...(Additions in black bold font, proposed deletions with strike-thru) Two-Midnight Rule CMS adopted the Two-Midnight rule for admissions beginning on or after October 1, 2013. The rule states: Inpatient admissions will generally be payable under Part A if the admitting practitioner documents the patient to require a hospital stay that is expected to cross two midnights, and the medical record supports that reasonable expectation. Medicare Part A payment is generally not appropriate for hospital stays (acute, LTAC, and psychiatric) not expected to span at least two midnights. Purpose Because of the structure of Medicare, payment for hospital services is distributed differently for inpatient status versus outpatient status. When a patient is admitted to a hospital as an Inpatient, the reimbursement falls under the Inpatient Prospective Payment System (IPPS). In contrast, when a patient is admitted to the hospital as Observation, Medicare pays the hospital under the Outpatient Prospective Payment System (OPPS). The care provided is the same regardless of the Inpatient or Observation status assigned. The doctor must decide whether it is suitable to admit the patient as an Inpatient or Outpatient based on the 2 MN Rule criteria provided by CMS. The beneficiary is responsible for a one-time deductible if admitted (and billed) as Inpatient, but conversely will be responsible for a copayment on each individual hospital service if admitted (and billed) as Observation. CMS states the...
Words: 839 - Pages: 4
...English 175-‐02: Introduction to Literary Genres Instructor: Aaron Schab aschab@uidaho.edu 209 Brink Hall Department of English University of Idaho Course Meets: Life Sciences South 163 Monday/Wednesday/Friday 9:30 am – 10:20 am January 9, 2013 – May 10, 2013 Course Description In this class, we will learn about the basic conventions and terms used to understand and discuss the three major genres of literature: fiction, poetry, and drama. This class will help you understand the sometimes baffling world of literature, and is intended to provide the general student with basic experience in literary analysis. Additionally, I hope this class will lead you to a lifelong appreciation for (and engagement with) reading literature. Although this class features extensive reading and writing, it is not necessary for you to be a bookworm or a writing superstar to succeed in this class – if you ...
Words: 4621 - Pages: 19
...Karlee Folk ENGL-126 - 002W - Film & Literature June 7th 2012 The opening scene of midnight cowboy does an extremely good job of out lining what the story of the film will be about. With the use of different visual effects of the shots throughout the movie they display the main focus points that will be important during this movie. The movie gives the viewers the main key elements of the movie in the first couple scenes. For example, the main characters name repeated “where’s that Joe Buck.” Or the emphasis on the “cowboy” features in his outfit from head to toe. Finally the almost arrogant or cocky like attitude given through his singing to himself through the mirror. These main points are not only obvious but the lighting and visual distance from the camera highlight’s these key points even more. With the key point given to the viewers the plot is able to be narrowed in by the end of the opening scene. With this done there is no hidden agenda that the director is trying to have and the viewers are never left out of what this film will be about. They are able to outline the plot an follow the plot while watching this movie. One of the main features this movie uses to its advantage is a close up. This is where the shot is close up to a person or an object (Petrie, G-2). Midnight cowboy uses this most while emphasizing on the cowboy features that Joe Buck was wearing. A close up was done as he carefully placed the black hat with a gold band on his head. Another close...
Words: 857 - Pages: 4
...changes they may have. h. Any suggestions and changes will be submitted by 6PM on the Sunday of the week it is due thus giving the person who submitted the rough draft time to assimilate the changes into their final rough draft due by 9PM on Monday. i. Once the final rough draft of the week has been submitted to the team forum, the person responsible for submitting the collective rough draft will combine the drafts into one paper and turn it in for the team. III. Key headings j. Memory management – k. Process management – “ l. File management – m. Security management – IV. Schedule and milestones all times are in EST n. Week 2 i. 5/2/2013 – project plan approval ii. 5/6/2013 – project plan submission o. Week 3 iii. 5/10/2013 – first submission of rough draft iv. 5/12/2013 6PM – team member’s suggestions and changes v. 5/13/2013 9PM – rough draft rewrite vi. 5/13/2013 Midnight – paper rough draft submission p. Week 4 vii. 5/16/2013 – first submission of PowerPoint viii. 5/17/2013 – first...
Words: 398 - Pages: 2
...do with an ingrown toenail with fungus because it is gross, disgusting and scary to look at. So why do people enjoy horror movies so much? It is the same kind of concept, something scares and disgusts us, but when it comes to horror films, shows, and etc. we find it to be pleasurable at the same time. Noël Carroll believes that the thing that attracts us to unpleasant feelings, like being scared and disgusted, is due to the monster. The monster is why there is a paradox of horror. Humans are extremely curious beings of life. Doctor Who season 4 episode 11, “Midnight”, demonstrates Carroll’s philosophy behind why people enjoy horror. “Midnight” starts off with the Doctor trying to convince his partner in crime to join him on a visit to a waterfall made of sapphires, which is located on the planet called Midnight, but she refuses, and the Doctor gets on the Crusader Tour Bus with seven strangers. On his way to Midnight Palace, the bus stops due to “engine” problems; however the Doctor quickly figures out that the Crusader Tour Bus is in perfect condition. The mechanic seems to see an odd shadow that appears to be running toward them, but the driver says its nothing and that help is on the way, reassuring the passengers and the bus attendant that everything will be fine. Suddenly, a random but constant knocking begins. The plot has finally come to the “monster”. The passengers start panicking and guessing what could be knocking: a person or maybe rocks falling. But it is neither...
Words: 704 - Pages: 3
...meets in-class on Tuesdays/Thursdays from 12:30-1:45 AM in TJM room 307. Students may also join via Adobe Connect during class time. Adobe Connect is a third party subscription. Required Textbook: INTERMEDIATE ACCOUNTING, Spiceland, Sepe & Nelson, 7th Edition, New York, NY: Irwin / McGraw-Hill, 2013, ISBN-10: 0-07-802532-x ISBN-13:978-0-07-802532-7. Required Software: Microsoft Word, Microsoft Excel, McGraw Hill Connect subscription Course Description & Objectives This course examines the accounting theory, concepts, and procedures inherent in the preparation of the general-purpose financial statements required of all publicly traded companies. Specifically addressed are the balance sheet, income statement, statement of cash flows, explanatory notes, and the auditor’s opinion. Other areas explored include review of the accounting process, profitability analysis, financial disclosures, and time value of money concepts. IFRS (International Financial Reporting Standards) will be explored in conjunction with each chapter’s GAAP procedures. Prerequisites: BUS 232 – Principles of Managerial Accounting. Upon completion of this course you should be able to: 1. Understand the environment and theoretical structure of financial accounting. 2. Perform the steps in the accounting processing cycle and apply both cash and accrual based accounting. 3. Apply Generally Accepted Accounting Principles in the preparation of...
Words: 774 - Pages: 4
...can do once a day so long as you have a Park Place slot card . • There is a large video amusement arcade in the basement. • Paris and Bally's are connected via Le Boulevard, the crossover corridor between the two resorts filled with upscale specialty retail shops and Très Jazz, a gourmet restaurant offering live jazz music and "New World Caribbean" cuisine. • A continuous promotion at Bally's, gives MVP Slot Club Card members a chance for a FREE Slot Pull with a chance to win a million dollars. One pull per person, per day between 9 am and 1 am. Many other smaller prizes are offered as well, like key chains, pens, show tickets and buffets. Barbary Coast – Things to Do/See: • Big Elvis Tuesday – Friday 3-6 p.m. Bellagio - Things to Do/See: • The free Fountain Show in front of the Bellagio shoots off every 30 minutes from 3 pm to 7 pm and then every 15 minutes until midnight. (The routines often vary from one show to the next.) Wait until after to dark...
Words: 5486 - Pages: 22
...The Most dangerous game When you're out in the world hunting any kind of animal is the thing. How do these animals survive? I have only seen a 8x8 elk once in my life that was a quick shot and I never got to shoot him. There is a man named Zaroff who hunts humans. Mr.Rainsford, who was a hunter to begin with gets hunted by this crazy man and he also hunts in other people. I think it is wrong to hunt man need some serious help. In the short story “The Most Dangerous game” By Richard Cannell there are three components in the story are who's the hunter, who's the hunted and do you agree or disagree with the statement “ There are the hunters and the huntees”. you Mr.Zaroff Makes it so that a boat will come towards the lads and smash...
Words: 570 - Pages: 3
...This course is a capstone course for graduating Business Management, Entrepreneurship, and Accounting students and provides students an in-depth examination of corporate strategic planning. The course focuses on the application and reinforcement of the various functional disciplines and concepts of preceding business coursework. A framework for competitive company and industry analysis is provided. Students will apply decision-making, problem-solving, and accounting and financial analysis in reviewing contemporary businesses and industries, thereby strengthening business acumen. Instructor permission required. STUDENT LEARNING OUTCOMES • Define strategic planning and explain what is meant by competitive advantage • Explain the key elements of the dynamic macro-environment • Describe what is meant by "distinctive competencies" and "competitive advantage" • Explain how efficiency, innovation and quality support developing a competitive advantage • Discuss competitive positioning and its relationship to the business model • Discuss the business life cycle stages and describe appropriate strategies for each • Distinguish between first mover advantages and disruptive technologies • Describe transnational and international strategies and the varying global entry modes • Differentiate horizontal and vertical integration • Define diversification and explain the advantages and disadvantages of diversifying GENERAL EDUCATION...
Words: 3502 - Pages: 15
...stories before his death, which he believes is soon. In the first paragraph, Salman Rushdie starts off with stating “once upon a time”, (Salman Rushdie 2006) which is generally a fairytale line. This seems to imply that Salman is delusional, or takes a telepathic entity where he is able to speak to the other “Midnight’s Children” in order to create a story for himself. Salman believes that he and the other “Midnight Children” are the fate of the country, and that their history is directly impacted by the country, as well as the country’s history being directly impacted by them. Salman uses a wide array of rhetorical devices throughout the first few pages of “Midnight’s Children” such as metaphor, analogy, and imagery. Salman uses “Midnight’s Children”, the title of the novel, as a metaphor. He is saying that the children that were born at the time of India’s independence, are in fact claimed by midnight and the country. Another example of metaphor Salman expresses is “clock hands joined palms in respectful greeting as I came” (Salman Rushdie 2006). This is a metaphor for midnight and his birth. Salman uses metaphor in “Mysteriously handcuffed to history” (Salman Rushdie 2006). This furthers the reader’s perspective on his delusion that his birth marks an importance in history. Salman’s use of metaphor allows the reader to...
Words: 613 - Pages: 3
...hired seems pushy and may come across as overconfidence. Instead Bennie could have ended the letter with I appreciate your time and I look forward to the opportunity to speak to you further about this position. The positive side of this appreciation letter is that he mentioned details like appreciating the company mission and employee incentives, this shows the employer that he was well engaged in the interview. I believe this writing style could have been written more professionally, should be in a business letter format (address and contact information for both parties at the top, date etc.). Example 2: I failed my exam because I locked my keys in my car and couldn’t get my textbook until well after midnight so I couldn’t study. Analysis If it were true that he locked his keys in his car and couldn’t get his textbook until midnight it has no relevance to him failing his exam. As a student one must take responsibility for his/her schoolwork. Waiting until the night before the test to do the wok is unacceptable. In this letter to his teacher he could have mentioned the circumstances he felt hindered him from doing well on his test and then suggested a possible resolution, such as requesting a re-test or asking for some extra credit to make up the points. Simply making excuses will get you nowhere when it comes to professional...
Words: 518 - Pages: 3
...Philosophical scope of fiction in Sidney Sheldon life Ume Sumayya Abstract My aspiration to contemplate what I want is the fundamental question that essentially arises whenever associate degree scholar of ideas ‘deals with a piece that he hopes to grasp. Such scholar could have centered his attention on a piece of literature - a literary composition, a play, a completely unique novel - or on a piece of philosophy – some exercise in moral, political, religious, or different such mode of thought. However the fundamental question can all tell such cases remain the same: what area unit the suitable procedures to adopt within the try of arrival at understanding of the work? This paper provides a synopsis of Sidney Sheldon life, reviews its key scientific challenges, and discusses its philosophical implications. It ends with many words concerning the implications of his work for the society. INTRODUCTION Sydney Sheldon is the most celebrated dramatic/suspense novel author of twentieth century. He’s additionally film, TV & amp; stage show/drama author and winner of an honor. Sydney’s own life was a pure drama, poorest at one stage; rich person at another. State capital wrote his 1st novel at the age of fifty three once individuals begin coming up with for retirement. It had been an enormous flop, he didn’t surrender, wrote another that clothed to be an excellent success. He thought of life as a completely unique, you never understand what happens next till you switch consecutive...
Words: 3676 - Pages: 15
...Frank Vargas Professor Beverly Whitson English 52 24 March 2014 The Era We Live In What’s one of the worst parts about living life? It can be not being able to find that one true love in life, or even living with regret in your heart. I always hear conversations about people being together with a person they don’t love, or people talking about something they wish they could have done when they had the chance, but were too concerned about another factor in their lives, now having to live life full of regrets. Like Gil Pender says, “That’s just the era we line in…” In the 2011 film, Midnight In Paris, written and directed by Woody Allen, tells the story of Gil Pender’s, played by Owen Wilson, longing for self-fulfillment and his love for historical 1920’s Paris, France. The film also stars veteran actress, Rachael McAdams, playing Gil’s significant other, Inez. The film starts off with Gil and Inez, two engaged Americans in modern Paris having a little vacation. On a lonesome late night stroll, Gil finds himself lost in the backstreets of Paris and sees an old car from the 20’s drive up to him with open doors. Ready for an adventure in Paris he decides to get into the vehicle. Little does he know that he just stepped into a time portal transporting Gil back to the wonderful times of 1920’s Paris. Confused and full of awe, he assures himself that, “He was born too late.” While trying to figure out where he is, he runs into another young American couple, Zelda and Scott Fitzgerald...
Words: 2167 - Pages: 9
...Policies and Theories Veronica Vega: American Intercontinental University Abstract There are many theories that influenced many of the policies that we have today. Such as the Graffiti reduction program which has been influences by the argument of windows theory. Then there is the Neighborhood watch program which shows how the social disorganization theory has been influential to the program. Finally we have the Midnight Basketball program who is connected by the differential association theory. Below, all these theories and policies will be defined and there will be a better understanding on how all of these policies assisted the from decreasing violence around the community. Graffiti reduction programs include interventions that are employed on simple scales such as use of anti-graffiti paints to extensive multi-stakeholder programs. This multibillion dollar program is part of the crime prevention strategies targeting youths. The policy works on the belief that graffiti can cause social disorder as people associate the street art with presence of criminals and gangs in their neighborhoods. Stakeholders work together to eliminate existing graffiti as well as identifying perpetrators. The implementation of graffiti reduction programs have been influenced by arguments of windows theory. According to this theory, simple crimes, such as street violence, are harbingers of more serious disorders (Aiyer, Zimmerman...
Words: 1070 - Pages: 5
...SOSC 1000 Winter Term Weekly Reflection Exercise The Wednesday Lecture was taught by not Terry Conlin himself, but his wife, Andrea O’Reilly. She is a professor teaching in the School of Gender, Sexuality and Women’s Studies at York University Main Topic and Argument of Lecture * The main topic of her lecture was about the making of modern motherhood, where she deeply focused on the ideologies and practices of “good” motherhood from the 1800s to the present. * Dr. O’Reilly’s main focus was to give us a lecture in the detail about how motherhood changes from agriculture to urbanization, discussing the 4 transformation stages of its cataclysmic moments. * There were multiple important points that she raised during the lecture. Dr. O’Reilly wanted us to know the transformation stages, from what position women are at back then in an agricultural economy, moving into the industrial economy, then into the 2nd world war and after. Main Topic and Argument of Reading * Rich Reading * The author is writing about the nature and meaning of motherhood, the heavy importance of being a mother and to their children, their decisions to make, their roles, duty, and the feelings they encounter as to raising their child. * Hays Reading * The author is writing about her ideas about mothering since the middle ages, and the evolution of intensive mothering, where the mother, Rachel is responsible for her only two year old child, while keeping...
Words: 447 - Pages: 2
