wrong by more than $400, demand a refund.
#this was gonna turn into even more of an essay but it got off topic#anyway sorry op but the autism won today#i know this is the 'we hate doctors' website and for good reason#i am just always eager to shove my knowledge in when it's not asked for 🤣🤣#if folks want more info or examples feel free to hit me up#once again considering starting a blog dedicated to this sort of thing bc i have Autism tm
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Stand apart: Essential Tips for Crafting a Winning Phlebotomist Resume
Stand out: Essential Tips for Crafting a Winning Phlebotomist Resume
Stand Out: Essential Tips for Crafting a Winning Phlebotomist Resume
In the competitive field of healthcare, your resume is often your first impression on potential employers. As a phlebotomist, it’s crucial to create a resume that showcases your skills, experience, and certifications effectively. In this article, we will delve into essential tips for crafting a winning phlebotomist resume that not only stands out but also increases your chances of landing that coveted job interview.
Understanding the Role of a Phlebotomist
Phlebotomists play a vital role in healthcare, responsible for drawing blood samples for tests, transfusions, and research. Here are some key responsibilities:
Collecting blood specimens from patients
Preparing blood samples for laboratory testing
Maintaining human dignity and comfort during the process
Ensuring proper labeling and tracking of samples
Adhering to strict hygiene and safety protocols
Why a Professional Resume matters
A well-crafted resume is essential for several reasons:
First Impressions: Your resume is often the first thing employers see. A polished presentation signals professionalism.
Showcasing Skills: Your resume allows you to highlight your skills and qualifications effectively.
Competing in the Job Market: With increasing competition in the healthcare industry, a standout resume can set you apart.
essential Tips for Crafting Your Phlebotomist Resume
1. Customize Your resume
Tailor your resume for each job application. Use keywords from the job description to match your skills and experiences. this not only demonstrates your qualifications but also enhances your chances with Applicant Tracking Systems (ATS).
2. Start with a strong Summary Statement
Open your resume with a strong summary statement that encapsulates your qualifications in a few sentences.Focus on your certifications, years of experience, and key skills.
Exmaple: Results-driven phlebotomist with 3+ years of experience in venipuncture,patient care,and laboratory protocols. Certified by the American Society for Clinical Pathology (ASCP). Committed to promoting patient comfort and safety.
3. highlight Relevant Skills
Employers look for specific skills in a phlebotomist. Be sure to list relevant skills such as:
Venipuncture and capillary puncture
Patient interaction and care
Laboratory procedures and safety protocols
Efficient and accurate specimen collection
Knowledge of lab equipment and procedures
4. Detail Your Work Experience
In this section, use bullet points to list your responsibilities and achievements in each role. Start each bullet point with strong action verbs and focus on quantifiable outcomes whenever possible.
Job Title
Company
Dates Employed
Key Responsibilities
Phlebotomist
ABC Health Center
Jan 2020 – Present
Performed 200+ venipunctures weekly.
Collaborated with healthcare teams to improve patient care.
Clinical Assistant
XYZ Clinic
June 2018 – Dec 2019
Assisted in patient intake and managing medical records.
Trained new staff on blood collection techniques.
5.Include Certifications and Education
A relevant certification can significantly enhance your desirability as a candidate. List your certifications, such as:
Certified Phlebotomy Technician (CPT)
Certified by the American Society for Clinical Pathology (ASCP)
Cardiopulmonary resuscitation (CPR) Certification
Also, include your educational background, listing degrees and institutions attended, along with graduation dates.
6. Keep It Concise and Professional
Your resume should ideally be one page, especially if you have less than 10 years of experience. Use a clean,professional format with equal margins,a readable font,and adequate white space to make it easy on the eyes.
Practical Tips for Enhancing Your Resume
Use bullet points for easy readability.
Proofread your resume for grammar and spelling errors.
Save it as a PDF to preserve formatting when submitting.
Include a cover letter to introduce yourself further.
Case Study: Transforming an Average Resume into a Standout
Consider the case of Jane, a recent graduate looking for her first phlebotomy job. Her original resume was unfocused and lengthy. By following our tips, she:
Customized her summary to reflect her hands-on training.
Highlighted her internship in a clinical setting.
Used bullet points to make her experience easier to navigate.
Incorporated keywords from job postings.
After implementing these changes, Jane received multiple interview calls within a week!
First-Hand Experience: Insights from a Hiring Manager
According to Rachel, a hiring manager with over ten years of experience, “The resumes that capture my attention most are the ones that tell a story. I want to see not just what the applicant has done but how they can make a difference in our team.”
Conclusion
Crafting a winning phlebotomist resume is essential in today’s competitive job market. By customizing your resume, effectively highlighting your skills and experience, and ensuring a professional appearance, you can significantly improve your chances of landing an interview. Remember, your resume is a reflection of your professionalism—make it count!
Ready to take your job application to the next level? start applying these tips today and watch your career as a phlebotomist soar!
youtube
https://phlebotomyschoolsonline.org/stand-apart-essential-tips-for-crafting-a-winning-phlebotomist-resume/
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Top Urology Medical Billing Solutions
Your focus as healthcare providers should always be delivering solid care to your patients – especially as a small practice who needs to leave a good impression in order for patients to consider returning.
That said, managing urology billing and coding, among other admin work, is something that demands a decent amount of time and resources. Again, this is further complicated for small medical practices that don’t always have the staff and budgets to throw at it as many larger practices do. However, with the right urology medical billing services, you’ll be able to:
– Streamline Your Practice’s Billing Process
– Reduce Errors
– Improve Your Revenue Flow
There are some easy solutions that urology practices like yours can employ here, but working with expert urology billing specialists, such as PMN, is typically your best bet to access the aforementioned benefits.
What Challenges Come With Urology Billing?
Urology being the specialized field that it is means it comes with some unique billing challenges. This means having an understanding of urology coding and all the complex CPT codes that come with that is imperative if you want to submit claims accurately.
Every detail needs to be precise here if you want to avoid denials or delays in payments, whether it’s coding for:
– Surgical Procedures
– Diagnostic Tests
– Or Follow-Up Services
You’re not going to have an easy time managing these tasks in-house if you’re a small practice. All your staff need to be continuously trained with the latest regulations and coding updates, all while they juggle with patient appointments and other administrative duties.
That said, there’s no margin for error here – any mistake in the urology billing process can lead to:
To read our full blog, click here:
https://pmninc.biz/top-urology-medical-billing-solutions/
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Custom Medical Billing Solutions for Healthcare Providers
In today's rapidly changing healthcare environment, it is not enough to simply provide first-rate medical service. Any healthcare organization thrives and grows depending on financial management whether is it issue of medical billing. Outsourcing this function to custom tailored medical billing services company has become more than a trend among healthcare practices; it is seen as their solution. Their services also go beyond mere basic billing, they practicing specific custom solutions according to every practice.
What Are Customized Medical Billing Services?
What are custom medical billing services? Custom medical billing, unlike traditional one-size-fits-all services, is tailored to the specific needs of each practice (whether it be a small clinic or large hospital with several departments and multi-special existence on paper).
0 Shares Share on Facebook This isn't just your basic billing services (you know, coding, verification of insurance- yada-yada), but conclusion denial management that is 100% domestic for you patient processing claims and collecting *building funds (*the two most important things in RCM) all fully HIPPA compliant.
Customized Medical Billing Services – Advantages
1. Boosted Income and Efficacy
The most biggest benefit custom medical billing services bring is they are able to boost up the pay. Specialized medical billing companies can pin-point specific problems with a practice's full revenue cycle. For example, is the biggest issues recurring claim denials? These payers can also help providers improve their revenue cycle and get paid faster by fixing these problems, in addition to making the billing process more efficient.
Billers that provide personalized service understand the ins and outs of your practice, as well as how each internal team member you have works with a specific insurance network which results in more error-proof claim billing. This results in more efficient providers and less time dealing with administrative hassles instead of patient care.
2. Specialized Expertise
Medical billing and coding is a specialized, complex field that requires detailed knowledge of payer requirements, coding regulations and health care laws. They deliver the highest level of custom tailored billing and they hire certified coders, billing specialists who keep up with ever changing healthcare billing rules such as ICD-10 coding together with CPT codes.
They also are highly proficient in managing the complexities of various specialties — cardiology, oncology or orthopedics and mental health. Partnering with a team that comprehends the unique billing requirements of your specialty assists in minimizing claim rejections, generating compliance and optimizing reimbursements.
3. Better cashflow & financial health
The lifeblood of a healthcare organization is cash flow. By ensuring better claim submission, reducing delays and managing collections more effectively, customized resources can attract a stable flow of money for healthcare providers.
In addition to medical billing services, a number of companies also provide comprehensive reporting and analytics which help the providers understand how their revenue cycle is performing. When it comes to guiding better business decisions using data (which in healthcare is key – the margins are lean), providers can start by observing trends relating to types of payment delays, denials and where they see other issues.
4. Administrative burden lessened
Between coverage verifications ensuring that your healthcare providers will be reimbursed for their work, and waiting to see if insurance companies are going pay a fair share of the costs associated with those services, processes fulfilling administrative duties involved in medical billing can put significant strains on the staffs at healthcare practices. When practices outsource billing to a custom service provider, the administrative side of things will become easier. This frees healthcare providers and their staff to concentrate on patient care rather than waste countless hours dealing with insurance companies, coding or billing matters.
5. Scalability: You may increase or decrease the number of your containers Flexibility : Getting a customized environment for an application
Flexible Services – Custom medical billing services that grow with your practice. Regardless of whether you are a fledgling clinic or an experienced hospital, this service is geared to fit your dynamic needs; Not only will the service be capable of growing in scope with your practice or morphing to reflect changes you've made, so too can their billing strategies and operations adapt as required by a larger patient population and higher claim volume.
The other benefit of custom billing services is the flexibility. What is better for different providers are either hiring the full-service revenue cycle management or some support in certain billing areas like coding and denial assistance. This flexibility enables practices to receive the specific assistance they require, rather than be forced to pay for services that are not required.
6.Compliance and Security
Obviously for any provider, complying with healthcare regulations is the most important thing. These customized services ensure that all billing processes adhere to federal and state regulations, such as HIPAA guidelines. They apply robust security protocols to safeguard the confidential patient records.
They help providers save on legal issues, audits and penalties by staying compliant and secure. This peace of mind is crucial for healthcare providers who are dedicated to high-quality care.
Z Here, we uncover the different ways you can make sure to handpick a fitting custom-tailored medical billing service.
Because not all medical billing companies provide the same service, fellow practitioners need to ensure choose one that fit their practice. So let's go through some of the things you should look out for when choosing a custom-tailored billing service:
Experience and Knowledge: Make sure the company has experience in your specialty to understand nuances of billing unique to your practice.
Technology and Integration: You should try to find a billing provider that utilizes the latest technology, while also integrating fully with your practice management system and EHR.
Transparency and Communication – Look for a company that gives you clear communication, fair pricing & monthly updates on your billing health.
Extensive Services — If you need everything from insurance verification to collections and reporting, choose a vendor that does it all.
Conclusion
With the vast competition in health care, personalized medical billing services are what brings providers an opportunity to outperform. The delivery of individualized solutions by these offered services streamlines the revenue cycle considerably, which in turn reduce administrative burdens and enhance financial performance. When it comes to healthcare providers looking for ways to make their practices run more smoothly and boost revenue, a bespoke medical billing service can be the key enabling them focus on what they do best – providing superior patient care.
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INCOTERMS EXPLAINED: EVERYTHING YOU NEED TO KNOW
Incoterms or International Commercial Terms are a series of pre-defined rules, of voluntary use, relating to international commercial law. An incoterm represents a universal term that defines a transaction between importer and exporter so that both parties understand the tasks, costs, risks, and responsibilities, as well as the logistics and transportation management from the exit of the product to the reception by the importing country. Incoterms are all the possible ways of distributing responsibilities and obligations between two parties. It is important for the buyer and seller to pre-define the responsibilities and obligations for the transport of the goods. All best shipping company in India incorporate the Incoterm rules which forms a crucial part of any agreement between buyers and sellers by dictating who will pay for loading and unloading costs, customs export procedures, insurance, import costs, and more. By understanding the Incoterm rule defined in a contract, buyers and sellers can get a firm grasp on their costs and, ultimately, their margins.
Here are the main responsibilities and obligations:
Point of delivery: here, the incoterms defines the point of change of hands from seller to buyer.
Transportation costs: here, the incoterms define who pays for whichever transportation is required.
Export and import formalities: here, incoterms define which party arranges for import and export formalities.
Insurance cost: here, incoterms define who takes charge of the insurance cost.
Incoterms were created by the International Chamber of Commerce (ICC) in 1936 and thanks to their usefulness they were rapidly used in all the world. Nowadays Incoterms are accepted internationally by governments and public administrations,
In any business, all different parties look after their own benefit, and that’s why it’s so important deciding who will be responsible for what in any trade. It can also be really complicated and start conflict and confrontations between said parties.
Incoterm were, as we’ve said, created with the objective to set a unified criteria regarding the responsibilities and obligations to which seller and buyer of goods agree beforehand so they know at all times who must bear with what costs or risks. This helps reduce confrontation and misunderstandings between traders and in turn minimize trade disputes and litigation. Furthermore, a good knowledge of Incoterms can help save money derived from, for example, delays or mishandling of the goods.
Classification of Incoterms
The Incoterms are divided into four principal categories: E, F, C and D.
Category E (Departure), which contains only one trade term, i.e. EXW (Ex Works).
Category F (Main Carriage Unpaid), which contains three trade terms:
FCA (Free Carrier)
FAS (Free Alongside Ship)
FOB (Free on Board)
Category C (Main Carriage Paid), which contains four trade terms:
CPT (Carriage paid to)
CIP (Carriage and Insurance paid to)
CFR (Cost and Freight)
CIF (Cost, Insurance and Freight)
Category D (Arrival), which contains three trade terms:
DAP (Delivered at Place)
DPU (Delivered at Place Unloaded)
DDP (Delivered Duty Paid)
The four above-mentioned categories can also be classified as per the means of transportation:
Incoterms for any mode of transport: EXW, FCA, CPT, CIP, DPU, DAP and DDP;
Incoterms only for sea and inland waterway transport: FAS, FOB, CFR and CIF.
Each Incoterm contains a set of rules of interpretation for the obligations of both the seller (A1-A10) and the buyer (B1-B10) covering the following issues:
A1/B1 – General Obligations,
A2/B2 – Delivery,
A3/B3 – Transfer of risks,
A4/B4 – Carriage,
A5/B5 – Insurance,
A6/B6 – Delivery/transport document,
A7/B7 – Export/import clearance,
A8/B8 – Checking/packaging/marking,
A9/B9 – Allocation of costs, and
A10/B10 – Notices.
Basic Features of Incoterms Used for All Modes of Transport
EXW Incoterm (Ex Works)
The seller makes the goods available at its location, so the buyer can take over all the transportation costs and also bears the risks of bringing the goods to their final destination.
FCA Incoterm (Free Carrier)
The seller hands over the goods into the disposal of the first carrier. After the buyer takes over all the costs, the risk passes when the goods are handed over to the first carrier.
CPT Incoterm (Carriage Paid to)
Carriage Paid To (CPT) is an international commercial term (Incoterm) denoting that the seller incurs the risks and costs associated with delivering goods to a carrier to an agreed-upon destination. With multiple carriers, the risks and costs transfer to the buyer upon delivery to the first carrier. The CPT Incoterm is versatile as it can be used for all modes of transportation and may also be used where more than one mode of transport is employed by any shipping freight forwarding companies.
CIP Incoterm (Carriage and Insurance Paid to)
The seller pays for the carriage and insurance to the named destination point, but risk passes when the goods are handed over to the first carrier.
DAP Incoterm (Delivered at Place)
DAP simply means that the seller takes on all the risks and costs of delivering goods to an agreed-upon location. This means they are responsible for anything associated with packaging, documentation, export approval, loading charges, and ultimate delivery.
DPU Incoterm (Delivered at Place Unloaded)
With the DPU Incoterm, the seller assumes all costs and risks until the goods are unloaded at the agreed named place at destination. In this case, the buyer is responsible for import customs formalities. DPU can apply to any mode of transport or multiple modes of transport.
DDP Incoterm (Delivered Duty Paid)
The seller is responsible for delivering the goods to the named place in the country of the buyer, and pays all costs in bringing the goods to the destination.
Basic Features of Incoterms Used for Sea and Inland Waterway Transport
FAS Incoterm (Free Alongside Ship)
The seller must place the goods alongside the ship at the named port, the risk of loss or damage to the goods passes when the goods are alongside the ship, and the buyer bears all the costs from that moment on.
FOB Incoterm (Free on Board)
The seller must load the goods on board of the ship, nominated by the buyer. Cost and risk are divided when the goods are actually on board.
CFR Incoterm (Cost and Freight)
Seller must pay the costs and freight to bring the goods to the port of destination. Although the risk is transferred to the buyer when the goods are loaded on the ship.
CIF Incoterm (Cost, Insurance and Freight)
It’s exactly like CFR except that the seller must in addition procure and pay for the insurance.
Conclusion
The use of Incoterms in international trade is a widespread phenomenon, and disputes frequently arise due to confusion concerning them. Prior to inserting an Incoterm into a contract, it is essential for the parties to make sure that the Incoterm meets all their expectations and needs regarding the following issues:
Is transport to be made by sea/inland waterway means or not?
Who should bear the majority of the risk of loss/damage to the goods – the seller or the buyer? At what point in time in the delivery to the place of destination should risk be shifted from the seller onto the buyer?
Is there a need to use the services of a carrier? If so, who should have an obligation to conclude a contract of carriage – the seller or the buyer?
Should the seller be responsible for the unloading of the goods?
Is there a need to subscribe an insurance contract?
Shipments can face problems without the correct incoterm so it’s really important to think carefully about which one is appropriate. Failure to understand incoterm definitions leads to problems throughout the supply chain. For example, logistics costs could increase, the terms may not match the requirements of the buyer or seller or the buyer or seller may not be able to comply with the incoterm. Top freight forwarding companies in India use Incoterms for the preparation of international freight forwarding of goods and cargo by the freight forwarders worldwide for commercial purposes.
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--
wally read out the minutes.
- 5, 6, 7 ... 9 :--
cpt. jacek flinched whenever wally accelerated time.
- 10, 11 ... 13 :--
it wasn't right.
how he bent the hands of the clock to the clucks of his tongue. swallowed an additional rotation -- by the laps and furls incoming.
- 15, 17, ... 19, :--
made the minutes pass -- by double-fisting.
- 21, 23 --
cpt. haruspex rapt the jade chime with the tallest of his silver spoons.
cpt. jacek swallowed the knot he could not cut :--out the mucus froth heat-welt by ballpoint. it congealed from the tar of his lining.
- new business! new business, new business! would anyone besides joey like to christen the bolt-wrought weathered hull of a sterling new venture by with frothy breakages of remembrance shouting –
brux bellowed til he was hoarse.
… new business! new business, anyone?
- new business!
cpt. schreibermachen called out.
- joey, stop! you haven't finished explaining all your new business (new business!) from last week!
- there are a lot of moving parts!
with a storm wind, you rose the hand mallet.
it swung toward the anvil.
in the thunderclap which sparked, all had known -- that you were the only one with might enough to shut joey up.
- permission, sir!
brux was piping up now --
… to bar cpt. schreibermachen from the introduction, indexing or glossification of any new businesships for a period of at least three lunar deci-cycles to perhaps even six solar hexi-cycles!
overruled. without joey being the only one to talk, the venture would have to remain with brux.
- sir, you're sayin it with your face…
it was customary -- to humiliate all dissenters with the gavel.
cpt. haruspex, your dearest and most treasured confidant, fellow of strange lands and stranger loves, did not deserve the route degradation of our custom so delivered with such painful constancy.
- he is such a route disappointment to him, cpt. schreibermachen --
cpt. psychorrhax leaned to speak.
… that he is ashamed even to honor his failings with a public admission of evident reality, for cpt. haruspex's reputation remains so starkly in ruin, he would kick up dust before he realizes he has no shards left to hammer.
these words you knew to be laika's –
for from the dulcet tones of his soprano, his diction mimicked schreibermachen's as though a bird call through reeds, breathing venom into the hoary and wild snout of a petting zoo monitor lizard.
- i will throw pixie stick filling in your eyes laik!
in cpt. haruspex's homeland, this statement would be deciphered as an act of targeted, disproportionate malice against an unstandard male -- for there remained a place where brux remained but simply substandard.
- sir, your breathtaking economy which melds the eloquence of your wit with the wit of your ecology could be but a dim remembrance cutting at the margins of sensibility outside the orthodoxy of the transcription!
brux was keenly aware that joey could cite plausible grounds for the necessitation of a footnote by -- with the ostentation of his sycophancy -- drawing attention to where he recorded his poetic impressions of your entrenched and solemn brow with but the most astute acuity.
- no new business it is!
cpt. haruspex shuffled his slick prints.
… well not if sir's gonna encourage joey to include that in the written report. to think that cpt. hlaford's fine and exquisitely legible and timely shorthand should be plastered over with joey's jittery ink blotted scribblings, reeking as a packet of firecrackers engulfin gunpowder paper fortunes outta lunar meadowlings of flutter'd watermoths-- well, mate, it's like ya don't even wanna put together a dossier whose calligraphic simplicity recalls the stunning brushwork of printed kyoto seclusion!
cpt. hlaford, finger blades sloshing the black tide, lashing at the manta flesh which gilled the filter of his ink theremin -- did not cease to recoil, though embodied the chaos within the lancing of his strokes.
- cpt. haruspex --
this was cpt. psychorrhax.
… cpt. hlaford resents that his achievements could be only ever fodder in petty games of onesupsmanship between men who lack even the lack of courtesy to consider one another their rivals.
as all were implicated in this comment, wally could not resent it -- though under any circumstance, could have found ample cause to do so.
- make me lick the blood off yer boots, aye.
cpt. hlaford's wrists would flick -- as his lips moved, puckering as suckerfish past gritted teeth, tethered by fingerbones to sugar-strings.
… once you kick me when i'm down, sir.
- old business it shall remain then!
cpt. haruspex was eager to move back.
- new business resumes then!
as joey was eager to remain forward.
- terrorism funding! today we're talkin bout terrorism funding!
their throats filled the air. the room filled with their groans.
cpt. haruspex, a classicist well-at-heart, proved eager to scrape, as a horse carcass from a grill floor, our most languishing historical custom.
- what if the terrorists --
brother jacek, still as the earth below the storm wind -- held himself to attention. by some secret will, he found the fortitude to speak.
… aligned with the anarchists.
cpt. psychoraggia knew well the terror cells to be among our country's most well-endowed and respected counter-military measures -- they who would align with enemies of the state, both known and unknown, only if -- and when -- competitive salary or the need for artful experimentation necessitated nonseasonal conflict.
- they are our brothers too, cpt. jacek -- our brothers in headgear and neckscarf; cradling jet-propulsion tanks of double-humped gin.
laika let his hand linger long on the sun-warmed slab of brother jacek's back. joey saw nothing -- for he felt so truly what was evidently so evident, his hand could stain only what glosses the hide.
- terrorism funding…
joey's enunciation -- level though it was -- could be nothing but.
- yes, mates. terrorism funding! not racy, i know but necessary, see -- with all the bombins goin round, and terrorism bein such a trite and overplayed topic, y'know, as any other part a life like taxes or rite of the consecutive first, second, and fourth marathon nights, i figured we could save a lotta time and manpower day to day by tonin down the theatrics, reorganizin the apartments, cuttin out a couple dozen tonnes of deadwood :-- ringin some cauffers and focusin on the hirin and nurturin of ambitious young blood who'd really hunker down in the palpitatin hearts of the Populus at large to commit to a more subtle and yet infinitely more pulpable regiment of intimate psychological terror which at times outright erupts in surreal horror! y'know -- really give the kids at home somethin to be shooken by! now, i'm not asking to move mountains overnight! it would be a gradual transition of course, tho --
- what if the terrorists --
brother jacek, once again, could only swallow.
… aligned with the anarchists.
cpt. hlaford spoke into the dictaphone now --
- evisceration. dismemberment. labial grinding.
- cpt. psychoraggia, please --
joey sounded like laika when he was annoyed.
… we live in a country with real problems.
- 50 cent people on nickel budgets.
cpt. hlaford's words echoed as the dirge of a heartbeat trancing bone-excavations up still-drums of stretched skin.
- 25 cent words for a silver dollar.
that one mighta been laika.
- cpt. schreibermachen, you know --
that one was laika. the one before had to've been joey.
- psychorrhax, you speak out of line --
you're pretty sure it wasn't brux.
- sir, whaddya tryin to do to me? you've been pickin on me all night, and i got a really good idea this time! i was up all mornin workin on it, least ya could do is take it seriously and pretend to have a look!
WHAT IF THE TERRORISTS
– jacek howled.
ALIGNED WITH THE ANARCHISTS
only forest sprawled before you.
for an eon, the idles stood among the dust.
the beast bore back from the darkness of his inducted night -- the night which was now the endurance of himself.
- …
- …
- …
brother jacek.
– a handsome man's glower intoned.
would you like to take the floor now?
across the plain, a wind only whispered.
cpt. psychoraggia seated himself. his trembling ceased. it found stillness, having now been brought to your awareness. he sat entrenched in poise from the waist up. hands folded over one another. some slight caress stirring from the kiln of his palm. a forge which was form to itself.
cpt. haruspex cleared his throat.
- terrorism funding's the topic, mates!
terrorism funding. we were discussing it.
- hey joey, ya know any good bankers? all mine got holes in em!
- HEY BROS
cpt. drottin strode in with two temple priestesses. wet-look and silken stripped down to the veiny palm fronds of their dolphin skins.
… WE TALKIN BOUT TERRORISM FUNDING!?
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Ten Characters, Ten Fandoms, Ten Tags
Thanks for tagging me, @awordwasthebeginning - sure ain't like I'm generally stressing out over tagging people. But then, I love to be tagged, so that's the price we pay.
Sebastian Bootz from Tatort (yeah, I know, SWR took a dump on his character, but at this point, it genuinely doesn't matter to me; I have transcended canon and there's so much shit I can do with this fucked-up little himbo)
Dogger from Alan Bradley's Flavia de Luce series (he's so kind and loyal and sweet and he can be super-scary when someone comes for his loved ones and I want people to know these books and how he and Flavia just connect on a level that's just aaaaarrgh)
Martin Schelling from Charité (my precious baby boy, do I even need to say more? This man deserves hugs and all the love; may he snark at his husband till the German reunion or something)
Edalyn "Eda" Clawthorne from The Owl House (okay, so I could list a lot of characters from this show, and Eda only wins over Rayne by a small margin and the virtue of more screen presence and her unmitigated and utter lack of respect for Basically Everything)
Death from Sir Terry Pratchett's Discworld series (for someone so stern and duty-focused and allegedly non-feeling, he's just a huge, caring sweetheart. And also a really funny guy)
The Narrator from Harveys neue Augen (yeah, since he directly interacts with the protagonist, he counts as a character, and his endless snark at the narrative and characters is the reason why this game never gets boring in its slower parts)
Dr. Janet Fraiser from Stargate SG-1 (a single mom, a kickass soldier at like 5 ft tall, a loyal friend, a medic who'll stick with her ethics over her orders - never forgotten)
Cpt. Jane Roland from Naomi Novik's His Majesty' Dragon (close tie with Granby, admittedly, but Jane gets one for the sheer boss energy and taking no shit)
Remy Bonnaire from the webcomic Tiger, Tiger (everyone in this comic is A Mess, but Remy? Is the densest, know-it-all-est, gayest, most stuck-up, most in-need-of-a-hug mess I've found yet)
Wilhelmina "Mina" Harker, née Murray, from Bram Stoker's Dracula (she who's constantly above and beyond what Stoker tries to make her out to be, she who gets to call the author's avatar out on his condescending behavior, she whose potential remains visible)
Had I been allowed to list my historical domain blorbos instead of fandoms, this list would have been filled way quicker. Let's see if I can get to ten tags. Don't count.
@cha0ticpartners-incrime @str4wanzerin @carlomenzinger @fanpersoningfox @herzeliebes-waltherlin @chrisoels @disappointingsalad @noturbysshe @mutantenfisch @shadowfox1999
#tag thingie#thanks!#I guess? did I even tag ten?#I didn't mention Franz solely so my tag-ees could blather on about him and I think that's very kind of me
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Health Net Over Department of Health Care Services
Department of Health Care Services accepted federal approval of its program to expand Medi-Cal managed care physician payments for the 2018-2019 fiscal year. Even DHCS received support and started to distribute supplemental payments for fee-for-service claims, and it has not received approval on the Medi-Cal managed care piece until 2019.
They raised the supplement payment for a total of 23 CPT codes, including ten new preventive principles. March capitalization payments and the final stages of issuing formal guidance regarding the distribution to physicians, DHCS decided to release the cost to Medi-Cal managed care plan.
Department Health Care Services raised the supplemental payment amount for the past eligible CPT codes to 85% of Medicare; will pay the ten newly added preventive CPT codes will be paid at 100% of Medicare. No additional activity is required for the members to submit claims to the managed care plans and give back on a fee-for-service basis.
However, on the quote, physicians who have a capitated agreement with either a Medi-Cal managed care plan or one of its designated groups for qualified assistance must present encounter data to the payer to receive the supplemental funds. Without the submitted date, the selected documents are unable to determine the services eligible for payment.
Health Net settled a long-running lawsuit with the Department of Health Care Services over the company's rates for assisting Medi-Cal managed care enrollees. In 2003 and 2010, DHCS was sued by different health plans over the matter, with the payers accusing them DHCS is being sued by several health plans over the issue, with the payers accusing them of producing Medi-Cal managed.
Terms reached between Health Net and the DHCS, which administers the Medi-Cal program. The program will be based entirely on the insurer's pre-tax profit margins from managing its Medi-Cal population over the next seven years. Between 2013 and 2016, Health Net's pre-tax margins for its Medi-Cal managed care business must reach 3.25% each year. If it drops below that range, its actual margin would be deducted from the 3.25%, then multiplied by 50% to 75% of the premiums paid by Health Net. That amount would be part of the settlement amount paid by Health Net. The threshold drops to 1.25% between 2016 and 2019.
On the other hand, the budget of California has been murmuring under the multi-billion dollar debts for consecutive years, Prompting government agencies like DHCS to look for resolutions to lawsuits that may inflict more financial damage. Department of Health Care Services has an option to extend the settlement terms through 2022. According to Williams, if the final payout is determined to last 2019, it will ultimately be capped at $264 million.
According to Health Net spokesperson David Olson, the settlement allows Health Net to earn what is considered a reasonable profit from its Medi-Cal book of business: in a range of 2% to 4%. "They want the plans to be profitable, so they continue to reinvest in the business, and it's not in their interest to have plans leave (the state) and disrupt operations," he stated. Olson added that it was about the actuarial soundness of the rates. It did not hinge on whether Health Net made a profit.
According to Olson, the agreement will cover all Medi-Cal lives registered in Health Net over at least the next seven years. Health Net has multiple lawsuits and allegations; settlement is their way to throw away the allegations. They are willing to pay for their misconduct to continue their corrupt intentions.
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You have fulfilled my satisfaction, thank you for the small friend ♡
of course. may the homework clone disaster trio always bless your dash <3
#I think I'm gonna name him margin. bc he's in the margins of my paper and my patience#ct 72 7425 | scribbles#aviiart#The Scribbles Squad#clone medic sunshine#cpt margin
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my wrong predictions for tfatws:
when tfatws starts steve will die. there will be a funeral etc. sadness ensues. sam and bucky will go through the heart-wrenching journey of becoming the teammates, friends, and heroes they were meant to be without the shadow of steve.
then, the very last ep when theyre finally happy and settled and content in their new roles youngagain!Steve will walk through the door and be like, "knew you could do it but it took you dipshits long enough Lmao".
he faked his own death and returned (through time? bc why not? the physics of mcu space-time is nothing compared to Disney's profit margins). he returns as Nomad (possibly w Peggy bc Marvel has to hetero up the arena) to fight for justice part-time alongside the new Cpt America and the Winter Soldier/Whitewolf.
#tfatws#sam wilson#bucky barnes#steve rogers#i say this bc marvel#is never ever going to let steve or tony die lmao they are cash cows#or theyll return in the multiverse movie as diff actors#anyway this is my wrong predictions bc my ideas are too good for marvel
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A rogue storm had her presumed dead and stranded on the red planet. Left on her own, astronaut Aelin Galathynius has four years to make it to the next drop-site, some two thousand miles. Armed with her smarts and dwindling supplies, Aelin attempts to survive on an inhospitable planet, when the nearest help is only millions of miles away.
masterlist - ao3 - next chapter
Fuck this entire planet, Aelin Galathynius thought to herself as yet another bead of sweat trickled down between her shoulder blades. She wished she could wipe her brow, the stupid cooling system in her space suit was nothing in comparison to the blazing sun. Stupid planet, stupid planet with no atmosphere.
It wasn’t just the sun, the piece of machinery she held was worth more than her entire life and with Fenrys Marama cracking jokes over the comms, she was not paying as much attention as she should. “I really hope that penetration test goes well for you, Ace. Is the core still soft?”
Despite herself, she huffed a laugh, “I’ll have you know that the CPT is no joke and this is serious science.”
“Oh, please,” his cocky voice crackled through the headset, “you’re a dirt engineer.”
Lorcan Salvaterre, from where he was helping Aelin steady the drill for the core penetration test, rolled his eyes but stayed silent, wanting to know where the argument was leading. The blonde astronaut was quick to reply, “Geotechnical and it’s soil, Mr. Fancy Aerospace Engineer. Isn’t your job today confirming that the FAV is still upright?”
Dry laughter was heard from their other crew members and Fenrys bit back, “Actually, it’s visual inspection of mission vehicles.” He paused for a second, “I’m very happy to report that on base inspection, the FAV is in good shape and yes, it’s still upright, dipshit.”
Before Aelin could speak, their commander cut in, “If you guys stopped leaving your comms open, we could all be exempt from the truly witty commentary.”
She frowned down at Lorcan Salvaterre, the mission leader and mechanical engineer, sticking her tongue out at her friend who smirked in response. A gentle, cool voice spoke up, “Happy to shut them off from here, Salvaterre.”
The golden-haired man child squawked in protest, “Hey! Radios are our only way of communication on this inhospitable planet-“
“Shut them off, Faliq.” The next thing Aelin heard was a slight static and then complete silence. “Oh, this is nice,” Lorcan said, the only person who could speak now. “We need fifty samples, G, one hundred grams each.”
Since her radio had been cut, she could only give him a thumbs up and focused on the task at hand. After a few minutes, the radio crackled back to life, Nesryn’s voice tight with worry, “Commander… you’re gonna want to see this.”
Lorcan’s head lifted up and he turned to look at the surface habitat, like their mission’s system operator could see him, “What is it, Faliq?”
A shiver of nervous energy straightened Aelin’s spine and she stopped the drill, her brow furrowing and her hands becoming clammy.
“Mission update. Storm warning.”
“I saw that on this morning’s briefing, we’ll be inside before it hits.”
“Storm’s gonna be a lot worse, estimate says to prepare for emergency departure.” Aelin breathed sharply as Lorcan exhaled, turning to look over her head at the horizon, his dark eyes calculating. “Commander?”
When his eyes slid to Aelin’s, she felt her heart drop. They were fucked. “Everyone inside the hab. Now.”
+*+*+*+*+*+*
All crowded around Nesryn’s computer, staring at the screen where the words, ‘Abort mission’ flashed across it underneath the storm estimate, tension was high. Hardly anybody dared to breathe as the dark-haired computer engineer read the update, “…eleven-hundred kilometres in diameter…”
“That’s heading straight for us,” said Rowan Whitethorn, the mission doctor, tapping his finger on the screen and tracing the trajectory. “What’s the estimate force, Nes?”
The beginnings of the storm shook the structure and Aelin saw Elide Lochan’s - resident chemist - eyes narrow for a second before a mask of indifference settled over her features, even as she hooked her pinky around Lorcan’s, the black diamond ring on her left-hand glinting. They shared a small smile that made Aelin’s heart ache, but now wasn’t the time to be thinking of such things. They had a mission to worry about, she could fret over her aching soul later, Aelin chastised herself as her gaze flicked to the green-eyed man across the desk from her.
“Ninety-two thousand Newtons,” Nesryn all but whispered, her voice aghast.
Lorcan swore, tangling the remainder of his fingers with Elide’s and squeezing, “What’s the abort force?”
“Seventy-five thousand,” Fenrys read, his brows wrinkled with worry as he ran his hand over his short hair, brushing it forward into the wave pattern like he did when he was stressed, “any higher and the FAV will tip.”
“We’re scrubbed?” asked Aelin, worrying her bottom lip, the voice of her mother telling her not to do that sounding in her mind. All her life’s work, the whole crew’s life’s work just gone. The mission they’d worked themselves ragged for, over. Just like that. She wasn’t ashamed of the tears that pricked her eyes.
Red letters flashed across the screen, Prepare for emergency departure.
Elide’s calming voice brought the crew back, as she stepped away from Lorcan and leaned over the computer, analyzing what was on the screen, “Maybe it won’t be as bad as they say, they’re estimating a significant margin of error.”
Everyone turned to Lorcan, in the end – it was his call to make. Aelin nodded in agreement with Elide’s words, “Let’s wait it out.” His face was emotionless as his eyes shuttered, that mind of his running through each scenario he could think of. “Let’s wait it out,” she repeated.
They waited with bated breath until Lorcan shook his head once, “Prepare for emergency departure.”
“But-“
“That’s an order, G.” No one commented on the barely heard words, a look of mourning on Lorcan’s face. “We’re scrubbed.”
+*+*+*+*+*+*
Debris struck the sides of the airlock tunnel as Nesryn pulled down the latch of the door, “Ready, Commander.”
Everyone turned to Lorcan, their suits and headlamps on. “Visibility is almost zero, stay together and if you get lost, follow my suit’s telemetry,” he indicated the bio-monitor on his arm with which they could home in on each other’s location and other various functions, “Wind picks up further from the hab, so be prepared.”
The airlock door opened and the six astronauts struggled further into the sandstorm, each step requiring full body effort. The three women tucked behind the men, keeping close, hands on oxygen regulators.
Through the screaming sound of the storm, they heard metal creaking – the Farnor Ascent Vehicle. Aelin stepped out from behind Lorcan, barely able to see her fellow crew members. “We need to shore up the FAV,” she yelled, hardly able to hear her own voice. If it somehow tipped, without them in it to launch, they would never get it up again.
“How,” Fenrys asked, his voice straining above the storm as he pushed along, Elide close behind him.
“We can-“ Aelin screamed as something ripped free from the habitat structure and crashed into her, lifting her off the ground and throwing her out of sight.
“Aelin!” Elide’s scream pierced the monotony of the whirling debris. Everyone froze, looking to where they had last seen her.
“What happened?”
“Something hit her and she was just gone, she flew west,” Elide cried, her voice shaking. That was her oldest friend, her sister-
“Galathynius, report.”
Nothing but static. Nesryn looked down at her bio-monitor, pressing on Aelin’s suit button. “Her suit’s offline, I don’t know-“
“Galathynius, report,” Lorcan’s voice broke and again, nobody answered him.
“Her decompression alarm went off,” Rowan said, “she has less than a minute.”
Lorcan’s stomach dropped, “Shit, ok, ok, Marama, get to the FAV and prepare for launch, everyone else, home in on Lochan.”
As Fenrys took off to the rocket, leaving Elide to face the storm herself, she stumbled, “I can’t see anything.” Slowly, too slowly, the remaining crew members struggled their way to her and huddled together.
“We’re gonna line up and walk west. Small steps, she’s probably prone and we don’t want to step on her,” said Lorcan, his voice raised. They nodded, confirming the plan and set out, eyes wide open, hands out as precaution in case… they tripped over her body. “Doc, report on Galathynius.”
Rowan read the information on his suit’s computer, “Faliq, her bio-monitor sent something, a ‘raw packet’-“
“Yeah, I got that,” Nesryn confirmed, reading what the others couldn’t. “BP 0, PR 0, TP 36.2.”
“Copy. Blood pressure, 0, pulse rate, 0, temperature, 32.6.”
“Temp’s normal,” Elide commented, confusion clouding her mind, “why is her temp normal.” It wasn’t a question.
As realization set in, Rowan paled, “It takes a while for, it takes a while for the body to… cool. Blood’s still hot.” At that, everyone stopped, whirling to Rowan where he flanked Nesryn and Elide.
“Commander,” Fenrys’ voice crackled over the radio, “we’re tilting to nine degrees, with wind pushing to eleven. It’ll tip at twelve.”
“If it tips, can you launch before it hits the ground?”
The pilot hesitated, “Uh… yes, sir, I can take manual control.”
“Copy that, everyone, get to Marama. Prepare for launch.”
Nesryn started, “What about you, Commander?”
“I’m going to keep looking, get to the FAV.” Nobody moved, Elide’s eyes wider than ever before and filled with tears. “Now.”
“You really think I’m leaving you behind,” Fenrys asked, his voice breaking. “Lor-“
“I just ordered you to, now get moving,” Lorcan said, in a tone that brook no arguments. When they still didn’t move, he cursed, “Fucking hell, I said go.”
With that, Nesryn and Elide tucked behind Rowan as they made their way to the FAV.
Once they were in the airlock and had pressurized the vehicle, Elide swore, low and in Blackbeak, “Dilo, what is he doing.” She was the first up into the cabin next to Fenrys, eyes on her fiancé’s telemetry, “He’s going too slow, he won’t be able to find her in time.” Nesryn and Rowan climbed up into the cabin and the silver-haired man was nearly shaking, eyes wide.
“Commander, we’re at 11.5 degrees, you need to get back here-“
“Faliq, can you use the proximity radar to find her?”
“It only works for metal, there’s not a single piece of metal on any of our suits.” Defeat bled through her voice.
“Copy. Give it a try,” Lorcan told her, still determined to leave no being behind.
“Lorcan, I know you don’t want to hear this,” said Elide, “but Galathy… Aelin’s dead.”
“Try the fucking radar.”
Fenrys shot Elide a look, “The fuck is wrong with you, Lochan?”
Her dark eyes were unreadable and she strapped herself into her acceleration seat, “My sister is dead, I don’t want my fiancé dead too.”
Their pilot went silent at that and turned his eyes back to the controls, “Negative on the radar, Commander.”
“Fuck, fuck, fuck,” Lorcan muttered, groaning in frustration and desperation. He was grasping at straws; they all knew it. “Nothing?”
Rowan had gone silent in his seat next to Elide and he offered her a bleak look, tight-lipped, when she reached over and squeezed his hand, no words to say. Everyone knew what had been between Aelin and Rowan, except for maybe themselves. Nesryn shook her head, “It can barely see the hab, there’s not enough-“
The FAV let out a screeching sound as it tipped more and Fenrys barked out, “Commander, you need to get back to the ship now. I got one more trick and then we’re fucked.”
Silence on the comms. Fenrys tried again, “Commander-“
“Copy that,” Lorcan bit out. “How far?”
“11.9”
Elide spoke, “Salvaterre, Galathynius is gone. We need to get out of here.”
Lorcan said not a word. Finally, Nesryn pleaded, “Lorcan, she’s gone, ok? We need you here.”
“Roger that,” his voice was defeated, “on my way.”
Despite themselves, they all let out a relieved sigh, breath they didn’t know they were holding. Maybe a minute later, the airlock whooshed and Lorcan appeared, staying dead silent and not meeting anyone’s eyes as he strapped himself in next to Fenrys. “Prepared for launch.”
“Roger that, Commander.”
The ship began to shake as Fenrys blasted the jets, pulling them up and out of the storm. The only words spoken were from the control system, marking every one-hundred metre mark they reached.
Half an hour later, they were docking on their rocket station, named The Lani, after the goddess of dreams – their expedition The Matron , phase two of a three-part mission. Once they had completed the post-boarding instructions, Lorcan spoke, rubbing his eyes as his shoulders slumped, “We’re done for the day, don’t worry about logs or the mission. I’ll, um, I’ll send a report.”
Everyone nodded and dispersed, grim looks on their faces. Lorcan stayed behind, leaning against the wall of the airlock. Elide waited by him, cupping the side of his neck and stroking her thumb over his jaw as it feathered and he dragged his eyes to hers. “I’m sorry.”
She just shook her head, indicating she wouldn’t speak of it now, “Not now, love.” Her lip trembled, her face crumpling before Lorcan tugged her against him and cradled the back of her head. She cried silently into his chest, her tears soaking through his shirt. All he could do was bury his face in her hair and whisper his apology, his heart splintering in his chest.
+*+*+*+*+*+*
It was late. The other crew members were in their sleep-cabins, mourning the loss of their friend, no. Not friend, family. Their family was broken now. Lorcan was still up, sitting in the central area, staring at the blinking cursor on the computer.
With a heavy sigh, he began to type the report to the flight and crew director, Manon Blackbeak.
Blackbeak,
Mission Specialist Aelin Galathynius is presumed dead after being struck by debris during the storm late this afternoon on Farnor, day 18 of our 31-day stay. The remaining crewmembers were forced to abort the mission. Awaiting mission directions.
Commander Salvaterre
After sending it, anger sparked in his chest, indignation of the fucking unfairness of it. With a snarl, he slammed the laptop shut and stalked to the window, looking down at the planet until his eyes blurred and stung but still he watched, eyes roving over the red dirt as if he would be able to spot her body.
@mythicaitt @kandasboi @schmlip-scribble @the-regal-warrior @westofmoon @empire-of-wildfire @rhysands-highlady @city-of-fae @shyvioletcat @alifletcher2012 @tangledraysofsunshine @ttakeitbacknoww @tswaney17 @ourbooksuniverse @flora-and-fae @that-other-pineapple @sleeping-and-books
comment to be tagged!
#supernova#supernova chapter one#the martian au#rowaelin#rowan x aelin#aelin ashryver galathynius#rowan whitethorn#elorcan#elide x lorcan#elide lochan#lorcan salvaterre#fenrys moonbeam#nesryn faliq#isa writes#nalgenewhore
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COMMXNDMXNTS AND UNDEBATABLES OF THE AFROFUTURE:
An Afrofuturistic Manifesto for Black Art
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Afrofuturist CommXndmXnts
Thy work shall take up the entirety of space while respecting the space of others.
Thy shall not input traumatizing imagery in media for Black folX
Thy shall show thyself
Thy shall collaborate with other Black WomXn
Thy shall be a safe space for Black WomXn and Black folX
Thy shall make each scene in coordination with archival footage
Thy work shall not be linear
Thy work shall not fall into White Validation Syndrome[1]
Thy shall use AAVE without explanation; you know, you know
Thy shall honor the Ancestors
[1] (Mazama, 2018)
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Undebatables in Afrofuturism
Post-colonialism is false. We are still living in colonialism and are suffering its' effects. It has reshaped and adapted to take on many forms.
White fragility is an escape from the accountability of the privilege that was set up by racist, oppressive, criminal, social, and institutional systems.
Black folX can be both human and alien. Magical and normal. Extraterrestrial and terrestrial. We can co-exist in varying realities and identities.
We are operating on CPT.
AAVE language is only reserved for Black folX. No appropriating it and masking it as your own if you are not Black.
Black folX can be merry, have joy, and frolic...
without the threat of police being called on them...
or be assaulted...
or be confronted and questioned by white womXn with our being in a space.
I speak for my experience. I do not speak for all Black folX, nor is all our stories are the same. We encompass any narratives and have different experiences. We are all not the same.
Not all Black folX are poor, have rhythm/dance, can rap, nor will rap on cue when you demand it.
If the hair is on my head, don’t touch it nor say, “Where did you buy it?” or “It looks so real.” Mind your business.
Don’t counter my grievance with your grievance to minimize and suppress me.
Stop gaslighting Black WomXn when we speak up about our grievances.
The term Hotep should not be used to describe so-called “woke” Black folX.
And so-called “woke” Black folX need to stop gatekeeping information with patronizing, paternal condescension.
Code-switching is exhausting. Stop pushing “proper English.”
If you feel uncomfortable with my presence, do not expect me to make myself smaller to accommodate you. Your discomfort is between you and your god.
Black folX need to stop saying, “We are not our Ancestors.” Our Ancestors fought peacefully and burned shit down too. We are them.
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Expansions
In molding a world for Black folX in the future, we must be intentional with our actions. No new world can form without Black folX. No new world can develop, especially without Black WomXn. We are "mother civilization." Societies and pop "culture" is Black culture appropriated and watered down from Black WomXn.
The CommXndmXnts and Undebatables are in direct correlation with physical space. As we construct a physical space that is a safe space for Black WomXn, these CommXndmXnts and Undebatables are rules that will enable this space to come to fruition while catering to the needs of Black WomXn. In modeling and intentionally creating an Afrofuturistic future where Black bodies are free to be merry about, the success of an Afrofuturistic future lies in the protection of Black WomXn.
Black WomXn have been on the frontlines of every liberation movement. Despite our work that contributed to the success of other groups, white supremacy and patriarchy still profoundly affect the lives of Black folX, but more specifically, Black WomXn, ranging from racism, reproduction rights, not receiving recognition and credit, and more than there is space to list. This experience alone brings an inseparable connection of racism, sexism, and classism. These three elements are tied so bound together that for exclusion of one will only prompt the other two to be highlighted and take center stage. Without racism, sexism and classism take hold. Without classism, racism and sexism are intertwined. Upon encountering a Black WomXn, the societal definition of gender and the color of our skin leaves no escape from the inseparable chains of racism, sexism, and classism, all of which to be present simultaneously.
Black Queer WomXn's recognition was often shoved to the back end "for the good" of the Black community. In part due to their identity considered not crucial to the movement; thus, their identity would "muddle" the message that correlated with conservative views, despite fighting for the liberation of all Black folX. Along with internalized homophobia, those who identified as Queer or a WomXn, our voices were often diminished and "shushed" away for a male leader to carry the voice of the Black community. We are currently experiencing Black WomXn continuing to lead the fight for Black and Brown bodies' liberation. In the male-dominated Civil Rights movements, the sexism and marginalization again Black Queer WomXn has led to Black WomXnism. Despite the Suffrage Movement, white feminism used the work and labor of Black WomXn while simultaneously silencing Black voices and benefiting off of white privilege.
How do we get to this point?
The Afrofuturistic CommXndmXnts and Undebatables serve the purpose of creating a space where the inseparable chains of oppression associated with Black WomXnhood do not hold the velvety to cause harm for Black WomXn.
An Afrofuturistic landscape acknowledges that Afropessimism and Afrofuturism coexist simultaneously[1]. Like Black folX, there are intersections of both that influence the other. Varying identities can coexist, so will in the Afrofuturistic landscape. Afrofuturism revolutionizes patriarchal systems that were created to confine and control Black bodies. Rather than rewrite, revise, gloss over, or suppress history, we must acknowledge these patriarchal systems and revolutionize through dismantling and destroying so that Black folX can, in fact, frolic freely. Afrofuturism is the result of these systems, and we craft our own. Rather than integrating into "dominant culture," we should be allowed to live separately without the threat of the "other," which is non-BIPOC folX, invading and colonizing us. Afrofuturism allows for Blackness and Black folX to be expansive, not confined. To be free, we cannot submit to white culture or seek their validation and approval.
With Afrofuturism, there must be a balance for Afropessimism as well. In an Afropessimistic world, the reality and weight of colonialism and imperialism's lasting effects have no escape. This constant reality is reinforced by institutional, social, and systemic institutions, reflecting racism, classism, sexism. The Afropessimism is that of the present moment, reminding us eradication of exploitative systems is not synonymous. When reform occurs in abolishing these systems, it is in correlation with an Afrofuturistic world being molded.
The very act of thinking and molding a space for Black WomXn is a radical act. While we can take steps to this radicalization, the systems of racism, classism, and sexism are the productions of a patriarchal and capitalistic world that have profited and have been sustained by the exploitation and labor of Black WomXn. Reclaiming time and space is such a radical act that the systems that exploit and benefit from the bodies of Black WomXn will be dismantled and destroyed to pave a true revolution that is not centered around white liberalism.
For an Afrofuturistic world to exist, it must first be a world that is a physical and mental safe space for Black WomXn. Black WomXn birthed us, and yet we have exploited off of their pain and labor. Black WomXn must be able to be free and not policed by our bodies. The CommXndmXnts and Undebatables are a beginning step in molding and crafting this space intentionally inclusive of Black WomXn.
[1] (Edwards, 2020)
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Context of CommXndmXnts
CommXndmXnt: Thy work shall take up the entirety of space without thy work impeding and overwhelming the space of others
In first molding a space for Black WomXn, I must first incorporate this into my own life and work. My work shall take up as most space as possible that is allocated to me while also respecting other artists and their work. In coexisting with varying experiences and stories being told, as I demand to carve out a space for Black WomXn, I shall also respect other artists' work.
CommXndmXnt: Thy shall not input traumatizing imagery
In acknowledging that pain and joy are intertwined with one another in the Black experience, pain is often exploited for a profit, with joy masked for its former. More specifically, the trauma and pain inflicted on Black WomXn on-screen are horrendous to us. It becomes a spectator view for those who are outside of Black WomXnhood. The trauma and pain when being depicted for other subjects, there is a proud conservatism and privacy. To allude to the pain but respect it for the subject. Shield the audience from being pained and respecting the privacy again for the subject, which is usually a non-Black WomXn. For Black WomXn's pain to be communicated and gain empathy, every lash in an enslaved movie must have the blood splashed across the camera lens. In 12 Years a Slave, the night engulfs and hugs the master as he rapes his captive. The moonlight shines down on the horrendous and decrypting and dehumanizing act. The silence and echoes of the crickets add to the heart-wrenching show and violation. This pain and rape scene is set up as a show so audience members can be captured by the moment, hypnotized by it, and not tear a single eye away from the screen.
For our pain to be communicated, we must be demeaned and dehumanized, stripped of identity and emotion. This leads to the desensitization of Black WomXn's pain, adding to the mistreatment suffered by doctors that underestimate our pain and leads to our death. Black WomXn's bodies are not respected. We are treated as disposable waste that reaccumulates. Showing Black WomXn's pain and trauma with more gore will not cause any action. Only temporary empathy that is dismissed from the mind once the movie or tv show ends.
CommXndmXnt: Thy shall show thyself
Identifying as a Black WomXn, this work is representing a part of me. As I show myself more in my work, this can be a restorative and therapeutic tool in unlearning biases and conditioning and being able to frolic mentally and physically freely in an Afrofuturistic world.
CommXndmXnt: Thy shall collaborate with other Black WomXn
Collaborating with other Black WomXn ensures to the multifaceted experiences of Black WomXn are included. No narrative is the same, yet all narratives encompass the being of a Black WomXn. Collaborating with other Black WomXn ensures that money and opportunity circulate within the Black community. As I rise, others must as well.
CommXndmXnt: Thy shall be a safe space for Black WomXn and Black folX
Self-explanatory. Period.
CommXndmXnt: Thy shall make each scene in coordination with archival footage
The archival footage serves to document at the earliest possible time that Black WomXn were molding and currently creating with the Afrofuture in mind, consciously and subconsciously. In drawing parallels of Black history, the Afrofuture and the present archival footage serve the purpose of grounding and acknowledging our Ancestors fought and worked with the Afrofuture in mind, regardless of if the term was coined then or not.
CommXndmXnt: Thy work shall not be linear
Time is a social and artificial construct. We are operating on CPT. Subjectivity in time is in correlation with production and commerce. Production and commerce that has led to the exploitation of Black bodies. Time is limiting.
Going against time is a radical act and a decisive act in choosing the power of rest. Rest is revolutionary. To rest should not center around the business hours of our exploiter. Rest needs to be center around the needs of the body. We suppress our body's needs to keep up with forced capitalism that highlights production and commerce over mental, emotional, and physical health. Rest is revolutionary of the Afrofuture.
CommXndmXnt: Thy work shall not fall into White Validation Syndrome
Our pain, art, value, and trauma should not be recognized and validated by white people to be considered accurate. The need to be identified and acknowledge by those outside our community will ultimately be our downfall. Insisting to be accepted by white culture will only compromise our own sanity and quality of work.
The mental and cultural relocation has caused a need for belonging for some within our network. Seeking white validation will only result in more protracted suffering and suppression, for we have to suppress ourselves to be deemed as of value. Leave the shackles of this thinking behind.
We add to our oppression seeking that we are acknowledged and integrated by the dominant culture. Black WomXn's bodies will continually be satirized and mocked with or without white validation. We sacrifice ourselves to be approved by others who have no relation or idea of Blackness.
CommXndmXnt: Thy shall use AAVE without explanation
My language. I will use it as I will. I will not be shamed for code-switching.
CommXndmXnt: Thy shall honor the Ancestors
We are here because our Ancestors fought and survive to get to this point. Saying “I am not my Ancestors” is disrespectful and disregards the work and fight our Ancestors lived and died for. They lived and died for us. We will not disrespect them.
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LANGUAGE
X
Language plays a crucial role in acknowledging identities while also following rules that adhere to imposed gender roles. The significance of X is intentional in acknowledging identities that have been erased due to misogynistic language and suppression. The X alludes to the identities beyond the English language incomprehension. The English language is limited and Anglo-Saxon based, which is rooted in patriarchy. In acknowledging the vastness of gender and escaping the binary, X is a gender-neutral language. It is a language that is not rooted in the oppression of groups that have been oppressed and silenced. It is the intentionality of correcting a wronged history.
An example of this intentionality of recognizing those silenced is using X in the word folX. "Folks" have traditionally been seen and accepted as a gender-neutral term. The inclusion of X in reference to titles and nouns that refer to humXns is a means to highlight those who have been impacted and affected by misogyny. No group is exempt from colonial influence, either be directly or indirectly.
Another example includes using the X with words with "man" or "men." Examples of this include changing "woman/women" to womXn and "humans" to humXns. In this manifesto, particularly, "amendments" and "commandments" are changed to amXndmXnts and commXndmXnts.
Each time "men" appear in sequence, "e" will be replaced with X regarding gender and authority, such as “men” and “amendments.” Correcting gender-identifying words means correcting the default language of masculinity that has impacted and formed the English language (Kerr, 2019). In pointing out misogyny and intentionally adding X, it acknowledges an oppressive system.
The deliberate and intentional inclusion of the X when referring to womXn and folX is a radical act in acknowledging identities that has been silenced by language and limited by it. It is the deliberate inclusion of identities that have been overshadowed or not acknowledge. X acknowledges that gender and sexuality are fluid, with varying identities existing and coexisting at once. The X is a push against the standard, gender confining language. It allows for Black folX to be as they please.
Thy Shall
Having been raised in a Southern Baptist Church, words such as "rules," "forbidden," and "laws of God" are centralized in the Christian belief and verbiage. These rules are centered around the "10 Commandments." These commXndmXnts establish morality and governance that humXns must abide by for soul security in the afterlife. This fear and laws drive those to "do good" and into submission. This same fear and irrefutable laws are used as grounds for repression and suppression. The "10 Commandments" were used as grounds of obedience with the penalty of being deprived of entering the pearly gates of Heaven.
The beginning of the manifesto opens with the "Afrofuturistic CommXndmXnts." In replicating the original "10 Commandments," the "Commandment" language takes an authoritative tone. There is no room for debates or questions. These commXndmXnts are absolute. The commXndmXnts are rules that humXnkind must follow. In mimicking the authoritative and absolute tonnage of the "10 Commandments," the Afrofuturist CommXndmXnts sets a tone in the art process that allows for Black folX to exists. The commXndmXnts serve the purpose of elevating Black WomXn while also protecting them. In addressing a world and safe space for Black WomXn to prosper, we must first create a model that is free of misogyny and the effects of colonialism. The commXndmXnts sets a stage that protects Black WomXn rather than suppressing them into a patriarchal, submissive, demeaning will. Rather than establishing actions and forbiddance, the Afrofuturist CommXndmXnts serve the role of establishing a physical, emotional, and mental space that is free of symbols of oppression. They serve as a protection rather than establishing morality that is Eurocentric based.
Black WomXn
When referring to Black folX, the “B” will be capitalized.
“…We capitalize Black, and not white, when referring to groups in racial, ethnic, or cultural terms…Black reflects a shared sense of identity and community. White carries a different set of meanings, capitalizing the word in this context risks following the lead of white supremacists”[1]
In capitalizing womXn, it will happen in the sequence where Black is first. Black WomXn is a title that is synonymous with being a noun.
[1] (Laws, 2020)
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Addendum
Water will be used as a portal through time.
With the water used as a portal, a tool of the Afro future, water symbolizes the sacredness it has within the Black community. As water is essential to life, it is also used as a tool against Black communities in either denial of it, a weapon during the Civil Rights Movement on protestors, or environmental racism resulting in disasters impacting Black communities detrimentally. The water serves as a grounding tool in acknowledging the Afropessimism of the reality of imperialism's lasting effects on the African Diaspora. Water is where my Ancestors lay and rest, the ocean floor of unmarked graves.
Cisgender mXn's face will not be shown no more than 3 times.
We live in a world that privileges mXn subconsciously and consciously. In breaking and dismantling our patriarchal system's brainwashing and misogynoir, we must break from the automatic default of comparing our experiences with others. We can give insight, but the comparison of experiences leads to demeaning and minimizing of others. In challenging the world and societal standards and highlighting the varying intersections of Black life, spaces must coexist. In this space that is relating to Black WomXn, cisgender mXn are limited in appearance. In allowing for Black WomXn to frolic freely, a space must be created that is inclusive of solely them and their needs, free from misogynoir and those who resemble it.
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Glossary
AAVE – African American Vernacular English, aka. Black English. A dialect and socio-linguistic language developed by Black folX due to theft from the motherland and forced into enslavement in the Americas. Oppression of language through suppression in education and dislocation led to the creolization of English[1]
Afrofuturism – Experienced through folX of African descent existing and being in spaces and identities that we have either been erased from, suppressed from, oppressed from, and/or not imagined in[2].
Afropessimism – acknowledges the reality of the last effects of colonialism, imperialism, brutalization, and theft of people in relation to folX of African descent.
Black WomXnism – Not feminism. As defined by Alice Walker, “… a wom[x]n who loves other women sexually and/or nonsexually … committed to survival and wholeness of entire people, male and female” through challenging patriarchal systems that have oppressed Black folX[3].
Black Space – A space purposefully created for Black folX, free of paternalism, colonialism, and misogynoir.
CPT – Colored People’s Time
Hotep – Egyptian word that means “at peace.” Has evolved to describe Afrocentric Black folX. Also used to describe a person who is “either clueless parody of Afrocentricity…or someone who’s loudly, conspicuously and obnoxiously pro-Black but anti-progress”[4].
Misogynoir – Coined by Moya Bailey; it is the “anti-Black racist misogyny that Black Wom[x]n experience” is internalized. This leads to the over-sexualization of Black Wom[x] and adding to existing stereotypes about Black WomXn[5]
[1] (Sidnell, n.d.)
[2] (Young, 2016)
[3] (Rahatt, 2020)
[4] (Young, 2016)
[5] (What is Misogynoir?, 2020)
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Work Inspirations:
Edwards, L. (2020). Afrofuturism Collab. (L. Edwards, Performer) Durham, NC.
Laws, M. (2020, June 16). Why we capitalize 'Black" (and not 'white'). Retrieved from Columbia Journalism Review: https://www.cjr.org/analysis/capital-b-black-styleguide.php
Mazama, A. (2018). Retrieved from Cognitive Hiatus and the White Validation Syndrome: An Afrocentric Analysis: https://doi.org/10.1007/978-3-319-75447-5_3
Rahatt, C. (2020, February 04). How Alice Walker Created Womanism - The Movement That Meets Black Women Where Feminism Misses the Mark. Retrieved from Blavity: News: https://blavity.com/blavity-original/how-alice-walker-created-womanism-the-movement-that-meets-black-women-where-feminism-misses-the-mark?category1=Books
Sidnell, J. (n.d.). African American Vernacular English (Ebonics). Retrieved from Language Varieties: https://www.hawaii.edu/satocenter/langnet/definitions/aave.html
Syms, M. (2013, December ). The Mundane Afrofuturist Manifesto. Retrieved from The Third Rail: http://thirdrailquarterly.org/martine-syms-the-mundane-afrofuturist-manifesto/
What is Misogynoir? (2020, February 12). Retrieved from Blackburn Center: https://www.blackburncenter.org/post/2020/02/12/what-is-misogynoir
Young, D. (2016, March 05). Hotep, Explained. Retrieved from The Root: https://www.theroot.com/hotep-explained-1790854506
[More to be added and edited...]
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Writer Asks!
tagged by @hereliesbethboland and @foxmagpie
AO3 name: Lunafeather
Fandoms: Good Girls(Brio), Wynonna Earp (Wyndolls), Rizzoli and Isles (Rizzles), Dragon Age (Solavellan, Alistair x Brosca, Tethraghast), Gilmore Girls (Java Junkie)
Number of fics:
18 on AO3, I think like 10 on ffnet?
Fic I spent the most time on:
I’m gonna have to say These Are a Few of My Favorite Things and Remix, both of which I’ve been working on since July ‘19 and are still very much works in progress (I haven’t abandoned either of them).
Fic I spend the least amount of time on:
If Kisses Could Talk. I saw the finale and literally stayed awake until the next morning writing it -- it just poured out of me in about 6 hours. It was my catharsis. Sal’ethast (Dragon Age) is a very close second, and it the most words I’ve written in the shortest time: 25k words in maybe 4 days? It was a Reverse Big Bang and I had a strict deadline. I work well under pressure! Who knew!
Most hits:
Retribution (Solavellan) is first, followed by These Are a Few of My Favorite Things. People REALLY LOVE Retribution, it is by far my most popular DA fic. I still get new kudos to this day. And then obviously people love TAaFoMFT :)
Most Kudos:
TAaFoMFT, by a bit of a margin. Second place is One Question Left.
Most comment threads:
Again, TAaFoMFT hahaha I actually tend not to get very many comments on my stuff, which sucks, but this fic has twice as many comments as the runner up (Remix).
Most bookmarks:
Would it surprise you if I said TAaFoMFT? It also has the most subscriptions as well.
Highest total word count:
Sal’ethast. Remix is second with 11k.
Fave fic I wrote:
I’m gonna be weird here and say I tend to love everything I write?? At least, for the last few years. My ffnet stuff was terrible, but I was 16 so it makes sense. I’ve improved a ton. If I had to pick just ONE thing, I would probably go with These Are a Few of My Favorite Things. I’ve basically created my own little canon divergent universe with it’s own rules and guidelines, and I really like writing in it. I like using that world to explore angst and fluff and smut. Some of my best writing and prose is in that story. Plus, I love a shameless opportunity to explore two characters I am unbelievably attracted to haha
Runner up is Cake Break (Solavellan), cause like.... I love fluff, I love it, I would marry it if I could.
Fic I want to rewrite/ expand on:
I don’t know of any that I would rewrite. There are a couple I reread where I would change things based on where they’re at now/what we’ve learned about Brio, but it isn’t anything huge and so I leave it. Reminds me of better times lol
As for expanding, I am still obviously expanding TAaFoMFT and Remix, but I kind of also want to write other, more linear stuff for the former? Like how they get from “you’re just work” to them falling in love. I dunno, other stuff would probably pop up in my head. It’s my comfort blanket universe. I actually write a lot of prompt fills with that universe in mind.
All of my other pieces are relatively insulated (and most were canon fixes).
Share a bit of a WIP or story you’ve been working on:
My main priority right now is the next chapter of TAaFoMFT, I have it outlined (most of the next 16 chapters are outlined as well) and am slowly adding to it.
I have a lot of prompts I am filling here or there just for the sake of writing, because I like it.
There’s a prompt fill I’ve been working for almost a year that is incredibly self indulgent, that’s centered around Danny’s birthday pool party and it’s just... chock full of Brio being sexy fluffy, Annie x Nancy goodness, everyone being a big, weird family, Dean only showing up to be openly mocked and derided. I don’t know if I’ll ever finish it, but it’s there waiting!
And I have a nebulous idea for a post S3 multi-chaptered fic (gasp! I know! A linear fic with more than one chapter??) but I am like.... really worried that everyone will be writing these, and that mine is gonna be too much like someone else’s, and that mine will suck in comparison, and that gets in my head and makes me all flustered and anxious and unsure, but then I’ve already written 2000 words of JUST outline/ideas, trying to piece everything together. I dunno, I really want to write it, but also I don’t?? But I think about it as I’m falling asleep and have written so many notes in my phone before i pass out. Also, I have done SO MUCH research about pool and spa places, you guys have no idea. I am a FOUNTAIN of knowledge now. (Maybe they should get stuck somewhere, and there’s only one bed?!?)
Aaaaand I have a few ideas I still have a little interest in working on, like the fic inspired by a prompt fill I wrote that was inspired by a theory @cpt-falcon had about the S2 finale, where instead of breaking up with Rio, Beth tells him what Dean is doing and they hatch a plan to undermine him and get her kids back, and someone gets shot but for a different reason.
And another that was inspired by a long discussion with @johnisntevendead about Rio accidentally saying te amo to Beth one night and him freaking the fuck out about it cause you don’t say that unless you really fucking mean it, and he does, and that’s scary as shit, and Beth takes his reaction the wrong way.
So yeah, there’s a lot going on in my head lol
#thanks guys#sorry it took a while#I am very tentatively lurking#not really wanting to engage#though I will be writing cause these two assholes won't leave me alone#about me#luna writes
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Audit And Also Assurance Services
5 Signs You'll Be Audited By The Irs
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How To Compose An Audit Report
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How Adjusting To Adjustment Can Enhance Work Possibility
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Commonly, an unqualified report includes a title that includes the word "independent." This is done to illustrate that it was prepared by an objective 3rd party. Composed of 3 paragraphs, the main body highlights the responsibilities of the auditor, the purpose of the audit as well as the auditor's findings.
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Medicare Reimbursement In Skill Nursing Facilities.
Skill Nursing Facilities are reimbursed by Medicare Part A(Inpatient and hospital) & Medicare Part B(Outpatient or Medical) depending on the patient’s condition.
Every patient under medicare Part A services are reimbursed based on facility daily rate calculated in minutes. In addition to that a daily room charge covers all patient related expenses. Those services include nursing services, therapy services. Patients’ expenses differ based on the quantity of services they receive.The more skilled services a patient needs, the higher the RUG( Resource Utilization group) indicating that patient’s daily reimbursement.
Medicare Part B however, pays each therapy service provided, using CPT codes provided by the American Medical Association. If the patient is staying in the facility, their expenses are paid for by Medicaid, their private insurer or out of pocket.
Many SNFs are under financial pressure due to the thin margins. Nursing homes do not make that much profit due to the low reimbursement from Medicare.
According to the Center for Medicare Advocacy, starting October 1st 2019, As part of its plan to providers based on value based treatment CMS is replacing prospective payment system with patient-driven payment model(PDPM). With this new rule, they are trying to penalize facilities with high readmission rates and giving bonuses to those with low readmission rates.
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