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#outsourceing
globalbookkeeping123 · 8 months
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Accounting Outsourcing Services California
Accounting Outsourcing Services California
Accounting Outsourcing Service can be game-changer for companies in California looking for dependable and affordable options.
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thoughtportal · 1 year
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He didn’t invent anything
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ew-selfish-art · 10 months
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Dpxdc AU: consultant groups can be used to outsource problems for companies so why not monarchies?
Danny is listening to the various eyeballs and ghosts chatter on about all the issues that he now has to oversee and advise and make so many freaking decisions on. It’s annoying that it all has to come down to his call because he was a dumb 14 year old who didn’t want his town to permanently live in the ghost zone.
Now 17, King of the Infinite, and a bit wiser to the world, Danny is doing his best to balance his teenage ambitions to not give a shit and his protective obsession to very much give a shit.
Sams parents are making her learn the family business and Tucker is trying to make this internship he’s got with a fancy tech company out of New Jersey into a career without college… so while they’re commiserating with Danny the idea comes up.
Earth has a shit ton of heroes. Like, ever since the Justice League *poofed* the GIW out of existence with the Meta human acts- more and more caped crusaders seemed to be coming out of the wood work. More villains too but still, more people who seemed wise to their abilities and morals. Danny has literally never taken an ethics class.
But rn, Eye-mothy and Eye-Bert are arguing over how Danny as King Phantom is supposed to tackle the problem of some fucking pool acting as a weird trade route with a cult and… ugh it’s just so boring but like also such a fucking problem. But… maybe it can be someone else’s issue.
Opening a portal, Danny escapes into space and gets to work finding the base of operations- Tucker had told him there was a new satellite after all and there’s no way it wasn’t connected to the hero orgs- and boom he flies into the Watchtower.
“Hey- are any of you guys willing to consult on some weird pools of ectoplasm in Pakistan? Green and glowing little lakes of bullshit and magic?” Danny asks into the meeting room of the JL regardless of their startled and alarmed exclamations.
“… I could consult on that.” A voice comes from the corner, and Danny recognizes him as one of the bat people. Or bird? The guy is in a lot of red and clearly wasn’t supposed to be in this meeting based on the way he’s propped in the corner. The room erupts in protest but Danny barely hears them through his excitement and focus on the dude.
“Great! I’ll have him back before the end of the day! Lets go Bird boy!” And with that, Danny grabbed the Bird, chucked them both through a portal back into his thrown room and begins to explain the way these eyeballs are totally trying to trap him into doing more work than he needs to do.
“What do I call you by the way? I’m Danny but you’ll probably hear them call me King Phantom.”
“I go by Red Robin, and honestly, I’ve been trying to get this shit taken care of for years.”
From there Tim becomes a regular consultant for King Phantom- the Bat Family is losing their minds with him constantly going to the land of the dead but also Constantine said not to piss off the king at all costs.
Danny is just thrilled that this dude has a shit ton of insight as well as business sense- like he could legit run the monarchy way better than him despite the fact that they’re the same age.
They end up working together for years, and even when there’s not an active issue at hand, Danny will meet up with the bird just to talk.
Sam and Tucker think they’re hilarious each time they ask if Danny’s proposed yet.
Tim has already planned their wedding but all of that information is in a folder more secured than the nuclear codes- Danny needs to ask him on a date first.
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itechscripts2 · 1 year
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What type of IT services can be outsourced?
There are many types of IT services that can be outsourced, including:
Help Desk and Technical Support: Providing assistance to employees with technical issues.
Network Management: Maintaining and monitoring computer networks, including servers, storage, and security.
Cloud Services: Hosting data, applications, and services on remote servers accessed via the internet.
Software Development: Designing and building custom software applications.
Data Backup and Recovery: Ensuring that data is protected and can be quickly restored in the event of a disaster.
Cybersecurity: Protecting networks and data from unauthorized access, cyber attacks, and other security threats.
Infrastructure Management: Providing management and maintenance of physical infrastructure, including servers and storage devices.
Business Process Outsourcing (BPO) IT Enabled: Encompassing a wide variety of IT-enabled services like data entry, data processing, and customer service.
Website development and maintenance: Designing, building, and maintaining websites and web applications.
Mobile application development: Designing, building and maintaining mobile applications
It's worth mentioning that businesses can outsource certain aspects of IT service or the entire IT department, depending on their specific needs and goals.
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titsoutfornature · 6 months
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do you ever think about how vulnerable specialized labor under capitalism has left us?
do you know where to get folate, calcium, iron, iodine etc without buying pills or mass-produced fortified foods? do you know how to process out anti-nutrients in edible substances (like corn, cassava, etc)? do you know how to save and store seeds from various types of edible plants? do you know how to preserve meat without a freezer or salt? how to remove bittern from sea salt? how to find water in a drought and how to purify it? how to treat dehydration?
what happens when it's your money or your life? when militaries target supply chains during war?
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caddraft1 · 2 years
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BIM Outsourcing Services India | Best Outsource Revit BIM Services
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Chudasama Outsourcing offers the best Revit BIM Services including 3D BIM Modeling (Architectural, Structural, and MEP), 4D BIM Construction Scheduling, BIM Coordination, Scan/PDF/CAD to BIM, BIM consulting, etc. We work as per the client's requirements and we create BIM models from point cloud scans, sketches, drawings, PDF for our clients as per the required level of detail (LOD). We develop BIM models using Autodesk's AEC package and we deliver the model in the desired Revit version and file format. We have successfully worked on Revit BIM projects in USA, Canada, UK, Australia, New Zealand, Europe etc.
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blairpfaff · 7 months
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abby-howard · 4 months
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Spoons and her egg
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smallpwbbles · 2 days
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LMK fans are currently dying because official Lego channel just dropped a S5 trailer and there’s SIGNIFICANT change in the animation quality and m a a a an
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cadaverkeys · 4 months
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Idk why people think it's funny to buy shit from shien or temu or whatever slavery-corp is popular at the time just to video themselves laughing at the quality of the products. It's badly made because it's unrelentingly shoved through a production line for a few pennies each garment- this isn't fucking "content" and honestly these rich influencers should feel ashamed to openly admit that they're buying from companies that force their workers into slavery conditions.
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foldingfittedsheets · 2 months
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My father in law just told my betrothed he asked AI to write him a poem for his wife’s birthday.
I… cannot even. A poem, an expression of human sentiment and feeling, spit out by an uncomprehending machine as a string of words. Couldn’t even be bothered to feel his own feelings, he had a machine do it.
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frobby · 1 month
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welcome to venn diagram hell
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quimser · 11 days
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note: irken’s main associated color (not skin color) is determined via RGB options
(reblogs appreciated but not necessary)
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Cigna’s nopeinator
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I'm touring my new, nationally bestselling novel The Bezzle! Catch me THURSDAY (May 2) in WINNIPEG, then Calgary (May 3), Vancouver (May 4), Tartu, Estonia, and beyond!
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Cigna – like all private health insurers – has two contradictory imperatives:
To keep its customers healthy; and
To make as much money for its shareholders as is possible.
Now, there's a hypothetical way to resolve these contradictions, a story much beloved by advocates of America's wasteful, cruel, inefficient private health industry: "If health is a "market," then a health insurer that fails to keep its customers healthy will lose those customers and thus make less for its shareholders." In this thought-experiment, Cigna will "find an equilibrium" between spending money to keep its customers healthy, thus retaining their business, and also "seeking efficiencies" to create a standard of care that's cost-effective.
But health care isn't a market. Most of us get our health-care through our employers, who offer small handful of options that nevertheless manage to be so complex in their particulars that they're impossible to directly compare, and somehow all end up not covering the things we need them for. Oh, and you can only change insurers once or twice per year, and doing so incurs savage switching costs, like losing access to your family doctor and specialists providers.
Cigna – like other health insurers – is "too big to care." It doesn't have to worry about losing your business, so it grows progressively less interested in even pretending to keep you healthy.
The most important way for an insurer to protect its profits at the expense of your health is to deny care that your doctor believes you need. Cigna has transformed itself into a care-denying assembly line.
Dr Debby Day is a Cigna whistleblower. Dr Day was a Cigna medical director, charged with reviewing denied cases, a job she held for 20 years. In 2022, she was forced out by Cigna. Writing for Propublica and The Capitol Forum, Patrick Rucker and David Armstrong tell her story, revealing the true "equilibrium" that Cigna has found:
https://www.propublica.org/article/cigna-medical-director-doctor-patient-preapproval-denials-insurance
Dr Day took her job seriously. Early in her career, she discovered a pattern of claims from doctors for an expensive therapy called intravenous immunoglobulin in cases where this made no medical sense. Dr Day reviewed the scientific literature on IVIG and developed a Cigna-wide policy for its use that saved the company millions of dollars.
This is how it's supposed to work: insurers (whether private or public) should permit all the medically necessary interventions and deny interventions that aren't supported by evidence, and they should determine the difference through internal reviewers who are treated as independent experts.
But as the competitive landscape for US healthcare dwindled – and as Cigna bought out more parts of its supply chain and merged with more of its major rivals – the company became uniquely focused on denying claims, irrespective of their medical merit.
In Dr Day's story, the turning point came when Cinga outsourced pre-approvals to registered nurses in the Philippines. Legally, a nurse can approve a claim, but only an MD can deny a claim. So Dr Day and her colleagues would have to sign off when a nurse deemed a procedure, therapy or drug to be medically unnecessary.
This is a complex determination to make, even under ideal circumstances, but Cigna's Filipino outsource partners were far from ideal. Dr Day found that nurses were "sloppy" – they'd confuse a mother with her newborn baby and deny care on that grounds, or confuse an injured hip with an injured neck and deny permission for an ultrasound. Dr Day reviewed a claim for a test that was denied because STI tests weren't "medically necessary" – but the patient's doctor had applied for a test to diagnose a toenail fungus, not an STI.
Even if the nurses' evaluations had been careful, Dr Day wanted to conduct her own, thorough investigation before overriding another doctor's judgment about the care that doctor's patient warranted. When a nurse recommended denying care "for a cancer patient or a sick baby," Dr Day would research medical guidelines, read studies and review the patient's record before signing off on the recommendation.
This was how the claims denial process is said to work, but it's not how it was supposed to work. Dr Day was markedly slower than her peers, who would "click and close" claims by pasting the nurses' own rationale for denying the claim into the relevant form, acting as a rubber-stamp rather than a skilled reviewer.
Dr Day knew she was slower than her peers. Cigna made sure of that, producing a "productivity dashboard" that scored doctors based on "handle time," which Cigna describes as the average time its doctors spend on different kinds of claims. But Dr Day and other Cigna sources say that this was a maximum, not an average – a way of disciplining doctors.
These were not long times. If a doctor asked Cigna not to discharge their patient from hospital care and a nurse denied that claim, the doctor reviewing that claim was supposed to spend not more than 4.5 minutes on their review. Other timelines were even more aggressive: many denials of prescription drugs were meant to be resolved in fewer than two minutes.
Cigna told Propublica and The Capitol Forum that its productivity scores weren't based on a simple calculation about whether its MD reviewers were hitting these brutal processing time targets, describing the scores as a proprietary mix of factors that reflected a nuanced view of care. But when Propublica and The Capitol Forum created a crude algorithm to generate scores by comparing a doctor's performance relative to the company's targets, they found the results fit very neatly into the actual scores that Cigna assigned to its docs:
The newsrooms’ formula accurately reproduced the scores of 87% of the Cigna doctors listed; the scores of all but one of the rest fell within 1 to 2 percentage points of the number generated by this formula. When asked about this formula, Cigna said it may be inaccurate but didn’t elaborate.
As Dr Day slipped lower on the productivity chart, her bosses pressured her bring her score up (Day recorded her phone calls and saved her emails, and the reporters verified them). Among other things, Dr Day's boss made it clear that her annual bonus and stock options were contingent on her making quota.
Cigna denies all of this. They smeared Dr Day as a "disgruntled former employee" (as though that has any bearing on the truthfulness of her account), and declined to explain the discrepancies between Dr Day's accusations and Cigna's bland denials.
This isn't new for Cigna. Last year, Propublica and Capitol Forum revealed the existence of an algorithmic claims denial system that allowed its doctors to bulk-deny claims in as little as 1.2 seconds:
https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims
Cigna insisted that this was a mischaracterization, saying the system existed to speed up the approval of claims, despite the first-hand accounts of Cigna's own doctors and the doctors whose care recommendations were blocked by the system. One Cigna doctor used this system to "review" and deny 60,000 claims in one month.
Beyond serving as an indictment of the US for-profit health industry, and of Cigna's business practices, this is also a cautionary tale about the idea that critical AI applications can be resolved with "humans in the loop."
AI pitchmen claim that even unreliable AI can be fixed by adding a "human in the loop" that reviews the AI's judgments:
https://pluralistic.net/2024/04/23/maximal-plausibility/#reverse-centaurs
In this world, the AI is an assistant to the human. For example, a radiologist might have an AI double-check their assessments of chest X-rays, and revisit those X-rays where the AI's assessment didn't match their own. This robot-assisted-human configuration is called a "centaur."
In reality, "human in the loop" is almost always a reverse-centaur. If the hospital buys an AI, fires half its radiologists and orders the remainder to review the AI's superhuman assessments of chest X-rays, that's not an AI assisted radiologist, that's a radiologist-assisted AI. Accuracy goes down, but so do costs. That's the bet that AI investors are making.
Many AI applications turn out not to even be "AI" – they're just low-waged workers in an overseas call-center pretending to be an algorithm (some Indian techies joke that AI stands for "absent Indians"). That was the case with Amazon's Grab and Go stores where, supposedly, AI-enabled cameras counted up all the things you put in your shopping basket and automatically billed you for them. In reality, the cameras were connected to Indian call-centers where low-waged workers made those assessments:
https://pluralistic.net/2024/01/29/pay-no-attention/#to-the-little-man-behind-the-curtain
This Potemkin AI represents an intermediate step between outsourcing and AI. Over the past three decades, the growth of cheap telecommunications and logistics systems let corporations outsource customer service to low-waged offshore workers. The corporations used the excuse that these subcontractors were far from the firm and its customers to deny them any agency, giving them rigid scripts and procedures to follow.
This was a very usefully dysfunctional system. As a customer with a complaint, you would call the customer service line, wait for a long time on hold, spend an interminable time working through a proscribed claims-handling process with a rep who was prohibited from diverging from that process. That process nearly always ended with you being told that nothing could be done.
At that point, a large number of customers would have given up on getting a refund, exchange or credit. The money paid out to the few customers who were stubborn or angry enough to karen their way to a supervisor and get something out of the company amounted to pennies, relative to the sums the company reaped by ripping off the rest.
The Amazon Grab and Go workers were humans in robot suits, but these customer service reps were robots in human suits. The software told them what to say, and they said it, and all they were allowed to say was what appeared on their screens. They were reverse centaurs, serving as the human faces of the intransigent robots programmed by monopolists that were too big to care.
AI is the final stage of this progression: robots without the human suits. The AI turns its "human in the loop" into a "moral crumple zone," which Madeleine Clare Elish describes as "a component that bears the brunt of the moral and legal responsibilities when the overall system malfunctions":
https://estsjournal.org/index.php/ests/article/view/260
The Filipino nurses in the Cigna system are an avoidable expense. As Cigna's own dabbling in algorithmic claim-denial shows, they can be jettisoned in favor of a system that uses productivity dashboards and other bossware to push doctors to robosign hundreds or thousands of denials per day, on the pretense that these denials were "reviewed" by a licensed physician.
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If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
https://pluralistic.net/2024/04/29/what-part-of-no/#dont-you-understand
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lgbtlunaverse · 10 months
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"Nie Mingjue would still have died young even if Jin Guangyao hadn't killed him" Not as in "So it's fine to kill him because people who won't live for much longer have obviously already forfeit their lives" (what) But as in "If you don't get that Nie Mingjue has had an inevitable young and violent death hanging over him since he was a young teenager and has embraced it you can't fully understand his character"
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boatboysrowout · 1 year
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starting a collection of etho patented malfunctioning redstone gasps
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