Will your Medicare claims stand up?

In the first two installments of our series, we gave you the details of reimbursement under the new Medicare fee schedule, and showed how to code evaluation-and-management services with the revised CPT system.* This issue, we'll tell what to expect from Medicare carriers as they teach and enforce the new payment rules.     

“People First—Always”: Euphemism and Rhetoric as Troublesome Influences on Organizational Sense-Making—A Downsizing Case Study

The purpose of this paper is to examine the role of euphemism and rhetoric in influencing organizational members' constructions of reality and sense-making abilities. The discussion opens with a return to the role of the sociology of knowledge, before exploring the purpose and outcomes of euphemism and rhetoric. Heideggerian phenomenology was used to collect this particularly poignant story from Adrian (a pseudonym), who was made redundant from his workplace after heart bypass surgery. Weick's theoretical exposition of sense-making in organizations is used to examine Adrian's story, with the purpose of demonstrating that sense-making is highly influenced by the use of rhetoric and euphemism (K. E. Weick, 1995, Sense-making in Organizations. Thousand Oaks, CA: Sage). When the truth finally comes out, the outcome is seen to be serious—even life threatening.     

Women,unions, and social policy

We contend in this paper that the trade union role in social policy is expanding due to the debate on women's issues. The Centrale de l'enseignement du Québec is seen as a forerunner of this trend, with its policy positions on questions previously seen as personal. The method of promotion of these interests is also new, with caucusing and networking. The significance of these changes goes beyond unionized women workers and affects all women. Dr. Margaret Beattie is Professor adjoint at the Département de Service Social, Université de Sherbrooke, Quebec, Canada. Her most important publication is: Women and Factional Politics in a Teacher's Union, Atlantis: A Women's Studies Journal (Fall 1982).