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Let the scrubbing commence. Once clean, we're deploying a burgle, only robbing the rich folks, assuming Reza's city planners were children, reading the big book of suckers, imagining “podcasting town,” falling off a high horse, tangling undergarments, giving up all passions, becoming the next Chutney Dallas, looping family trees like clover, purifying the soul, feeling manly dirt, fixin' that ice grime, having intercourse communion, and pre-visiting inventor town. Work Hard. Learn Much. Steal All (except for podcasts). 00:00:00 Season 8 Determinations 00:07:40 Intro 00:08:48 Reza NPCs 00:15:22 Reza Indoors 00:31:51 Reza Bar 00:41:21 Male Hot Spring 00:45:09 Iluk 01:00:24 Real Net 01:06:29 Outro Patreon: patreon.com/retroam Bluesky: @retrogradeamnesia.bsky.social YouTube: www.youtube.com/@RetrogradeAmnesia E-Mail: podcast@retrogradeamnesia.com Website: www.retrogradeamnesia.com
Be sure to tune in to this episode of the Precision Health and PGX Podcast as Dr. Becky Winslow, CEO of inGENEious RX Incorporated Pharmacogenomics Consulting, and Dr. Megan Landsverk, Scientific Director of MolDX® and Chief Science Officer of Palmetto GBA®, discuss how laboratories may overcome the challenges they face earning MolDX® coverage and reimbursement for their clinical pharmacogenomics tests. Specific to coverage determinations, the PGx veterans discuss test design, post-genotype translations, and technical assessments. Specific to reimbursement, the duo discusses evidence-based reporting and complete claim submissions. Also discussed is the importance of labs clearly defining intended use populations for tests and academic partnerships importance when labs develop and validate panels including drug-gene pairs the Clinical Pharmacogenetics Implementation Consortium and the United States Food and Drug Administration does not recognize as clinically utile for managing medications. Dr. Megan Landsverk is a Science Officer for Palmetto GBA, a Medicare Administrative Contractor (MAC) and a Science Director for the Molecular Diagnostic Services (MolDX) program developed to identify and establish coverage and reimbursement for molecular diagnostic services on behalf of Medicare. Dr. Landsverk received her PhD in Biochemistry and Molecular Biology from Baylor College of Medicine and postdoctoral training in Medical Genetics at the University of Washington. She is a board-certified Molecular Geneticist, completing her molecular genetics fellowship at Baylor College of Medicine. She has held multiple academic faculty positions and has numerous publications in the field of genetics. Prior to joining Palmetto, she served as a clinical laboratory director in academic, hospital, and commercial clinical laboratories and has experience in several genetic specialties including rare disease (pediatric and adult), cancer (somatic and inherited), and pharmacogenetics.
Be sure to tune in to this episode of the Precision Health and PGX Podcast as Dr. Becky Winslow, CEO of inGENEious RX Incorporated Pharmacogenomics Consulting, and Dr. Megan Landsverk, Scientific Director of MolDX® and Chief Science Officer of Palmetto GBA®, discuss how laboratories may overcome the challenges they face earning MolDX® coverage and reimbursement for their clinical pharmacogenomics tests. Specific to coverage determinations, the PGx veterans discuss test design, post-genotype translations, and technical assessments. Specific to reimbursement, the duo discusses evidence-based reporting and complete claim submissions. Also discussed is the importance of labs clearly defining intended use populations for tests and academic partnerships importance when labs develop and validate panels including drug-gene pairs the Clinical Pharmacogenetics Implementation Consortium and the United States Food and Drug Administration does not recognize as clinically utile for managing medications. Dr. Megan Landsverk is a Science Officer for Palmetto GBA, a Medicare Administrative Contractor (MAC) and a Science Director for the Molecular Diagnostic Services (MolDX) program developed to identify and establish coverage and reimbursement for molecular diagnostic services on behalf of Medicare. Dr. Landsverk received her PhD in Biochemistry and Molecular Biology from Baylor College of Medicine and postdoctoral training in Medical Genetics at the University of Washington. She is a board-certified Molecular Geneticist, completing her molecular genetics fellowship at Baylor College of Medicine. She has held multiple academic faculty positions and has numerous publications in the field of genetics. Prior to joining Palmetto, she served as a clinical laboratory director in academic, hospital, and commercial clinical laboratories and has experience in several genetic specialties including rare disease (pediatric and adult), cancer (somatic and inherited), and pharmacogenetics.
Former Buffalo Fire Marshal Edwin Ortiz on investigating fires and coming to determinations for the cause of a blaze full 440 Wed, 08 Jan 2025 09:30:40 +0000 JBb1CyKfx5ttenxlIBW7pnUcvx73KziX buffalo,news,wben,buffalo fire department WBEN Extras buffalo,news,wben,buffalo fire department Former Buffalo Fire Marshal Edwin Ortiz on investigating fires and coming to determinations for the cause of a blaze Archive of various reports and news events 2024 © 2021 Audacy, Inc. News False
More and more people turn to quantified health, achievement, and ability measures, such as fitness apps and economic measures of well-being every single day. As part of this trend, medicalized approaches to human health often describe people in terms of statistics and data, sometimes failing to capture more important details. In particular, the quantified approach falls short in describing the needs and rights of disabled people, as seen in lawsuits and case studies involving algorithmic decision-making about disability benefits. Here to talk about algorithmic decision-making and quantification in disability benefits in the United States and India are Vandana Chaudhry, Associate Professor in the Department of Social Work and Disability Studies at the City University of New York who focuses on disability and digital justice in the Global South, and Lydia X.Z. Brown, activist for disability justice, Director of Public Policy at the National Disability Institute, and CDT's very own former policy counsel.
In celebration of the annual three-month Rains Retreat, Ajahn Kovilo challenges listeners to come up with specific determinations in the realms of: - Giving (dāna): How will bring giving more into your life? - Morality (sīla): How will you make virtue more a part of your life? - Meditation (bhāvana): How will you add more mental cultivation to your life?
A talk by Thanissaro Bhikkhu entitled "Four Determinations"
A talk by Thanissaro Bhikkhu entitled "Four Determinations"
For the most powerful voice in business in Michigan. The Michigan Chamber Business Brief. Mike Alaimo, director of environmental and energy affairs. EPA's ozone attainment determinations and pending legal challenges (ie Sierra Club) that could be very burdensome for businesses and communities if successful.
Contaminated Site Clean-Up Information (CLU-IN): Internet Seminar Video Archives
Determining Land Use and Onsite/Offsite Determinations is a two-hour webinar course that provides an overview of land use determinations under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). Reasonably anticipated future land use at CERCLA sites is important in determining the appropriate extent of remediation. Onsite and offsite determinations impact the need for permits and offsite transfer of CERCLA wastes. By taking this course, participants will achieve the following objectives: Identify factors that influence land use determinations under CERCLA;Explore Environmental Protection Agency (EPA) guidance and policy related to land use determinations;Learn about onsite permit requirements and exemptions at Federal Facilities; and,Understand off-site determinations and the Off-Site Rule and how these differ from on-site determinations. The instructional methodology for this course includes lecture and group discussion. The target audience for this course is federal, state, and tribal representatives who work on Federal Facility cleanups. Ideally, students should have a basic understanding of land use and the CERCLA process. This course is part of the Federal Facilities Academy training program. Please consider registering for other Federal Facility Academy courses and obtain a certificate upon completion of the entire Federal Facility Academy series (12 courses total). To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/FFAcademy4_022024/
Contaminated Site Clean-Up Information (CLU-IN): Internet Seminar Audio Archives
Determining Land Use and Onsite/Offsite Determinations is a two-hour webinar course that provides an overview of land use determinations under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). Reasonably anticipated future land use at CERCLA sites is important in determining the appropriate extent of remediation. Onsite and offsite determinations impact the need for permits and offsite transfer of CERCLA wastes. By taking this course, participants will achieve the following objectives: Identify factors that influence land use determinations under CERCLA;Explore Environmental Protection Agency (EPA) guidance and policy related to land use determinations;Learn about onsite permit requirements and exemptions at Federal Facilities; and,Understand off-site determinations and the Off-Site Rule and how these differ from on-site determinations. The instructional methodology for this course includes lecture and group discussion. The target audience for this course is federal, state, and tribal representatives who work on Federal Facility cleanups. Ideally, students should have a basic understanding of land use and the CERCLA process. This course is part of the Federal Facilities Academy training program. Please consider registering for other Federal Facility Academy courses and obtain a certificate upon completion of the entire Federal Facility Academy series (12 courses total). To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/FFAcademy4_022024/
Have you ever wondered about the complex world of manifestation determinations in school psychology? Join Jenny Ponzuric, a seasoned school psychologist with over 20 years of experience, as she delves into this intriguing topic. Here are some key insights from the episode:
Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: EV investigation into Owen and Community Health, published by EV US Board on January 29, 2024 on The Effective Altruism Forum. Introduction Last year, Owen Cotton-Barratt resigned from EV UK's board of directors following reports of sexual misconduct. Prior to his resignation, accusations of misconduct from Owen had been reported to Julia Wise at CEA's Community Health team, which is led by Nicole Ross. EV US and EV UK jointly commissioned an independent investigation led by the law firm Herbert Smith Freehills into Owen's conduct and whether the Community Health team had acted appropriately with the information they had been given. Following the investigation, the boards of EV US[1] and EV UK jointly deliberated over the findings and the appropriate response. Below, the EV boards report their determinations and actions. We considered saying nothing or sharing significantly less information but decided it was in the best interests of the community to have some information upon which to update on the behavior of Owen Cotton-Barratt and the Community Health team. Our desire for transparency was not particularly motivated by the magnitude of the findings, and was instead motivated by the relevancy of the information for informing community members' future interactions with Owen and / or Community Health, the public nature of Owen's resignation, and community norms towards transparency and accountability. Additionally, we felt that sharing as much information as we could was particularly important because of the recent news that EV's projects are spinning out, as the boards' decisions only have an effect for projects so long as they remain part of EV. Projects will eventually set their own policies and won't have access to all of the facts we do, so we wanted to provide some information to enable the broader EA ecosystem to make better-informed decisions. With that being said, we are constrained in how much detail we can share without risking the anonymity of the interviewees. The investigators noted that multiple interviewees made requests to protect their anonymity, and given their voluntary participation, we want to respect their wishes. We want people to continue to feel comfortable coming forward in investigations knowing that potentially identifying information will not be made public. This means that in some cases below we present claims and board actions without all of the underlying evidence or reasoning. We recognize that this post does not have the same level of reasoning transparency we would normally aim for and think readers should update less than they would if they had as much detail as we do, but we ultimately felt like this was a reasonable middle ground to strike to allow us to share as much information with the community as possible while protecting the anonymity of interviewees. appendix below. Determinations regarding Owen Cotton-Barratt The boards unanimously agree on the following: On multiple occasions, Owen expressed sexual and / or romantic interest in women who were younger and less influential than he was. There were important power differentials between Owen and the women involved, sometimes formal and sometimes informal. Multiple women expressed being upset by Owen's advances. Both the frequency and the content of the advances contributed to the women's feelings. Julia Wise from CEA's Community Health Team gave Owen feedback that his behavior was inappropriate prior to some of the later instances of similar behavior. Owen was inconsistent at acknowledging potential conflicts of interest with persons whom he expressed sexual and / or romantic interest in. He recused himself in at least one professional context, but did not seem to consistently acknowledge other potential conflicts in other instances. In at least one case, Owen did not stop m...
If you're not filing to FMCSA's DataQs system for crash preventability reviews, says compliance consultant Rick Gobbell in this edition of Overdrive Radio, you're "playing badminton in the dark" when it comes to the compliance game. Proprietor today of his Gobbell Transportation Safety compliance consulting business, Gobbell draws on long experience around trucks and trucking, first on the road as an enforcement officer, then in government directly. He's a past "head fed," as he put it, division lead in Tennessee for federal motor carrier enforcement, yet now represents carriers during audits and files a whole lot of DataQs. His business website: https://rgobbell.com/ This episode features his talk from the conference of the National Association of Small Trucking Companies this past November, where he emphasized the importance of the Federal Motor Carrier Safety Administration's DataQs system for the smallest fleets, particularly when it comes to the agency's several-years-old Crash Preventability Determination Program. Regular readers will know Overdrive's and our sister publication CCJ's “Preventable or not?” series of videos illustrating crash scenarios that in past have been judged either preventable or nonpreventable for the truck's driver by the National Safety Council: https://www.overdriveonline.com/t/4381538 That same preventability standard underpins FMCSA's crash program. For any carrier who submits a crash in the DataQs system and has it judged nonpreventable, the crash then is excluded from calculations of the carrier's scores in the CSA Safety Measurement System. If you never request a crash review in cases that might be nonpreventable, as Rick Gobbell sees it, though the system is not set up to designate every crash that happens as "preventable," reality is that the crash might be de facto assumed to have been preventable by anyone using the SMS there. That includes federal and state safety auditors, insurers, brokers and shippers. "You just made the audit list," he said. His talk aimed to drill home the importance of the crash review system for the small fleets in attendance, lending the benefit of his own experience assisting others in DataQs filings. Also: To emphasize proposed improvements to the program to potentially include many more crash types, including any crash with solid video evidence. FMCSA's in the process of making those improvements in part to address core complaints about the review system, potentially doubling the number of crashes that could be reviewed: https://www.overdriveonline.com/regulations/article/15382943/fmcsa-eyes-changes-to-crash-preventability-determination-program With the agency also eyeing a safety rating change that might hinge on data quality in the SMS, DataQ-ing nonpreventable crashes could assume far greater importance for carriers large and small in the future, as Gobbell suggests here. Find Rick Gobbell's comment, one of just 62 filed in response to FMCSA's notice last year about the potential changes, by searching the notice docket here: https://www.regulations.gov/document/FMCSA-2022-0233-0001 DataQs resources at OverdriveOnline.com: **How to request a data review for an eligible crash: https://www.overdriveonline.com/channel-19/article/14897753/how-to-dataq-a-crash-in-new-fmcsa-preventability-program **Overdrive's 2021 series exploring inequities in the DataQs system and ideas for improvement also includes plenty in the way of DataQs advice/tips: https://www.overdriveonline.com/regulations/article/15063803/criticism-of-dataqs-review-system-continues-to-rise **How to mount an effective DataQs challenge: https://www.overdriveonline.com/regulations/article/15063812/how-to-dataq-to-challenge-a-violation
CONTINOUSILY WALK WITH DETERMINATIONS
The Inspector general has finally, after almost four years of investigation, has released it's report about what happened to Jeffrey Epstein while in the custody of the federal government at MCC. According to the report, it was nothing more than systemic failures and guards who were incompetent in their duties.Even after releasing his scathing report, nobody will face jail time for the errors included in the report and no sanctions will be leveled at any specific person and it leaves us wondering what, if anything, was accomplished by this three year investigation.(commercial at 7:28)to contact me:bobbycapucci@protonmail.comsource:DOJ issues scathing rebuke of Bureau of Prisons detailing multiple failures that led to Jeffrey Epstein's suicide | CNN PoliticsThis show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5003294/advertisement
In this episode Scott Becker discusses the importance of goals, plans, and determinations.
In this episode Scott Becker discusses the importance of goals, plans, and determinations.
Episode #368 Part 4 of a 4 part seriesOriginal Air Date: 06.05.23
Episode #368 Part 3 of a 4 part seriesOriginal Air Date: 6.02.23
Episode #368 Part 2 of a 4 part seriesOriginal Air Date: 6.01.23
Episode #368 Part 1 of a 4 part seriesOriginal Air Date: 5.31.23
A talk by Thanissaro Bhikkhu entitled "Four Determinations"
Tune in for today's industry updates.
Tune in for today's industry updates.
Geoff Patterson | Based on 1 Corinthians 13:13
Geoff Patterson | Based on 1 Corinthians 13:13
Geoff Patterson | Based on 1 Corinthians 12:1, 4-6
Geoff Patterson | Based on 1 Corinthians 12:1, 4-6
Geoff Patterson | Based on Romans 13:8-9
Welcome back to the Sutta Meditation Series Podcast. A short extract from our Full Duruthu Poya Dhamma session (on 6 January 2023) explaining the connection between the Four Noble Truths and having the Four Determinations as taught by the Buddha in the Dhātuvibhaṅga Sutta (MN 140), that lead to the four concentrations. This gives a broader picture of what underpins the verse "One should not neglect wisdom, should preserve Truth, should cultivate relinquishment and should train for peace" The Buddha give very clear and sequential instructions in his teaching to venerable Pukkusāti about - not neglecting wisdom (which means being vigilant in actively developing wisdom), preserving Truth (about Nibbāna), cultivating relinquishment (of all acquisitions), and training for peace (pacification from lust, hatred and delusion). It's important to see the link between having these Determinations based on understanding dukkha, wishing to abandon craving, realising cessation and fully developing the Noble Eightfold Path. And to see how they lead to the four developments and concentrations, inclining towards Nibbāna. **A table of "The Four Profitable Directions" as referenced in this extract has been posted to our Telegram channel (https://t.me/suttameditationseries/650) In the FULL session, we start to go into the sequential and powerful instructions of the Buddha in the Dhātuvibhaṅga Sutta (MN 140): To watch the full session (video) - https://bit.ly/3Gf539O To listen to the full session (audio) - https://bit.ly/3XfsqqV The video of this Extract has also been published to the Sutta Meditation YouTube channel - https://bit.ly/3GvBwZV Blessings of the Triple Gem. Theruwan saranai To find the YT Sutta Meditation Series playlists visit: https://www.youtube.com/c/SuttaMeditationSeries/playlists, or click on 'Playlists' in the top menu bar. Selected tables, slides and documents are shared via the Sutta Meditation Series Telegram channel - https://t.me/suttameditationseries For all enquiries - suttameditationseries@gmail.com --- Send in a voice message: https://anchor.fm/suttameditationseries/message
Section 301 duties imposed on China imports forced U.S. importers to consider alternative sourcing. New litigation may transform CBP's approach to country of origin determinations.
The nations narrow to one family line, from which God will select Abram to bless and make a blessing to all peoples, through the Messiah. Pastor Pilgrim teaches Genesis 11:10-32 at Shoreline Church.
Each July, the Medicare Administrative Contractors issue notices of a 2% Medicare payment reduction to those providers who did not meet quality data reporting requirements. Those notices have been sent. In this episode, Husch Blackwell's Meg Pekarske and Jacob Harris talk about the issues providers faced in 2021 and how to pursue an appeal of the 2% payment reduction.
Join us July 14th for a discussion pertaining to medical necessity. This presentation will include a brief literature review on the topic of medical necessity. Additionally, the presenters will discuss how medical necessity is conceptualized in practice, including specific strategies when making medical necessity determinations. Visit www.Behaviorlive.com for more information.
In this episode we look at one of the most critical aspects of Chapter 3 (Section 3.3.1.1) of the #Medicare Program Integrity Manual. This section speaks to #Clinical Review #Judgment and #Medical #Necessity. This section applies to the MACs, CERT, MRAC, SMRC, and UPICs and should be used by all #healthcareprofessionals to stand your ground against payers and their contractors! So much to unpack in such a short period of time!
BLUF: An Officer Grade Determination (OGD) is a very serious matter. You should definitely begin preparing before your Commander serves you the OGD notification memorandum and preferably before you submit your retirement request. https://ferahozbek.com/officer-grade-determinations-ogds/ https://ferahozbek.com/officer-grade-determinations-the-tangibles-and-intangibles-of-retiring-at-a-lower-grade/ https://ferahozbek.com/officer-grade-determinations-ogds-what-you-need-to-know-now-before-you-even-think-about-retiring/ https://podcasts.apple.com/cz/podcast/mlm-91-officer-grade-determinations/id1292680966?i=1000551162044 AFI 36-3203, Officer Retirements, 29 January 2021 https://static.e-publishing.af.mil/production/1/af_a1/publication/afi36-3203/afi36-3203.pdf --- Send in a voice message: https://anchor.fm/ferah-ozbek/message
Contaminated Site Clean-Up Information (CLU-IN): Internet Seminar Audio Archives
Determining Land Use and Onsite/Offsite Determinations is a two-hour webinar course that provides an overview of land use determinations under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). Reasonably anticipated future land use at CERCLA sites is important in determining the appropriate extent of remediation. Onsite and offsite determinations impact the need for permits and offsite transfer of CERCLA wastes. By taking this course, participants will achieve the following objectives:Identify factors that influence land use determinations under CERCLA;Explore Environmental Protection Agency (EPA) guidance and policy related to land use determinations;Learn about onsite permit requirements and exemptions at Federal Facilities; and,Understand off-site determinations and the Off-Site Rule and how these differ from on-site determinations.The instructional methodology for this course includes lecture and group discussion. The target audience for this course is federal, state, and tribal representatives who work on Federal Facility cleanups. Ideally, students should have a basic understanding of land use and the CERCLA process. This course is part of the Federal Facilities Academy training program. Please consider registering for other Federal Facility Academy courses and obtain a certificate upon completion of the entire Federal Facility Academy series (12 courses total). To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/FFAcademy4_051122/
Contaminated Site Clean-Up Information (CLU-IN): Internet Seminar Video Archives
Determining Land Use and Onsite/Offsite Determinations is a two-hour webinar course that provides an overview of land use determinations under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). Reasonably anticipated future land use at CERCLA sites is important in determining the appropriate extent of remediation. Onsite and offsite determinations impact the need for permits and offsite transfer of CERCLA wastes. By taking this course, participants will achieve the following objectives:Identify factors that influence land use determinations under CERCLA;Explore Environmental Protection Agency (EPA) guidance and policy related to land use determinations;Learn about onsite permit requirements and exemptions at Federal Facilities; and,Understand off-site determinations and the Off-Site Rule and how these differ from on-site determinations.The instructional methodology for this course includes lecture and group discussion. The target audience for this course is federal, state, and tribal representatives who work on Federal Facility cleanups. Ideally, students should have a basic understanding of land use and the CERCLA process. This course is part of the Federal Facilities Academy training program. Please consider registering for other Federal Facility Academy courses and obtain a certificate upon completion of the entire Federal Facility Academy series (12 courses total). To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/FFAcademy4_051122/
You're a Medicare provider. And you know that the Centers for Medicare and Medicaid Services (CMS) runs Medicare. But did you know that CMS is just the umbrella organization? The actual administration is done by a Medicare Administrative Contractor (MAC.) What is a MAC? A MAC is a private health care insurer that's been awarded a geographic jurisdiction to process claims for Medicare Fee-For-Service beneficiaries. CMS relies on the network of MACs to serve as the primary operational contact between the Medicare Fee-For-Services program and providers enrolled in the program. Some of the activities the MACs include:Processing claims, enrolling providers, handling 1st stage appeals redetermination requests, responding to provider inquiries, educating providers about Medicare billing requirements, reviewing medical records for selected claims and establishing local coverage determinations One of the functions of each MAC is to establish local coverage determinations (LCD.) An LCD is a determination of whether a particular item or service is going to be covered on a contractor–wide basis. Before an LCD can be put in place, there's a whole process:The Proposed LCD describes the MAC's proposed determination regarding coverage, non-coverage or limited coverage for a particular item or service. The public announcement begins with the date the proposed LCD is published on the Medicare Coverage Database.After the proposed LCD is published, the MAC has to provide a minimum of 45 calendar days for public comment. The MAC has to establish a Contractor Advisory Committee to discuss the quality of evidence used to make a determination. You can volunteer to be part of the CAC. The MAC holds open meetings to discuss the review of the evidence and the rationale for the proposed LCD. Once these steps are completed, the final LCD and the response to comment is published. This marks the beginning of the required notice period of a minimum 45 calendar days before the LCD can take effect. There is an LCD reconsideration process. As a physician you can request a revision to an LCD—either in its entirety or any provision. An LCD can definitely throw a wrench into your revenue cycle management if it takes you by surprise. It's imperative that your billing folks keep you abreast of any new LCDs or changes to an existing one. You want to make sure that your billers are checking the MAC website regularly. While it may seem that an LCD is merely a billing thing, that's a very simplistic and largely incorrect view. LCDs have a direct impact on how you practice medicine. The more informed you are the easier it is to evaluate how an LCD effects your practice and can respond pre-emptively.Here is a list of the MACs: https://www.cms.gov/files/document/macs-state-jun-2021.pdfIf you'd like to hear more tips on how to start, run and grow your practice and related medical businesses, please sign up for my newsletter at https://www.thepracticebuildingmd.com. And, be sure to join my FB group, The Private Medical Practice Academy. Enroll in my course, How To Start Your Own Practice and get the step-by-step process for opening your doors. Or join The Private Medical Practice Academy Membership for live group coaching, expert guest speakers and everything you need to know to start, grow and leverage your private practice.
As a former senior legal advisor at the SECAF Personnel Council, I was the action officer, lawyer and voting member on OGD Boards. Things you need to know about your OGD What does the OGD Board look at? How to prepare ahead of time if you know you will undergo an OGD. How does a reduction in your rank affect you post-retirement, including your retirement pay AFI 36-3203, Service Retirements https://static.e-publishing.af.mil/production/1/af_a1/publication/afi36-3203/afi36-3203.pdf Blog article--The Tangibles and Intangibles of Retiring at a Lower Grade https://ferahozbek.com/officer-grade-determinations-the-tangibles-and-intangibles-of-retiring-at-a-lower-grade/ Blog article--What you need to know BEFORE you decide to retire https://ferahozbek.com/officer-grade-determinations-ogds-what-you-need-to-know-now-before-you-apply-for-retirement/ --- Send in a voice message: https://anchor.fm/ferah-ozbek/message
This podcast episode discusses legal standards to determine disability arising from Lyme disease.
There is a definite force that has a profound impact on the economy and the stock market at all times, and that force is The Fed. When the Fed Chairman, Jerome Powell, speaks, we need to be listening. The decisions that he and the rest of the federal open market committee make can have a very real impact on your savings, your investments, your ability to borrow, and the cost of goods and services, among other things. When the decisions that they make around interest rates hold so much weight, I think we should know just what their decisions mean. Today, we will discuss: 1. What the Fed does 2. What the Fed decided at the most recent FOMC meeting 3. How the Fed's setting of interest rates impacts your life Begin your path to financial freedom today: https://www.youtube.com/channel/UCjyCApAbHBN0Jtw5bAehbRg?sub_confirmation=1 Don't forget to like, subscribe, and leave comments below as I would love your feedback. Be sure to check out my website (www.mnowithdylan.com) where you can get more information on my financial coaching services and more, the podcast of these shows if you are more of a listener than a watcher, and follow the show on any social media outlet (FB, Twitter, & Instagram) @mnowithdylan (Money's No Object with Dylan Howell) [All links in description]. Tune in for more personal finance concepts. Don't forget to check-in every weekday (Monday-Friday) for new videos which will be uploaded each day at 6 a.m. CDT. Thank you, guys, for tuning into this episode of Money's No Object. I'm Dylan Howell. God Bless! Facebook: https://www.facebook.com/mnowithdylan/ Instagram Page: https://www.instagram.com/mnowithdylan/ Twitter: https://twitter.com/mnowithdylan (Please keep in mind that I am not a financial advisor. I create these videos for educational purposes only. You and only you are responsible for the investment decisions that you make.)
In this week's Tax Credit Tuesday podcast, Michael Novogradac, CPA, and Novogradac partner Brad Weinberg, MAI, CVA, CRE, discuss rent reasonableness determinations and rent comparability studies, including how public housing authorities (PHAs) can benefit from them, what considerations go into rent reasonableness determinations and how the COVID-19 pandemic has affected rental trends in the United States. They also discuss how a PHA should evaluate a service provider, the intersection of Section 8 and low-income housing tax credit (LIHTC) properties in rent reasonableness determinations and more.
This talk was originally posted on Ven. Yuttadhammo Bhikkhu's YouTube Channel. To watch this talk on YouTube kindly visit https://youtu.be/u-WfM1omN2A .
If you haven't realized it yet, risk management in the medical device industry isn't going away. How do you navigate, capture, and document when and what to do? In this episode, Jon Speer invites guest Mike Drues of Vascular Sciences to join the show as the two discuss FDA's two, new guidance documents that provide additional transparency, consistency, and objectivity regarding benefit-risk determinations. Some of the highlights of the show include: ● Differences between Documents: Under what circumstances that pose a greater risk are acceptable for product submissions vs. appendices related to ISO 14971. ● New nine-page benefit-risk assessment worksheet is oversimplified and presents a non-traditional instead of analytical approach to determining benefit-risk. ● New guidance documents don't mention 510(k) device, but why? People should already know about uncertainty and risk of 510(k) medical devices via predicates. ● Higher risk is acceptable in various classifications of medical devices, including PMAs and BDPs, and when dealing with small populations. ● Adding to the complexity of medical devices, the guidance documents now include low-, medium-, and high-risk categories and criteria of uncertainty. ● Pay attention to patient's perspective of uncertainty when available. Are patients willing to truly accept risks and uncertainty to achieve unmet clinical need? ● Mitigate uncertainty in other ways, such as through labeling, degree of need, and clinical evidence/market data of product. ● Probable Benefit of HDE: Efficacy at a lower statistical power may diminish uncertainty due to giving patients early access to a medical device.
This Dhamma talk was given by Ajahn Sundara on 19 April 2017, waning half moon day, at Amaravati Buddhist Monastery, UK. The post Four Determinations appeared first on Amaravati Buddhist Monastery.