![]() ![]() A "bridge of supply" is necessary.Īmerica holds a vast dormant stockpile of cluster munitions. Ukraine is fast running out of more conventional artillery with supply stocks in America and elsewhere running low. ![]() The so-called spring offensive did not materialise in the spring and looks set to falter through the summer too. The transfer is a clear signal that the war is not going well for Ukraine. So why supply it? Well, the facts on the ground are not in Ukraine’s favour. Children are overwhelmingly the victims.īy supplying the weapon, there is a clear risk to civilians, not now necessarily, but in the future. The legacy of unexploded cluster bomblets is evident on former battlefields globally.Īmerica also risks losing the moral high ground against Russia by supplying a weapon banned by much of the world. Globally, civilians represent 97% of cluster munition casualties according to a report last year by the Landmine and Cluster Munition Monitor, an organisation which seeks to ban them altogether. The long and grim record of the cluster bomb explains the unease and the controversy. The White House is fully aware of the huge controversy surrounding this cluster munitions decision.ġ23 countries are part of the 2008 International Convention on Cluster Munitions which bans use or transfer of this particular weapon.Īlmost all of America’s allies are signatories to the convention.Įven within US government circles there has been deep unease about supplying its own stockpile of cluster munitions to Ukraine.Īs recently as last week, within the State Department, there was division about the decision to supply the weapon. And the real test will be when they identify those, how rapidly they're able to exploit those weak spots." "They are still probing Russian lines Russian areas for weak spots. "It's too early to judge how the counteroffensive is going one way or the other because we're at the beginning of the middle," Mr Kahl said at the Pentagon. He expressed confidence Kyiv was doing its best in a difficult fight. The United States and other allies have spent months building Ukraine a so-called "mountain of steel" of weaponry and training Ukrainian forces in combined arms techniques to help Kyiv pierce formidable Russian defenses during its counter-offensive.īut Russia also spent months digging into defensive positions, surrounding them with landmines and building heavily armed fortifications that have made Ukrainian advances in the east and south slow and bloody.Ĭolin Kahl, the Pentagon's top policy advisor, told reporters Russia was more successful digging in "than perhaps was fully appreciated." The more time that passes, the less reliable the entry becomes.Ukraine's counteroffensive is going more slowly than some expected but it remains too early to draw conclusions about Kyiv's prospects for battlefield gains, a senior Pentagon official has said. When using late entries, document as soon as possible.If the late entry is used to document an omision, validate the source of additional information as much as possible (e.g., where you obtained the information to write the late entry).Identify or refer to the date and incident for which the late entry is written.Do not try to give the appearance that the entry was made on a previous date or time. ![]() Identify the new entry as "late entry.".The following tips apply to late entries in the medical record: The guidance goes on to state that providers who have a pattern of making entries more than 30 days after the date of service may need to be referred to the Medicare contractor responsible for investigating potential fraud cases. The PIM instructs Medicare auditors to give less weight when making review determinations to documentation created more than 30 days following the date of service. Have you ever wondered if it is acceptable to add medical record documentation after the service has been provided and if so, how long after the service was rendered it is appropriate to add information? This issue has been addressed in theĬenter for Medicare and Medicaid Services (CMS) Program Integrity Manual (PIM) which provides guidance to contractors hired by CMS to audit medical record documentation. ![]()
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