#modifier in medical billing
Text
Common Modifiers In Medical Billing
Do you realize that using incorrect modifiers in medical billing can get you in trouble? Worse, if you used the incorrect modifier and the insurance company paid you for the service associated with the modifier. Claiming the wrong modifiers can be a severe mistake. A provider must understand the significance of modifiers in medical billing, how to use them, and when to adjust reimbursements or maximize payments to avoid claim denials.
What Is A Modifier In Medical Billing?
Modifiers are essential in adjusting medical codes for numerous medical instances. They are employed when a physician chooses to execute a procedure uniquely without altering the definition of the process. It may also provide additional information about services conducted more than once or services that have happened unusually. The doctor must document the requirement for the procedure to receive compensation for services based on the code for medical procedures. As a result, the physician must add a modifier to the current medical code to represent the procedure transition.
Modifiers are used in medical billing for various reasons. Some important reasons are as follows:
Claims are approved promptly, with no revenue gaps caused by denials, resubmissions, or follow-ups.
Some claims require a higher level of code precision to be submitted correctly.
The proper application of a modifier can reduce a medical practitioner’s claim denial rate.
The correct modifier application can result in a higher reimbursement rate from the insurance company.
HCPCS And CPT Codes In Medical Billing
Cpt Modifier
CPT modifiers are two-digit numeric codes. The CPT modifier is used to provide extra information on medical processes, such as the reason for the process, the location of the process, a modification in the procedure, and the total number of doctors conducting the procedure. This data is described to the insurance payer in the format ‘CPT code-modifier.’
HCPCS Modifier
HCPCS modifier comprises two characters; a letter and a digit. HCPCS modifiers are organized alphabetically by coding category. The HCPCS modifier provides more information on products used for non-physician services. This data is described to the insurance payer in the ‘HCPCS code modifier template.
Commonly Used Modifiers In Medical Billing
GQ – The GQ modifier is applied to services provided via an asynchronous telecommunication system. It is the system in which a doctor assembles a patient’s medical history, pathology reports, and images and submits them to a senior healthcare professional for review on diagnosis and treatment options.
Modifier 95 or GT-When all evaluation treatments and diagnoses are to be coded via telemedicine, 95 or GT can be used. This modifier can only be used when the treatment and medications are delivered via a telecommunication system, either by phone or video conferencing. Modifier GT is linked with modifier 95 only when directed by the insurance payer.
G0 – Modifier G0 is used to code for telehealth services provided to detect or treat the signs of an acute stroke.
Modifier 24 – Modifier 24 is added to an unrelated evaluation or management (Unrelated E/M) service provided during the post-operative period of significant surgeries done within 90 days by the same health care professional. This modifier cannot be used to bill for processes.
Modifier 25 – It is added to all E/M services performed on the same day as another significant surgery by the same doctor. It is commonly used in pediatrics.
Modifier 26 – When a service has both professional and technical elements, modifier 26 is used for billing the professional component. The physicians’ notes on the scans are considered the professional component, while the machinery used is regarded as the technical component.
Modifier 27 – This modifier can be used for several purposes. That includes when the patient is offered numerous evaluation and management services from the same or distinct surgeons and when the patient uses clinical services, pharmacy, and primary care on the same day.
Modifier 51- Modifier 51 is used for billing numerous procedures and services offered to the patient by the same provider but in a separate procedural setting or surgical session.
Modifier 59- This modifier indicates different procedural services distinct from the rest of the non-evaluation and management services performed on the same day.
Modifier 76- Modifier 76 reports a repetitive procedure done within the same day by the same doctor related to the original procedure.
Few Examples Of HCPCS Modifiers
AA- Anesthesiologists provide anesthesia services.
AD- Medical supervision by a healthcare professional for more than four simultaneous anesthesia procedures.
AH-Clinical Psychologist (CP) Services.
AJ- Clinical Social Worker (CSW).
GW- Service unrelated to the hospice patient’s terminal condition.
GY- Statutorily excluded item or service that does not fulfill the requirements of any Medicare benefit.
GZ- Item or service expected to be denied as unnecessary or unacceptable.
QN- Ambulance service has been given directly by a service provider.
If the modifiers are not applied properly or transferred correctly for payers, they are likely to be denied. By using the appropriate modifiers, billers and coders must avoid related problems and minimize claim denials. Our team of billers has been trained and understands the use of modifiers. We conduct an activity to determine the reasons for each claim denial and check the claims denied for coding issues for further investigation. That implies that few claims are denied due to the incorrect use of modifiers. We ensure that our customers benefit from lower denial rates, enhanced collections, and faster cash flow.
#medical billing#healthcare#health#medical#modifier#common#modifier in medical billing#CPT#CPT codes#billers#claim denial#coders#guide
0 notes
Text
Navigating the Landscape of Specialized Medical Billing
Medical billing serves as the financial backbone of healthcare operations, ensuring that healthcare providers receive proper reimbursement for the services they render to patients. Within the realm of medical billing, various specialized areas require specific attention and expertise. Let's explore some key aspects, including neurology medical billing, Remote Patient Monitoring (RPM) medical billing, Assignment of Benefits (AOB) in medical billing, and Modifier 91.
Neurology medical billing involves the intricate process of billing for services related to the diagnosis and treatment of neurological conditions. Neurologists provide critical care for patients with disorders of the nervous system, such as epilepsy, multiple sclerosis, and Parkinson's disease. Billing for neurological services requires accurate coding and documentation to ensure proper reimbursement for procedures, tests, and consultations.
Remote Patient Monitoring - RPM medical billing has gained prominence in recent years, particularly with the rise of telemedicine and digital health solutions. RPM allows healthcare providers to monitor patients' vital signs, symptoms, and health data remotely, enhancing patient care and management of chronic conditions. Proper billing for RPM services involves adherence to specific coding guidelines and documentation requirements to secure reimbursement from insurance companies.
Assignment of Benefits - AOB in medical billing is a contractual agreement between patients and their healthcare providers, authorizing the provider to receive payment directly from the patient's insurance company. AOB streamlines the billing process by eliminating the need for patients to pay out-of-pocket and seek reimbursement later. This arrangement benefits both patients and providers, ensuring timely payment for services rendered.
Modifier 91 is a billing modifier used to indicate that a laboratory test or procedure was repeated on the same day for the same patient. This modifier helps distinguish between duplicate tests and procedures performed for diagnostic or therapeutic purposes. Proper use of Modifier 91 ensures accurate reimbursement and prevents potential billing errors.
In conclusion, medical billing encompasses various specialized areas, each requiring specific expertise and attention to detail. Neurology medical billing, RPM medical billing, AOB in medical billing, and Modifier 91 are just a few examples of the complexities involved in ensuring proper reimbursement for healthcare services. By understanding and adhering to billing guidelines and regulations, healthcare providers can optimize revenue and provide high-quality care to patients.
1 note
·
View note
Text
0 notes
Text
0 notes
Text
#Gables Medical Billing has adapted to the ever-changing medical billing environment#modifying and adding to its services to proactively meet the needs of its clients. Gables Medical Billing is one the best companies in Tamp#Read More:#https://www.gablesmedicalbilling.com/
1 note
·
View note
Text
TF2 Mercs x Romantic M!Reader
Scout
Has never had anyone pull out the stops for him. He's the youngest of 7, his life has been full of hand-me-downs and overlooking.
When you hand him a bouquet of roses he actually fucking cries.
Dinner, a movie while holding hands, cuddling under the stars? God, he feels like a princess in a disney movie and you're his prince charming
Soldier
He's touched, really, he is! But has a hard time expressing it. He gives you a big ol' kiss and thanks you with a smile, but is lowkey pretty awkward when you offer to dance with him.
He looooved the homecooked dinner you made for him- after all, restaurants aren't really his scene. Course after course if just amazing!
Afterwards, you convince him to slowdance/cuddledance with you while whispering sweet nothings into his ear. He blushed so hard you can feel the heat on his cheeks.
Pyro
OH MY GOD??? ALL THIS FOR ME??? THANK YOU THANK YOU THANK YOU!!!!
Well, that's what you think they signed to you as they blubbered tearfully and hugged you. You decorated the recreation room with streamers of deep red and had a bowl of icecream to share while watching a movie!
Their favorite part is when you lit the streamers on fire, making a brief flaming heart.
Demoman
What's better than a roadtrip and sightseeing in a new place? You two snuck out and drove to Dallas for a long weekend out. It took you eons to convince the Administrator for a long weekend too, so it was extra heartfelt!
Big foods, big hats, and big inside jokes nobody else will understand, most of all- you take Demoman out to light fireworks in the desert. Big ones.
With all the clamoring to see the light show, Demoman is elated to kiss you in public with nobody noticing.
Engineer
Going to his favorite museum of engineering and listening to him talk is what Dell found most heartstopping. That dopey look of love as you listened intently had him in a chokehold.
Brushing the backs of your hands together feels more scandalous than holding your hand as you give him a teasing wink.
After, you cook his favorite meal? "Oh darlin', you're an angel."
Heavy
Doesn't know how to react at first, insisting he doesn't need to be spoiled. Then you pull out the handknitted mittens with bear paws on the inside and he's all the way on board to let you spoil him like a king.
You get a thank you kiss for everything you do, a promise to repay the favor later (;P) with every surprise you give him.
Oh boy does he, the more you love on Heavy, the more he loves on you.
Sniper
Survivalist camping with him over the weekend is how you win his heart. He sees you fishing at the crack of dawn and you just smile at him and hand him a pole. The comfortable silence has him blushing like a poppy.
Play wrestle this man. Play wrestle him and win. Pin this man to the ground with a playful yet exerting smile and he will never forget the moment until the day he does and then some. Then kiss him. Do it.
Spy
Ah, a nice restaurant where he doesn't have to worry about the bill, a gala where he doesn't have to assassinate anyone, and a handsome man he isn't obligated to sleep with for information- this is the perfect date!
He's quite the flirt as well, but as long as you can keep up with him, you'll win out in the end with your romance attack modifiers of the date on your side.
Dancing with him is a must, even if you're bad, it's still overwhelmingly charming to Spy.
Medic
YOU BOUGHT HIM NEW SYRINGES AFTER HIS OLD ONES SNAPPED???? AWWW YOU SHOULDN'T HAVE!!!
Much like Spy, Medic loves a fancy dinner and dancing, but he likes the thrill of a mission to help digest his food. That's why you two break into the blood donation truck and take some especially weird samples of blood that you find.
While the police chase you, you two share a kiss. Be gay, do crime!
#team fortress 2#tf2#fanfiction#tf2 x reader#tf2 medic#tf2 sniper#tf2 spy#tf2 engineer#tf2 demoman#tf2 heavy#tf2 scout#tf2 pyro#tf2 soldier#prettyboypistol#tf2 x male reader#tf2 x you#scout x reader#pyro x reader#soldier x reader#demoman x reader#heavy x reader#engineer x reader#sniper x reader#spy x reader#medic x reader#tf2 headcanons#tf2 headcannons#tf2 hcs
248 notes
·
View notes
Text
© PSYCHEDELIC-INK. do not copy, modify, or translate my work.
TV SHOWS & MOVIES MASTERLIST
PPCU MASTERLIST.
🔮 personal favorite || ☔️ smut || 🤧 angst || 🧁 fluff || 🩸 dark content
Live Wire Under My Skin 🤧
Joel comes back home wounded, and as you clean him up the two of you have a little chat.
Can't Get Enough Of Your Lies 🤧
you accidentally hear Joel grieving, and you do everything you can to comfort him.
I'm Yours to Tame 🤧☔️
Not being able to sleep, you sneak in next to Joel on the bed. You're stirred awake with a still-sleeping Joel grinding his hips into you.
Fire Burning ☔️
joel wants you to sit on his face, you have hesitations.
Burn For Me ☔️🩸
joel looks after you, provides for you, fucks you until the sun comes up; his only ask is that you never leave his apartment, not willing to face another loss. One day when you find the door unlocked, you decide to take stroll, promising yourself that you’ll be back before he returns home.
Love Will Abide ☔️
a retelling of the third episode but with you in it. Starts with Ellie reading Bill's letter.
Well, are you mine? ☔️
joel fucks you in an empty alleyway. that's it, that's the plot
Perfectly Wrong ☔️
Joel thinks you have the car battery that he so desperately needs and doesn’t believe you when you say that you don’t.
Ends Of The Earth ☔️🧁
joel brings you a care pack Maria gave him and you find a razor inside but when you confess your insecurities around the topic, Joel offers to help you out.
So My Darlin' ☔️🧁
you convince joel to have a bubble bath with you.
When You're Reading Me (pre outbreak!joel miller) ☔️🧁
If you had to make a list of things Joel Miller might buy you as a gift— nipple clamps, would not be a part of it.
Reckless ☔️🤧
It starts with soft touches hidden by the dark. In a world where finding one bed is considered lucky, it means that you and Joel frequently share one. He offers to sleep on the floor, or a tattered couch every time and every time your answer is the same. No.
aquatic rehabilitation ☔️🧁
Joel has been experiencing knee pain for the past two months. When he finally sees an orthopedist, he learns that he has some minor damage to his meniscus. The doctor prescribes him anti-inflammatory medication and physical therapy, recommending swimming. At the pool, he meets you.
Spitfire ☔️🤧
joel x tess
To put it simply, Tess did not want to exist but did so anyway. She stared blankly at everyone and everything. Her mind and heart urged her to make the smart choices. She was quick to eliminate the possibilities that might cause her death. She assessed the weak links of the group. Stayed clear away from them.
Smart choices. She blamed that part of herself for wanting to approach the Millers.
Or alternatively, the story of how Joel and Tess met and how they came to be.
Rises the Moon ☔️🧁
As the man responsible for operating the lighthouse, Joel lives a solitary life on the isolated coast. He has no complaints, enjoying the hauntingly beautiful songs that echo from the sea at night. One stormy night, he rescues a mysterious mermaid tangled in a fishing net. As you recover in the lighthouse, the two form an unlikely bond and find comfort in each other's company.
Cry Baby ☔️🩸
slasher au (still takes place in the tlou'verse) + sex in the woods or somewhere public (added bonus if it includes knife, blood, hunter x prey kink)
bodies have been dropping left and right in the most brutal ways in jackson. as the relentless wave of deaths continues, your mind becomes increasingly restless. however, you find a sense of comfort and solace in the presence of joel. who might be hiding secrets of his own.
On Your Mark ☔️
cyberpunk au + fallen angel au + “i will keep hurting. i will keep killing. anything to protect you.”
you and tess go in to dismantle a cult, neither of you were expecting to find a rugged fallen angel being experimented on.
Distracted ☔️
woodshop teacher!joel miller x f!reader
there are many advantages to enrolling in a woodshop class: drawing you away from not-so-happy thoughts, relearning something that you enjoyed doing when you were a kid, and, well, the sight of watching mr. miller do something he’s undeniably good at.
Hoofbeats (feat jack daniels) ☔️
joel challenges jack to make you into the finest there possibly is in two days.
Biting Down ☔️
body piercer!joel miller x f!reader
you finally go and get your nipples pierced.
That Pretty Girlfriend ☔️
When your boyfriend is desperate to win back what he lost, he bets on you this time without your knowledge. And everyone knows you don't go back on your word when it comes to Joel Miller.
'my girl now ☔️
joel is used to asshole clients, and when one of them calls him an old man and basically demands him to finish his girlfriend's kitchen in time, he expects you to be the same. But you're the opposite. when he learns how you've been treated, he comes up with a plan to get back at your boyfriend.
Can You See His Silhouette? 🧁
you get your period and without anything to help you with it, you’re mortified. Luckily Joel is there to help.
From My Skin to Yours ☔️🤧
joel survives and finds life deep inside of you.
Burning Pile 🤧 hero/villain au + one takes care of the other’s injuries
the enemy of my enemy is my friend.
Wildflower ☔️
after seeing a delivery of supposedly aphrodisiac petals, you give them a try, convinced that they wouldn't work. Joel finds you in a not-so-professional position.
Sleepy Hollow ☔️🧁
a typical morning in jackson.
Light Petplay thoughts w/ joel miller ☔️
Exile 🤧☔️
Runners. Stalkers. Clickers. Shamblers. Bloaters.
Domestics.
All infected. One unlike the other.
You expect the infection to eat you from the inside out, turning you into something horrid. But instead, you find yourself with leaf-shaped ears and antlers that belong to a deer. While you live out the rest of your days trying to adjust to your new features and survive, you meet Joel, a survivor just like you but with a more grim approach to life.
Both of you adopt the forest as your home. One wants the other gone, meanwhile the other will do anything to not be left alone.
Stay In Bed 🤧☔️🧁
joel miller x reader, onesided tommy miller x reader
After your grandfather’s passing, you find yourself moving into his home in Texas. You meet the Millers; Tommy, his older brother Joel and his daughter Sarah. With time, you and Tommy become close friends and Sarah visits you often. But Joel…Joel keeps his distance. The reason for this is due to one crucial fact you don’t know but he does; Tommy has a crush on you. Which means you’re off limits no matter what. But as your own feelings for Joel grow, things start to get more and more complicated.
Head Filled With Parasites (musician!joel miller) ☔️
One night you decide to visit a bar all by yourself. There you meet a guitarist, Joel miller, and things escalate from there. Here you'll find snippets and one-shots of the relationship.
Dark Hearted People ( joel miller x reader x ezra)
Trying to reach Tommy, you and Joel meet a charming stranger. He persuades the two of you into helping him find his stolen equipment. During your travels, none of you expect to fall for one another.
Behind The Velvet Rope ☔️
(bodyguard!joel miller x actress!reader x dieter bravo)
a grumpy bodyguard, an eccentric actor, and you, who is thrust into the limelight. What can go wrong? The three navigate the challenges of Hollywood, tensions may arise and conflicts may occur but they’ll always have each other to lean on.
Ravish Masterlist ☔️
(webcam model!reader x joel miller, no outbreak)
Joel, only now starting to feel the impending sense of loneliness, decides to listen to Tommy and sign up on an online streaming service called Ravish.
Followed The Beast 🤧
You, both a member of David's group and one of his former victims, are already contemplating escape when Ellie arrives at the resort. Seeking Ellie, you decide to take advantage of the unexpected opportunity to run. But before you can find Ellie, you cross paths with Joel instead.
How Mr Miller Stole Christmas ☔️🤧🧁
enemies to lovers, fake dating, roommates, close proximity, age gap
You're the sole firefly that Joel spared in his pursuit to free Ellie from the hospital bed. You have no idea what it was—maybe it was the fact that you were significantly younger than the other soldiers, maybe it was because you were already out the door when he pointed a gun at you— no matter what it was you were miraculously spared from the bloodshed. Weeks later you find yourself in Jackson, wanting to leave the past behind. But of course, life has other plans. It always does.
No one knows what Joel did. No one except for you. And when you threaten the thinly veiled peace he managed to build for himself, he has you by the throat and against the wall. When people from the town see this in order to save face you kiss him, blurting out that you two are dating.
Rumors spread like wildfire and when a new family comes in, Tommy offers that they stay at your house and you to stay with Joel since you're already "dating".
Now you're stuck with each other with no way out. It's either keep the dating charade going or for the whole town—and Ellie—to learn the truth.
#joel miller x reader#joel miller x you#joel miller#joel miller x f!reader#joel miller x ofc#joel miller x y/n#joel miller masterlist
639 notes
·
View notes
Note
Please note I have only taken a few psych classes cause I was required to in college, but I have always seen disorders in the DSM like adjustment disorder or prolonged grief disorder as something to get insurance to pay for therapy because at least my insurance in the US will only cover my therapy if I have a diagnosis... is that wrong though? Are they actually trying to make greif a pathology?
it's the other way around- the dsm (or diagnostics in general) does not exist/modify itself because of insurance, insurance bills based on the widespread belief in psychiatric research + practice that there is a meaningful split between "normal" and "pathological" behavior which can be categorized into illnesses which are meaningfully distinct both from one another + from "normality" (exemplified by the dsm).
even if some therapists no longer abide by this belief, it is still the dominant narrative in psychiatric research. insurance requiring you to medicalize your own pain in order to be given access to healing is a problem that should be addressed directly, not by inventing more and broader ways to be 'sick'. if we're literally inventing disorders now just to get people access to therapy- that's a huge problem + not something we should settle back into + accept. to its credit, even the icd (medical dx book for insurance) has codes that essentially mean "no illness or disease here, just a need to speak with a physician".
to be clear (which i think ppl were not getting from the post i made)- there is no grand conspiracy to like... cover up grief or delegitimize pp due to covid. i do think that researchers for prolonged grief disorder do genuinely believe that they are helping increase access to healing (which may be true but at the cost of medicalizing grief) + that identifying a 'disordered' form of grief is somehow empowering or healing for ppl. what it does is further construct a cold (western-based) narrative that there are 'normal' + 'abnormal' ways to experience grief, that there are forms or intensities of grief which are a sickness (that is, a problem within to be solved or cured), that there are right and wrong ways to grieve. it stems from such a myopic, medicalized, neoliberal view of the world that someone whose life is permanently altered by a devastating loss is seen as a disordered object to shift onto the 'proper' track of grieving.
at the risk of getting too personal, because i've been thinking abt this a lot since losing my brother- criterion for this disorder include identity disruption, intense emotional pain, loneliness, and difficulty reintegrating into life. one of the worst parts of grieving in the US is the culture's rabid obsession with you getting over it as soon as possible w/o letting it affect you in any meaningful way. you have to get out of the house, get back to normal, don't let it drag you down! my dad said to me the day after my brother died "we can't let this change the course of our lives". the absolute arrogance + cruelty of implying that it hasn't already changed. that my identity isn't forever changed because i was a sibling + now i am not. now i am something different. of course i am lonely. of course i am having difficulty reintegrating into life. of course i am in intense emotional pain. i wrote that post before losing my brother + now it just feels like another manifestation of the unspoken cultural mandate that grief be contained, efficient, unimpactful.
tl;dr the insurance benefits may or may not be there, but this misses the larger issue of how insurance functions this way due to psychiatry's obsession with diagnostics + will ultimately serve to draw even stricter boundaries around acceptable/unacceptable grief, isolating grievers + severing their pain from a communal context
220 notes
·
View notes
Note
Do you have any notable memories of Genma mother-henning you?
Oh, are we teasing Genma about his antics? There's honestly so much ammunition, although I warn you now, he'll only take anything you say as a compliment.
First of all, out of all our active duty shinobi, Genma has one of the most balanced hours logged between field missions and homefront guard shifts. Mostly because he's been on the Hokage guard squad across three— sorry, four now— different regimes, and you know what they say about not fixing what isn't broken. What it means for the rest of our cohort is that half the time we come home from a longer mission or a string of back-to-backs, our fridges are clean and the dust build-up is minimal. Hell, I'm pretty sure Genma was single-handedly responsible for Mr. Ukki's survival, one year. I certainly wasn't around to water him.
I'm talking about the plant that my genin gave me back when they were still cute and little, mind you, not a person.
Then there's the fact that he's a field medic. Level three certifications, last I checked, which is about as high as anyone can go without getting kidnapped by the hospital. I'm not saying that he plays the straight guy when shenanigans are abound, but they tend to be the silly type rather than "end-up-in-the-hospital" when Genma is around. Medics tend to be a little more familiar with common sense compared to the rest of us who make it this far up the ranks— insanity is practically a requisite to be a jounin, and even more so for tokujo. Do you know how much time and energy you have to sink into one specific skillet to be considered for a promotion to tokujo? That, dear anon, is what Psych calls an "obsession".
Now, combine those two things, and Genma is an obvious choice as a spotter when you're trying out something new. Gai used to go to him regularly when he got an idea to modify a pre-established taijutsu form or training regimen, because if he went to me, we'd both be too bullheaded to admit something had gone wrong or was too much. During our teenage years, mostly.
Also, he's mentioned his strays before— Genma's fatal weakness are kids with big eyes. Count the ducklings and laugh, although his grocery bill is no joke. He started carrying around treats for my ninken about a decade ago and hasn't stopped, even now that none of them are puppies anymore.
#in the spring days || other faces#shiranui genma / whotookmysenbon#blank period#naruto rp#anonymous
11 notes
·
View notes
Note
In your recent post about trans genocide, you mention a law in Florida that designates existing as a trans adult as “sex crimes against children”. Do you remember what the law is called specifically?
So it's a collection of laws, one of which allows "concerned parents" to demand custody of their kid if the kid receives gender affirming care:
"Under the law, a court could intervene to temporarily remove a child from their home if they receive gender-affirming treatments or procedures, and it treats such health care options, which are supported by the American Medical Association, the same as it would a case of child abuse."
However it is worded vaguely enough that this could apply if it is the parent receiving gender affirming care, and not the child. And it is classifying this under the same category as "child abuse".
That, combined with bathroom laws, along with classroom laws that ban teaching kids LGBTQ stuff because it is "sexual", and drag laws that classify all drag as "sexual", all serves to make it illegal to expose children to "transgenderism", and you could build a case saying "my child seeing a trans person in the bathroom was sexual abuse".
20 notes
·
View notes
Text
As not everybody is one of the maybe ten people aware of my man's existence, here is an introduction post as part of my propaganda campaign!
Chinook, meet The Rest of Tumblr. The Rest of Tumblr, meet Chinook.
Chinook is my metal gear oc! While he exists most prominently as a member of Desperado Enforcement within the events of Metal Gear Rising, he is also ex military and a former Armstech member who was a casualty of the Shadow Moses Incident.
Chinook Facts!
He was born in 1974.
He is native to Ararat, Virginia, he was raised on an orchard by his grandparents and boxed competitively in high school.
His favorite foods are maple bourbon, pecan pie, and brisket.
His favorite movie is Kill Bill.
He is slowly dying from a small piece of shrapnel that has been working its way into his brain since the 90's, and wears his red glasses to help with migraines.
He is an ancient history nerd, and his primary weapon is a modified meteor hammer that, along with its blunt force, charges up when spun to electrocute the target upon contact.
He is a country boy at heart! Before he became a biomechanical specialist, he started out helping his granddad and neighbors repair farm equipment, and later rigged up an elaborate pulley/zipline system to help with harvesting.
He was a combat medic in the Army to pay his way through college until he lost his arm and leg.
He's sort of like the Desperado "team doc", patching up combatants along with working as a mercenary, training soldiers, designing military inventions and cracking heads.
He has been in a coma twice.
He usually doesn't have much of an accent, but if he gets pissed off or excited, his hillbilly powers activate.
He can play the dulcimer.
Has like three emotions: Business, Happy, and Berserker Rage.
He looks very serious, doesn't he? Spoiler alert: it's an act. He is a master of saying weird shit with a straight face, but only acts professional when there are clients around.
He was partially inspired by Gordon Freeman, Lt. Aldo Raine, and Egon Spengler.
If he was a dog he would be a bluetick hound.
That's all I got for now! CHINOOK SWEEP
#submission#yayayayayayyayayyay#CHINOOK SWEEP#mgr#mgrr#mgs#metal gear#metal gear solid#metal gear rising#metal gear rising revengeance#propaganda#28 kirk 'chinook' raymond
67 notes
·
View notes
Text
0 notes
Text
Good News - May 8-14
Like these weekly compilations? Support me on Ko-fi! Also, if you tip me on Ko-fi, at the end of the month I'll send you a link to all of the articles I found but didn't use each week - almost double the content!
1. Critically endangered fish with red hands and 'sad toad face' returned to the wild in Tasmania
“Conservationists in Australia are celebrating the return of 18 critically endangered red handfish to the sea after they were taken into care at the Institute for Marine and Antarctic Studies (IMAS) in January to protect them from marine heatwaves.”
2. A rare Australian marsupial is being genetically modified to save it from extinction. Here's how
“Scientists are trying to genetically 'edit' the endangered northern quoll to make it resistant to the neurotoxin of the invasive cane toad. […] Now experts in gene-editing […] say they can introduce genetic resistance to the toxin by taking DNA from a species of South American lizard and ‘edit’ that into the cells of a northern quoll. They have already managed to do this with the cells of the closely related dunnart, another endemic marsupial.”
3. More and faster: Electricity from clean sources reaches 30% of global total
“For the first time, 30% of electricity produced worldwide was from clean energy sources as the number of solar and wind farms continued to grow fast. [...] Some of [the past year’s] new demand was for heat pumps, which are an efficient way to both heat and cool buildings, and for electric vehicles. [... Last year was also] the 19th year in a row that solar was the fastest-growing source of electricity generation.”
4. Standards Established To Improve Health Care For Kids With Disabilities
“Developed by a panel of health care experts, adults with disabilities and caregivers, the plan published recently in the journal Pediatrics […] calls for providers to be trained about caring for those with neurodevelopmental disabilities, improved communication with patients and their families and proactive planning in advance of health care encounters to ensure that patients are at ease and provided accommodations.”
5. Working together to better understand Alaska’s beluga whales
“Beluga conservation efforts depend on an accurate count of whales. Indigenous hunters also need to know how many belugas there are so that they [can] decide how many can be safely harvested. That’s why WWF is bringing together Western science and Indigenous knowledge […. U]sing hydrophones to detect belugas in the Yukon River works—and it is an approach that is both cost-effective and non-invasive.”
6. Robotic system feeds people with severe mobility limitations
“Researchers have developed a robotic feeding system that uses computer vision, machine learning and multimodal sensing to safely feed people with severe mobility limitations, including those with spinal cord injuries, cerebral palsy and multiple sclerosis. […] The robotic system successfully fed 13 individuals with diverse medical conditions in a user study spanning three locations[….] Users of the robot found it to be safe and comfortable, researchers said.”
7. Senate Passage of America’s Conservation Enhancement Act a Win for Wildlife
“The Senate’s reauthorization of the America’s Conservation Enhancement (ACE) Act will benefit America’s wildlife and way of life. Led by Senators Tom Carper (D-Del.) and Shelley Capito (R-W.Va.), the bill invests in wetlands and habitat restoration projects across the country as well as strategies to reduce conflicts between wildlife and livestock. […] The passage of this bill shows us once again that Americans are united on the need to protect wildlife and our outdoor heritage,” said Andrew Wilkins, director of land conservation policy at the National Wildlife Federation.”
8. Liberals and conservatives differ on climate change beliefs--but are relatively united in taking action
“The study, led by researchers at New York University, finds that when given the opportunity, liberals and conservatives take action to address climate change at roughly the same levels -- and that this is due to conservatives choosing to take action despite their climate-change beliefs rather than liberals failing to act on theirs.”
9. Democratic state attorneys general are teaming up to protect abortion access
“A group of Democratic attorneys general are working to strengthen state-level protections for abortion, contraception and gender-affirming care. These protections could include expanding the use of so-called “shield laws,” which assert that states where abortion or gender-affirming care are legal won’t cooperate with out-of-state efforts to prosecute anyone who helped provide treatment.”
10. Antwerp gives residents free trees
“The Belgian city of Antwerp has 2,000 trees to give away, and it wants to give them to residents to plant in their gardens [...] with the aim of involving citizens in the greenifying process of the city. [...] What’s more, the city website offers practical advice on how to proceed with planting and caring for the tree so that it will meet the standards set by the municipality. [...] The City makes sure to give dead trees a second life by using their wood in the making of natural kids’ playgrounds.”
May 1-7 news here | (all credit for images and written material can be found at the source linked; I don’t claim credit for anything but curating.)
#good news#hopepunk#fish#australia#endangered species#marsupial#gene editing#toad#electricity#clean energy#solar#solar energy#wind farm#wind energy#healthcare#disability#disabled#neurodivergent#alaska#alaska native#native#beluga#robots#wildlife#habitat restoration#politics#climate#climate change#abortion#abortion rights
10 notes
·
View notes
Text
Hi, all. This is Leila Sleiman and Lauren Spagna, and we are hoping to raise at least $25,000 for our friend and Pittsburgh VegFest co-founder, Natalie Fristick.
On November 8th, Natalie narrowly and miraculously survived an attempted homicide and nightmarish acts of domestic violence. Among other injuries endured that night, every bone in both of Natalie's heels were shattered in her escape.
Natalie spent one month in the hospital, underwent 2 major surgeries, 3 months of being completely non-weight bearing, and has recently begun to walk short distances again, though in extreme pain.
Throughout this time, Natalie has been completely without income while mortgage and car payments, medical bills, credit card bills and daily living costs have continued to roll in.
Natalie attempted to go back to work this week because she has almost depleted her savings while unable to work and is facing losing everything. Unfortunately, 2 days of modified work, mostly seated, left her completely unable to walk and in agony. She is not able to return to work yet. It's too soon. Natalie is so strong and tried to do this on her own, but she needs more time to heal.
6 notes
·
View notes
Text
By: Jesse Singal
Published: Mar 22, 2024
Yesterday CNN published an article by senior writer Tara John about the UK National Health Service’s newly skeptical stance toward youth gender medicine. The main takeaway, which is big news to observers of this debate, is that the NHS will no longer provide puberty blockers to young people, other than in research contexts. (As for cross-sex hormones, a relatively strict-seeming regime is set to be implemented, and they will be offered to youth only “from around their 16th birthday.”)
As myself and a number of others pointed out, the article contains a sentence that is, in context, rather wild: John writes that “Gender-affirming care is medically necessary, evidence-based care that uses a multidisciplinary approach to help a person transition from their assigned gender — the one the person was designated at birth — to their affirmed gender — the gender by which one wants to be known.” But of course, whether youth gender medicine is medically necessary and evidence-based is exactly the thing being debated, and anyone who has been following this debate closely knows that every national health system that has examined this question closely, including the NHS, has come to the same conclusion: the evidence is paltry. That’s why so many countries, including Sweden, Finland, the UK, and Norway have significantly scaled back access to these treatments for youth.1 So it’s very strange to see this sentence, which reads as though it comes from an activist press release, published in a news article in CNN, an outlet that generally adheres to the old-school divide between news and opinion.
There’s a strong case to be made that CNN’s sentence, as written, is false. Gender medicine is at best unproven, when it comes to the standards society (and regulatory bodies) expects medical researchers to adhere to. The situation with youth gender medicine is particularly dicey, given that this is a newer area of medicine suffering from an even severer paucity of quality studies.
It would be bad enough for this sentence to have appeared in one article on one of the most important news websites in the world. But here’s the thing: this wasn’t the first time. Rather, this exact sentence, and close variants of it, has been copied and pasted into dozens of CNN.com stories over the last few years, as a Google search quickly reveals.
This sentence, and its close variants, appear over and over and over. I asked my researcher to create a list of all the instances he could find. Here’s what he sent back, in reverse chronological order.
1. England’s health service to stop prescribing puberty blockers to transgender kids by Tara John (March 15, 2024)
2. First on CNN: Major medical society re-examines clinical guidelines for gender-affirming care by Jen Christensen (February 26, 2024)
3. Record number of anti-LGBTQ bills were introduced in 2023 by Annette Choi (January 22, 2024)
4. Gender-affirming surgeries in US nearly tripled from 2016 to 2019, study finds by Jen Christensen (August 23, 2023) — start slightly modified to fit sentence structure, otherwise identical.
5. Trump-appointed judge blocks parts of Indiana ban on gender-affirming care for trans youth by Sydney Kashiwagi (June 17, 2023)
6. The debate on the American right isn’t about classified documents. It’s about fear of transgender rights by Zachary B. Wolf (June 15, 2023)
7. 19 states have laws restricting gender-affirming care, some with the possibility of a felony charge by Annette Choi and Will Mullery (June 6, 2023)
8. Alabama governor signs bill placing limits on transgender athletes in college sports by Rebekah Riess and Dakin Andone (May 31, 2023) — start slightly modified to fit sentence structure, otherwise identical.
9. Missouri attorney general drops controversial emergency rule that would have banned gender-affirming care for children and many adults by Andy Rose and Nouran Salahieh (May 17, 2023)
10. Maryland governor signs bills protecting abortion rights and gender-affirming care by Liam Reilly and Kaanita Iyer (May 3, 2023)
11. Oklahoma governor signs legislation banning gender-affirming care for minors by Jack Forrest and Joe Sutton (May 2, 2023) — start slightly modified to fit sentence structure, otherwise identical.
12. Missouri judge pauses enforcement of limits on gender-affirming care for trans youth and adults for 15 days by Devan Cole (May 1, 2023)
13. Transgender health care restrictions hit roadblocks in 3 states as gender-affirming care becomes marquee issue for state GOP leaders by Dakin Andone (April 27, 2023) — start slightly modified to fit sentence structure, otherwise identical.
14. The clock is ticking in Missouri as health care providers race to establish care regimens for trans patients by Alisha Ebrahimji, Kyung Lah, and Anna-Maja Rappard (April 26, 2023)
15. Missouri judge temporarily blocks limits on gender-affirming care for trans youth and adults from going into effect by Devan Cole (April 26, 2023)
16. Gender-affirming care, a ‘crucial’ process for thousands of young people in America by Jen Christensen (April 25, 2023)
17. Advocacy groups sue to block an emergency rule limiting gender-affirming care that’s expected to go into effect this week in Missouri by Michelle Watson, Claudia Dominguez, Taylor Romine, and Kyung Lah (April 25, 2023)
18. Utah state senator’s home vandalized in possible retaliation for transgender bill, police say by Rebekah Riess and Sara Smart (April 22, 2023) — start slightly modified to fit sentence structure, otherwise identical.
19. North Dakota governor signs gender-affirming care ban for most minors by Michelle Watson and Jack Forrest (April 20, 2023)
20. Indiana and Idaho enact bans on gender-affirming care for transgender youth by Sydney Kashiwagi (April 6, 2023) — start slightly modified to fit sentence structure, otherwise identical.
21. Kentucky GOP overrides governor’s veto of youth gender-affirming care ban by Jack Forrest (March 29, 2023) — start slightly modified to fit sentence structure, otherwise identical.
22. Kentucky governor vetoes ban on gender-affirming care for youth by Kaanita Iyer and Paradise Afshar (March 24, 2023)
23. Georgia’s governor signs ban on certain gender-affirming care for minors by Maxime Tamsett, Pamela Kirkland, and Jack Forrest (March 23, 2023) — start slightly modified to fit sentence structure, otherwise identical.
24. Florida sued over bans on gender-affirming care for transgender youth by Devan Cole (March 23, 2023) — has a slightly more measured framing, opening with “LGBTQ advocates and many physicians regard. . . ”
25. Missouri AG seeks to restrict gender-affirming care for minors by Raja Razek and Shawna Mizelle (March 21, 2023) — has a slightly more measured framing, opening with “LGBTQ advocates and many physicians, however, regard the treatment as. . . ”
26. New Mexico governor signs bill protecting access to reproductive and gender-affirming care into law by Paradise Afshar and Kaanita Iyer (March 18, 2023)
27. Minnesota governor signs order protecting access to gender-affirming health care by Chris Boyette and Jack Forrest (March 8, 2023)
28. Tennessee governor signs ban on gender-affirming care for minors by Shawna Mizelle (March 3, 2023) — has a slightly more measured framing, opening with “LGBTQ advocates and many physicians regard the treatment as. . . ”
29. Democratic AGs condemn DeSantis administration for asking Florida colleges for information on students receiving gender-affirming care by Devan Cole (March 3, 2023)
30. Mississippi enacts ban on gender-affirming care for transgender minors by Devan Cole (February 28, 2023)
31. GOP lawmakers escalate fight against gender-affirming care with bills seeking to expand the scope of bans by Devan Cole (February 13, 2023)
32. South Dakota governor signs bill prohibiting gender-affirming treatment for transgender minors by Sydney Kashiwagi (February 13, 2023)
33. Woman faces federal charge for calling in a false bomb threat to a Boston hospital providing gender-affirming care by Sonia Moghe (September 16, 2022)
34. Boston Children’s Hospital says it’s gotten violent threats over care for transgender children by Jen Christensen (August 17, 2022)
35. Texas can continue investigating families seeking gender-affirming care for their transgender children, state Supreme Court says by Alisha Ebrahimji, Ashley Killough, and Raja Razek (May 13, 2022)
I haven’t triple-checked every single one of these, but it’s undeniable that effectively the same words have appeared in about three dozen CNN articles since May of 2022, which was already years after the present wave of European nations rethinking these treatments had begun.
When I asked CNN about this, I heard back from someone there who explained on background that it’s standard for outlets to provide reporters with guidance about accurate and appropriate language. While that’s true, it doesn’t really answer my question. Sure, it’s not unusual for an outlet to have a house style, sometimes enshrined in a stylebook, that provides rules about how to refer to, for example, individuals in the United States who lack legal status. They used to be called “illegal immigrants,” and now they’re often called “undocumented immigrants,” or language to that effect. This is a fairly normal process by which language changes and, sometimes as a result of a push-pull between outlets and advocacy groups, outlets decide which changes to make and when. So you may or may not agree with the fact that many outlets have switched from “biological sex” to “sex assigned at birth” when discussing trans issues, but the underlying process of switching from one phrase to another is standard and occurs in many areas.
This is quite different. You do not generally see the same complex sentence pasted over and over and over into news stories written by different authors and published in different sections. I asked CNN if it could provide me any other examples of CNN.com publishing the same sentence in multiple stories by different authors, and posed the same question in an email to Virginia Moseley, the CNN executive editor who, according to the website, “oversee[s] international and domestic news operations across platforms.” I didn’t hear back about this.
This copy-paste job is journalistically problematic for a number of reasons. For one thing, it suggests that CNN has decided, at the editorial level, that its institutional stance is that youth gender medicine is “medically necessary” and “evidence-based.” While they’re being used somewhat colloquially in these articles, these terms have fairly specific definitions in certain medical and legal contexts, and treatments only qualify for such designations if they have exceeded a certain evidentiary benchmark based on solid published research. That is not the case here — far from it, actually. As written, this is a deeply misleading sentence.
The language also puts CNN writers in an awkward position. Does each and every bylined author of these stories believe that youth gender medicine is “medically necessary” and “evidence-based”? Maybe they do (which would be disturbing), but the fact is that they didn’t write these sentences — they, or one of their editors, grabbed that language from somewhere else and pasted it in. They are effectively outsourcing their own judgment on a hotly contested controversy to their employer. This is not what journalists are supposed to do, and, at the risk of repeating myself, it’s significantly different from a reporter rolling their eyes when using language like “undocumented immigrant” or “sex assigned at birth,” rather than their own preferred verbiage. Those are rather small-stakes linguistic quibbles, different not only in degree but in kind from the question of whether or not youth gender medicine is medically necessary and evidence-based. And it goes without saying that a CNN reporter who does develop doubts about youth gender medicine is likely to be deterred from investigating further by the fact that their bosses have already decided that this is the way they’re going to cover this subject — say the line, Bart. Why bother?
It’s a pattern, unfortunately. Many outlets dug themselves into a deep hole on this issue by simply acting as stenographers and megaphones for activist groups rather than doing their jobs. And now that there is ever-mounting evidence undercutting the loudest activist claims, climbing out of this hole is going to be awkward. But there’s no other option, really. Because right now there’s absolutely no reason to take CNN.com seriously on this issue — the site has proven, demonstrably, that it doesn’t take itself seriously on this issue.
--
1 The sentence doesn’t specifically mention youth gender medicine, but that’s clearly the context in which it was presented. The sentence wouldn’t be accurate as applied to adult care either, anyway — an independent systematic review commissioned by the World Professional Association for Transgender Health came back with rather dismaying results about the quality of research there as well, more info on which here.
==
It's nothing but a religious recitation.
#Jesse Singal#CNN#ideological corruption#legacy media#ideological capture#misinformation#gender affirming care#gender affirming healthcare#gender affirmation#gender affirming#queer theory#intersectional feminism#gender identity ideology#gender ideology#copy paste#copypasta#religion is a mental illness
5 notes
·
View notes
Last Seen Blogs
