I’m trying to help spread the word about this since it’s about my cousin and a very good cause.

Jon Thomann was injured a couple of years ago, and was in a coma for several months. He finally got back to walking, but he still has a limp and is very unbalanced. He’ll never be the same but at least he is alive. Jon’s father, Joe is working on trying to raise money to get this started in Mid-Missouri. They’ve raised about a third of the money they need, but still have a long ways to go.

Here’s the link to the article on the KOMU site:

Here’s the link to Jon’s caringbridge site:

If you want to help with the center itself, the donation on the caringbridge site listed above is not for the center – that’s for caringbridge donations, which is a good cause too…. The center’s website is


Roku Channel Names and various Podcast urls

new links: – VERY NICE LINK. This allows you to put any valid rss video feed as a favorite in your nowhere tv channel on the roku!!!… If you need a list of feeds, I’d like to suggest you try the podcast category pack on playonplugins forum as one place to start – some of the links are old, but many still are valid and work and not all of them are outdated….

================= – nice list of links.

This one looks like it might be not-too-legal, so uh, well, I take no responsibilities for your actions.

New addition: – Roku Code: SCORETV
best online live channel list
best channel list online:
Flickstream has added a new way to make channels so I’m testing.  You just need a podcast url… so I’m going to try uploading some podcasts from the playon community.  Did this a few months back with noknok too but that got to be a hassle, especially since it used the computer  as a middle man sometimes, etc.

Details on how to do this are at

Channels I’m making/testing/etc.  NO, I DON’T OWN THE COPYRIGHTS, WHICH IS WHY THEY ARE NOT PUBLIC CHANNELS… JUST TEST CHANNELS/PRIVATE CHANNELS.. i.e. a way to watch the podcast that you would normally watch elsewhere on the roku…

Vanity Codes:




I might add more later… but these are really slow loading, so probably not.



———————- – nice list over there at Catastrophe Girl’s page too!==================LISTS:=========

a few other lists:
Private Channel | code: 1080p

Private Channel | code: 5iktv

Private Channel | code: abcau

Private Channel | code: ALJZ

Private Channel | code: Alogic

Private Channel | code: XM7EG

Private Channel | code: brykr

Private Channel | code: NMJS5

Private Channel | code: BBCN

Private Channel | code: CBCPOD

Private Channel | code: tvmia

Private Channel | code: channel9

Private Channel | code: charlierose

Private Channel | code: RBFA1

Private Channel | code: CNNI

Private Channel | code: SNKQW

Private Channel | code: drikintv

Private Channel | code: 03VG9

Private Channel | code: Emunah

Private Channel | code: IU1VY

Private Channel | code: funsaver

Private Channel | code: GMAP

Private Channel | code: NXFBW

Private Channel | code: hawkcam

Private Channel | code: HOLANY

Private Channel | code: HSN

Private Channel | code: 9OFQX

Private Channel | code: humanvid

Private Channel | code: HUNGRY

Private Channel | code: iggydev

Private Channel | code: FILMY

Private Channel | code: iptvmyway

Private Channel | code: ITPC

Private Channel | code: juice
Private Channel | code: justintv

Private Channel | code: kelby

Private Channel | code: KevinGongChess

Private Channel | code: KevinGongHiking
Private Channel | code: KosherMetalRoku
Private Channel | code: libertate

Private Channel | code: Q4DSY

Private Channel | code: LINKTV

Private Channel | code: F8RG7

Private Channel | code: cbuxf

Private Channel | code: mapquest

Private Channel | code: mlgunoff

Private Channel | code: moviesplash

Private Channel | code: livetvnow

Private Channel | code: ANB9G
Private Channel | code: MyChannels

Private Channel | code: mymedia

Private Channel | code: myrtlebeachvideo
Private Channel | code: YWWMH

Private Channel | code: mytimes

Private Channel | code: ENDLESSNASA
Private Channel | code: NextPVR

Private Channel | code: NHK

Private Channel | code: NokNokDLNA
Private Channel | code: NokNokDLiteBeta

Private Channel | code: GIN8E
Private Channel | code: H9DWC

Private Channel | code: K49NL
Private Channel | code: ONN
Private Channel | code: pbs
Private Channel | code: tpc

Private Channel | code: 9MQBZ
Private Channel | code: MYPLAYON

Private Channel | code: PLEX

Private Channel | code: PlexGrid
Private Channel | code: ENGBH
Private Channel | code: 2NFMX

Private Channel | code: REDBULLTV

Private Channel | code: retrovision
Private Channel | code: P1KWQ

Private Channel | code: roqbot
Private Channel | code: RTAMERICA

Private Channel | code: RTNEWS
Private Channel | code: HWA3K8

Private Channel | code: simpleaudioplayer

Private Channel | code: IFUIN

Private Channel | code: SkitterTV

Private Channel | code: SCROKUBW

Private Channel | code: speedtest

Private Channel | code: RD7UQE

Private Channel | code: 4TYU6C

Private Channel | code: FISH

Private Channel | code: 9RRFU
Private Channel | code: tvs
Private Channel | code: F3SIG
Private Channel | code: MGSVYY

Private Channel | code: tcn
Private Channel | code: QNQRW
Private Channel | code: 71B0Y

Private Channel | code: TNP

Private Channel | code: sjdvsw

Private Channel | code: ThisIsMyNext

Private Channel | code: tikilive

Private Channel | code: tvteka

Private Channel | code: V8MRS

Private Channel | code: UCTV

Private Channel | code: utn

Private Channel | code: KGULU

Private Channel | code: IN4DN

Private Channel | code: USTVNOW

Private Channel | code: verbosity

Private Channel | code: VNXPM

Private Channel | code: viddler

Private Channel | code: MUQXX

Private Channel | code: watchsuntv

Private Channel | code: radar

Private Channel | code: WhiskeyBeta

Private Channel | code: WineUpTV

Private Channel | code: JGMPD

Prive Channel : Woot!

Private Channel | code: bppim

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GAMES: – this one costs… use crunchyroll to get the free version from many years back. 😉

Free Internet TV – check it out. Looks like it’s got a lot of fta satellite, and it’s all streaming and online now! 🙂 Probably won’t work on roku, but might. Going to mention it on playon and noknok forums to put a buzz in their ear.
Q4DSY – librivox on roku. This is, the public domain audio book site. Now you can listen to the great books on your TV!

============ – nice streaming online list.

================ – nice list of channels on roku
Additional update to the info below, and a question to the community… Is it illegal to discriminate against someone in a work environment based on personality rather than on work quantity/quality, and other measurable factors? During my performance evaluation July 28, 2011, I was told by my former supervisor that I was ‘just not aggressive enough’ against the insurance companies. This is the second or third time I’ve heard something like that in an annual performance evaluation. At least one individual in another department that I applied to a job for a couple of years ago has told me that that sort of thing is illegal…

I was also told something about not sharing enough by anticipating the needs of others in the evaluation– even though my primary job responsibility before the changes was cleaning up the gigantic mess that others created – I had to basically close about 20,000 visits, or more, in a database the last couple of months before the changes because others had ‘failed’ to take action… This was a job assigned by the individual that was giving the performance evaluation, and it was a job that basically was all database driven, and had nothing to do with interacting with others… as have been most of my job duties the last year or so. Actually, it is my opinion that that part of the review may have been a more or less cut and paste from previous years, so I was being judged in an annual performance evaluation based on actions that occurred in years that were prior to the annual performance evaluation that the review was supposed to cover…

In that database job with the 20k + visits I had to close, which I was doing a couple of months prior to all the changes, the reason code/comment used to close the visits was something like “failure to appeal claim in a timely manner” and it was a pull down menu so instead of scrolling forever on each of those visits I usually typed the first few letters to get to that part of the dropdown… Typing the word failure that many times is not good for the soul, as mentioned elsewhere…

In other words, I was not a pushy bitch, brown noser, and did not get in to gossip with the other pushy, gossiping bitches, so did not fit in well in that area. The same can be said of the coworker that ended up being fired because she wanted a lawyer in the room to discuss something with the manager on the day she was fired… and of just about everyone that was working for the department I was working in but no longer am.

Is judging people based on personality traits rather than work performance illegal? If it is, and you are a lawyer, come talk to me sometime. I think there might be potential for a class action lawsuit here!

In past years, folks at the management level had it at their discretion to issue raises based on the annual performance reviews. In other words, if a Department was due for a 3% raise or whatever, the management could divy that out giving one person more of a raise then the others in that area. This year, the human resources department has changed that and taken over that role a bit more, even though many of the questions and topics on the performance evaluations are still very much based on non-measurable personality traits more so than work ethics that are based on actual performance that are measurable… so if a boss had a tendency to like certain people for some personality reason, they could give them a raise based on that alone if they chose to do so… That right there is where the lawyers could potentially sink their teeth in and take a huge bite because the class impacted if there ever was a class action lawsuit would potentially be every employee for the University of Missouri Healthcare system that worked at the place prior to this year!

update to the below info: The Plot Thickens. Apparently the supervisor over the location of my new job (see more info below) left her job on the Wednesday that I started the new job, and now working in the Department that I was forced out of (*perhaps doing the same job that I was doing???*)… The reason that I was given that I was being forced out of that position was because of budget cuts in the Department.

Apparently those cuts were not big enough to keep them from hiring the new person… or more accurately forcing me in to their spot in the same damn department they were coming from, only one level down as an entry level instead of as a supervisor. This is complete and utter bullshit, and the ‘normal’ way political games run around this damn place apparently. I’m thinking about filing a grievance, but think I may be past the timely filing deadline to do that… also I don’t think it’d do any good since the HR department was in on this huge mess, so nothing would be done about it as the grievance would just go up to those that already know the situation, and actually instigated it. The ACFO in charge of this whole mess lives about a block away from my apartment, and is known to regularly swim in the lake near his house… If he drowns at some point out there in the near future, I’ll tell you right now, it won’t be my hand that forced that to happen. I’m above taking silly/stupid actions like that. Death is far too quick of an answer for these types of sins.

Similarly, if there is a bomb ever placed on the premises here, it won’t be my hand that places it there… Causing havoc of that nature is below me (even if the thought may have crossed my mind a time or two) — temporary structural damage and monetary problems of that nature are only temporary answers for this sort of permanant problem that needs an answer… so I blog, and may take other similar actions in the future. I don’t know if I’ll find a lawyer or not to take up this battle because it probably would not be worth it… Charlotte had her day in court, but it didn’t result in any changes… actually I still think these changes are all a direct result of that, which happened only a few months back… I suspect that the powers that be wanted all of this to go down the way that it did as a payback for that…

Any and all who read this – Beware. There is a hell of a lot rotten in Denmark, and even more rotten in Columbia Missouri.

I’ve taken a break from The Artist’s Way and Speed Model Challenges I normally post here for a few days, but will get back in to it shortly.

My life was shaken up when on 6/17/2011 I was told about an hour before the end of the work day that my 40 hour a week job no longer will exist in July. I’m being reassigned to another Department so I can take on another job that they have handed me without asking for any input from me before making these decisions. It’s something that I should have seen coming for a few years now since various employees were being hired on to slowly take on duties that overlapped what mine were about 2 years ago.

It’s not a lot of fun more or less training who will become your replacement, but on some level that’s what I’ve done. It’s pretty sad that this Department has done this sort of thing to both me and at least one other coworker in the last few years. They hire someone new, assign them duties that overlap your existing employee’s duties, and then use that a means to make the old employee get either pushed in to quitting or have a job that is now invalid. It’s a terminally bad and sad alternative to firing people in my opinion.

At least if you fire someone, it’s a big blow up that can get out of everyone’s system real fast instead of dragging on for years, bringing misery to everyone involved in the situation… It puts the employee with the most seniority in to a sticky situation, and frays the nerves of the new employee, the old employee, and the management and coworkers too because everyone’s duties become overlapped and it becomes unclear who really is in charge of what. In short, IT SUCKS! However, I guess it had to be done because they couldn’t find reasons to fire me or the other people involved. It’s one of those situations where bad management hiring good people results in extremely a very bad situation, and the red tape goes round and round.

I’m not 100% sure I’m going to enjoy the new job, and may find myself just quitting with no other job to go to in the near future, so the move to a new duplex we were planning in September so that we don’t have to use our second bedroom as a storage bin is now off.

I’m sad about that because at the new place I was going to have a full garage and basement to convert in to an art studio. We were lucky that the landlord is letting us out of that with a full refund of the deposit even though we signed the contract already.

The new job is bascially the same job I had before I came to the one I’m at now for the next couple of weeks, but many things have changed since I was in that position in 2002, so I’m not sure how comfortable I will be with it. One reason I left that job to come to this one was because I had gotten to a point that I completely hated my job back then. Now, I’m being forced back in to that dreary dungeon… The department that the new job is in is in a cubicle city/prison in the dirty/moldy basement of the same building that I’m located at now (Yes, they’ve found both rats and snakes – both real animals and metaphircally down there in the dungeon in the last few years). Do you remember the Movie, The Office, which later inspired The Office Sitcom. I swear they based the movie (not the sitcom, just the movie) on that place and the people in it. Hopefully things have changed, and it’s better than it was back then, but only time will tell before I know if that’s true or not.

Since the time that this Unit was created, about 2 years before I entered the mix in 2002, until around a year and a half ago, the employee turnover rate has been in excess of 100% in the Unit, and the Hospital has changed which Department’s supervision the unit is under 3 times. Additionally, the Supervisor in charge of the unit has changed 5-6 times in that same time period. The Unit consists of approximately 7 employees at this time, including the current supervisor. That’s a pretty bad track record, so it really does not surprise me that changes like this were in the works.

My few short years of working for this unit has given me enormous insight in to the inner workings of insurances, hospitals, and upper management in those institutions, and it’s not a pretty sight. Managed care is a war zone.

I have witnessed meetings in which the Associate CFO has literally slammed his hand on tables and yelled at coworkers if they disagree with him on numerous issues. I have witnessed meetings in which insurance representatives were verbally and mentally abused. I have witnessed managed care contracts, which affected payment rates for entire networks, being verbally agreed to with no actual paper documents being created and no one other than the individuals that had the authority to authorize the contract being made aware of the agreement until after those papers were created and signed over a year later. I have witnessed countless times that HIPPA was violated by upper management in various ways with both internal and external communication, many cases in which nothing was done to correct the violations even when they were reported.

I have witnessed much of the give and take of contractual negotiations for various contracts that are amended almost yearly.

During my time in the Unit, I have witnessed violations of federal counterfitting laws in at least two databases, which upper management was made aware of numerous times, and has, to date, done nothing to correct. Yes, scanning actual dollar bills and saving the image files from those scans is a federal violation if you do it at 100%. Also, scanning paper money as proof of co-payment is not exactly the smartest thing to do in the world, but somone at this institution determined that it should have been a policy at one point in time.

Inside the Unit itself, I have witnessed a lot of brown nosing, sexual discrimination, reverse discrimination, and other political games which I refuse to partake in – and believe that that refusal may have something to do with my job being made to no longer exist. It’s never good to be a team player if that means doing something illegal – we are a hospital, not a mafia.

I’ve also seen a lot of highly unprofessional acts in the Unit by individuals other than myself. No, it’s NOT OK to allow lazy individuals to slack for YEARS when they are working visits in your denials database and then expect others to pick up that slack later, having to review 10,000+ visits and close them all out manually just because the idiots that should have been doing their job for the last several years did not do their job, knowing full well that it would be ok because you would do just as you did and assign the chores to someone else later to pick up for their imcompetence that you fail to notice because their nose is so brown for you. No, it’s NOT OK to put together databases with pull down menus that begin with the word “failure” folowed by an explantion of what the failure was, such as “failure to appeal claim in a timely manner” and then assign a gigantic job with over 15,000 cases to one person who will have to go through and close out every one of those cases manually since others in the department failed to do their job for over 3 years – making that individual have to manually type the word “fail” over and over and over for 8 hours a day, for months at a time – that sort of thing is hard on the fingers of the person typing it and shows how very badly you manage things (yes, for over 2 months I had to close literally about 15k visits because various individuals failed to do their job and file appeals in a timely manner for 3+ years! That’s unbelievable, and typing the word fail over and over and over while having 3 databases open to get that done is an extremely boring thing to do and is very depressing, emotionally stressful, and soul crushing, especially when the individual that has been assigned to do this job is already dealing with depression due to other issues outside of work that you are acutely aware of, such as the death of an in-law, or two right before this assignment, and many other deaths in the family earlier (Lots more on that in other posts in this blog – Mother-in-law passed away in april, father-in-law passed away last year, my wife’s grandma passed away last year too, and if you back track to 2005 when we got married – Tekla lost a cousin 2 weeks prior to the wedding, lost a 6 month old cousin before getting to meet him, lost a nephew who was a still born, and since then I’ve lost both my grandfathers, a cousin that was one year younger than me, and had another cousin get a brain injury and go in to a coma for many months (lots in previous posts… and that’s just the tip of the iceberg in everything that we’ve been dealing with – to be close to mother-in-law we bought a house in the same city she was in, and later had to give it up in a bankruptcy when Tekla lost (actually quit because of emotional stress) her high paying union job to work for her mother as an aide, her stepdad moved in with us (who may have a job interview today, finally – yeah!) and had a lot of other issues going on… sorry to rant on and on about all of this, but since we are finally getting to a point of stability, it’s good to reflect back on what all that we have gone through to get here… We’ve been through hell and back in the last few years, much more than most couples go through in a full lifetime!… and our love only grows through it all – Thank God!))). No, it’s not ok to make fun of the medical records of patients that were taken to the ER. No, it’s not ok to suggest that patients that were near death due to self inflicted injuries or alcoholic overdoses should have taken more of an on overdose to kill themselves so you won’t have to deal with their insurances not paying their claims. No, it’s not ok to verbally make fun of patient’s names and ask coworkers to come and look at the computer screen to see the name when you are working their accounts. No, it is not ok to look up your friend’s or families Medical records or bills without their permission if it’s not a part of your job duty. No, it is NOT ok to change the way a system is working throughout the year because you know the auditors will be coming in to look at that system in a week and you don’t want them seeing things as they are currently. No, it is not ok to send every patient to a collection agency just because you want to collect more money faster than you currently are. No is is not ok to send unencrypted emails to third parties and make copies of those emails in the computer system that is considered a part of the patient’s medical records. No, it is not ok to assisinate a patient or coworker’s reputation in a patient’s medical record either, or in any computer system considered to be a part of the patient’s medical record. No, it is not ok to not bill an insurance some part of a bill if the charges in question will not result in any higher reimbursment, especially if the insurance involved is a government agency such as Medicare or Medicaid. No, it is not ok to talk about people behind their backs and stab them in the back at every chance you can in order to increase your own political power in the office. No, it is not ok to not submit bills if there is no medical explanation for the charges in question documented in a patient’s medical record. No, it’s not ok to send bills to a patient just because the insurance is asking for medical record info from your facility or another physician’s facility that the patient has seen in the past. No, it’s not ok to write off all balances of 14.99 or lower on each individual visit regardless of if that money is from an insurance or patient or is an overpayment or underpayment – yes, go ahead and write off the small dollars they owe you but for God’s sake, don’t write off the overpayments that you should pay them back, especially when they may have multiple visits in a day and you are willy-nilly just moving money around to different visits to hide tracks that you took their overpayments without giving it back to them, and stopy justifying it by saying that the University was created by the State constitution so does not have to follow consumer protection laws or report the overpayments to the state when in fact there are multiple overpayments reported to the state by the other univerisites in your same system(unclaimed property)! Stop throwing people’s money away that they overpaid because they misunderstood your purposely deceptive bills, and don’t keep making your damned collection agencies chase money down on those bills that the patients already did pay and may have overpaid on because you hid the overpayments so well that you can’t even find the money or your collection flukeys can’t (like a mafia lord asking for protection money so that they can just be seen in the ER or whatever)…… No, it is not ok to neglect putting things in the patient’s medical record that needs to be there per state or federal law, even if no auditor is checking that particular record. No, it’s not ok to accept gifts from insurances that exceed the monetary limits established for gifts of that nature stated in hospital policies (including but not limited to box seating at baseball games under the arch). No, it’s not ok to send unencrypted emails to insurances that contain confidential patient information in both the heading and body of the email. No, it’s not ok send emails about a patient’s confidential information to the patient’s supervisor if that supervisor has nothing to do with that patient’s health care and include the supervisor in on long email chains about the patient’s failure to issue payments and other confidential info more directly related to the patient’s health. No, it’s not ok to leave confidential patient information in public locations, unshreded. No, it’s not ok to slam down phone receivers after you get done with conversations that you didn’t like taking part in, and it’d definitely not ok to take the next several minutes after that to restate the entire conversation and your views on it, all explicitives included, out loud right after slamming that phone down so that you distract everyone in the area. No, it’s not ok make fun of patient’s medical records as you read them. No, it’s not ok to gossip about celebrities that are patients that have accounts you are working on. No, it’s not ok to make rules about keeping cell phones on silent or turned off for some but not for all – if you are going to make a policy, it should be applied to all employees equally, and you should definitely not negate yourself from that rule, especially if you wrote it. No, it’s no ok to talk about every detail of your pregnancy out loud at work to those who don’t want to hear your story or go in to details about how many times your new child had to be changed, and believe it or not, you and your child are not the center of the world’s attention that needs to be mentioned in every conversation you ever have with anyone about anything any day of the week. No, it’s not ok to spend the last 20 minutes of work spreading gossip just to spin the clock til you can leave. No, it’s not ok talk about people in whispering gossips, especially if you have your back turned to the individual you are talking about so that it’s obvious to everyone what you are doing. No, it’s not ok to start out loud gossiping every time the boss is in a meeting so you don’t have to do your work. No, it’s not ok to put rules on some people, such as making folks leave cell phones off, along with any buzzers on them, but not to do so to others that actually use their cell phones more than the folks you are handing these rules to. No, it’s not ok to fight people’s right to unemployment when you created a hostile work environment that caused them to become unemployed (sorry I didn’t help you out more with your fight C). No, it’s not ok to loudly criticize people for going in to art or graphic design professions just because you have a business degree yourself, nor is it good for you to openly criticize your children for doing so – shame on you. No, it’s not ok to openly and loudly criticize disabled people in wheelchairs for being in the road that you have to follow to get to work when you know yourself that the sidewalks that they could be on are not built yet. My mother-in-law fought hard to get Boonville handicapped accessible since she was disabled and confined to a power wheelchair before she died earlier this year… so I understand the fight these people have – you are on the wrong side, and should be ashamed of yourself for thinking that way being the ACFO of a major university hospital, but yes, you are right, it will be better when the sidewalks are built finally… No, it’s not ok to verbally give instructions that are intended for the entire department to one person and crossing your fingers in hopes that that one person will verbally tell everyone else and won’t mess up the details to meet their own agenda. No, its not ok, even if you are a female (or even if you are male), to blame problems with third party vendors based on their sex – that’s called sexual discrimination (and, No, it’s DEFINITELY not ok to slam phones down with that individual you are frustrated with and then yell, “It’s all his fault because he’s a man,” especially when you caused the only other males in the room to go to a human resource seminar that same day so that they could be trained about things like sexual discrimination – learn to look in a mirror someday in order to learn where the agression and frustrations you may be having really originate from – you can control your own thoughts and actions. Stop trying to control others so that you will be made in to the center of the universe). However, I’ve seen all of this sort of stuff happening multiple times, and much of it still happens even today.

What’s sad is that I suspect that much of this sort of unprofessional behavior is standard practice in many hospitals and insurance companies, but no one can do anything about it because any whistle blowing is stopped by the upper management that lets it happen, and any proof to outside entities could be considered Hippa violations… It’s a gigantic catch 22 that which Federal Government itself has established.

One of the ex-employees in the Unit, who was a close friend, was made to be fired/quit about a year ago, and actaully ended up in court fighting for unemployment benefits several months back. During the case many from the unit were called in to testify, including yours truly. Part of the case involved explaining the harsh working environment within the Unit, so there is documented proof of all of this drama on permanent file somewhere. Actually I think part of the removal of my position may have to do with being a backlash caused by that case. I’m not sure it’s worth trying to do anything about legally though since that would require a lot of financial hoops to jump through that I honestly don’t have the resources to cover at the moment.

Because of all of this, and some other things, we’ve started making a lot of adjustments in our life to get finances in order so that that we can afford to live on one income if we absolutely have to. As a part of that change, we moved from American Family Insurance to State Farm and that alone cut our vehicle and renters insurance in half. We are getting rid of the cell phones.
Tonight I’ll disconnect the cable since we are giving it up too. We’ll go with dsl instead.

About 3 days ago I bought a Roku from Walmart as a replacement for the cable, and I absolutely love it. I’ve known a bit about streaming video and podcast type of things for a while since I played around with Playon on the Wii about two years ago. I had not used Playon or much streaming much since then since our cable and router did not have wifi with it, and there was no need for it really since we had cable. Roku lets you ‘steam’ internet tv, podcasts, and other stuff like netflix to your tv through your internet without needing to use your computer as a middle man to handle the streams like Playon does. That’s a good thing since Playon uses a lot of cpu cycles that you can dedicate towards more important things.

I can’t believe how many times I’m editing this post, but I keep thinking about more things that should be here because it’s stuff I feel people should read about and no one else will tell them about… and the roku codes below is something that will drive people here eventually… so, since my rant mode is now on, here goes (feel free to just page down to the roku codes if you want to ignore all this other stuff – but some of it’s stuff you might want to read since it actually could affect you in some ways…)

‘Issues’ I have with the hospital I work for, and the industry in general that someone (maybe you) might be able to help change eventually (through laws, letters to those that make the laws, etc.)

CMS’s DRG based payment system is based on flat rate payments regardless of the amount billed. Why that’s here – sometimes that flat rate is more than the hospitals and other facilities bill. In other words, the Federal Government may pay hospitals more than billed charges in some cases – and sometimes that might mean the patients might be held responsible for copayments too, even though the hospitals already got paid more than they billed! I don’t keep up on Medicare policies and regulations as much as some of my peers since I don’t have a need to yet. This may have changed by the time you read this, but I’m not sure if it has or not.

Thermometers and similar type of devices and publicly used items should be protected from germs. As things are currently, many hospitals have gone to using the thermometers that you rub across people’s forheads. Those can get germs and things. Our hospital has gone to chaining those to carts and things to keep them from falling on the floor. When they first came out and started being used, some nurses were claiming that those gizmos got dropped on the floor a lot. The floor is a pretty germy place, especially in places like the OR or ER. Similar germ reductions should be used elsewhere. Many times doctors and nurses don’t wash their hands enough, and I’m fairly certain public water fountains and coffee machines at most hospitals are not cleaned hourly.

Many hospitals, including ours, has policies to write off small dollar credits and debits because pursuing getting that additional money or refunding that money would likely cost more than it’s worth doing. I’m told by the head of our compliance area that this is something most in the industry do. I don’t like this at all in regard to overpayments. It means that patient’s or insurances that overpay below the writeoff threshold won’t be refunded for their overpayment. At the moment, the threshold is $14.99 or lower where I work, and I’ve read that similar levels are used elsewhere at other Universities and Hospitals. This is the type of thing that ALL businesses have to deal with, not just hospitals. What’s sad is that this is per visit, not per day… sometimes a patient may go to multiple clinics per day, so that could add up over time if, for instance the patient has an old insurance card that had a copayment rate listed that is no longer used and is higher than what their current rate is. In cases like this consumer protection laws regarding overpayments needing to be reported to the state’s attorney general, and similar type of things usually apply. However, in this particular case, I’m told that laws like that don’t apply because the University itself that owns the hospital was created through the state constitution, so maybe if you are a lawmaker, you can get that fixed for us so that people don’t keep getting their overpayments stolen and evidence of it being washed down the drain since that sort of activity is not being reported as it does not have to be reported legally.

Crossing in the mail… It very much irritates me that collection agencies that work with the hospital keep calling and harassing patients even after they may have all their payments up-to-date. It also annoys me that the way the patient billing system is set up currently, bills for patients CAN AND DO produce after the patient has already paid. The reason I’m told that this happens is because things cross over in the mail, which is a complete lie. If the statement date listed on the top of a bill is after the date that a bill was paid already, either over the phone or in person the payment is already posted but no one is checking to make sure that the bill won’t produce after that… which leads to even more overpayments that might fall below that threshold listed above… so more overpayments that get stolen and no one is actively going back to check it out since they are not compelled to do so legally. That’s a HUGE PROBLEM. What’s worse is that the bills themselves are made to be confusing enough that gullible people are paying them… and then when overpayments do come in, many times the patient accounts dept. is moving the money that is overpaid from one visit to another, hiding the evidence of this fraudulant activity, and making the paper trail even harder to follow in case anyone ever does decide to try to trace down the payments and overpayments and where they were applied…. it’s a huge mess, and there is almost no oversight over this area at the moment, so we have tons of money being thrown at the hospital above and beyond what is actually due, and it’s all being essentially hidden in plain sight through obscurity and so far it seems to work, which is bad…

Smoking – like many hospitals, this facility has gone to a no smoking policy. In the past, patient’s could go to designated areas outside of the hospital to smoke, but now even those are being removed or moved further away from the campus or off campus all together. When this policy was initiated in, I believe, 2009, my mother-in-law (who passed away earlier this year), who was disabled, confined to a wheelchair, had diabetic nueropathy, and many other health issues, and was an inpatient in the hospital at the time, was told that by nurses and other staff at the hospital she would have to cross the road in front of the hospital in order to go off campus and smoke. This is a disabled lady that was in a power wheelchair. Nurses would not help her at all, and I suspect that they do likewise for any other patients, including those in wheelchairs that are not power wheelchairs. They were literally sending patient’s in to harm’s way by telling them to cross a busy street… I do think getting a no-smoking policy was a good idea, and a good thing, but think that forcing disabled patients that do want to smoke in spite of this policy to have to cross a busy road that is on a steep hill instead of just making them go right outside of the main entrance of the hospital is a critically bad mistake that may well result in some major lawsuits at some point in the future when those patients that are being told to take a hike across the road are hit in that road or hurt in some other way because of the horrible way that the hill in front of the hospital is designed that might even be in non-compliance with Americans with Disabilities Act… Doctors, administrators, and others that created this policy and are trying to enforce it – what the heck are you thinking? I’d like to see each of you get in to a wheelchair yourself and try to cross the road by yourself and come back during rush hour… You just don’t get it until you see what’s really going on. Yes, I agree that smoking is a bad thing, and needs to be done away with, but your stubborn ways of forcing it on people that have made smoking a part of their everday life is going a bit far I think. It’s creating stress on the patients and their families, something you, as health care providers should be trying to reduce in your patients, not increase… It’s taking a potentially dangerous situation and making it infinitely more dangerous. Bring back the smoking booths. I do agree they were pretty nasty, but at least they weren’t causing people to be tossed out in the middle of a busy street where cars fly by above the speed limit most of the day.

(will add more later)

So, without any further ado after that longwinded intro, I’m going to use this post to list all the ‘private’ channels (which are really public if you know them) that I’ve found in various online lists and websites for the roku, as well as urls to various podcasts, etc., that can be used in some of those Roku channels/websites. I’m also going to list some info on playon here too since playon actually works as a ‘channel’ in Roku.

I’m doing this because as a Roku owner myself, I know this sort of stuff is somewhat hard to find for the average user that doesn’t have the background and tenacity to go through doing a lot of searching for obscure info that is hidden in plain sight like a needle in a haystack in this mess that we call the internet. I’m also doing this for my own reference in the future in case I need to reset the Roku back to factory settings or buy a new one or something (Setting up the Roku is infintely easier than setting up Free-To-Air Sattelite TV like I did at the house we had to give up last year) – The copyright challenge for roku channel creators. I’m challenging the channel creators for the roku channels to upload a copy of the contract signature page for the contracts they have with the content creators for the content they are showing. We’ll see if any of them take up that challenge. My suspicion is that almost none of them have any contracts.

Roku Forums/urls where I found the codes: – Yahoo RokuDigitalVideoPlayer Group’s database of Roku Channel Names – AWESOME list created by Alexis

and a spreadsheet on google – Really NICE channel list. Catastrophegirl has confirmed on Roku Forums that she’s updating this list about once a week! 🙂 – instructions on how to create a ‘channel’ for Roku. I might have to study this a bit since it seems really interesting. – Thanks to LaLa for this one. 😉 – FTA Heaven’s list of roku codes (looks like that one’s being updated daily)

Playon Forums:

Roku Channels:
You enter the channels in your Roku by going to the url and inserting the code there. You could also just add the a / and the code after that url if you choose to do so. Either way will work. I personally have no need for the porn channels or the erotic or gay channels, but am listing them anyways because somoene reading this might.

Some of the channels in the below list are dupes. I have not had time to clean up the list yet. Some might not work, but most should at the time at this posting. There’s probably more channels out there, but this is most of the ones I’ve found so far. The devkit is out there, so I suspect more channels will be out soon. Some have special conditions. For instance USTV’s site says that it’s aimed at US citizens in foriegn countries, etc.


Daily Motion: SNKQW

1080p Showcase 1080p
ABC Australia ABCAU
Al Jazeera ALJZ
Aljazeera EA7NG
American Movie Classics: 71B0Y
AnomaliesTV: XM7EG
AP’s Top News Headlines Screensaver BRYKR
Archive Classic Movies: WSW1P NMJS5
AvalonPC YW0AS
BaebleMusic BaebleMusic
Badpuppy bptv69
BBC World News BBCN
Chaneru SHZFF
Chaneru 0.4: EXPEL
Channel9 channel9
Charlie Rose charlierose
Christian Video Pix DKHAU
CNN International CNNI
Earth-Touch HD 03VG9
EroticVision.TV IBRYL
EroticVision.TV – Gay HOMO
EroticVision.TV (Adult): IBRYL
Filmon FilmOn
FlickStream TV WVS3B
Food Network Nighttime FNNIGHT
France 24 G54GC
Funny or Die IU1VY
G54GC France 24
Gabby Beta gabbybeta
Google Maps GMAP
Google Voice: NXFBW
Hubblecast HD: 9OFQX
Hungrynation HUNGRY
Indy Mogul FILMY
Instant Watch Channel Lite J8XB5
ITunes Podcasts ITPC
Jupiter Broadcasting ARB6K
Justin.TV JustinTV
Kelby TV kelby
Last.FM: X0MCZ
LDS Video Podcasts: TMLJW
LED Clock Screensaver QZB4N
LinkTV LinkTV
LinkTV LinkTV
Live TV Streams livetvnow
Mormon Channel byurocks
Movie Splash moviesplash
Mummy Box livetvnow
MythTV (Linux Media sever) YWWMH
NASA TV (Private): HIBMX
Nowhere Forecaster GIN8E
Nowhere Porn 32ZUX
Nowhere TV/Pod TV H9DWC
Nuod Tayo TV K49NL
Onion News Network ONN
Phoenix Traffic 9MQBZ
Picasa Web: NEJXJ
Pink Label pinklabel
Pink TV (Adult): CJ3Y4
PlayOn Personal MYPLAYON
Positive Peak Radio & TV MNYVP
Re/Max: G8VAR
Red Bull Sports REDBULLTV
Revelation TV revelationtv
Roksbox: P1KWQ
Russia Today America RTAMERICA
Russia Today News English RTNEWS
Russian Channels / Live TVTEKA
sarnav sarnav
SCMDL (secretly branded) Channel: CAFEH
Simple Weather: IFUIN
snagfilms YTIYX
Soundcloud LITE SCROKUBW Channel HWTIC
Experimental Channel (Ted TV and a few Starz bio things) STARZ
TackleBox FISH
tagesschau K8BVY
Teletica Canal 7 Costa Rica 9RRFU
Television Shopping Channel TVS
TERRA Nature of our World F3SIG
The Onion News Network ONN
This is my next ThisIsMyNext
TikiLive TV tikilive
Traffic Cam demo 9MQBZ TVCOM – Russian Live / Timeshift tvteka
Twitter Screensaver V8MRS
Universities of California TV UCTV
USB Media Browser: KGULU
Ustream: IN4DN
USTVnow ustvnow
VibesWorkshop ZZTGX
Viddler Viddler
Videobox Player F6D9K
Weather Radar radar
WineUpTV WineUpTV
YouPorn SKOX7
YouTube B8VVK
Youtube: B8VVK
YUi Theater yui
retrovision retrovision

AnomaliesTV XM7EG
Archive Classic Movies WSW1P NMJS5
aljazeera justintv
Aljazeera EA7NG
1080p Showcase Binary Moustache
ABC Australia ABCAU

AvalonPC YW0AS
Badpuppy bptv69
Chaneru SHZFF

Channel 9 channel9
Charlie Rose charlierose

ET 1234567890
Earth-Touch HD 03VG9
Filmon FilmOn
Food Network Nighttime FNNIGHT
G54GC France 24
France 24 G54GC
Funny or Die IU1VY
FlickStream TV WVS3B
Google Maps GMAP
Google Maps GMAP
Google Voice NXFBW
Hubblecast HD 9OFQX
Hungry Nation HUNGRY
Indy Mogul FILMY
Instant Watch Channel Lite J8XB5

iTunes Podcasts ITPC
Jupiter Broadcasting ARB6K
Kevin Gong Chess KevinGongChess
Kevin Gong Hiking KevinGongHiking
LDS Video Podcasts TMLJW
LinkTV LinkTV
Mormon Channel byurocks
Movie Splash moviesplash
Mummy Box livetvnow
Nowhere Forecaster GIN8E
Nowhere Porn 32ZUX
Nowhere TV/Pod TV H9DWC
Picasa Web NEJXJ
Pink Label pinklabel
Pink TV CJ3Y4
Positive Peak Radio and TV MNYVP

Re/Max G8VAR
Red Bull Sports REDBULLTV
Roksbox P1KWQ

Russian Channels / Live TVTEKA
Russian Channels / Live TVTEKA
sarnav sarnav
Simple Weather IFUIN
snagfilms YTIYX
Star Trek Channel startrek Channel HWTIC
TackleBox FISH
tagesschau K8BVY
Teletica Canal 7 Costa Rica 9RRFU
TERRA Nature of our World F3SIG
The Green Princess MZYSU
The Onion News Network ONN
This is my next ThisIsMyNext
This is my next ThisIsMyNext
TikiLive TV tikilive
TV.Com TVCOM TVCOM – Russian Live / Timeshift tvteka
Twitter V8MRS
Universities of California TV UCTV
Universities of California TV UCTV
USB Media Browser KGULU
Ustream IN4DN

veetle myveetle
Viddler Viddler
Videobox Player F6D9K
Weather Radar radar
WineUpTV WineUpTV
Youtube B8VVK
YUi Theater yui

Here’s a hint:
Do a google search for

Another tip – scared of fees? Add your payment method to Roku, buy a cheapo channel like the one time fee horror movie channel, and then delete your payment method. In theory this should let you continue to add private channels but those channels won’t have a way to bill you unless you put your payment method back in, so you should not get hit with recurring fees as long as there is no way to pay since you don’t have a payment method. If you find a channel that charges a fee, simply delete it. Netflix and sites like that should still work since you pay those places directly, not through your Roku account.

Actual Retro TV channel no longer works as far as I know, but retrovision, which is an experimental channel does.

Note: Youtube does NOT work at this time since Youtube changed the API to not allow this thing to work. Most of the others do work, but that could change anyday. Some of the channels have subchannels inside of them that have the main ones, so a bit of it is redundant, but not all of it is. Nowhere TV, for instance, probably has some network TV station podcasts stuff in it, etc. You have to be picky on the lower end Rokus. If you got the one at Walmart like I did, it probably only has enough memory to handle about 30 channels in the main menu at any time. Do enter more than that though because they’ll get stored in the channel store. I’m told in the forums that Roku’s creators are working on fixing that memory limit, but so far the fix is not here yet (several months after they made that announcement). Also, note: I think some of these channels work on Boxee too. I don’t have boxee so haven’t tried it.

If you really need youtube, I’d suggest getting a wii. They are a lot cheaper now then when they first came out. The version of flash on the wii’s opera browser did not work with youtube when the wii first came out, but nowadays, it does work. Some more fancy stuff does not work on the wii, like the free version of hulu, but the wii has come a long ways in a short time, and I suspect that over time it’ll do more.

Playon channel works just like playon for the wii or other devices. You, of course, will need your computer on if you are using Playon since that’s where that signal comes from. Some of the others, like Plex are similar to Playon. Do some research. Most of the channels should tell you on the Roku if you need to sign up for a website in order to use them, and what the url is for the registration there. Some channels have fees, but most don’t, or at least have some stuff for free. Stuff like USB TV is silly if your Roku isn’t one of the ones that has a USB connection on it. Playon CAN do the free version of hulu on either the wii or the roku but both either of those options require a computer that has some power behind it because the computer acts as a middleman between hulu’s website and the device on your television. The transcoding and media streaming requires a lot of ram and cpu usage, and on many computers that are a couple of years old, will max out the cpu usage in no time flat if you are not careful, which can be very hard on the computer’s power supply and other hardware. I’d suggest not even considering using playon unless you have a desktop with a lot of ram. I’d say stay away from it if you have a laptop since laptop’s usually aren’t made for that sort of thing, especially if they have ‘integrated memory’ where the computer’s graphics card and cpu use the same memory… You don’t want to overheat your laptop or burn out your computer just to watch some stupid re-runs on hulu!

Podcast Urls (s):
Roku has a podcast channel that has all the itunes podcasts on it. Also, if you sunimi you can put a lot podcasts rss feeds in there and use that through roku. Need a list of places to go to find some podcasts? There’s one zip file that was started by the playon community a while back (you need to register there at the playon plugin forums, but it’s free to do that). It’s a couple of years old though, so half of the stuff urls in that zip file don’t work anymore, lol.

You can even get college seminars from podcasts…

Happy Streaming! 🙂

Interesting Reading…

I’m constantly reading various books, blogs, websites, reviewing new material, reviewing old material, and rethinking about some of the content in those books, blogs, websites, etc.

Moving forward, I’m going to reserve the “Interesting Reading” tag and category in this blog for interesting reading articles, website links, links to books that I’ve come across, new thoughts I’ve got on old material, etc. This is not necessarily for “book reviews” so much as to toss an interesting piece of information that I’ve come across at you to think about a little – a pebble of thought, in to this wide Ocean that is the Blogosphere.

Post-New Years Reflections

Over the years I have come to enjoy the fact that that I graduated from college 5 years after I graduated from high school because that means that each of my 5 year and 10 year class reunions for both college and high school all fall on the same years. That makes scheduling things a little easier. It’s also interesting that those years end in 4s and 9s, which means that they are always one year before the 5s and 10s that are my wedding anniversary 5 and 10 year increments. It also means that the times when we add a new digit to the tens part of the calander happens between the time that I have class reunions and the time that my wife and I celbrate our anniversary. All of that combines to make that extended period of several months every few years a neat time to reflect on the past, think about the present, and make plans for the future.

Part of this personal time of reflection this time round is actually what’s driven me to start this blog. It’s been a little over 10 years since I graduated from college, and a little over 15 years since I graduated from high school, and will soon be 5 years that I’ve been married to the most amazing woman in this or any other universe…

Therefore, it’s time to start doing more art related stuff before those turn in to 30 years, 60 years, etc., and I will be looking back in time thinking “what if…”

If you have a deep desire to do something creative, daring, or completely out of the ordinary compared to your average everday life, but have not done it yet, maybe you should challenge yourself to try to take the bull by the horns and try to do whatever you have been dreaming of doing before your next high school reunion….

or actually in a shorter time span… You made your new years resolution, now stick to it no matter the cost. You’ll be proud of yourself as you accomplish things that you actually want to do instead of continuing to just do what others are telling you to do in the mundane chores of your everyday living.

A few Typical Health Insurance Denials… and some steps you can take to help them from affecting your payments…

A few Typical Health Insurance Denials… and some steps you can take to help them from affecting your claims…

Pre-certification penalty/no prior authorization denials/Percertification Problems Denial

A precertification Penalty is is an amount that an insurance will apply to your repsonsibility if you, or the healthcare facility that you are staying at (hospital, etc), did not take the proper steps to obtain pre-certification from your insurance. Ultimately, obtaining prior certification is YOUR responsibility. Therefore, even if the healthcare facility that you are staying at claims to have an authorization on file, you should probably call your insurance to verify that this is true, and that the authorization in question does apply to the actual surgery or other service that you are going to have done.

Sometimes, if this sort of denial is issued on your claim, you or the healthcare facility can file an appeal with the insurance requesting a retroactive authorization be issued that can be used in place of an a prior authorization. However, be prepared to send Medical records since most retroactive authorziation reviews require that medical records be submitted to the insurance before any attempts will be made to do a review of the claim for reto-authorization. Additionally, some insurances will refuse to issue any retroactive authorization at all and claim that a prior authorization should have been requested PRIOR to the services being rendered. It really depends on the insurance in question and charges in question as to whether a reto-authorization can be issued.

A pre-certification problem denial is similar to a pre-certification penalty but is usually associated with only part of the charges that the insurance is questioning. In cases like this, most or part of the charges on the claim in question are paid but some charges are not paid, and the insurance usually needs more information from the healthcare facility, including, but not limited to medical record information, in order to consider payment on the portion of the charges that were denied.

A no-precert penalty is similar to a pre-certification penalty, or a pre-certification problem denial but typically causes ALL charges to be denied instead of only part of the charges. These sorts of denials can become a big problem over time in certain cases, since YOU may be ultimately responsible for 100% of the charges. Of course this depends entirely on the reason for the denial, if the claim is appealable by the healthcare facility, and is really dependent on case by case information since all cases are different.

No Primary Care Physician Referral Denial

A non-referral denial is similar to a no-precert denial except that it applies to not having a referral from your primary care physician on file with the insurance. Some insurances require referrals to see specialists, and others do not. Please check your insurance policy to see if you need a referral since, as with prior-authorization denials, YOU might be ultimately responsible for payment on no-referral denials.

Timely Filing Denials

Healthcare facilites have a certain timeframe to submit claims that varies greatly depending on the insurance in question, the state in question, and a number of other issues. If the facility waits too long to submit a claim, insurances sometimes deny the charges in question for timely filing. Usually, if it’s the facility’s fault for not submitting the claim, they will have to just take the hit, and not receive payment. However, if you are at fault for some reason, such as not presenting your insurance identification card to the facility at the time of service when you were seen, or you did not give the facility a copy of your insurance information until too late for them to submit the claim in a timely manner, the facility is within it’s rights to bill you for 100% of the charges. For this reason, IT’S ALWAYS IMPORTANT that you present your insurance ID Card to whatever healthcare facility you go to. Your doctors, hospitals, and anyone else that treats you medically really needs to know your insurance information so that they can bill your insurance in a timely manner and not hold you responsible for all charges… Sometimes, it is possible to appeal a denial for late claims, but usually, late claim denials can not be overturned unless there is a really valid reason that the insurance will be ok with.

Billing Issues

Sometimes insurances deny claims because they don’t believe that the claim was submitted properly, and they may dispute something on the claim with the facility. Typically this is an argument that the facility and insurance has to battle out between one another because it usually involves interpretion of contracts, laws regarding how things are suppossed to be billed, and other similar issues. If one of your claims, or some of the charges on it ever get denied for something like this, ask as many questions as you can to both the healthcare facility and your insurance so that they can work out the problems as soon as possible and not hold you accountable for something you should not be held responsible for.

Documentation Denial/Medical Necessity

Sometimes insurances deny some or all charges on a claim for need of more documentation. Sometimes this can be as simple as needing a copy of an ER report, itemized statement of charges, or something else out of your medical record. Sometimes it’s due to something the insurance wants directly from you, such as a copy of an accident report from the police, a copy of other insurance information for whatever other insurances you might have, or some form that explains that you don’t have other insurance, etc. Somtimes it’s a lot more complicated than that. If you ever find a denial for need of documenation on your claims, be sure to give the insurance and maybe even your healthcare facility a call to see what additional information is needed, and what steps need to be taken to resolve the issue. Sometimes, the insurance might actually have the needed documentation on file already, but just needs a call to verify this so that they can reprocess the claim(s). Sometimes, for Medical Necessity denials, the insurance just needs a letter from the physician that explains why the charges in question were medically necessary. Always ask questions when you are not certain about why charges are being denied. Many times, documentation denials and medical necessity denials can be overturned with a little bit more information being fed to the insurance by either you or your healthcare provider.

Non-Billable Charges/Non-Covered Charge Denial

Some insurance policies will only cover certain charges. Usually if there is a denial for this sort of thing, you can check your policy and see if the charges of this type are or are not covered by your policy’s benefits. Always be sure to ask the insurance for clarification on something they deny that you do not understand since the processors are human, and prone to human errors on occassion… Many times this sort of denial is applied for certain exclusions to a policy. For instance, your health insurance might not pay for pregnancy of your dependent, etc. Always be sure to read your policy and ask as many questions as you can. It’s good to know what is and is not covered before you go in to see a doctor, have a surgery, etc. so that you can be financially prepared for whatever charges the insurance won’t cover due to some limitation of the plan.

Out-Of-Network Denial

Many insurances have networks of hospitals and doctors. If you see a doctor or go to a hospital in the network, services are paid. If you go to a doctor or hospital out of the network, charges may not be covered, or might be paid at a lesser rate that causes you to be responsible for payment on more of the charges than you would have to pay if you saw an in-network provider of healthcare services. Be sure to check ahead of time that the hospital or doctor that you are seeing is in-network. In emergency situations, sometimes insurances can and will pay in-network rates for out-of-network providers. It all just depends on the insurance in question, their internal policies, and your insurance policy with them. Always ask questions to your insurance if you do not have a clear understanding of something. Also, be sure to ALWAYS give your healthcare provider a copy of your insurance ID card since network logos are sometimes on the cards, and those are useful in helping the facility seek proper payment from the network in question as different networks might pay different rates, or the card might be able to prove that you are in network when the insurance denied the claim saying you were not in network.

No Coverage on Date of Service Denial

This sort of denial is issued when an insurance denies coverage because it believes your policy with them was not active on the date of service. The main times this sort of issue comes up is during extended hospital stays when the insurance coverage stops in the middle of the stay, when a stay extends from December to January and coverage under the policy stops on December 31st, when COBRA is involved but the claim was billed as non-COBRA, or when insurance in question is a special circumstance type of insurance such as Work Comp, an insurance that only covers individuals in prison, only covers a certain population – such as people with aids, etc. However, this sort of denial can really happen in almost any circumstance. If your claim gets denied for this reason, be sure to ask questions to both your healthcare facility and you insurance. Sometimes this sort of denial could have come about from something as simple as the hospital submitting a claim with your old insurance ID number and now they need to submit a claim to the insurance with your new insurance ID number, etc. Sometimes it’s a lot more complicated than that, such as your employer disputing coverage on a work comp case that you believe should have been covered, in which case you ultimately may need to seek legal advice to help get the bill paid. Always ask as many questions as you can to seek clarification on why some or all of a claim is not getting paid if it’s not getting paid.

Certification of Benefits Denial

Many insurances request certain inforamtion from their members about other insurance information, proof of school status, and other such details about once a year. If your insurance requests this sort of information from you, please provide the needed information to them as soon as possible so that your healthcare claims don’t get stuck being non-paid because you did not provide enough information to your insurance to allow you insurance to pay your bill. In cases where claims get held up for this sort of reason, many healthcare providers will hold you responsible for 100% of the charges on a claim, and sometimes even send you to a collection agency seeking payment for the claim. Always make sure your insurance has the information that it needs to get your claims processed.

Coding Problems

Sometimes insurances deny claims for need of better coding on a claim. Usually this sort of issue is something that needs to be resolved between the facility and the insurance as it typically involves interpretation of standard practices, contract language, state laws regarding billing, and possibly federal laws regarding billing. Many insurances can and do try to deny claims for coding issues when the claims in question are billed 100% accurately, and the insurance processor did not have a clear understanding of updated laws or regulations about billing that enables them to understand why the claim was coded a certain way. Always be sure to ask as many questions as you can to both your healthcare facility and insurance when a claim gets denied for these sort of reasons. Sometimes the facility is at fault for actually not billing something correctly. Other times the insurance is at fault for not understanding the reason why a facility billed something a certain way. In most cases, you should not be held responsible for coding problems.

Continuation of Stay Issues

Sometimes insurances deny the last day(s) of an inpatient stay, or other facility charge that extends for a number of hours or days beyond what the insurance believes should have been the total length of the stay. Many times, facilities can prove that the extra length of time is justified with proof of medical necessity. Other times, the facility cannot prove that the extra length of time was justified. In all cases where a denial of this sort happens, you should probably request your healthcare facility explain the medical necessity reasons for the extended stay to the insurance so that the insurance can review the facts and determine if additional payemnt is needed.

Cosmetic Surgery Denial

Sometimes, insurances automatically deny anything they believe might be a cosmetic surgery because they believe that the charges in question are not covered by your insurance policy, or that the charges were not really medically necessary. However, in many cases, the charges for surgeries such as facial reconstruction, botox treatments, etc. are needed for a variety of reasons that ARE medically necessary (for instance, perhaps you need a nose reconstruction because it was damaged in a car wreck, a botox injection was given to help relieve pain in a certain area – i.e. it was a bit of a muscle relaxer/pain reliever, etc.), and the healthcare facility can sometimes prove this to the insurance by submitting an appeal on your behalf and/or requesting that the doctor that performed the surgery submit a letter to the insurance on your behalf explaining why the surgery in question was medically necesary. Whenver a claim is denied as being medically un-necessary, it is probably possible to submit an appeal and get additional payment unless you are sure that the charge in question was not really medically necessary and is not covered by your insurance policy (for example you got a face lift or tummy tuck just because you felt like you needed to look better and wanted to look more physically attractive even though your insurance policy specifically says they will not cover charges of this sort)

Alchohol/Substance Abuse

Sometimes insurances won’t cover hospital or doctors bills that come about due to intoxication. This varies from plan to plan and circumstance to circumstance. Sometimes charges denied for this can be appealed and additional payment is issued by the insurance as a result. Other times, the charges will remain denied since the policy won’t cover the charges in question. Be sure to check your policy to see if it limits coverage for this sort of thing. Also, be sure to be responsible when you drink! NEVER DRINK AND DRIVE! Also, if a third party was responsible for your being hospitalized because they were intoxicated and crashed in to you or something, be sure to ask questions to your healthcare facility and insurance about if the third party will be held accountable for paying your hospital bills. Sometimes, in cases like that, you should seek legal advice…

Mental Health Denial

Some medical insurances deny any charges that are related to mental health because their policies don’t handle mental health and/or there is a mental health insurance that claims related to mental health should be submitted to. However, sometimes this sort of denial is done in error as the charges in question are really medical and not mental. Always ask questions to your insurance, healthcare facility, and possibly even your employer when you receive a denial of this sort to make sure that the correct insurance is being billed and that that insurance will cover the charges in question.

Dental Insurance Denial

Similar to the mental health denials, some medical insurances won’t cover dental related charges. However, in some cases, such as when you are in a wreck and a healthcare provider has to do a surgery to fix something in your mouth immediately to keep you alive, this sort of denial should not be denied and might be appealable so that the insurance can issue additional payment. As with all other denials, make sure to ask questions for clarification as to why the denial is being issued, and if the denial is appealable, or was issued in error.

Discount Error

Sometimes insurances pay the wrong rate for a facility’s claim. If you see the incorrect network discount on your Explanation of Benefits (for instance the insurance took a discount through a network that you know for a fact is not a pricing agency for your insurance), it might be a good idea to call your insurance to see if they need to reprocess the claim. Many insurances utilize multiple networks, and may sometimes pick the wrong network to price a claim. This can affect how much you owe. For instance one network might allow for a 30% discount and another may allow for a 20% discount, leaving you to pay more in your deductible if your deductible is based on a percentage of charges. A 10% difference may not sound like a lot, but if you have a hospital bill worth thousands of dollars in total charges, that can add up fast.

Multiple Dignosis Denial

Some insurances will deny some or all charges for certain diagnosis. If you receive a denial from an insurance, ask the insurance for clarification about why the charges in question are being denied, because sometimes denials are issued in error.

Duplicate Claim Denial

Sometimes insurances deny charges if they receive a bill from the same facility for the same date of service, where there are more than one bill on the same day. Sometimes this sort of denial is valid because the billing department at the facility may have messed up and created two claims when only one was needed. However, other times, this sort of denial can be overturned since you may have legitimately had more than one office visit at the same place in one day. For instance, some people that live far away from a hospital might come in to a hospital with clinics in it and go see one place for an eye exam, another for treatment of flu symptoms, and also have an x-ray done for follow up on a broken bone on the same day, etc. Also, sometimes someone may go to an ER, be released, only to come back later in the day after they have an additional accident or new untreated symptoms arrive, etc.

Emergent/Urgent Care Denial

Some insurances will deny emergency or urgent care charges if they believe the charges in question are related to a diagnosis that they believe did not require emergency care. Sometimes denials of this type can be overturned since the charges in question actually did require emergency care, as the claim itself that was submitted to the insurance did not give the insurance the full picture of what all was going on. In cases like this, sometimes, and appeal with some information from the medical record can overturn the denial and get the claim paid.

Experimental Service Denial

Some insurances deny some charges as being expermental becuase the Amercian Medical
Association, or some other group does not have a lot of information on use of this type of treatment for this type of problem. Sometimes these sort of denials can be overturned. Other times they cannot. Additionally, sometimes, the healthcare facility in question will accept non-payment on certain charges like this since the charges in question actually were experimental.

Maximum Benefits paid for Policy Issue

Some policies have a lifetime maximum payment amount or a yearly, or even daily maximum payment amount. Usually, once the maximum has been reached you will be held responsible for 100% of the allowable charges (all charges left after the network discount is applied). Sometimes, in some rare cases, the maximum policy benefits were not really reached when the bill in question was paid, so the insurance might be able to get some more paid on the claim if you appeal the claim to them asking for further payment. Also, some facilities might be able to do additional discounts for you if the charges in question that you are responsible for if you promise to pay a certain amount in a certain time frame. Ask questions any time something is denied since it might be possible to squeeze more money out of either the insurance of the facility to cover all or some of your portion of the charges.

Financial Aid

Some healthcare facilities do write-offs for some individuals who cannot issue payment in some circumstances regardless of whether they have insurance or not… Also some will take a patient responsibility discount if you issue payment to them in a certain speeded up timeframe. It is possible to do some level of negotiation with both the insurances and healthcare facilities in some cases. However, you won’t ever know much about that sort of thing unless you ask the right questions to the right people. Always be involved in your own healthcare, and ask as many questions as you can, both about your actual medical well being, as well as your financial well being. The only dumb question is one that is never asked but that should have been.

Be Proactive. Be healthy. Be wealthy, and be wise.

It’s scary how unsafe our healthcare data can be these days!

Scary stuff…

Lisa Gallagher, senior director of privacy and security at the Healthcare Information and Management Systems Society, presented results of a survey at an HHS-sponsored advisory panel on standards in November. Fifty-two percent of large hospitals, 33% of mid-sized hospitals and 25% of small hospitals surveyed reported experiencing a data breach in the past year…

In October and November, a slew of healthcare organizations announced patient data losses, including:

• Aurora St. Luke’s Medical Center: Over the weekend of Oct. 9-11, the office of hospitalists employed by Cogent Healthcare was burglarized in a building adjacent to Aurora St. Luke’s in Milwaukee, according to hospital spokesman Adam Beeson. Taken was a laptop computer with billing information on 6,400 people, mostly Aurora hospital inpatients, that included in almost all cases, names and diagnoses, and in some cases addresses, medical record numbers and Social Security numbers, Beeson said.

• Blue Cross Blue Shield of Tennessee: In its Chattanooga office, 57 hard drives were stolen early in October from servers being used for training, according to a plan spokeswoman. The drives held copies of 300,000 computer
“screens” pulled up during customer service interactions along with recordings of 50,000 hours of telephone conversations about patient care and medical bills, according to the health plan. The data included names, addresses, dates of birth and, in some cases, diagnoses.

• Children’s Hospital of Philadelphia: On Oct. 20, an employee had a laptop computer stolen from a car parked at home; the computer contained the Social Security numbers and other personal information of 943 people, hospital
spokeswoman Juliann Walsh confirmed last week. Walsh said the hospital is providing the affected parties with identity theft monitoring, consultation and restoration services,

• Harris County Hospital District: Sixteen employees were fired for alleged violations of patient privacy laws involving the records of a first-year resident, according to a district official. The Houston Chronicle reported that the workers were fired Nov. 20 for looking at the medical records of a first-year Baylor I College resident assigned
to Ben Taub General Hospital, Houston, according to the Associated Press.

• Health Net: Sometime in May, a hard drive disappeared from the Shelton, Conn., office of Health Net, an insurer based in Woodland Hills, Calif. According to Connecticut Attorney General Richard Blumenthal, the drive contained health information, and financial and personal data, such as Social Security numbers, on 446,000 Connecticut patients. According to Blumenthal, his office was not notified of the breach until Nov. 18, about the same time as plan members. Blumenthal said his office was investigating.

Did you know that Catholic Organizations pay (at least indirectly via contracted third party) for contraceptive and other reproductive health services?

One little fact that a lot of people don’t know about the healthcare industry is that “Catholic Organizations” sometimes pay for contraceptive and other reproductive health services. Typically, they will do so through a third party payor… However, the payment is paid by the third party via contractual agreements that the “Catholic Organization” has set up.

Here’s a link to an old story on this:

despite protests by many Catholic hospitals and employers that it would violate the Church’s teaching to provide coverage for contraceptive services, many Catholic managed care plans cover contraception and other reproductive health services

Check out Page 49 of this too:

As far as I know, this type of thing still goes on today… The third parties are contracted to issue the payments so it really does not look like the “Catholic Organizations” are paying, but they set up those contracts to get this stuff paid. As someone who grew up Catholic that works closely with healthcare, this makes me sort of sick… and I have to ask why it continues to be done… How can a place that supports abortion continue to call itself a “Catholic Organization”?

A few healthcare tips…

As someone who works for a hospital, in a Department that works closely with insurance contract interpretion, I’ve seen a lot of behind the scenes sort of things that a lot of people don’t necessarily think about when thinking about their hospital and doctor bills – things that might be costing them a lot but that they are not aware of, costs both in healthcare being provided to them as well as monetary costs…

Here’s a few tips related to healthcare that you might want to keep in mind in the future when dealing with your insurance company, hospital, doctor, or any healthcare provider. I’ll probably post more tips in future postings as I think of new tidbits. I’ll try to keep this as specific as I can so that it’s useful information for the general public but as unspecific as I can so that I don’t get in trouble for HIPPA violations or get in trouble with my boss if anyone I work with ever stumbles across this in the future.

Always ask for a receipt any time you pay a bill. Sometimes clerical errors can cause bills to continue to be sent to patients by a hospital after the bill is sent. Other times, it’s possible that the bills are being computer generated by a system that is automated, and it’s impossible to turn the system off if a bill comes in… In many cases, at some healthcare facilities, hospital bills DO get sent to patients after the bills are already paid, and in some cases, those bills will have a date on the top of them that indicates that they were produced AFTER the payment for the bill has already been paid by the patient. This usually happens because of the fact that many hospitals, doctor offices, and other healthcare providers outsource some or all of their billing, and/or rely on billing systems that are not able to always be 100% up-to-date. In some, rare cases, this could be considered fraud because the bills are being created after the claim in question is already paid, making it highly confusing to patients, who sometimes send in payments any time they receive a bill, resulting in overpayments.

Overpayments… and Small Dollar Writeoffs…

Many healthcare facilities, and some insurance companies as well, typically write off small dollar debits and credits below a certain amount. For instance some hospitals might write off debits and credits below a fifteen dollar amount, and some physician offices may write off debits or credits with values around five or ten dollars. The actual amount varies from place to place, and office to office. What is important to know about this is that this means that they are likely going to write off a certain amount of money up to a certain dollar amount if it is either OVER or underpaid. For underpayments, this can work to your benefit since it might mean that you are getting away with not paying your copay, etc.

However, As mentioned in the above paragraph on Receipts, that might mean that your overpayment on bills that you’ve already paid are being written off and you’ll never be refunded for the amount you overpaid on your bill if it’s an overpayment amount under the threshold that the facility in question is using to determine writeoffs. You would think that it would be unethical for healthcare facilities to keep your overpaid money, but they don’t think twice about it because they have deemed the amount below that threshold, whatever amount it’s set at, to be not worth their time since it’ll cost them more in paying their staff to refund you the money than the actual refund itself is worth. This can really add up over time, since some people may put off going to the doctor for many months, and then go and see several doctors in clinics in a hosptial all on one day – resulting in multiple bills for the same day…

For example… If a hospital has a 15.00 small dollar write off, and physicians at the same facility have a 5.00 writeoff policy that is similar… 15.00 overpayment could be being thrown away in a write off for one bill, and another 5 for the physician bill that’s for the same service… for a total write off of 20.00 overpayment for one clinics for one day… maybe one for diabetes, one for an eye exam, one for a follow up on something else, and a couple of others for various other problems… Lets imagine what could happen if you saw 5 clinics on the same day, and got an x-ray or mri too, both of which could result in additional bills… That could be 7 or more hospital clinic bills, and 7 or more physicial bills since the physicians and hospital send out different bills… You could have possibly overpaid 20×7 = $140.00 in total for just that one day… and never have a chance of getting it back since they consider it written off as a small dollar amount that they don’t want to mess with… Imagine how much money you could be loosing in something like this if you have ongoing problems such as chemo treatments, diabetes, or any other numerous health related issues that require ongoing visits?…

Make sure to ask what the small dollar write off policies at the facilities you deal with are. Also, be sure to always ask as many questions as you can think of related to your bill so that you know what is going on with your money.

Applying Overpayments…

Similar to the issues mentioned above, some facilities tend to move money around on various bills that a patient has where they see fit. In other words, if you overpay a bill one month, and you incur another bill the next month, some facilities will apply the payment up to the amount owed, move the overpayment and apply that overpayment amount to the next bill that still has a balance, resulting in a very messy accounting of where the money you paid was actually applied, and also making it very confusing to know if you have overpaid anything or still owe money on something. This typically happens if you pay a copay or coinsurnace payment to a healthcare provider at the time that the service was provided, and then later, after your insurance is billed, it’s discovered that the insurance paid your bill in full, and there was no actual balance you should have paid in the first place, or the insurance has left you with a copay, deductible, or coinsurance amount that is smaller than what you paid at the time of service. Make sure you know your benefits, and are kept updated with changes, and know exactly how much to pay when, if possible.


Many healcare providers and insurance companies have negotiated contracts between one another so that the insurance company can pay a smaller amount than 100% of the charges billed by the healthcare facility, and the payment with that discount makes the payment considered to be “paid in full” by the healthcare facility. These managed care contracts can be very confusing, and often can be interpreted in a number of different ways by a number of different parties, depending on how the contracts themselves are worded. Many of these contracts also have new amendments, negotiations, etc made to them yearly, or on some sort of regular basis. Make sure to check all explanation of benefits that your insurance company sends you to make sure that you only paid the amount that you should have to the healcare provider. If you paid the amount that should have been discounted, request your money back.

Some facilities will work with uninsured people, or people that have out-of-network benefits at a particular facility that they go to (out of state provider that specializes in something that a place more local cannot handle, etc.). Similarly, some facilities are willing to negotiate with under-insured people, such as Amish communities, Church groups, people who have no health insurance that are willing to pay a certain percent of the bill immediately, etc. Make sure to ask as many questions as you can think of to both your insurance company and healthcare provider to make sure you are not overpaying on something that should have been discounted.

Medicare… and other Governement Programs can be very odd sometimes…

Did you know that Medicare pays a flat Diagnosis Related Grouper (DRG) rate on inpatient claims? They also pay something called an outlier in addition to that if the amount billed is high enough and falls in to certain conditions. What is very important to understand about this is that sometimes, the flat DRG payment rate is MORE than the amount that some healthcare providers charge. In other words, if a DRG rate is something like $1500.00, and the hospital is only charging $1200.00 for the bill, Medicare is paying the hospital $1500.00, and this is considered to be legal since Medicare paid the DRG rate. What is even more odd about this sort of thing is that even though the hospital is getting paid more than it’s billing, they can still legally hit you up for even more money in addition to this because you still legally owe your copay or deductible amount… In other words the hospital is getting paid more than it’s charging and you are still on the hook for more money than that. No wonder the folks in Washington are trying to reform Healthcare. Tricare (the insurance for our armed service men, and retirees) is set up very similar to Medicare. In addition some insurance companies use Medicare as a bases for establishing the amounts they pay… so in the past some commercial insurance companies have been known to pay hospitals more than the hospital charged for certain services, due to the fact that the insurance(s) in question were paying based on flat DRG rates, in contracts that did not have a “lesser of DRG Rate or total billed charges” clause in it – and patients still were getting billed copays in addition to this payment over the total billed charge amount… Ask as questions to both your insurance company and healthcare provider(s). Things can and are confusing sometimes…

Scanning money…

It is illegal for healthcare facilities, insurances, or anyone else to scan paper money at 100% of the original size of the money in question. Doing so is considered by the United States Government to be counterfitting. In the past, some healthcare providers have scanned dollar bills as proof of payment for some low dollar copays. If you ever see anyone scanning money, ask them why they are doing that, where they are saving it, and at what size they are saving it or printing it. Some newer software, such as Adobe Photoshop, will actually try to not save scanned money. It is legal to scan money, so long as certain rules are followed, so Adobe actually is going a few steps too far in completely stopping the scanning of money.

more posts will likely come in the future about healthcare…

Old Blogs… and websites…

Just for reference and historical information, I’m going to list my old blogs, and possibly old websites here if they still exist. This right here that you are reading now is my real blog for today and going foward in time, but I’m going to link to my old blogs from here for my own reading and for yours too if you want. I am going to do that so that there’s a link back and forth between here and there so that you can see where my thought processes have been in the past, and I can too… since there’s a lot of themes and ideas that I come back to over time… – the idea with this was to edit public domain news stories in the archive since the text that came from the scan was horrible… – this was a highly cliche’ identity thingy for me a long time back… – When I get creative I become like a storm… it starts slow, then speeds up and goes hyper with thousands of ideas crossing my mind silmultanously… but there’s a constant quite in the storm… sort of similar to the search for IT in Jack Kerouac’s On the Road– I used to role play a lot back in high school, college, and some after that too, at least in my mind and online… – I envision poet-traits as more or less portraits created with poety describing the individual or quoted by the individual where the lines of the poetry are shaped with curves and splines and things to create the face of the individual. I used to do a lot of drawings like that back in college somewhat in sketch books… sketch books are probably best for it, or something like illustrator or inkspace… but sketchbooks are best because of the immediacy of the work and the fact that it’s easy to just keep turning the book and the drawing instrument.. – I’m in to FTA Satellite…. It’s a neat hobby. – this was my first Entropia Blog… – This was my latest art blog… – I like writing haiku sometimes – this was another Entropia blog from the days when Maria did not own a shop yet and did street trading in Port Atlantis and Twin Peaks. – This was another take on an art blog… – This never went far… but studying the laws, there is a lot of loopholes and plainly stupid things going on, not just in Missouri, but everywhere. – 3d math and the stuff behind 3d animation is fascinating. – I have a harmonica but have not ever learned to use it yet. I was going to learn a while back since my wife and I carpool and worked different hours. I was going to try to practice the harmonica while waiting in the car for her, but never got too far with it because, as you can tell by reading this post, I’ve got a lot of hobbies, and so never found the time to master the harmonica (yet) – This was another art blog – based on quick little works… – I was going to try to copy spam, but decided not to go on with it after a few posts since lots of other websites are out there and it’s stupid to actually make that stuff popular. – 3d industry is fascinating. I read 3d World, HDRI magazine, and a lot of other various publications sometimes… also visit lots of forums related to the industry. – I love public domain stuff and editing it. – I was going to try to do some music since I own a midi keyboard and a voice recorder, but never got too far with it. I still like the idea of mixing things up like that. – I was going to do doodles that were 720×480 pixels… but never got far with it really… sort of a silly format to go with… – this was a good idea blog, but I never did much with it. This blog will likely have good ideas mixed in with various posts as we move forward in time. – real original… lol… almost as good as, 😉 – My wife and I are in to online businesses. I was going to try to explain to people my experiences with all of that… I still probably will in this blog since this is my ONE blog moving foward…

http://5× 5×7 inch drawings and doodles… I love that format since it’s a size that can be used in postcards on cafepress, and is also a size that fits in 5×7 inch picture frames, and also can easily be shrunken down to artcard sizes. – this was going to be a music and public domain remix blog, but someone else already was using that same basic name on a website, so I gave up on it quickly. – I love reading quotes, especially from artist and other creative individuals. I may do a few quotes in this blog moving foward in time since this is the only blog I plan to keep moving forward… – I love public domain works and was thinking about creating some of my own public domain works. I might still do this in the future. – I work for a University Hospital. I was going to use this blog with a false name since I may have revealed some basic info that some might see as trade secrets, or at least things that would make the organization I work for look not so great since there is a lot of little dirty secrets out there that most folks don’t necessarily know about in the public. I may still do a tidbit now and then but will be careful to word things so that I am not putting my job at risk… especially since this blog makes it very apparent who I am by the name on it…