u/msp_ryno

Was watching a play-through today and was wondering if there will be a way or if anyone has seen a way to split cargo between stations while watching the current videos available online?
Ex:
Cargo-bricks
Station A-loading
Station B-unload 50%
Station C-unload 50%

Not sure if this existed in TPF2 or not as I didn’t play that game.

Why does the Google Docs app not have templates I made in my workspace account?

This is not anything that I personally am experiencing or anything like that, but rather a general question. It is thrown around a lot and so I was curious...what is the actual definition of "client abandonment?"

is it possible to have 2 routes on the same tracks (parallel) tracks? I am building in NYC and there is a lot of overlapping lines, and i know i can build some stations beneath others, but it is getting congested and messy. thanks!

I had a Amex Prime Business Credit Card that was transferred from Amex. I see two accounts in my US Bank account online.

One account is my actual card and has a low balance and high credit available; the other is a "centralized" account and has a much higher balance and payment due and a low credit available. So when I use my card...is my available credit the card allowable or the "centralized" billing account available credit?

What, if any routes will serve Lake City Way to the new Pinehurst station?

Watching ASO, and Brennan’s voice is very quiet at times. Anyone else experience this when watching? It gets super quiet and then goes back to normal. Issue with recording?

WA state
Insurance just clawed back $1,200 for a client who supposedly had inactive coverage. However our EHR checks benefits monthly and all coverage checks showed active coverage (we verified as it saves a history of checks; generally I know these aren’t super accurate, but at least for knowing whether a plan is active or not it was. And most recently it correctly showed as inactive). We also check Availity every few months as well. The client confirmed the coverage was in fact active. No lapse in payment (employer sponsored); they were not fired; they didn’t leave the employer (until recently). It’s insane to me that at least in WA, insurers have TWENTY FOUR (24) months to take money back. I know at the end of the day, the client may be responsible, but this sucks. I just did payroll and now this. Also, in WA they must notify us in writing and allow us to contest it. Did they do that?
NOPE. Of course they didn’t. OIC compliant filed right away.

You know what really grinds my gears? Therapists who think they can suddenly do “coaching” to get around licensing laws when a client is out of state. There’s a clear difference between therapy and coaching, and several states are catching on to this. It’s not worth the risk to your license. Sure, “who’s going to complain?” Does it really matter?

Edit: I get it. Clients forget to tell us. Clients have emergencies. And there’s an argument to be made about the ethics of client abandonment and our licensing laws. I’m mainly talking about clients who MOVE out of state and therapist think they can just switch to coaching.

Premera BC in WA is lowering reimbursement rates for practices with 10+ licensed providers and re-classifying us as “facilities” which have a lower reimbursement rates. We’ve complained to the OIC and it doesn’t violate any laws. We’re talking $15-20/per claim lower reimbursement rates! Premera is one of our highest payers and we have a lot of clients with it so we can’t really drop it as a payer source. **** these insurance companies.

Can’t open downloaded books on iPhone Tor browser. It downloads as a “data file” despite selecting download as an epub
I normally use telegram bot but it hasn’t been working for me this evening

Edit. Not sure why I’m being downvoted?

Federal Judge in MA allows CMS to implement new rules (not stated in the “big beautiful bill”) re: work requirements for Medicaid recipients. Under the BBB, clients just had to prove that they had a serious medical or mental health condition (through a self-attestation during the first renewal, or by states verifying through claims data using CPT codes and dx codes) and they’d be exempt from the work requirements (80 hours per month of work, volunteering, or being in school/college). However, CMS, in its new permanent rule, CMS added, “Enrollees with a health condition also must be found to be significantly impaired in their ability to meet the work requirements.”

This is 1) going to create an administrative burden on states to some how set up a system to verify this by Jan, 2027; 2) notify enrollees by Aug 31, 2026 of these changes; and 3) somehow get providers the right info to be able to make these determinations and provide it to the state. How are they going to determine which providers are eligible to make these decisions (sounds similar to SSDI determinations to me, which inherently leave out masters level clinicians (those who are doing the most therapy) from making said determinations. This is going to be a mess.

Note: the judge only refused to issue a temporary injunction; the case is planning to proceed in the coming weeks and hopefully a decision will be made before Jan, 2027
https://www.healthcaredive.com/news/states-sue-trump-administration-medicaid-work-requirements-rule/824060/

https://www.healthcaredive.com/news/judge-rejects-states-bid-pause-medicaid-work-requirements/826714/

Federal Judge in MA allows CMS to implement new rules (not stated in the “big beautiful bill”) re: work requirements for Medicaid recipients. Under the BBB, clients just had to prove that they had a serious medical or mental health condition (through a self-attestation during the first renewal, or by states verifying through claims data using CPT codes and dx codes) and they’d be exempt from the work requirements (80 hours per month of work, volunteering, or being in school/college). However, CMS, in its new permanent rule, CMS added, “Enrollees with a health condition also must be found to be significantly impaired in their ability to meet the work requirements.”

This is 1) going to create an administrative burden on states to some how set up a system to verify this by Jan, 2027; 2) notify enrollees by Aug 31, 2026 of these changes; and 3) somehow get providers the right info to be able to make these determinations and provide it to the state. How are they going to determine which providers are eligible to make these decisions (sounds similar to SSDI determinations to me, which inherently leave out masters level clinicians from making said determinations. This is going to be a mess.

Note: the judge only refused to issue a temporary injunction; the case is planning to proceed in the coming weeks and hopefully a decision will be made before Jan, 2027
https://www.healthcaredive.com/news/states-sue-trump-administration-medicaid-work-requirements-rule/824060/

https://www.healthcaredive.com/news/judge-rejects-states-bid-pause-medicaid-work-requirements/826714/