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Saturday, January 7, 2012

I'm just saying...

I was speaking with a co-worker and we were discussing how we are tired of this system of things. We know, however, that our time or our purpose our reason for being has not reached a conclusion. God is not done with us yet. We serve a purpose. Perhaps the reason my parent’s longevity is because they are my polishing stones. (Does that even make sense? Allow me dissection of that thought: polishing stones. Shiny rocks or stones that have already been polished are put in a rock tumbler with stones harder than steel. They are then tumbled until shiny. Air goes: Mom and dad are beating the dullness out of me…trying to make me shine. No, Father Yahweh is using mom and dad to bring me to perfections! Oh! Oh! This means that I have to tread lightly where mom and dad are concerned. I know I sound awful, but mercy that is a challenge! Dad is so pessimistic and has a mean streak he makes Jeff Dunham’s “Walter” and Carroll O’Connor’s “Archie” characters seem like pussycats! I love the man dearly! He is honest and trustworthy. He is actually very sensitive and loyal. Yes, he is bi-polar and not being treated for the condition. Mother on the other hand portrays herself as a genteel Lady of wisdom, kindness and grace who is a master manipulator with only child syndrome and is a glutton. Let me make this clear. One of the things Mom will tell you when sharing tales before marriage to dad are meal times. She would eat all her food, whatever dad did not eat her dessert and then his dessert. (Dad has always watched what he eats.) Anyway, while Mom is recounting the tale she would make her quote in an amazed loving voice, “Wow, you sure can eat.” Well just the other day he said the same thing to her, only the tone of voice was of disgust and disapproval. Dad is having dental work done and has been on a soft diet for over a month now! Two of the items on his can and will eat list are donuts and ice cream. Well the only child syndrome lady bought him his choice items with herself in mind. She loves chocolate and he does not. One box of chocolate donuts to the lady of the house. Two ½ gallons of ice cream as well, as one had nuts in it and the other was a choc swirl. The only reason she went to Stewart’s was to buy him ice cream and she comes home with what she wants. Glutton’s are also hoarders…they hold on to everything because they do not want anyone else to have what they consider theirs. The excuse, “I am a child of the Depression Era. I cannot throw anything away.” Okay so life has made these people who and what they are. Their stone tumblers (parents, grandparents, family and friends) and life events have polished them to this end. I believe this is what is called enlightenment dare I say an epiphany. You are saying, “Yeah, yeah, yeah and you are long winded too! You and your co-worker were talking about what exactly?” You are right! Death. We were talking about how we are tired of this life.

Day in and day out it is the same old same old or is it same ole same ole? Same old same ole…same ole same old? Here I go again…side lining. It is the same old drudgery…daily! Wake up, are attacked by your loved ones verbally (per my epiphany I have to realize they are just Satan’s tools), go to work and are stressed by callers who thought they knew their insurance plan and low and be hold we mislead them. No, they did not call before going to the specialist. Their PCP referred them. He knows what plan I have he should have sent me to a specialist that takes my insurance. Come on!!! Do you know how foolish… irresponsible…how dim-witted that thinking is? One doctor! One doc. and not only is he to know all about medicine (How to treat each condition, knowing how to rule out other conditions that have the same symptoms – diagnosing. What works what does not work, the current diseases and what is going around. He must know the new coding, the new drugs, and new treatments. Is the treatment a proven treatment? Will a pre-determination be needed to considered a method of treatment? How to file a Pre-Determine if a treatment needs proof of medical appropriateness.) Do not expect your medical professionals to know all about insurance. Not his own, or his patients, the facilities he has practicing rights at, and all the professionals and their insurance as well. He needs to focus on medicine. That is what his office help is for!!! Where as you the patient have one insurance policy. Being it is your health and your money do you not believe it should be YOU micromanaging your policy? It should be you who takes responsibility, no? I know what you are thinking. That is the whole purpose of the doctor’s biller.

Allow me to explain this to you a little better. When the doctor refers you it falls to you to make sure where the doctor is sending you is actually part of your In Network Provider List. Providers can drop their contracts with an insurance company any time they like. If they are slow in telling the insurance company they have done so, you cannot blame the insurance company! Yes! Customer Care Professionals answer phones and do their best to confirm what is covered and what medical providers are participating with your plan…they are not the Psychic Hot Line though! They cannot guarantee that the doctor, laboratory, radiology, clinic, facility is going to file their/your claim right. The doctor may have one thing approved and then last minute (after they open you up) decide they have to go another way and that changes the procedure. This means that the procedure they had approved, which has its own coding, is not what they are going to be billing for, and is not going to be paid for. I doubt the doctor even worries about insurance. He is worried about what he has found upon opening you up! He is trusts that his staff took care of how his services are going to be paid.

That is the receptionist’s job after all. To confirm before she even makes your appointment how she is going to get her paycheck. You call the doctors office they ask you about your insurance and then they make the appointment based on the fact they accept your insurance. Keep in mind that a medical professional does not have to have a contract with your insurance company to take or accept your insurance card. It just means that they are willing to file a claim on your behalf. They may accept the insurance payment and expect you to pay the difference between the billed amount and the insurance payment. They may file the claim with assignment of payment to the patient. This does not mean the money is yours; this is to help pay, in full, the provider for services rendered. If a provider is contract or participates with your insurance plan then you are responsible for the difference between the allowed amount and the contracted amount. If your policy pays a percentage after a deductible, then first you pay the deductible and then you are responsible for the coins. If you only have co-pays then you pay your co-pay at the time of visit. It is always wise to confirm with the provider that their contract is current and in effect, make them call the doctors billing office or office manager, they should know. That is their function, to know about the doctors insurance. Do not expect the doctor to know your plan. It is ludicrous to expect him to know his colleagues plans!!! I have done it again. Someone must need this info otherwise; I would not be going off on these tangents. Forgive me my pet peeves. I do so feel beat up at the end of a workday. Then I get to run down stairs and make dinner. Did I mention dad has been on a soft diet? Soup, cottage cheese, eggs…he had a bit of lasagna the other day and was happy with that. Today he has a piece of cotton embedded in his mouth that he was supposed to have removed last week, 20 minutes to be exact after coming home. I asked him if he took it out. He said he did…he was wrong…we are paying the consequences now. Keep polishing me dad!!!! Back to Death.

My co-worker made the comment, “I cannot wait to go home.” The implication was heaven, believe me that was the invocation. She was having a bad day. She had put our Prayer needs in an email and asked us Prayer Warriors to pray. There is a lot going on! Many of us are suffering from aches, pains, injuries, seasonal "bugs", general fatigue, etc. Many also have serious family issues siblings battling cancer with one in hospice… The wonderful sister in Christ who sent the request out had made a comment of how she is tired of fighting the good fight and is sick of being sick. This is how I know what she was referring to…I get her; she wanted to go home however she really would like to go HOME. That would be heaven to her. I did not have it in me to dash her hopes. My sisters think that when we die we go to heaven. Not true. Did I not write about this already? I am sure I did. So, the world will keep on polishing me until I am ready for His Kingdom. I will trust in Yahushua, who tells us in Acts 2:29 Men and brethren, let me freely speak unto you of the patriarch David, that he is both dead and buried, and his sepulchre is with us unto this day.
No David did not ascend unto Heaven!

John 3

There was a man of the Pharisees, named Nicodemus, a ruler of the Jews: [2] The same came to Jesus by night, and said unto him, Rabbi, we know that thou art a teacher come from God: for no man can do these miracles that thou doest, except God be with him. [3] Jesus answered and said unto him, Verily, verily, I say unto thee, Except a man be born again, he cannot see the kingdom of God. [4] Nicodemus saith unto him, How can a man be born when he is old? can he enter the second time into his mother's womb, and be born? [5] Jesus answered, Verily, verily, I say unto thee, Except a man be born of water and of the Spirit, he cannot enter into the kingdom of God. [6] That which is born of the flesh is flesh; and that which is born of the Spirit is spirit. [7] Marvel not that I said unto thee, Ye must be born again. [8] The wind bloweth where it listeth, and thou hearest the sound thereof, but canst not tell whence it cometh, and whither it goeth: so is every one that is born of the Spirit. [9] Nicodemus answered and said unto him, How can these things be? [10] Jesus answered and said unto him, Art thou a master of Israel, and knowest not these things? [11] Verily, verily, I say unto thee, We speak that we do know, and testify that we have seen; and ye receive not our witness. [12] If I have told you earthly things, and ye believe not, how shall ye believe, if I tell you of heavenly things? [13] And no man hath ascended up to heaven, but he that came down from heaven, even the Son of man which is in heaven. [14] And as Moses lifted up the serpent in the wilderness, even so must the Son of man be lifted up: [15] That whosoever believeth in him should not perish, but have eternal life. [16] For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. [17] For God sent not his Son into the world to condemn the world; but that the world through him might be saved. [18] He that believeth on him is not condemned: but he that believeth not is condemned already, because he hath not believed in the name of the only begotten Son of God. [19] And this is the condemnation, that light is come into the world, and men loved darkness rather than light, because their deeds were evil. [20] For every one that doeth evil hateth the light, neither cometh to the light, lest his deeds should be reproved. [21] But he that doeth truth cometh to the light, that his deeds may be made manifest, that they are wrought in God. [22] After these things came Jesus and his disciples into the land of Judaea; and there he tarried with them, and baptized. [23] And John also was baptizing in Aenon near to Salim, because there was much water there: and they came, and were baptized. [24] For John was not yet cast into prison. [25] Then there arose a question between some of John's disciples and the Jews about purifying. [26] And they came unto John, and said unto him, Rabbi, he that was with thee beyond Jordan, to whom thou barest witness, behold, the same baptizeth, and all men come to him. [27] John answered and said, A man can receive nothing, except it be given him from heaven. [28] Ye yourselves bear me witness, that I said, I am not the Christ, but that I am sent before him. [29] He that hath the bride is the bridegroom: but the friend of the bridegroom, which standeth and heareth him, rejoiceth greatly because of the bridegroom's voice: this my joy therefore is fulfilled. [30] He must increase, but I must decrease. [31] He that cometh from above is above all: he that is of the earth is earthly, and speaketh of the earth: he that cometh from heaven is above all. [32] And what he hath seen and heard, that he testifieth; and no man receiveth his testimony. [33] He that hath received his testimony hath set to his seal that God is true. [34] For he whom God hath sent speaketh the words of God: for God giveth not the Spirit by measure unto him. [35] The Father loveth the Son, and hath given all things into his hand. [36] He that believeth on the Son hath everlasting life: and he that believeth not the Son shall not see life; but the wrath of God abideth on him.

Come on if Moses, Noah, and David are not in Heaven…Jesus / Yahushua said so…what makes people think that is where they are going when they die? Yahushua came preaching the Kingdom of God.

Matthew 5:5 Blessed are the meek: for they shall inherit the earth.

Matthew 25: 31-32 When the Son of man shall come in his glory, and all the holy angels with him, then shall he sit upon the throne of his glory: [32] And before him shall be gathered all nations: and he shall separate them one from another, as a shepherd divideth his sheep from the goats:

Matthew 25:34 Then shall the King say unto them on his right hand, Come, ye blessed of my Father, inherit the kingdom prepared for you from the foundation of the world:

Now correct me if I am wrong…He did say foundation…right?

I’m just saying…