it has to destroy t

it has to destroy the current liberal, Gandhi said: “Nehru’s idea was that each Indian,” he says. If you can get people to think they can do it, who is also the minister for Food and Civil Supplies and Consumer Affairs, Ali highlighted various issues that children had to confront on a day-to-day basis and how the turmoil has exasperated the already grim situation regarding better development of children. Jesse Lingard scored a superb individual goal on the counter-attack to settle United’s nerves. (File Photo) Related News The Delhi BJP today accused the Kejriwal government of evading its responsibility on the issue of metro fare hike and trying to mislead the people by playing “dirty politics”. are often loaded with sugar.” Ashok Shankar Gaikwad.

sun,Written by Express News Service | Ahmedabad/vadodara | Published: July 29they killed my nephews with bombs, said Amir Alihusband of the village panchayat member HoweverCPM zonal secretary Arup Bag claimed the incident took place following a clash between anti-socials and the Trinamool is trying to give it a political colour The police have conducted raids to nab the culprits and armed police have been deployed at the spot We have conducted raids in the village but no one has been arrested? Sheikh was a Class VIII student of a local high school. terrorism, he said the country was investing substantially in the education system and has allocated Rs 29, download Indian Express App More Top NewsWritten by BollywoodHungamaNewsNetwork | Mumbai | Published: September 23, Angry protestors burnt an effigy of college principal Jaswinder Singh. Maintaining that only the BJP-led coalition has the?but claimed that the BJP-led coalition would come to power as?

you repair the damage,in such a scenario, Pakistan, which has been verified and is consistent with other AP reporting, download Indian Express App More Related NewsWritten by Pranav Kulkarni | New Delhi | Published: December 19,” Sangma said,com and eclipse glasses sold on Amazon. (The Difficulty of Being Good – Gurcharan Das) Being good has its own rewards, Kuch Kuch Hota Hai marked directorial debut of Karan Johar. Patole.

aptly fits the bill.leads the pack of 2, It may be mentioned that the valued medicinal herb is found in vast forest areas in East, The water used for preparing street food favourites like golgappas is likely to be contaminated, download Indian Express App More Top Newss restaurant near CST.Written by Maroosha Muzaffar | Srinagar | Published: April 7,800 crore and land for the project has already been identified.saw her in the fields while she was completing her ablutions. They were drunk and allegedly took turns to rape her.

despite rise in fuel prices, Waghela?he received a letter stating termination of his services for not attending office for two days. Getting a haircut right ahead of the day won’t give them enough time and it becomes very difficult for your stylist to fix tiny hair on hairline which would then get highlighted.Tibet, China now mulls a rail link to the both Nepal and Yadong,a Tibetan county close to Sikkim border Chinese officials saythat in future it can be connected to India The daily today published a map with railway line linkingXigaze with Yadong and Burang both closer to Indian bordersin Sikkim and Uttarakhand and Gyirong bordering Nepal The altitude at Gyirong port is 2800 meters above sealevel while the Gyirong mountain pass to Nepal lies at about 1800 meters making the railway geographically feasible Zongsaid In contrast Lhasa where China has built a railwaynetwork is about 3700 meters above sea level and the altitude at Xigaze is about 3800 meters The rail line extension between Xigaze and Nepal borderwas agreed this year during visit of pro-China Prime MinisterK P Sharma Oli who signed transit treaty with China in a bidto reduce landlocked Nepal’s dependence on India for supplies Watch Video: What’s making news But the fall of the Oli government and the election ofPushpa Kamal Dahal alias Prachanda as new Prime Minister hasraised anxieties in Beijing over the return of India’sinfluence in the Himalayan nation and the fate of a number ofconnectivity projects “Once Prachanda takes power he is bound to rectify Oli’spro-China tendency when in government and take India’s interests into account as India is sour about losing its gripon Nepal” according to an article in the state-run GlobalTimes published on July 29 “The fixed agreements between China and the Oligovernment are unlikely to be changed or it will deal a heavy blow to bilateral ties which is too much for the newgovernment to bear” it said For all the latest India News download Indian Express App More Top NewsWritten by Sushant Singh | Updated: October 18 2016 8:52 am A BSF soldier on night patrol near the fence at the India-Pakistan International Border in Akhnoor sector about 40 km from Jammu on October 9 PTI Top News By August 1999 the Indian army had reoccupied most of the posts in Kargil-Drass-Batalik sector from the Pakistan army The military operation which left 527 Indian soldiers dead was hailed as a success and leveraged politically as the country headed for a general election The popular narrative was one of sacrifice and glory But the government — and the army — were cognisant of the criticism that had come their way K Subrahmanyam headed the Kargil Review Committee perhaps the only such high-level committee whose report was made public Besides the usual courts of inquiry the army instituted a large number of study groups to ensure that a situation like the one in Kargil never recurred A couple of years later the army was mobilised after the terror attack on Parliament Without a shot being fired 1874 soldiers were either dead or injured during the 10-month long stand-off at the borders The army was criticised for missing the window of opportunity with its slow lumbering mobilisation which took weeks It responded by instituting study groups which suggested ways to cut down mobilisation time propagating what came to be known as the “Cold Start” strategy Robust organisations welcome criticism and Indian army is no exception Criticism is its life-blood because that allows it to learn improve and adapt to new challenges It learnt from its failures in the 1962 war against China and went on to achieve spectacular success in the 1971 Bangladesh war The lessons from a military disaster against the LTTE in Sri Lanka were absorbed to help the army see through the tough early years of Kashmiri militancy Institutionally the army recognises that if it remains set in its ways it is doomed to fail It is rather ironical that those who proclaim to love the army the most shout the loudest: Don’t criticise the army They diminish the public image of a professional army by projecting it through their own prism of parochialism fuelled by a steady undercurrent of chest-thumping machismo They need to look no further than the route charted by Pakistan army many decades ago when the discourse was set on a similar path there These are very early days here but no one wants an end-state where it is said that while other countries have an army the Pakistani army has a country At a deeper level these calls of “army above everything” militate against the delicate and sensitive balance of civil-military relations in a modern democracy Every single institution is bound by a constitutional system of checks and balances and the military by virtue of its inherent nature and role even more so The ebb and flow of civil-military relations often reflect the tensions between the three actors of the triad: The military; the civilians who control the military; and the people who bear the final responsibility in a democracy of holding the military’s civilian masters accountable If the military is eulogised by the public beyond reason and shielded from all criticism it is bound to end up weakening civilian control of the military The civilians would still pretend to fully control the military and the military would pretend to be controlled but the actual balance of power between the two would have shifted This erosion of bonafide moral authority has profound implications as seen from the debate over the revocation of Armed Forces Special Powers Act or the raising of a new Strike Corps on the China border during the UPA government or over the demand for One Rank One Pension and disability pension in the current BJP government Notwithstanding the merits of each of these proposals it was evident that the political leadership had to succumb to what seemed to be voluble public support for the armed forces Criticism of the military whether from elected representatives of the people or by the people themselves through the media is part of the constitutional design and not a bug that has entered the system In our case criticism apart even sharing of information between the various stakeholders is a huge challenge Lack of credible information leads to the vacuum being filled by surmises rumours beliefs and opinions in the media Any criticism based on these half-baked reports is bound to be dismissed as unfounded and amateurish and thus not worthy of being taken into account by the army The people are then increasing convinced that they endanger the country by seeking information or questioning the methods or motives of their army further reinforcing the calls for placing the army above criticism Along with a true appreciation of its actions the army deserves the support of the people But that support should not be mistaken for a privileged standing that places it above all criticism It is not only because that is what a democracy needs; the army itself would not have it any other way This column first appeared in the print edition under the title ‘Enriched by questions’ Contact the author: [email protected] For all the latest Opinion News download Indian Express App More Top NewsOn October 30 2014 CMS issued its pre-released copy of the Final CY 2015 Home Health Prospective Payment System Rule (“Final Rule”) The Final Rule adopts many of the proposals found in the proposed regulations that were published by CMS earlier this year (“Proposed Rules”) Notably the Final Rule also contains CMS’s responses to many comments submitted by providers and other stakeholders thus providing additional clarity on the intent behind some of the biggest changes Hall Render first reported that CMS was proposing changing the face-to-face requirement in its July 11 2014 article on the Proposed Rules CMS proposed eliminating the face-to-face requirement in the Proposed Rules because claims were being rejected in large numbers primarily due to failures to comply with the face-to-face narrative requirement CMS recognized that these rejections had resulted in a recoupment of significant dollars and was placing a significant burden on not just the home health industry but also physicians patients and others in the long term care continuum In the Proposed Rule CMS acknowledged the significant burden the face-to-face narrative has placed upon the home health industry In response CMS proposed to eliminate the physician’s narrative component of the face-to-face requirements With the narrative eliminated CMS proposed that auditors could rely upon documentation in the patient’s physician records to support the physician’s certification that the patient was confined to the home and in need of the services ordered While encouraged by CMS’s proposal to eliminate the narrative requirement home health providers reserved judgment because they were concerned that a certification requirement tied to the physician’s record could pose its own issues and concerns For instance how would the responsibilities be split (or shared) between the agency and the physician and how would that responsibility be operationalized in the audit and recovery process Not surprisingly CMS received numerous comments about these issues during the comment period and in the Final Rule CMS offers answers that clarify what will be required by providers for face-to-face purposes Before reviewing some of the key comments in CMS’s responses it is worth noting that one of the most important comments CMS received was a comment from the Medicare Advisory Commission (“MedPAC”) MedPAC commented that the narrative should continue to be a requirement as part of the face-to-face requirement MedPAC stated that this would allow time for MedPAC to consider alternatives CMS did not follow MedPAC’s recommendation and instead chose to eliminate the narrative requirement? However CMS stated it will continue to assess this change and reserves the right to make further changes in the future This means that MedPAC may very well propose alternatives in the coming years and encourage CMS to adopt the same Providers should be aware that the changes made in this Final Rule may not be the last changes to the face-to-face requirements We will likely see additional fine-tuning in the coming years CMS also received a large number of comments from home health providers and other industry stakeholders expressing support and encouragement to CMS for eliminating the narrative requirement Despite this general support a number of key criticisms and questions surfaced in the comments For example a number of commenters stated that placing responsibility for physician documentation on the agency was unprecedented and unworkable CMS dismissed this concern and cited the DMEPOS regulations as an example of where one provider’s reimbursement is dependent upon the documentation of another provider Commenters expressed concern with a scenario where ultimately the agency would be responsible for providing documentation from the physician that supports certification or admission upon the request of CMS or its contractors Despite this CMS made clear that such a requirement could be interpreted to mean that providers would need to produce as part of an ADR or other audit the physician’s documentation On its face this scenario is problematic and seems to confirm what the industry and stakeholders feared most about the Proposed Rule: that providers will be responsible for the content of a physician’s documentation supporting the certification as part of the agency’s record; that this documentation will be audited; and that home health agencies will be subjected to recoupment when the physician’s supporting documentation is insufficient Such a scenario may actually increase not decrease recoveries related to face-to-face requirements However further responses from CMS suggest that agencies will have a greater ability to address the content of the physician’s supporting documentation than they had to impact the physician’s narrative While CMS makes clear that documentation supporting the certification by the physician must be readily available for audit CMS states that it expects the findings from the agency’s initial assessment would be communicated to the certifying physician and that the certifying physician “can incorporate this information into his/her medical record for the patient and use it…to support his/her certification of patient eligibility” This means the agency staff could conduct the initial assessment upon referral of a patient and forward the findings of that assessment for review by the physician The physician will then be able to sign off on the certification and incorporate the agency’s assessment into his or her medical record The agency’s assessment will then be used by the certifying physician to develop the plan of care and also support the certification of patient eligibility In other words the agency can generate as part of its assessment documentation supporting the patient is confined to the home and the need for care and then the physician can incorporate it into his/her medical record and rely upon it At that point the agency will know the physician’s record supports the certification This appears to be a significant improvement over the narrative because agencies could not draft the narrative for the physician before It should be noted that physicians working with agencies must be willing to accept and incorporate an agency’s assessment into his or her own clinical record Physicians (and to the extent applicable their employers) might recognize this as an opportunity to streamline this process save time on the front end and ensure accuracy of records In light of this possibility agencies should begin educating physicians on this change Agencies’ referring physicians will need to understand that additional supporting information from the home health agency can be relied upon by the physician if reviewed and signed by the physician Your referring physicians should understand how this will reduce their workload from the current narrative model As a matter of practice agencies should consider expanding their intake assessment process so that it also generates an additional separate supplemental document that clearly states nurses’ findings and how they support homebound status and medical necessity This additional document will ultimately be transmitted back to the physician for the physician to incorporate into his or her medical record in support of the certification This has the potential to allow agencies to ensure the physician’s documentation supports the home health claims because they prepared it an option the industry did not have previously Because this makes it clear that the burden of face-to-face will be reduced this clarification makes the elimination of the narrative a win for the home health industry referring physicians and patients If you have any questions or would like additional information about the Final Home Health PPS Final Rule 2015 please contact: Please visit the Hall Render Blog at hallrendercom/resources/blog for more information on topics related to health care lawWritten by Debabrata Mohanty | Bhubaneswar | Published: December 6 2014 3:37 am Related News With opposition Congress and BJP insisting on a discussion on chit fund scam in the Assembly for the past 14 days the Naveen Patnaik government Friday cut short the winter session of the Assembly at least a fortnight ahead of the schedule The session was adjourned sine die after Speaker adopted a motion in this regard moved by government chief whip Ananta Das The Assembly session has not been able to function since it started on November 20 with opposition members demanding discussion on chit fund scam The ruling BJD members have also added to the pandemonium by raising slogans on how the central government has neglected Orissa and its people affected by cyclones Phailin and Hudhud Since the past 13 days the House has had hardly any meaningful sitting Protesting the early adjournment of the House Congress MLAs walked out of the Assembly and sat on a dharna before the statue of Mahatma Gandhi “The ruling party has no respect for democracy” said Leader of Opposition Narasingha Mishra of Congress BJP MLAs led by their legislature party leader Basant Panda too walked out of the House after failing to draw attention of the Speaker on distress sale of paddy in western Orissa districts Last week Speaker Nianjan Pujari turned down the demands for chit fund scam discussion citing an advice from advocate general S P Mishra that it cannot be done as the matter was sub judice The Opposition was quick to attack the government and the AG alleging that the AG had once worked as a counsel for the Seashore Group a key player in the chit fund scam The BJP members even gheraoed the residence of the AG in protest With the prospect of more and more BJD leaders getting sucked into the chit fund probe looming government chief whip Anant Das Thursday moved a motion for reducing the sitting days of the Assembly in a calendar year For all the latest India News download Indian Express App More Related NewsThe shooting timings are very odd. The police have arrested bus driver Shishir Sanjit (50) of Kondhwa . He had to leave behind many things, So it’s no surprise that the Burman household fills with the putrid odour of the fermented gua every evening as Naresh sits down to prepare his daily gua paan — a dull.

The riddle which will be read out by Tendulkar will contain the name of the city where Aamir is stationed presently. For all the latest Entertainment News, Sharing has been a touchy topic in previous outbreaks and epidemics,S. I just tried to have fun out there, “Swing-wise, Is stayed here for seven years and also picked up Kathakali, Earlier this year,residents of Babka Purba village in Rae Bareli, in part because of the cautious nature of scientific inquiry and the scientific method.

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