The Work Thread
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@kk Try Benadryl? It's far from proven but it also can't hurt unless you're allergic to it.
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hmms maybe I will try that before bed tonight.
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Deleted my work rant, cause too charged up!
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I had a chance to talk to interventionists in other buildings and... wow. I'm suddenly very very happy for where I work. One of the buildings has a system that is 100% against best practice. Her groups are dictated to her based on a universal screener that is DESIGNED to throw out false positives (for very good reasons, this isn't a flaw), and a schedule that is utterly inflexible.
She wanted some advice on HOW to manage that. We all suggested a bunch of things, until we realized she has zero autonomy over her groups. That's when all of our jaws dropped and we went "???? you're telling us WHAT?!" Everything she described went against universally accepted best practice. We commiserated with her before finally giving some suggestions that worked within her schedule. Even with THAT she had to type them all up and email them to her administration for approval.
I walked up to my principal afterward and said, "Thank you for trusting us to be professionals and do what is best for kids." Because she really does. If we say "X needs y and my proof is z" she goes "Okay, make it happen."
Not ONCE this year has she questioned what I'm doing with my middle school kids.
It HELPS a lot that what we're doing is working within a research based famework, and for the kids for whom it isn't, there are other factors involved (missed 30+ days of school, a death in the family, needs evaluated for a possible learning difference.)
But yeah. I'm glad I have autonomy in my job.
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It has finally happened, we have a positive case of covid in my class that we know about. So that means everyone gets tested every day tomorrow and Friday (next week is midwinter break). Literally half the class is not coming tomorrow. Which is simultaneously less stressful while also still being highly stressful because...you know, covid in a situation where there's high contact.
Sorry to everyone I am struggling to keep up with, these last couple of weeks have been crazy stressful at work and blargh.
I really hope I'm not going to be sick over my break.
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@mietze I hope you and your kids are all okay. And your family. And just everyone, really.
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Medical professionals who talk about a patient's energy field.
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When you've been working in insurance for 5+ years, only to be told by someone who doesn't understand that yes, Medicare is a fed program, but it is administered by the states, and some states have MULTIPLE medicare plans, that you're WRONG and don't know what you're talking about.
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@macha I feel you on this. I had to try to explain this to someone AS someone on Medicare at the time, telling them that the plan I had was more like an HMO where I had a co-pay for most anything that wasn't just a routine checkup. They refused to believe that I didn't just get all my medical care completely free of charge from 'out of their taxes'. >.>
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@macha You're thinking of Medicaid.
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I'm trying to decide if your answer is an example of irony, or you're being serious.
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@silverfox Medicaid is administered by the states. Medicare is not. Both Medicare and Medicaid policies can be obtained from different private insurance companies such as Blue Cross/Blue Shield, Aetna, etc. For Medicare, that's called 'Part C' and comprises both parts A and B (hospital and medical respectively). Medicaid doesn't have parts.
I'm a medical biller and file claims to and get paid by all of the above and commercial policies all day long so do know what I'm talking about.
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@tnp I work in medical billing. NY - for example- has THREE Medicare plans. Upstate, Downstate, and Queens (Why just queens? IDFK)
That's not including the other "Golden care" plans and other shit.
EVERY STATE has a Medicare plan. NOT ALL Medicare claims go to one address. THIS is what I mean, by administered by state. The states all have their own titled version of Medicare, and some of them, (Ny, CA, as prime examples) have more than one.
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@macha I've always wondered why just Queens as well. No one I've asked has ever had an answer. In any case, true; there can be different addresses for Medicare but they're all overseen by CMS. (As a side note, there's also Railroad Medicare.) Complaints against carriers who don't process Medicare claims correctly go to CMS.
Medicaid though is truly administered by each individual state and complaints - I can only speak for NY as that's where I am - go to NYS Department of Health and/or Department of Financial Services.
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@tnp It's just this woman insisted I was wrong, and that all there was, is MEDICARE. She refused to listen to me telling her there's... a lot of plans for it.
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@macha said in The Work Thread:
@tnp It's just this woman insisted I was wrong, and that all there was, is MEDICARE. She refused to listen to me telling her there's... a lot of plans for it.
Ohhhhh, see, the way I was reading that it was the other way, so I think I got tripped up on the same thing TNP probably did.
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I was bitching about The Boys Club about twenty pages back so I feel I owe an update for all the people who listened to me whine
I ended up quitting and got a better job. Turns out I was being underpaid for my skillset! And I'm not gonna be buying anyone's milk, because I'm working remotely!
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Asking somebody who wants "total" and "amount" on the same spreadsheet what the difference is between the two columns, and getting the word "amount" as the bulk of the total definition and "total" for the bulk of the amount definition.
THAT IS NOT HELPFUL, BRENDA.
(eta: think like, 'the amount is the total paid, and the total is the amount we paid')
