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Topic: Coronavirus Outbreak - page 79. (Read 29937 times)

legendary
Activity: 4410
Merit: 4766
April 29, 2020, 09:43:31 AM
They wouldn't. Using a ventilator prompts the claims processing system to use an entirely different set of DRGs.

congratulations. now you realise that someone discharged for a minor ailment or an ailment unrelated to covid would be on a different DRG

..
firstly i read about DRG before your rebuttal
i learned about all the ICD-10 and drg months ago when badecker started his crackpot conspiracies.

look i know you want to push the claim that hospitals are corrupt greedy money grabbers. but the style your trying to push is going a little extreme.

like i said yea they can throw in a few swabs and blood draws to boost the balance unnessesarily.
but to claim that someone needed a ventilator and an ICU bed and being comotosed. when all they actually had was cpap.. is a far far far reach

trying to claim someone that dies on a surgical ward where the treatment was scalpels and units of blood and stiches.. to some how turn into an ARDS category of comatosed and ventilated .. again far far stretch

i am not here to troll or bate people. thats for conspiracy freaks to do.
im here to correct the misinformation.. even if that is misinformation where an added bedpan situation gets exaggurated into changing cause of death and adding loads of treatments that the patient never even had.
legendary
Activity: 4410
Merit: 4766
April 29, 2020, 06:47:33 AM
read your own friggen explanation about the DRG

then try to explain to yourself how someone being discharged from hospital with only mild symptoms would cause a large reimbursements of a medical complication level involving ventilation/comatose package.

try to explain how someone with cpap is the same as a comotosed ventilation category
have a nice time trying to explain it to yourself

again someone who is asymptomatic for covid. but tests positive.. but is in hospital for a gunshot wound and dies from blood loss/crush injuries.. would not be put into the same expensive package deal as an ARDS patient who is comatosed and ventilated.

a scalpel to remove the bullet and stitches to tie up the wound is not the same category as ARDS.
and a nasel swab covid test wont change that.
legendary
Activity: 4410
Merit: 4766
April 29, 2020, 06:02:26 AM
- type of hospital room used
- drugs administered
- medical supplies
- procedures performed by doctors, nurses, anesthesiologists, radiologists, etc.

The claim is sent to the insurance company which then uses computer software to bundle all the charges together

you debunked yourself
just writing covid on a random form does not trigger high reimbursements.
i quoted you above that shows this

the reimbursements are based on the actual procedures included during the stay being packaged up
so a simple swab test for covid will not trigger your DRG177 with MCC
because a patient who was mild would not have the same treatment severe patient
a patient with a gunshot wound dying of a gunshot wound based injuries who happen to also have a cough wouldnt trigger the same procedures as someone with ARDS

so if you think someone with just a cough would get a hospital compensated for a 24day stay in a critical care ward under comatose protocol.. you are very very much mistaken.

the most a hospital can tweak without it being flagged up is bed pan/bed baths and additional bodily fluid sampling.

but hey america is known for the scammers and greedy people so i can see why you think its actually simple. but the reality is that there are repercussions to certain extreme errors.
hospitals can actually lose alot. as can individual doctors
but yea america ia america and thats why im glad im a brit.

but if you want to start toeeing the conspiracy party line.you can always ask the relatives of patients that died and ask them why the patient went into hospital
legendary
Activity: 3906
Merit: 1373
April 29, 2020, 05:33:18 AM
More and more scientists coming together to show that Coronavirus is being lied about... with Ron Paul. In addition, global warming is a media scam.

Regarding the video, check out Prof. Rancourt's article that was mentioned in the show: http://ronpaulinstitute.org/archives/...


How Will History Treat The Coronavirus Lockdown? With Prof. Denis Rancourt



You won't want to miss this very special Liberty Report! Former University of Ottawa physics professor Denis Rancourt joins today's program to examine the science behind government and media claims about the coronavirus outbreak. Does a national lockdown make any sense? Why did the scientists that governments listen to seem to get the numbers all wrong? And why have other scientists who challenged the accepted wisdom been silenced and ignored? What are the numbers? Why is the media only interested in bolstering government rhetoric, no matter how incorrect it proves to be? And, very importantly, why did state and local authorities take measures that almost guaranteed that senior care facilities would see more widespread suffering and death than necessary?


How Will History Treat The Coronavirus Lockdown? With Prof. Denis Rancourt

https://www.youtube.com/watch?v=awNrRiQCOdA



Cool
legendary
Activity: 3010
Merit: 8114
April 29, 2020, 05:00:40 AM
but the bit your missing is fact checkers and people currently in the finance system of hospitals have been quoted as saying that hospitals dont get a 3x payment for just writing covid19 on a discharge form
its also said that its not a simple one lump sum one size fits all payment

Hospitals can get 3x payment if a covid-19 diagnosis changes the surgical procedure payment bundling from regular treatment to treatment "with complications." This type of reimbursement manipulation has nothing to do with extra services or equipment and everything to do with diagnosis.

Hospital payments are made according to what are called Diagnostic Related Groups (DRGs). For example, treatment of a hospital stay for lung infection is billed by line item:

- type of hospital room used
- drugs administered
- medical supplies
- procedures performed by doctors, nurses, anesthesiologists, radiologists, etc.

The claim is sent to the insurance company which then uses computer software to bundle all the charges together to assign it a DRG to determine the payout. The software determines the patient was treated for a respiratory infection, which falls into one of these 3 DRGs (I made up the reimbursement figures but the DRG codes are real):

DRG 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC - $15,000
DRG 178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC - $10,000
DRG 179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC - $5,000

MCC = major complications
CC = complications

The software then looks at the diagnosis code(s) being put on the claim to determine which of the 3 codes to use. If pneumonia was the primary diagnosis, the software might assign the claim DRG 179 and the hospital will be reimbursed $5,000. If covid-19 was the primary diagnosis, the software might assign the claim DRG 177 and the hospital will be reimbursed $15,000.

So a difference of $10,000 is a great incentive for a hospital to potentially forge a fictitious diagnosis on a claim. Especially if a coder / medical biller employed by the hospital receives a cut from each successfully reimbursed claim. Even without this incentive, its easy to see why this is regularly taken advantage of by some of the more greedy hospitals, as they are capitalist enterprises by nature and looking to exploit every dollar they can out of a potentially broken / under-regulated system.

This behavior was already happening well before the coronavirus. There's no reason to think it isn't happening now.

Also, there are no "fact checkers" in the financial system of hospitals. There's very little oversight by the insurance companies themselves. They simply pass on the inflated costs to their customers.
legendary
Activity: 4410
Merit: 4766
April 29, 2020, 04:17:27 AM
I worked in health insurance for a number of years and I'm sure hospitals are motivated to code claims using the covid-19 diagnosis. This makes complete sense:

Quote
"Hospital administrators might well want to see COVID-19 attached to a discharge summary or a death certificate. Why? Because if it's a straightforward, garden-variety pneumonia that a person is admitted to the hospital for – if they're Medicare – typically, the diagnosis-related group lump sum payment would be $5,000. But if it's COVID-19 pneumonia, then it's $13,000, and if that COVID-19 pneumonia patient ends up on a ventilator, it goes up to $39,000."

In theory, reimbursement is supposed to be proportional to the costs of care, but quite often it isn't. When a hospital can stick a diagnosis code on a claim that increases reimbursement from medicare (or whoever) by 3 fold, they will absolutely do it if they think they can get away with it. If a death certificate lists covid-19 on it then that 100% backs their claim if they should happen to get audited.

This is one of the many reasons why American health insurance is so fucked up.

but the bit your missing is fact checkers and people currently in the finance system of hospitals have been quoted as saying that hospitals dont get a 3x payment for just writing covid19 on a discharge form
its also said that its not a simple one lump sum one size fits all payment

.. to actually make a financial profit/excess they would have to add tests/procedures that were not required
..
dont get me wrong i bet that there are some idiot ER doctors that do ARDS treatments on patients that are not ARDS but are only mild symptom sufferers. but those type of idiot doctors would be dealt with later at their reviews. and suspended or taken off the critical ward that day.

but to do these tests would reveal test results and obviously if the test results didnt confirm the diagnoses. then its not going to be the diagnosis/cause of death.

again covid deaths would have a covid positive test done. as debunked in other posts 'suspected' cases are not included in the official figures. which is why they are saying that more could have died and not recorded because tests were not done . such as those in hospices that die.

this the the exact reasons why china was first saying 3k deaths that then jumped to 4k because the extra 1k were ones that they were not sure of at first.
this is why in the UK when the official count was 10k they said another 4k was not accounted for but was hospice/retirement home numbers. but the UK didnt just add those numbers into official numbers but keep them as a secondary report
america hasnt added in the 'suspected cases' .. yes PA did temporarily but then realised it scews the official fully diagnosed numbers, so retracted the extra's so that reports account for only the 100% tested numbers

yes i can see some doctors doing useless treatments on patients like adding a requirement for a bedpan and bedbath, even if the patient can walk to the bathroom themselves.

but the official publicly released numbers are actually undercutting the real extent because they are only including the patients that have been thoroughly tested and diagnosed
legendary
Activity: 3906
Merit: 1373
April 28, 2020, 11:33:24 PM
idiot
the 1.5% santa clara stat is from the ACTUAL study. by which you think you have been told says its 50-80x
sorry its not. its 1.5% of population spread.

try reading the actual study instead of your bigtree faux news summaries
because you just look more like an idiot every time you admit you dont know where real information and data is found

Hey, thanks, franky1. Tash has some good stats in the post above this one. But where you come up with your stats, nobody knows.

So, thank you for advertising for me. And remember, was it "82.4% of statistics are made up on the spot?" Or was it some other percent?  Cheesy

Cool
sr. member
Activity: 1190
Merit: 305
Pro financial, medical liberty
April 28, 2020, 11:29:47 PM
Quick update on some countries horror health system.


Tests are faulty and worthless.
Most people already did the dead cell removal thing also know as virus and not notice it because they have no other health issues.
Some jails tested every inmate and 18% tested positeve most showed no signs.
6 counties closed the Covid dis ease case, 5 all recovered and one had 1 dead all others recovered.
legendary
Activity: 4410
Merit: 4766
April 28, 2020, 11:23:57 PM
idiot
the 1.5% santa clara stat is from the ACTUAL study. by which you think you have been told says its 50-80x
sorry its not. its 1.5% of population spread.

try reading the actual study instead of your bigtree faux news summaries
because you just look more like an idiot every time you admit you dont know where real information and data is found

using that same measure of 1.5% of 330m = ~5m
so with 1m US known cases and an estimate of 1.5% hidden spread = a 5x fold.

5x not 50 not 80, just 5
i have told you these basic facts many times. but i feel you are the kind of idiot that needs things repeated 10 times before it sinks in.

and you have mentioned many times about 'advertising you' again your scripts are old outdated and flawed. but i am happy to advertise your an idiot
legendary
Activity: 3906
Merit: 1373
April 28, 2020, 11:07:15 PM
You remind me that the universities showed that there are Covid-19 antibodies in large segments of the population

you lack reading the studies. you even lack reading the fact checkers that repeat the studies. you only grab at influencers that dont tell facts but just tell you what you want to hear.

santa clara california -1.5% antibody result
stockhold sweden  - 2.5% antibody result
austria - 0.32% antibody result

if you think thats wide spread.. then your last girlfriend must have kept her legs tight together when you asked her to spread her legs. which would explain why you think thin and tight is widespread

Hey, man. Thanks again for supporting me. The antibody thing shows that gigantic segments of the whole population of the USA have CV. Exactly where you get your percentages, and what you are saying in your interpretation of them, is a question.

But that's all right. We don't need to know. People will simply go back and find the videos and websites and check it out. And that is what I am here for... to present information.

So thanks for helping me do the things that I am doing. I wish you were a little better. I could turn my whole project over to you, sit back and watch, and only tweak it a little now and again. Of course, your peers in your organization wouldn't like that at all, would they?

Cool
legendary
Activity: 4410
Merit: 4766
April 28, 2020, 10:52:39 PM
You remind me that the universities showed that there are Covid-19 antibodies in large segments of the population

you lack reading the studies. you even lack reading the fact checkers that repeat the studies. you only grab at influencers that dont tell facts but just tell you what you want to hear.

santa clara california -1.5% antibody result
stockhold sweden  - 2.5% antibody result
austria - 0.32% antibody result

if you think thats wide spread.. then your last girlfriend must have kept her legs tight together when you asked her to spread her legs. which would explain why you think thin and tight is widespread
legendary
Activity: 3906
Merit: 1373
April 28, 2020, 10:07:51 PM
and here is the fatal flaw in badeckers claim

hospice deaths are not included in the major world wide stats.
the only stats of the ~1m with covid and ~60k deaths is of hospitalise patients that have been tested for it, suffering from it, had diagnostic tests and scans to prove it and being treated for symptoms of it

no guess work.
what he doesnt realise although i told him months ago. that there are more deaths that are counted separately in in another department.
but badecker s so ignorant he doesnt even get the hint

Thank you, again, franky1, for advertising me in the only way your peers will alow you to do without catching on to what you really think.

You remind me that the universities showed that there are Covid-19 antibodies in large segments of the population, so that we know that CV is widespread, and only a small percentage of the people are coming down with any symptoms of it.

And thanks to you franky1. I might not have remembered about this if you hadn't hinted at it for me. So, thanks.

Cool
legendary
Activity: 4410
Merit: 4766
April 28, 2020, 09:57:41 PM
and here is the fatal flaw in badeckers claim

hospice deaths are not included in the major world wide stats.
the only stats of the ~1m with covid and ~60k deaths is of hospitalise patients that have been tested for it, suffering from it, had diagnostic tests and scans to prove it and being treated for symptoms of it

no guess work.
what he doesnt realise although i told him months ago. that there are more deaths that are counted separately in in another department.
but badecker s so ignorant he doesnt even get the hint
legendary
Activity: 3906
Merit: 1373
April 28, 2020, 09:23:44 PM
Wow! Now it's even coming out in Chicago that the numbers are rigged. The wording, below, show how. But watch the video so that it sinks in better.


Illinois COVID-19 Task Force Admits the Numbers Are Seriously Rigged



"If you were in hospice and had already been given a few weeks to live, and then you also were found to have COVID, that would be counted as a COVID death. It means that if, technically, even if you died of a clear alternate cause, but you had COVID at the same time, it's still listed as a COVID death. So, everyone who's listed as a COVID death doesn't mean that that was the cause of the death, but they had COVID at the time of the death." That's what she said. -GEG


HUGE NEWS! ILLINOIS CV-Task Force Admits the CV Numbers are Seriously Rigged!!

https://www.youtube.com/watch?v=rbEa1xVfl68



Cool
legendary
Activity: 4410
Merit: 4766
April 28, 2020, 09:08:55 PM

TRUE FACT CHECK dont just read tecshares summary
quotes from the link:
"doesn't have a "one-size-fits-all" payment to hospitals for COVID-19 patients.

each hospital has a base payment rate assigned by Medicare. It takes into account nationwide and regional trends, including labor costs and varying health care resources in each market.

Then, each diagnosis-related group, which classifies various diagnoses into groups and subgroups, is assigned a weight based on the average amount of resources it takes to care for a patient."

in short hospitals do no get extra money for just stating 'covid' on a death certificate/discharge form
hospitals would get extra money for showing a covid test was done. and this would be funds to cover the nurse doing the swab, the PPE to do it, the swab itself and the transportation of the swab to the lab

compared to ventilating someone with mountain climbing hypoxia. a covid patient has more nursing staff, more PPE and more costs.

its about costs of actual care

just writing covid suspected but without a test does not earn a hospital more
yes doctors can run multiple tests like swabs xrays ct scans blood draws and other tests including a load of non essential tests. but if the death certificate does not match the test results. they will be reprimanded and the hospital would get fined by the insurer

in short. hospitals get paid for the TREATMENTS they give patients. not due to what they scribble randomly on a death certificate

yes a covid case costs more because it involves more TREATMENTS. but thats how the world works. if your sicker than someone else with just a cough. your going to need more things done
legendary
Activity: 3318
Merit: 2008
First Exclusion Ever
April 28, 2020, 06:19:23 AM
"Minnesota doctor blasts 'ridiculous' CDC coronavirus death count guidelines"

https://www.foxnews.com/media/physician-blasts-cdc-coronavirus-death-count-guidelines



"Fact check: Hospitals get paid more if patients listed as COVID-19, on ventilators"

https://www.usatoday.com/story/news/factcheck/2020/04/24/fact-check-medicare-hospitals-paid-more-covid-19-patients-coronavirus/3000638001/



"Antibody research indicates coronavirus may be far more widespread than known. Of 3,300 people in California county up to 4% found to have been infected."

https://abcnews.go.com/Health/antibody-research-coronavirus-widespread/story?id=70206121



"Next in Coronavirus Tyranny: Forced Vaccinations and 'Digital Certificates'"

http://www.ronpaulinstitute.org/archives/featured-articles/2020/april/27/next-in-coronavirus-tyranny-forced-vaccinations-and-digital-certificates/



"YouTube Censors Viral Video of Doctors Criticizing ‘Stay-at-Home’ Order"

https://summit.news/2020/04/28/youtube-censors-viral-video-of-doctors-criticizing-stay-at-home-order/



"UK Mother ‘Named and Shamed’ on Facebook For Not Clapping For the NHS"

https://summit.news/2020/04/24/uk-mother-named-and-shamed-on-facebook-for-not-clapping-for-the-nhs/

Sound familiar? It should:


   ' At the conclusion of the conference, a tribute to Comrade Stalin was called for. Of course, everyone stood up (just as everyone had leaped to his feet during the conference at every mention of his name). ... For three minutes, four minutes, five minutes, the stormy applause, rising to an ovation, continued. But palms were getting sore and raised arms were already aching. And the older people were panting from exhaustion. It was becoming insufferably silly even to those who really adored Stalin.

    However, who would dare to be the first to stop? … After all, NKVD men were standing in the hall applauding and watching to see who would quit first! And in the obscure, small hall, unknown to the leader, the applause went on – six, seven, eight minutes! They were done for! Their goose was cooked! They couldn’t stop now till they collapsed with heart attacks! At the rear of the hall, which was crowded, they could of course cheat a bit, clap less frequently, less vigorously, not so eagerly – but up there with the presidium where everyone could see them?

    The director of the local paper factory, an independent and strong-minded man, stood with the presidium. Aware of all the falsity and all the impossibility of the situation, he still kept on applauding! Nine minutes! Ten! In anguish he watched the secretary of the District Party Committee, but the latter dared not stop. Insanity! To the last man! With make-believe enthusiasm on their faces, looking at each other with faint hope, the district leaders were just going to go on and on applauding till they fell where they stood, till they were carried out of the hall on stretchers! And even then those who were left would not falter…

    Then, after eleven minutes, the director of the paper factory assumed a businesslike expression and sat down in his seat. And, oh, a miracle took place! Where had the universal, uninhibited, indescribable enthusiasm gone? To a man, everyone else stopped dead and sat down. They had been saved!

    The squirrel had been smart enough to jump off his revolving wheel. That, however, was how they discovered who the independent people were. And that was how they went about eliminating them. That same night the factory director was arrested. They easily pasted ten years on him on the pretext of something quite different. But after he had signed Form 206, the final document of the interrogation, his interrogator reminded him:

    “Don’t ever be the first to stop applauding.” '

https://mannerofspeaking.org/2010/05/12/some-chilling-public-speaking-history/
legendary
Activity: 4410
Merit: 4766
April 28, 2020, 04:08:44 AM
meanwhile in real news
santa clara california -1.5% antibody result
stockhold sweden  - 2.5% antibody result
austria - 0.32% antibody result

heck even china swabbed 3k of the nurses and doctors and found only a 2% antibody

in short
this is calm before the storm. not the cleanup aftermath

if you think its all over, and you can go back to work next month and everyone is going to be fine for the rest of the year. your fooling yourself
legendary
Activity: 3318
Merit: 2008
First Exclusion Ever
April 28, 2020, 03:34:12 AM
"Pelosi says universal basic income could be 'worthy of attention now' as coronavirus stifles economy"

https://www.cnbc.com/2020/04/27/coronavirus-update-universal-basic-income-could-be-worthy-of-attention-pelosi-says.html

"It is only temporary!" They said.
legendary
Activity: 1666
Merit: 1285
Flying Hellfish is a Commie
April 28, 2020, 02:32:20 AM
What happens if hospital receive more money for every dead

---------------Pop. City---Pop. MetroLockdownCOVID Deaths
New York 8 175 13319 979 477Yes11000
Tokyo13 929 28638 140 000Never93

They'd just start killing people on purpose and blaming the virus of course!

That's it Tash! You've cracked the case of the mysterious corona virus!  Well done!

Ahahahah, I've literally heard some conspiracy theories like this. The ones I've heard didn't go as far though, some people were saying that hospitals were way overreporting the amount of deaths from COVID-19 to get more money. I don't think people understand that you can't just report someone dead and move on, you're going to be filling out a lot more paperwork and you're going to get caught very quickly if you're lying.

People folks. People.

Overall I think most hospitals are suffering financially since elective surgeries have all been postponed.  Elective surgeries are expensive, and the bills usually get paid.  Now they gotta pay out a ton of overtime to deal with mostly old people on medicaid or poor uninsured people.

Oh totally - an uncle of mine had his knee replacement cancelled due to this (this was a month and a half ago or so) whole crisis and we fully understand why. Most of the candidates for these elective surgeries, at least the ones that are popular like knee replacements, are going to be older people who have a higher chance of death b/c of it.

Great move from a healthcare perspective to cancel these, as you're caring for the patient -- but from a financial side of things, this is going to hurt. But the government has provided a large deal of benefits for hospitals and individual doctors suffering from all of this.
legendary
Activity: 4410
Merit: 4766
April 28, 2020, 12:41:53 AM
You know as well as I do that I already presented evidence from not only the CDC but the Illinois Department of health directly stating that any death which occurs with a positive or even SUSPECTED case of COVID-19, regardless of it being the primary cause or not, is added to the COVID-19 death stats. No, pathologists don't spin the wheel, and there are supposed to be regulations around this sort of thing, but hose are being bypassed under emergency order aren't they?

"It  is  important  to  remember  that  death  certificate  reporting  may  not  meet  mandatory  reporting  requirements  for  reportable  diseases;  contact  the  local  health  department regarding regulations specific to the jurisdiction.In  cases  where  a  definite  diagnosis  of  COVID–19  cannot  be  made,  but  it  is  suspected  or  likely  (e.g.,  the  circumstances  are  compelling  within  a  reasonable  degree  of  certainty),  it  is  acceptable  to  report  COVID–19  on  a  death  certificate  as  “probable” or “presumed.”"

https://www.cdc.gov/nchs/nvss/vsrr/covid19/index.htm
did you even bother to read it
influenza deaths is separate. thats why the certificates that have covid linkage totals ~57k and not ~77k

all the reporting sites for USA are showing ~57k right now .. NOT 77k

have a nice day though
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