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Current location: RTR
Member since: Tue May 13, 2014, 06:56 PM
Number of posts: 8,241

About Me


Journal Archives

Donate blood

A lot of blood drives are being held all over the country. Please give if you can. I’m CMV negative, so I give when I can. If you’re out and about and see a red cross or life south bus, stop and give.

Y’all have a great day!!! I got a T-shirt and a coupon for a free whitts bbq sandwich!

Death and taxes

Just got our tax notice for all the property that I inherited last year, plus from where I bought my mother out...and our normal tax bill....We laughed and laughed some more and said that we are the typical southern rich and money poor...The land value went up 25%...still cheaper than living in Jersey, I guess..

I am going to have to sell mr B's least it's not due until December...


Y'all have a good day!


I got this letter today from Palmetto will be interesting to see what happens...Documentation requirements are a bear for providers, and EMR has not made it any easier. My docs are overwhelmed with paperwork....It's funny..I've been in this business for a LONG time, and every time the government has said that it was making it easier for providers, it ended up not being so...

Dear Doctor,

Thank you for the difference you make in your patients’ lives. Many of our nation’s best and brightest students go into medicine - the competition is intense for every spot. To become a practicing physician, you had to put in years of training, hours of studying, and long days and nights on the wards.

Your dedication and commitment have enabled you to join the profession that makes up the core of our health care system. But after years of education, training, and hard work, our system is not fully leveraging your expertise. Instead, doctors today spend far too much of their time on burdensome and often mindless administrative tasks.

From reporting on measures that demand that you follow complicated and redundant processes, to documenting lines of text that add no value to a patient’s medical record, to hunting down records and faxes from other physicians and sifting through them, wasteful tasks are draining energy and taking time away from patients. Our system has taken our most brilliant students and put them to work clicking through screens and copying and pasting. We have arrived at the point where today’s physicians are burning out, retiring early, or even second-guessing their decision to go into medicine.

In a recent Medscape survey of over 15,000 physicians, 42 percent reported burnout. Enough is enough. CMS’s focus is on putting patients first, and that means protecting the doctor-patient relationship. We believe that you should be able to focus on delivering care to patients, not sitting in front of at a computer screen.

Washington is to blame for many of the frustrations with the current system, as policies that have been put forth as solutions either have not worked or have moved us in the opposite direction. Electronic Health Records were supposed to make it easier for you to record notes, and the government spent $30 billion to encourage their uptake. But the inability to exchange records between systems - and the increasing requirements for information that must be documented - has turned this tool into a serious distraction from patient care.

CMS is committed to turning the tide. President Trump has made it clear that he wants all agencies to cut the red tape, and CMS is no exception. Last year, we launched our “Patients Over Paperwork” initiative, under which we have been working to reduce the burden of unnecessary rules and requirements. As part of this effort, we have proposed an overhaul of the Evaluation & Management (E&M) documentation and coding system to dramatically reduce the amount of time you have to spend inputting unnecessary information into your patients’ records. E&M visits make up 40 percent of all charges for Medicare physician payment, so changes to the documentation requirements for these codes would have wide-reaching impact.

The current system of codes includes 5 levels for office visits – level 1 is primarily used by nonphysician practitioners, while physicians and other practitioners use levels 2-5. The differences between levels 2-5 can be difficult to discern, as each level has unique documentation requirements that are time-consuming and confusing.

We’ve proposed to move from a system with separate documentation requirements for each of the 4 levels that physicians use to a system with just one set of requirements, and one payment level each for new and established patients. Most specialties would see changes in their overall Medicare payments in the range of 1-2 percent up or down from this policy, but we believe that any small negative payment adjustments would be outweighed by the significant reduction in documentation burden. If you add up the amount of time saved for clinicians across America in one year from our proposal, it would come to more than 500 years of additional time available for patient care.

In addition to streamlining documentation, under the leadership of the White House’s Office of American Innovation, we are advancing the MyHealthEData Initiative which promotes the interoperability of electronic medical records. Patients must have control of their medical information; and physicians need visibility into a patient’s complete medical record. Having all of a patient’s information available to inform clinical decision-making saves time, improves quality, and reduces unnecessary and duplicative tests and procedures. CMS is taking action to make this vision a reality, including recently proposing a redesign of the incentives in the Merit-Based Incentive Payment System or “MIPS” to focus on rewarding the sharing of health care data securely with patients and their providers.

We welcome your thoughts on our proposals, and we look forward to partnering with you to make them successful. Patients and their families put their trust in your hands, and you should be able to focus on keeping them healthy. And to secure the future strength of our system, we must make sure that the nation’s best students continue to choose to go into medicine.

We need your input to improve the health care system. Once again, thank you for your service to your patients.

Alabama police officers suspended

for hand gesture linked to 'circle game'


ASPER, Ala. (WBMA) — Four officers in the Jasper Police Department were suspended for making a hand gesture while posing for a photo. Some people claimed the circular gesture was racist, according to the city's mayor, David O'Mary.

he mayor said some have claimed the gesture was meant to express the phrase "white power." Many in Jasper who spoke on camera to ABC 33/40 News see it differently. They say it is the gesture used in the "circle game." Popular among kids, the idea of the game is for the person to trick the other into looking at the circle gesture displayed below their waist.

This is THE stupidest thing I have read today....I think some people look for ways to call things racist...Don't they have something better to do? Like maybe go after REAL racism?? This reminds me of the 70's when people didn't want their kids listening to KISS because someone told them that KISS stood for Kids In Satan's Service(If you grew up in the south and went to a baptist church, you know what I'm talking about..)

I don't play this game. Haven't since I was a kid, but dang it, I'm going to now. Oh, and god forbid, you use sign language to spell out anything with an F in it...

Congressional hearings...

these are fun to watch....I'm waiting for somebody to open up a can of whoop ass there....

The rejected cast of Red Dawn

I thought the far left wanted to do away with guns? Plus, two have their guns pointed at someone else's foot...

I'm not scared of a dude in skinny jeans....

For anyone who is interested

a user friendly link for the Constitution...

many people have never read it..We had to memorize the preamble in school..To this day, I can recite that...It's been a long time since I read the entire Constitution, so I thought I'd share this. Sometimes, it's good for a refresher....

The first two boys have been rescued!

The rescue mission could take two to four days depending on the conditions in the cave. Rescuers will be using air tanks and face masks while guiding the boys to safety.

Guilty pleasures

What's your food guilty pleasures? The kind you know you shouldn't eat, but you HAVE to have every once in awhile. It can't be remotely healthy...

Mine are fried pickles with ranch dressing, fried oreos with homemade vanilla ice cream and banana splits.

4th of July in NYC

There’s a dude who has scaled the Statue of Liberty.

Pretty cool. He’s going to jail though when they get him down.

James spann has a live feed on Facebook.
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