Miscellaneous And Off Topic Subjects

[entropy]

Medical Billing and Coding.

From US Career Institute...I have a Medical Billing Specialist course certificate
From AAPC (American Association of Professional Coders) I have a CPC certificate. Currently I am a CPC-A just need a year being employed (since I took the practical version of coding class from them) to get rid of the A.

where are you applying? where are you willing to work? Working from home or onsite? Or either?

[Whitley]

Applying all over Michigan. Moving than willing to relocate for the job. I don't think remotely is a good idea for me since I don't have a lot of experience.

I have 2 applications in at the local hospital. But the lady in charge does not like people that do their education online, and she just sets aside a resume if she sees online education on it.

She wants an associate's degree in coding for an entry level position (even though it does not say that on the requirements). That one of the things in the job description says they will help you improve your skills.

[entropy]

Does that mean you're willing to move outside of Michigan? I realize with a change in careers that is a big step.. and not an easy one. Just wondering your parameters..

[hack]

Medical billing and coding requires that kind of expertise? THAT sounds like one reason the cost of healthcare is what it is.

[CGVT]

Lost in all of the health care talk is the fact that the Christian Taliban is on the march.

How the fuck did we get here? Damn.

http://www.nbcnews.com/news/us-news/trump-signs-religious-liberty-executive-order-allowing-broad-exemptions-n754786

[Dr. Strangelove]

Lost in all of the health care talk is the fact that the Christian Taliban is on the march.

How the fuck did we get here? Damn.

http://www.nbcnews.com/news/us-news/...ptions-n754786

FWIW, this EO is being widely regarded as a total disappointment by most conservative Christian groups. The final order didn't go nearly as far as a lot of the drafts that've been circulating.

[Dr. Strangelove]

As for the health bill, it's unpopularity well outpaces Obamacare itself. It'll be greatly changed in the Senate. The victory party at the White House was mostly for show.

I'm just not sure what some moderate R's are thinking by supporting it...guys like Darrell Issa who represent districts that Hillary won by 5-7 points. Maybe they quietly hope/expect the Senate to rewrite it completely (Which is what some Senate R's are already saying will happen).

[CGVT]

FWIW, this EO is being widely regarded as a total disappointment by most conservative Christian groups. The final order didn't go nearly as far as a lot of the drafts that've been circulating.

Hopefully it will get shot down by the courts...

[The Oracle]

That was my uncle. He runs a framing business...by which I mean he and another guy frame houses. Summer, winter, rain or shine, he's out there hammering, sawing and carrying lumber around. He had to choose between healthcare and his house/child support after his wife left him. When he got cancer, we signed him up for coverage under the ACA.

If he's a deadbeat....IDK what that says about the rest of us here.

How much is his life worth? I sure as he'll better see a good case before I have to pay a little higher premium on my end. Fuck that shit. That's something that people like you never want to talk about.

[froot loops]

Guys like crash course and Geezer like to make it out like the 30 million who were newly covered under the ACA were gaming the system. A lot of jobs do not have employer health insurance or they code you as part time to get out of covering you. But if it doesn't affect you, it's good.

[Whitley]

Does that mean you're willing to move outside of Michigan? I realize with a change in careers that is a big step.. and not an easy one. Just wondering your parameters..

It definitely is not a first choice. In order to do that I would have to build up a bit of a cushion and that does not exist in you have been as out of work as I have been. The folks are moving downstate and that will help out some, since they are willing to let me stay with them until things are better. So that will minimize expenses a great deal.

[Whitley]

Medical billing and coding requires that kind of expertise? THAT sounds like one reason the cost of healthcare is what it is.

Well, that is what this lady is looking for. When I went to my local chapter meeting (first one I have been to since it is 3 hours away from where i am now) and said that, got a lot of looks like they could not believe it. Part of the problem is where I am currently it is very much a closed society. It totally depends all on WHO you know, and if you have grown up there all your life have a major in.

Breaking into this field is not cheap for my 3 classes, books and membership. It cost 3k. One lady at the chapter meeting said it took her two years to break into this field. And I can't imagine all that is going with health care at the national level is helping at all.

[CGVT]

How much is his life worth? I sure as he'll better see a good case before I have to pay a little higher premium on my end. Fuck that shit. That's something that people like you never want to talk about.

I think you misread his post.

[The Oracle]

Nah. I feel for him.

[Jeff Buchanan]

After 5 pages ....... interesting stuff.

Some folks, not all, need to go back and carefully read talent's responses to Froot's yes or no query on the AHCA. Illuminating.

A lot of this boils down to a couple of questions that I'm not sure all of you posting here on this issue have answered for yourselves: Does the government have a roll in insuring the health of it's citizens or not? Once you've dealt with where you stand on this question, and assuming you think yes, the government does have some role, you have to answer the question, to what extent.

Another point. If this is not clear to posters here, Medicare and Medicaid work for those that these two government operated HC programs serve. It's silly to criticize them as inefficient and costly mechanisms for delivering health care if you believe, to any degree, that the government has a role in insuring the health of it's citizens. As has been documented here and elsewhere both of these programs are cost effcient and effective. Geezer may not believe government has a role so, he sees them as welfare - that's fine. Froot might and sees those programs as necessarily helpful - that's fine too. But Medicare and Medicaid are excellent examples of a blend of market and government regulated HC programs that work. Next question ......

Cost. Pay attention to those mentioning this as a limiting factor to the extent to which government might have a role in the health care of its citizens. I'm not sure the typical prog takes this seriously enough.

Finally, the ACA was flawed regardless of where you stand on the initial questions each of you has to answer. The degree to which it is flawed will be measured by where you stand on the initial questions. The AHCA is also flawed (because the ACA is flawed) and the same caveats as above apply.

What will the outcome and implications of that outcome be for the US Health Care system be? No clue. We've been up and down the road involving the complexities of what has become the US Health Care system and how complex it is with respect to the subtle interactions of all the pieces that ultimately produce outcomes and control costs.

Speaking of which, I believe the market place can play a big part in controlling HC costs and producing good outcomes. I previously linked to a Harvard Business Review article on how that can happen and is happening. I also think it entirely possible to weave in a responsible government system, like Medicare and Medicaid (already with market driven capitations on cost) that can provide minimum support to certain populations.

So, whether or not you like the ACA or the AHCA should not be a black and white, I like it or I don't, issue. There are parts that are good in each plan, there are parts that are not so good. My paragraph above points pretty clearly to where I think the US Health care system should go. The question for me is whether or not the Congress has the vision and foresight to implement the right or nearly right legislation to foster an effective and sustainable HC system. I guess we'll see.

I'll take any questions now.