Payment was denied because the documentation did not support the medical necessity for the injection procedure. The documentation did not support the trigger points as reasonable and necessary. There was no indication of symptoms or physical findings that would support the medical necessity of the service at the level billed, in accordance with Medicare Guidelines. For the procedure code 20553 to be considered medically necessary and reasonable, an appropriate payable diagnosis needs to be billed as outlined in the Local Coverage Determination (LCD) (L30155).…
I have been working at Kum and Go since May 2016. In my 7 months working here I find it strange we throw away so much receipt paper. We ask every customer if they would like their receipt and about 9 out of 10 people say they don't. Now I work at a slower store in Colorado Springs and we probably go through a box of receipt paper every 2 weeks sometimes 3 boxes in a month during the summer. Now if all 422 stores in the country are using the same amount of receipt paper as my store at 3 boxes a month that's $850752 a year.…
Key Idea I The arrangement of electrons is distributed between four orbital’s; S, P, D and F. Each orbital is a different shape and holds a different number of electrons. Orbital S is a circle and it contains two electrons and orbital P has three different shells. One shell is an infinity sign, the next is a crooked infinity sign and the last is shaped like an upright infinity sign.…
We are writing to provide you with an update to our site cleanup and remediation efforts, specifically as it relates the holdback provision of our Agreement. As you are aware, the site due diligence and soils investigations we completed during our acquisition process confirmed the presence of contaminated and/or impacted soils at 50 Ann St. which require clean-up and removal prior to us being able to advance our residential re-development proposal. Our Agreement with you requires that prior to us advancing clean-up of the site, that we provide you with notice in advance of excavation to allow you the opportunity to retain a third party engineer to evaluate our findings and our proposed remediation program. Please accept this letter as the required formal notice. Our consultant, Trafalgar Environmental, has conducted extensive investigations on Site…
In the 1970s, an innovative device was being developed by small team of engineers led by Paul Breedlove, an engineer, with Texas Instruments that ended up being introduced to the public at the 1978 Summer Consumer Electronic Show as The Speak and Spell. It was a handheld electronic device and educational toy that consisted of a speech synthesizer, a fluorescent display, a keyboard, and a receptor slot for a collection of game cartridges. Additionally, its main function was a tool for helping young children to learn to spell and pronounce over 200 commonly misspelled words. As a result, this can be consider the first PC many people own because it had all those parts, including a TMS1000 for the CPU. When Paul Breedlove first had the idea for…
We sincerely appreciate that you took the time to contact us. We are very sorry you received a heavy bill in the amount of $5000 for the use of our facility on July 16, 2015. We understand how difficult that would be as a non-profit organization, and we know how confusing it can be to receive that kind of bill. From your communication, we understand that you received a bill of $5000 on July 26, 2015; while since 1995 we has provided that space to you at $1000.…
Current Event 8 In the article, “ Military Spending Bill Provision ” written by Alex Horton, it demonstrates the new bill that was passed through the functions of the military bureaucracy and how much importance it emits to individuals. “ The Defense Authorization Bill” was signed by President Trump that was inserted by members by Defense Secretary Jim Mattis, Senator Kamala D. Harris (D-Calif.) and Richard J. Durbin. The purpose of the bill allows Mattis to give active-duty immigrants recruits (one additional year) to wait for background checks to be finalized before they leave into training or combat. It also includes shielding immigrants from contract cancellation as they wait for their drawn-out background checks.…
IGN: Jives Age: 14, Soon to be 15. Timezone: GMT, UK. Country: United Kingdom. Do you have a good quality mic?:…
1. The main means of communicating to my instructor is through ASU email, however, contact through personal email and Blackboard’s email system aren’t viable ways to communicate messages to my professor 2. Late work should never be turned on the same day that it’s due. If an assignment is turned in late, then it will not be excepted. However, there will be special cases where the professor allows for late work to be turned in, consequently, the grade will be reduced by ten percent for each day that it’s missing.…
a. Someone X feels senang for some time at this time This someone (X) feels something good for some time at this time Because this someone (X) thinks like this at this time: b. “something good is happening to some people now I want this I want people to know this I think it’s good for people to know this” c. Because of this, this someone (X) feels something good for some time at this time like people can feel at many times when they think like this…
Throughout the course of this semester, taking TCF 201 has taught me about, even though I come to the conclusion that going in this direction of actually being a filmmaker is not for me, in the end. However, it did teach me a great deal. I never knew how much work could go into producing and directing your own work, I mean I had a general idea, but nothing to this magnitude of the amount of work that it takes, plus the hours of sleep that I have lost took a toll on me as well. But it was all worth it.…
On June 17, 2015, there was a kidnapping and murder, and I was best friends with the murder victim. I was actually the last one to see her before she was killed. Her name was Katie Smith. She was my best friend, and now I lost her. In two days, I will be questioned about Katie.…
Unit Eight Assignment PS365 My professional and educational journey began with my United States Army military service. I enlisted as a field medic. Once I had left the service I was placed on the IRR, and reactivated for Operation Desert Storm. When I got out again, I returned to civilian life and went to college at Angelo State University.…
Having HIV is no longer a death sentence now that someone can live a normal life. With recent medications and treatment options, this disease is considered manageable just like any other chronic disease. When HIV was first diagnosed in the world, it was considered a death sentence and the stigma attached brought about social isolation to almost all patients with the diagnosis, today, it is regarded as one of those chronic diseases such as hypertension, heart disease, diabetes, and arthritis. If I were diagnosed with HIV, my immediate reaction would be shock, surprise, sadness, fear, concern over my future, depression, shame, and isolation. Despite all the shock, if there is someone that would tell me I can still leave a normal life and teaches me how to achieve it, I would go for it quickly in other to be there long enough for my family.…
Items of this Guttman chart generally follow the expected pattern as the more difficult items have less 1s and the 1s are from higher achieving students. However, there are still some expectations. Item 2.1, “Use Chinese only for unknown vocabularies”, shows a particularly irregular pattern, as some students of a lower ZPD group were able to present the required skill while some higher students didn’t. Item 6.3 and 5.3 also show irregular patterns, although not as much as item 2.1. One possible reason for item 2.1’s result is that the groups students are in may determine how much Chinese they used during the communication.…