#and it was our job to make a case to the RCM and state the charges

[cupboardgods]

Thoughts on arresting Klaasje

So I really liked this post by @jjjunebuggg, and I started writing this in the tags. But it ended up being too long and I didn't want to hijack the post with my tangent.

Also, in writing this, I realized I never had to give her a station call slip, did I? Is that something you can do? I've played five times with different builds and intentions, and I think I did 1 arrest and 4 call slips. It didn't occur to me that not doing anything was an option. Oh my god.........................

...

Anyway. I want to talk about not the morality of arresting Klaasje, but moreso the legality of it.

Someone please correct me if I'm wrong, but I'm of the mind that Klaasje didn't do anything to warrant arrest. Not that she didn't do anything wrong! She did, for reasons. But I gave her the call slip so many times because I genuinely didn't think it fair to arrest her.

She came to the city because "corporate espionage" is technically legal in Revachol, so she couldn't be tried for those crimes in Revachol. The extradition laws meant she couldn't get in trouble while she was there without being handed over to the ICP. But you can't legally arrest her for corporate espionage (although you can threaten her with it and then do it).

Maybe this is me being a bad detective, but it's not fair to call her a flight risk, even if she flees--Klaasje willingly hung around the crime scene, waiting to be interrogated, for over a week. She gave her testimony (and lied, but oh well, not under oath right).

Here's the fayde link to the reasons you can give for arresting her--none of which I think are actual charges (save for "murder suspect", for which there is little evidence to accuse her, especially if you know the actual cause of death).

Kim talks about how the RCM relies on call slips and fines over making arrests "to avoid overcrowding". If you don't arrest Klaasje, then giving her a call slip covers your ass. The call slip makes the paperwork clean, absolves the policeman of some fault, especially if you solve the case. More on this in a second.

Because of all that, it frustrates me that your colleagues give you a hard time about "letting a witness get away." Kim can say, "We really should have arrested her," during the tribunal. On what grounds should we have arrested her? To be sacrificed to the ICP because we're moralintern dogs? To be handed off to the mercenaries to appease their wrath? Literally Kim, shit timing. There was no reason. IMO it was her legal right to flee, as much as it was for Joyce to leave on her boat.

When Jean grills you for "failing to assess a flight risk" and "letting the witness go," I think his complaints demonstrate a systemic preference for corruption. Which like, duh. The RCM is full of corruption, they "exist in the twilight of international law", they're an imperialist armed force, etc. But this particular instance stands out to me because I believe in Klaasje's legal freedom, not just moral.

What makes me so sad, for both Klaasje and Ruby, is that if they both run away, they become fugitives. Idk if an officer can shred that station call slip, but if it gets filed, the ICP will know Klaasje's in Revachol right? It's another way of dooming her in the long-term, without a spooky shivers check weighing on your conscience.

Both of them were trying to bury criminal pasts; in playing the game your investigation digs them back up cruelly. This is made even more ironic because you can spend the entire game wondering if Harry himself is in the the pocket of La Puta Madre. If he is, or was, he's protected by his job.

Even Ruby's involvement in the harbor drug trafficking was only legally dubious right? Not outright incriminating. I think it's likely that both of their criminal identities would fade into obscurity, maybe because of Le Retour, maybe because of time. But still they're two vulnerable people who're permanently on the run when they both could have had a long-term home in Martinaise.

Anyway, great writing in the game as always. Love that I can play five times through and then some, and still fail to question the narration, authority, or even myself. Like I needed another reason to play again.

[jennyvergeese]

7 Most Common Reasons Why Claims Get Denied

There are several reasons why several medical claims are denied these days. Policies have gotten trickier or harder to interpret, and there is the possibility of miscommunication and several other factors. These denials or lowering of the reimbursement amounts can profoundly impact the workflow, staff management, customer influx, and breach of trust and even inflict heavy losses to the company. These problems can be handled by third-party medical billing services at a considerably low cost and also prevent these from happening at all for just a few extra bucks.

Here are some common occurrences of these claims and how to prevent these medical claim denials.

·        Outdated Insurance Information

One of the most common mistakes would be providing information that is outdated and is no longer valid. This is a simple case of not understanding the full terms and conditions of service or forgetting to avail of the services within the due time. The insurance provider mentions the terms, or it is accessible in a soft copy about the validity and duration of the services they cover. It is advisable to keep in touch with the insurance agents to reduce, thereby the risks of availing services that the company does not support beyond a fixed time.

·        Missing or Incorrect Information

This factor is another primary reason for denials of a claim. This error is either the fault of the customer that provided the wrong information or the agent who put the incorrect input data while digitizing the data. This aspect could be easily prevented by double-checking the data and cross-checking before entering it in the database.

·        Authorization/ Pre-authorization required services

Some specific services require authorization or pre-authorization from agencies before availing them. For example, CT scans would require pre-authorization before being performed on the customer. Several other procedures also are necessary to be authorized. Check beforehand with the company to ensure that they cover the service and authorize it to prevent future hassles and denials. Other authorization issues involve running out of authorized sessions, timing out of authorized services, and availing duplicate services for one authorized service. Ways to reduce this problem include checking the patients’ insurance and getting in contact with the payer/service provider. It is recommended to have a third party medical billing company do this job instead of cutting all tensions of this problem.

·        Change of/in insurance plan

Any change in insurance plans is also a factor in increasing medical billing denials. If a current program offers services that a patient has access to utilize, but due to a change in insurance plan, it is no longer available, then it is mandatory to let the medical staff know about this, or it leads to unnecessary complications. There are procedures to enable the patient to change insurance plans, which reduce this problem. After buying a new insurance plan, it is essential to explain it to the medical service provider and get authorization for the required services in the future.

·        Claim requested at wrong company or location

This is a simple enough problem that could be avoided if the patient knows about the policy thoroughly. Denials to these claims are caused by availing services that operate outside the area of service providence does not make the insurance company responsible for it. It is necessary to verify the location of the service to be availed and the company that allows you to avail it in both places and cross-check that information to avoid mishaps. Denials in these cases are easy to prevent but hard to deal with as it can be confusing to deal with after it occurs. This also includes out of state transactions that cause issues like lowering the reimbursement rates and in some cases, can also be denied.

·        Services not granted and duplicate claims

The services that were not allowed to customer despite being mentioned in the plan are a cause of denial in some cases. This miscommunication error occurs between the payer and the provider. Some services may cover specific subsections of a procedure, so intricate details must be examined in the policy before availing it.

·        Claim filed too late

This is a common cause of denial. If the claim is invalid due to the authorization timing out, claim expired, or policy does not cover the date on which the service was availed, then it is possible that the claim will be denied or rejected. This dilemma can be avoided by staying in touch with the payer or ensuring this process to a third-party medical billing service provider.

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