#Data Entry Forms

[katrani]

like, technically, i understand why cover letters are different from resumes

emotionally though i hate it, i'm already reaching out obviously i think i'd be a good fit, just let me send a warm e-mail message and attach my resume or fill in a prompt text box or JUST USE THE FUCKING RESUME

[uniquesdata]

AI Invoice Digitization Services for Time and cost-saving

Traditional approaches in the digital world are eliminated with lots of technology. AI integrated invoice digitizations enable companies to speed the financial workflow and bring efficient solutions.

Continue to read more in detail about how AI integration is beneficial in invoice data entry services.

[buckevantommy]

shoutout to those who tick the box for 'gender' on government forms instead of writing the expected 'f' or 'm'. it always makes me smile. i, too, have gender. 

[fusiondigitechus]

Business Processing Services Company

Fusion Digitech is a leading business processing services company in the USA, offering comprehensive solutions tailored to streamline operations and boost efficiency. With a strong commitment to quality, innovation, and client satisfaction, we specialize in data entry, document management, digital transformation, and customer support services. Our team of skilled professionals leverages the latest technology to deliver cost-effective and scalable solutions that help businesses optimize resources and focus on core objectives. Whether you’re a startup or an enterprise, Fusion Digitech is your trusted partner in driving productivity and growth through reliable business processing services. Experience excellence with Fusion Digitech.

[rvsdataconversion]

MI demography form filling auto typing software

Utilizing MI demography form filling auto typing software is the key to automate medical insurance form filling, offering a powerful software for MI data entry auto typing that answers the question of how to fill MI demography form automatically and functions as a dedicated form filling auto typer and Medical insurance auto filler, ultimately serving as an efficient MI data entry automation tool…

[datamyte2022]

How to Design an Inspection Form Using Excel’s Data Entry Feature

Inspections play a critical role in ensuring that businesses and organizations comply with regulations and standards. They help identify potential issues early, preventing them from escalating into major problems. While creating inspection forms can seem daunting, Microsoft Excel offers a handy solution through its Data Entry Form feature.

This feature simplifies the process of building custom data entry forms, enabling you to create inspection forms efficiently and with minimal effort. In this guide, we’ll explore how to use Excel’s Data Entry Form feature to craft your inspection forms.

Understanding Microsoft Excel and Its Capabilities

Microsoft Excel, a key component of the Microsoft Office suite, is a versatile spreadsheet tool widely used for organizing, analyzing, and visualizing data. It enables users to create tables, perform calculations, use formulas, generate charts, and manage data in a structured format using rows and columns.

Excel is equipped with powerful tools like pivot tables for summarizing data, functions like VLOOKUP and COUNT for calculations, and features such as conditional formatting and macros to automate repetitive tasks. Available on platforms including Windows, macOS, Android, iOS, and through Microsoft 365, Excel remains a go-to application for professionals worldwide.

Why Use Data Entry Forms in Excel?

While not everyone may choose Excel for creating inspection forms, its Data Entry Form feature can significantly enhance the process. Here’s why:

Avoiding Repetition: Typing data cell by cell can be tedious, especially for extensive forms. It’s easy to lose track and make mistakes.

Minimizing Errors: Large datasets increase the risk of entering incorrect information, which can lead to inaccurate outputs.

Excel’s Data Entry Form functionality addresses these challenges, offering a faster, more precise way to manage data entry for inspection forms.

Steps to Create an Inspection Form with Excel’s Data Entry Form

Follow these steps to streamline the creation of your inspection forms:

Design Your Form: Include all the elements you need to inspect in your spreadsheet.

Select a Cell: Click on any cell within the table to begin.

Access the Form Icon: Use the Quick Access Toolbar (QAT) to locate and click the Form icon.

Enter Data: Fill in the required fields, then press 'Enter' to save the record and open a new blank form.

Repeat: Continue entering data for subsequent records.

Navigating and Editing Entries

The Data Entry Form feature makes it easy to review and modify existing records without scrolling through rows manually. Here’s how:

Select a cell in your table and click the Form icon.

Use the 'Find Next' or 'Find Prev' buttons to move between entries.

Edit the fields as needed and press 'Enter' to save changes. To undo changes, click 'Restore.'

Setting Rules for Data Entry

To ensure accurate data entry, you can apply rules using Excel’s data validation feature. For example, you can restrict a column to only accept dates. Here’s how to set up a validation rule:

Highlight the cells where the rule should apply.

Go to the 'Data' tab and click 'Data Validation.'

Choose 'Date' under the 'Allow' dropdown in the dialog box.

Specify a start and end date for valid entries.

Click 'OK' to activate the rule. Any invalid entries will trigger an error message.

[instantdataservices]

How to Use KYC Banking Form Filling Auto Typer Software| KYC Banking dat...

[ssbponetwork]

From Beginner to Pro: Level Up Your Data Entry Form Filling Skills

Are you looking to break into the world of online data entry? Whether you're a seasoned professional or just starting, mastering the art of efficient and accurate data entry can open doors to exciting opportunities. In this comprehensive guide, we'll delve into the essential skills, tips, and strategies to elevate your data entry game and maximize your earning potential.

Understanding the Basics of Online Data Entry Form Filling Projects

Online Data Entry Form Filling Projects involves inputting information from various sources, such as paper documents, digital files, or voice recordings, into a computer system. It's a meticulous task that requires accuracy, speed, and attention to detail.

Key Skills for Successful Data Entry

Typing Proficiency:

Master the Keyboard: A strong foundation in touch typing is crucial. Practice regularly to improve your speed and accuracy.

Learn Keyboard Shortcuts: Familiarize yourself with keyboard shortcuts to streamline your workflow.

Maintain Proper Posture: Good posture prevents fatigue and improves typing efficiency.

Attention to Detail:

Read Carefully: Pay close attention to the source material to avoid errors.

Double-Check Your Work: Review your entries to ensure accuracy.

Proofread Meticulously: Check for spelling, grammar, and formatting mistakes.

Time Management:

Set Realistic Goals: Break down large tasks into smaller, manageable chunks.

Prioritize Tasks: Identify and tackle high-priority tasks first.

Manage Distractions: Create a focused work environment to minimize interruptions.

Problem-Solving Skills:

Identify Issues: Quickly recognize and troubleshoot problems.

Seek Clarification: Don't hesitate to ask for help when needed.

Adapt to Changes: Be flexible and adaptable to changing requirements.

Tips for Efficient Data Entry

Organize Your Workspace: Keep your workspace clean and clutter-free.

Use Ergonomic Equipment: Invest in a comfortable chair and keyboard to reduce strain.

Take Regular Breaks: Short breaks can help prevent eye strain and fatigue.

Stay Hydrated: Drink plenty of water to stay focused and alert.

Use Data Entry Software: Utilize software tools to automate repetitive tasks.

Learn Data Validation Techniques: Ensure data accuracy by implementing validation rules.

Advanced Data Entry Techniques

As you gain experience, you can explore advanced techniques to further enhance your skills:

Data Mining: Extract valuable insights from large datasets.

Data Cleaning: Identify and correct errors in data.

Data Analysis: Interpret data to draw meaningful conclusions.

Data Visualization: Create visual representations of data to communicate findings effectively.

Leveraging Technology for Data Entry Success

Optical Character Recognition (OCR): Convert scanned documents into editable text.

Voice Recognition Software: Dictate text directly into your computer.

Cloud-Based Data Entry Tools: Access and collaborate on projects from anywhere.

Finding Data Entry Opportunities

Online Freelancing Platforms: Explore platforms like Upwork and Freelancer.

Direct Client Relationships: Build relationships with businesses that require data entry services.

Data Entry Companies: Apply for positions at companies specializing in data entry.

SSBPO Network: Your Gateway to Investment-Based Data Entry Projects

At SSBPO Network, we offer a unique opportunity to combine your data entry skills with investment potential. Our investment-based data entry projects provide a stable income stream while allowing you to grow your financial portfolio.

Why Choose SSBPO Network?

Diverse Project Range: We offer a variety of projects to suit different skill levels and interests.

Competitive Compensation: Earn attractive returns on your investments.

Flexible Work Arrangements: Work from the comfort of your home or any location with an internet connection.

Dedicated Support: Our team is committed to providing assistance and guidance throughout your journey.

By mastering the fundamentals of data entry and continuously honing your skills, you can position yourself for success in this dynamic field. Whether you're pursuing freelance opportunities or exploring investment-based projects with SSBPO Network, your dedication to excellence will propel you to new heights.

[globosetechnologysolution]

Simplifying OCR Data Collection: A Comprehensive Guide -

Globose Technology Solutions, we are committed to providing state-of-the-art OCR solutions to meet the specific needs of our customers. Contact us today to learn more about how OCR can transform your data collection workflow.

[zoeticbposervices1]

"Shielding Business Processes: A Deep Dive into Cybersecurity in BPO"

Introduction: In an era dominated by digital advancements, Business Process Outsourcing (BPO) companies play a vital role in handling sensitive client data. This blog post explores the critical importance of cybersecurity in BPO operations and the measures taken to safeguard client information.

Understanding the Cyber Threat Landscape in BPO: Start by setting the stage with an overview of the cybersecurity challenges faced by BPO companies. Discuss the evolving nature of cyber threats and the potential risks associated with handling large volumes of confidential data.Read more about common cybersecurity threats here.

Robust Data Encryption Protocols: Dive into the technical aspects of data security by highlighting the importance of robust encryption protocols. Discuss how BPO companies implement advanced encryption algorithms to protect sensitive information during storage and transmission.Learn about the significance of encryption in cybersecurity.

Employee Training and Awareness Programs: Explore the human factor in cybersecurity by discussing the role of employee training and awareness programs. Emphasize how well-informed and vigilant employees can be a powerful line of defense against phishing attacks and social engineering.Discover the key elements of effective cybersecurity training.

Multi-Factor Authentication (MFA) Implementation: Highlight the effectiveness of Multi-Factor Authentication (MFA) in adding an extra layer of security. Discuss how BPO companies leverage MFA to ensure that only authorized personnel have access to sensitive systems and data.Explore the benefits of Multi-Factor Authentication in cybersecurity.

Regular Security Audits and Penetration Testing: Discuss the proactive approach of BPO companies in conducting regular security audits and penetration testing. Explain how these measures help identify vulnerabilities and strengthen cybersecurity defenses.Learn more about the importance of penetration testing in cybersecurity.

Data Privacy Compliance Measures: Explore the regulatory landscape governing data privacy and the compliance measures BPO companies adopt. Discuss the implementation of frameworks such as GDPR and HIPAA to ensure adherence to international data protection standards.Understand the significance of data privacy compliance in cybersecurity.

Conclusion: Summarize the key cybersecurity measures discussed in the blog and reiterate the crucial role BPO companies play in maintaining the trust and confidence of their clients through robust cybersecurity practices.

[dcxdpdabbles]

DCxDP Fanfic Idea: Not My Business

Danny Fenton develops a unique set of skills throughout his life. He knew how to disarm a bomb when he was seven, thanks to his Dad making minebombs in the front yard as a ghost defense. (They only covered humans in ecto-goo, but it was the same concept of not wanting to have it explode on him)

He knew how to fight with a bo-staff only because he had to fight off the meals his parents brought back to life with a broom. He knew how to balance a checkbook, file tax forms, and properly build credit by the time he was ten, thanks to the years his parents ran a business at the kitchen table.

His sister taught him how to charm rude customers with a smile, how to lie without flinching, and how to complete all his assignments on time, despite having only a few hours to do so. She spent a lot of time volunteering, often dragging him along, which allowed Danny to build up his resume with both soft and hard skills he likely would never have thought there was a name for.

Problem-solving, teamwork, communication, time management, adaptability, data analysis, cybersecurity, data entry, and copywriting were the skills that Jazz focused on the most. She all but beat them into his head.

Along with cooking, sewing, basic plumbing, basic mechanics, and budgeting. Jazz was the one who looked for practical abilities.

That left time for his mom and dad to teach him things like forging, combat training, reprogramming everyday objects into weaponry, defending his position before a board for grant money, turning everyday household liquids into knock-out gas, and how to talk his way out of traffic tickets.

Not to mention everything he learn as Phantom.

Danny knew how to verify jewels and gold due to the years spent in the ghost zone fighting off pirates and treasure hunters. Phantom's reputation made him a target for many ghosts who wanted to add his rarity to their collections.

How to command a room, then a town, and finally an army. Diplomatic missions increased in number as he began meeting with the leaders of various sectors within the Ghost Zones.

Really, Danny didn't make a whole lot of sense, if anyone bothered to ask him how he came to this set of skills. The thing was, unlike the rest of his family, Danny was far too reserved to show them off. He edged the line of shyness from a young age, which sometimes bled into reclusive tendencies.

He didn't get anxious from social interactions; he just didn't feel like seeking them out. Sam and Tucker felt a similar way, as they were always willing to talk to a stranger, but they tried to branch out of their safe little bubble to make friends rather than acquaintances. Then the summer between sophomore and junior year happened.

Sam, Danny, and Tucker left tenth grade as plain losers only to arrive in junior with a splash.

The trio noticed that people were staring at them more intensely than they had been before. That they were used to, what they weren't used to was that the stares were not mocking or dismissive.

It was odd, but it didn't click on why that was until winter break, and more specifically, Star's Holiday party.

Ever since the fourth grade, Star hosted the biggest party of their generation. Her parents owned the local fun center, which featured indoor kart racing, laser tag, arcade games, paintball, and virtual reality pods. Everyone tripped over themselves to be given an invitation as she offered a full day and night of free entertainment at the center.

It always ended with wild stories of teenage fun that Danny always wanted to see in person, rather than hearing about in the hallways the next day. Not that everyone in their grade went. The invitation list was super selective (Star's parents did lose a lot of profit for letting their daughter do that)

You either received an invitation from the party girl herself, or you were asked to be a plus one, which was just as much of an honor as it was a symbol of social status among the teenage population of Amity Park.

The trio was never invited, which is why they were already making their way to the student parking lot when Star stood in the courtyard, holding up the scarred envelopes. Inside them was the bracelet that one had to scan at the door of her center to let people in. It was how her father ensured only the agreed-upon guests stayed at that number.

In the middle of making plans for hot chocolate at Sam's favorite poetry slam cafe, Star had run at Tucker's car, practically falling over to knock on his window. Danny had never been so confused in his life as his friend rolled down his window to arch a brow at the girl.

She stuttered her way through a pathetic request for fashion advice that Tucker easily answered in two sentences. Sam snickered as Star seemed unsure what to do with Tucker's lack of interest in her or her popularity.

Ever since Tucker started focusing more on his self-confidence and joined the fashion community, he hadn't been so girl-crazy nor as desperate to get one's attention.

Just as Danny reminded Tucker that other cars were waiting for them to clear the road, Star had pushed three envelopes into the driver's hand and run off with a red face.

Tucker stared at the envelopes in his hands with a wild look that both Sam and Danny shared. They slowly kicked their brains back into gear when an angry honk from the car behind them sounded, and they ended up silently driving the cafe, still in a daze.

Jazz laughed herself silly when they rang her up to ask if she thought it was a trick (Sam was sure they were going to be Carrie-ed), a mistake (Danny insisted Star had gone to the wrong car, but due to the tinting, didn't realize until it was too late). Or a genuine invitation (Tcuker had always been the most optimistic of the three).

"Haven't you three ever wondered why Spectra used emotion-based ectoplasm for her appearance?" She giggled, "It makes people hot. And you guys literally spend all summer in the Ghost Zone during your internships, feeling human emotions while being exposed to natural ectoplasm. You three came back looking good."

That was a shock.

The summer apprenticeships had been a compromise between Sam and her parents. They were growing tired of her not growing out of her "phase" and were threatening to send her to a military camp to straighten her out.

Thankfully, Jazz had stepped in, brilliantly changing their minds into allowing the college student to match Sam up with a well-known friend as a mentor. She even threw Danny and Tucker into her "program" to further show that it was just what Sam needed to stop her from being a troubled teen.

Since only Maddie and Jack knew about Phantom, it took some effort among all of them to create fake websites and legitimate-looking summer programs before Sam, Tucker, and Danny arrived in the Ghost Zone in different vehicles to spend their summers. It helped that Ghostwriter owed them a favor, and he brought the programs to life.

Danny was learning medical practices of various species with Frostbite. Sam was with Princess Dorathea, learning how to govern and manage a large estate. Tucker had taken Wulf up on his offer to join him through the Ghost Zone's wildness, allowing Tucker to experience life off-screen and learn more about animals.

Jazz had said she placed them out of their comfort zones, but with trusted ghosts that could help them build well-rounded characters. At first, it wasn't for them, but the trio found themselves falling in love with their activities.

By the time they came back, they had many stories and exceptional skills to share with their parents. Sam's parents weren't happy she was still a goth, but they did appreciate her newfound determination to connect with them and her interest in running companies like the family business.

Tucker's parents were amazed by the muscles he gained and how he started to limit his screen time. He still loves his tech, but now he was branching out into fashion, helping out around the house, and appreciating animals and nature like never before.

Maddie and Jack watched as Danny grew more empathic while becoming more sure of what to do in stressful situations. Confidence that their son desperately needed had been gifted to him over the summer. He no longer lowered his eyes or slouched, even if his awkwardness lingered a bit.

That apparently made them hot? Yes, it did.

At Star's party, even though the three kept to themselves, laughing and hanging out as normal, people were constantly attempting to talk to them or simply flushing whenever they made eye contact. Danny, Sam, and Tucker all agreed that they no longer wanted to be popular.

They stay firmly behind unbreakable walls even as the party skyrocketed them to the same level of popularity as the A-listers (they refused to join the club). The three were more excited to return to their summer internships the following summer.

By the time graduation rolled around, Danny, Sam, and Tucker had been voted the most attractive and the most likely to succeed. They were a new type of untouchable royalty walking the halls of Casper High.

It came as no surprise that their resumes and internships got them offers from various colleges, not to mention their looks. Jazz, by that point, was still working on her degree at Gotham U, so the three chose to go there.

Danny was studying to become a doctor, Sam was in business, and Tucker chose computer sciences. They had moved into a house that Sam's parents bought for them, allowing Jazz to move out of the dorms into the spare room. Things were going great for a while, living in the big city and being adults on their own for the first time.

Then Danny applied for an internship at Martha Wayne Memorial Hospital in the administrative area- Sam convinced him it would be a good way to get a foot in the door when he applied to medical school. He needed someone to write him rec letters.- And one night, when he was working late on data entry, he happened to see Batman's maskless fall out of a portal produced by a trenchcoat man.

The trenchcoat man carried Batman to the abandoned operating room that had been left behind when they remodeled the place and converted it into offices, followed by the rest of the Bats. Their faces were covered entirely, but it did not hide their worry as they rushed to catch up with the pair.

A woman wearing scrubs pushed through the portal and the group of masked heroes, barking out orders to prepare the room.

There was a magic spell wrapped around the group that typically would have made them invisible, and erase their importance in the mind of whoever looked at them, as if they were from a forgotten dream. Still, Danny's ecto contamination made him immune to the spell, so he witnessed the whole thing.

Huh. Bruce Wayne was Batman. Neat.

Danny figured it wasn't his business and turned back to his two monitors to finish the Excel spreadsheet he was working on. He later left after saving his work, ignoring the fact that he now knew why the operating room had been left untouched, despite having all that technology on standby.

He would get home, mention it over a plate of reheated pizza, while Tucker would be working on an essay due at midnight. His best friend would shrug, claiming his own ectoplasim had made him immune to Poison Ivy's plants- they were shockingly similar to some of the plants Wulf and he encountered in the Ghost Zone- and had seen Red Robin's face after the man had been sprayed in the face and some of the powder lingered on his mask.

Apparently, Tucker's midnight essay writing had given him a familiar, dazed college look of exhaustion. Still, since he wasn't freaking out at the man eating plants, Red Robin had thought him too gone on whatever Posion Ivy how dosed the crowd of hostages with, to worry about his bare face. He had merely moved Tucker somewhere safe, stabbed him in the thigh with a needle, which had been rude according to Tucker, and run off to fight Ivy.

Red Robin was Tim Drake. Neat.

The two changed the subject to a TV show, but eventually Tucker had to focus on his essay, and they fell silent.

The following morning, Sam reported that she, too, had figured out a Gotham Hero's identity by accident. Her ectoplasim contamination had made her an attractive goth, who was approached by a blushing Damian Wayne to ask her to model her alternative style for his art club.

At the offer of a bit of pocket change, Sam had agreed to follow the art club president to a park where a group of teenagers were setting up canvases and easels. They asked her to sit on the park fountain for a few hours while they tried to capture her likeness in charcoal.

During the session, she noticed a change in Damian's movement as he grew more relaxed and his old habits began to shine through. Princess Dorathea had taught her the dangers of the court and how to notice little changes in body language that could keep her safe.

She thought it was odd that Damian moved like an assassin, reaching for a small knife in the same way he wielded his charcoal. It made sense later when she was rescued by Robin on her walk home from a would-be mugging and noticed the same little habits.

Robin was Damian Wayne. Neat.

If three of the many Bats were Waynes or connected to the famous family, it only logically makes sense that the rest were all Waynes too. Double neat.

The only one who was sincerely shocked by this reveal was Jazz, who had not even a hint of suspicion that Bruce Wayne was Batman.

"This is huge!" Jazz gasps, "Don't you guys realize how crazy this is!?"

"I mean, sure," Tucker slowly responded, sharing a confused glance with Sam and Danny. "But it's not really our business, is it? It's not like Danny is in the hero scene anymore."

"Well, yes but come on it's Batman!"

"I don't think Batman even cares about us, much less his Bruce persona. As someone from the bottom of the first class, trust me, the top of the first class doesn't even notice us taking up space. " Sam laughs, shaking her head. Danny hesitates to mention that Bruce Wayne has stopped by his office multiple times to bring coffee for all his coworkers, but figures the man must do that for all his employees.

Miles and miles away in Wayne Manor, Bruce narrows his eyes at the three screens displaying three newly graduated teens covered in paranormal residue. It's possible that they were all haunted and just didn't know it, which was a common thing, according to the Justice League Dark.

After some digging into their background, he found that companies, summer camps, and internships had all been fabricated by an incredible hacker who provided an oddly convincing cover-up for the various skills the trio possessed. Again, the Justice League Dark also stated that it was common, as that was a tactic the Otherworlders frequently used on humans to leech onto them.

Like a gas station in the middle of nowhere that was there and then it wasn't a few days later.

The three weren't experiencing any negative emotions, which meant whatever was haunting them would soon pass, and it wasn't necessary to intervene. Zatanna promised Bruce that everything was fine.

He had some doubts.

So far, the three have been doing everyday things that first-year college students typically do, and yet, Bruce's children have reported seeing the three often in their civilian lives.

Foley worked out at the same gym Dick did and was often at the ramen shop Jason just helped one of his friends open. Manson began spending time at Cass's favorite café and attended Duke's poetry nights as an observer. Fenton, the male one, was literally working a few floors below Tim.

A coincidence?

Or was it something nefarious at play?

Bruce decided to wait and see what happens.

[uniquesdata]

Achieving Business Goals with Invoice Digitization

Outsourcing invoice digitization is profitable for businesses as it allows them to manage their financial documents while streamlining business operations. Uniquesdata is a renowned outsourcing data entry partner with a team of professionals and years of experience.

[autobahnmp3]

booting up my laptop for the first time in...... weeks,

[mostlysignssomeportents]

Epic Systems, a lethal health record monopolist

Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.

How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:

https://prospect.org/health/2024-10-01-epic-dystopia/

At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."

In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:

https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given

Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:

https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled

The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.

Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"

Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.

The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.

But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/

The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":

https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf

The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481

Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."

Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.

The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:

https://pluralistic.net/2021/05/09/the-memex-method/

The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."

EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/

Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.

Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.

One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.

But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.

The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:

https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies

The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.

Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.

Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.

Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.

Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama

Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png

CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en

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Between Prey and Partner

Yautja x Reader

Summary: Trapped on a different planet with only a Yautja. You didn't know how you got there or why.

You did not know how you got here.

One moment, you had been surrounded by the familiar.

Then, a flash.

A sensation like freefalling without an end.

Now, you stood on alien ground, under a sky too wide, too red, where distant moons hung like silent sentinels.

You were alone.

Or so you thought.

The first time you saw him, the Yautja, your blood ran cold. You had heard the stories. Creatures bred for the hunt, ruthless, precise, unrelenting.

You were human. Weak by their standards. The outcome should have been inevitable.

And yet, the killing blow never came.

Instead, a silent truce was formed.

Perhaps necessity forced it, this planet was a death trap, filled with creatures that saw you both as prey. You could not afford to be enemies.

You did not trust him, and he certainly did not trust you. All you knew, you had to survive.

Days turned into weeks. Weeks into months.

What started as a partnership out of the need for survival grew into something more.

The Yautja was stronger, faster, and able to hunt with precision that left you in awe. You, in turn, were clever, resourceful, and skilled at problem-solving in ways that defied strength.

Together, you built shelter, weapons, and defences. Together, you thrived.

And in the quiet moments, when he watched over you as you slept, when his claws, usually so sharp, so deadly, brushed against your skin without harm, something else took root.

Love. Or at least the beginning of it.

You did not speak the same language, not entirely.

But understanding was forged in glances, in gestures, in the way he stood close when danger was near, in the way he offered you the best of his kills before taking his share. In the way his body tensed when you were injured, as though the pain you felt was his.

You two began to share a bed, his body keeping you shielded and warm during the cold nights.

You began to grow happy with your life here on this dangerous planet.

Then you found the tablet.

At first, you had only meant to explore. The Yautja kept few things hidden from you, but this… this had been tucked away, out of sight. You powered it on, expecting perhaps a map, a record of his kind.

What you found instead shattered you.

Logs. Data entries. The original purpose of this planet.

You were not here by accident. You had been brought here to be hunted. You had been prey.

And he… he had been your hunter.

Tears filled your eyes as you turned to face him, the weight of betrayal crushing your chest.

He must have sensed it immediately, the way your body stiffened, the way your gaze no longer held warmth but something sharp and cold.

"You lied to me," your voice trembled, fists clenching at your sides. "This whole time, you were meant to kill me."

He did not deny it.

He stood still, his massive form a shadow against the firelight, golden eyes unreadable.

But you saw it now, the hesitation from the beginning, the unspoken conflict in his silence, the way his hands curled and uncurled as if resisting some deeper instinct.

"Why?" you choked out. "Why did you keep me alive? Why pretend?"

A growl rumbled from his chest, but it was not one of anger.

If anything, he looked pained.

"Not… pretend," he said, his voice rough with unused human words. "Changed. When saw you."

Your heart slammed against your ribs, but you were too furious, too devastated to let his words reach you. "Changed? How convenient. I was supposed to be a trophy, wasn’t I? A prize for your hunt. And now what? I’m just—what? Another possession? A pet?"

His mandibles flared, his breathing heavy. "No. Not possession or pet. Not prey."

You shook your head, stepping back. He reached for you.

For the first time, he looked lost, as if he did not know how to bridge the chasm that had opened between you.

"I trusted you," you whispered, your voice raw. "I-"

But you couldn’t say it. Couldn’t admit that your heart had already given itself to him long before you even realized it.

You just headed to the bed and cried your heart out.

You did not speak to him for days after that. You could not bring yourself to.

And yet, he did not leave.

He did not beg, did not try to force words from you. Instead, he remained close. Guarded you. Hunted for you. Tended to your wounds in silence when danger inevitably came for you both.

The things he had always done. But now, you could see it for what it was.

Regret.

The walls you had built around yourself cracked slowly. You caught glimpses of him during the quiet moments, his head bowed when he thought you weren’t looking, the careful way he placed food near you but never too close, as if afraid you would reject it. As if afraid you would reject him.

It took time. More time than either of you wanted. But eventually, you found yourself beside him once more, the weight of your anger faded, exhaustion settling in its place.

"You really weren’t going to kill me?" you asked at last, breaking the silence.

He exhaled, his golden eyes locking onto yours. "Never."

You swallowed, heart aching. "Then why didn’t you tell me?"

His clawed fingers twitched, hesitant. "Did not know… how. Did not want you to fear."

A bitter laugh left your lips. "I was afraid. But not of you. Of what we have. Of what it meant and will grow into."

He rumbled low, the sound vibrating in his chest, something sorrowful and tender in its depths. "Still afraid?"

You looked at him then, really looked at him, the hunter who had spared you, the warrior who had become your shield, the creature who had, against all odds, chosen you.

And you chose him.

You reached out, your fingers brushing against his mandibles. He stilled beneath your touch as if your acceptance was a fragile thing that could shatter at any moment. He was afraid to move.

"Not anymore," you murmured.

And when he pulled you into his arms, holding you as though you were the most precious thing in the universe, you knew you had forgiven him.

Not because he had asked.

But because love had never been a hunt, it had always been a choice.

And you had made yours.

~Masterlist~

ˇAO3ˇ

Wattpad

/DO NOT TRANSLATE, STEAL OR REPOST ANY OF MY WORKS TO THIS OR OTHER PLATFORMS/