Welcome to STEMGuyana

"Unlocking the world class potential of Guyana's youth"

Support Our Sponsors

STEM Guyana, in association with K12youthcode.com and The Office Of The First Lady of Guyana have planned four Robot building and programming camps scheduled for the week of June 25th, 2016 and August 1st, 2016.  The camps will culminate in a session of celebration and competition as students exhibit their creations for friends, family and the public.

The purchase of the robots was made possibly by the support of members of the diaspora who raised $1M GY to purchase robots and supplies.  We call them Team STEM Guyana and this project would not have been possible without them.

We have also received support from corporate sponsors who supplied money and services to ensure the success of the project.  Please support our sponsors, they were critical to the process.

Members of Team STEM Guyana
Team STEM Guyana members funded the robots, batteries, flash drives and plastic containers for the robot parts. Without the generosity and support of Team STEM Guyana, this program simply would not have been possible.

Andrea Williams
Asha Edwards
Audrey Jackson
Blake Edwards
Brent Sullivan
Carl Agard
Carmen Sargeant
Carol Scott
Caroline Smartt
Carolyne Chisholm Moore
Colin Patterson
Cosette Barnwell-Smith
David Kadan
Dean Massiah
Debra Gibson-Welch
Denise Duff
Doreen Morgan
Gairy Moore
Heather Chin
Jacqueline Smartt
Jonathan Benschop
Keith Williams
Kevin Granger
Kirk Cramer
Leroy Nelson
Lester McRae
Lisa Patoir
Marcia Ross
Mark Moseley
Marlon Noel
Melanie Wilson
Michelle Edwards
Nathilee Caldeira
Nigel Hughes
Peta Westmaas

 

Special thanks to helpful organizations
Ministry of Education

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    Now, health and fitness treatment fraud is all about the news.
    There unquestionably is fraud in wellbeing care. The exact same is legitimate for every business enterprise
    or endeavor touched by human palms, e.g. banking, credit score,
    coverage, politics, etcetera. There is no query that wellness treatment companies who abuse their posture and our rely on to steal are a challenge.
    So are individuals from other professions who do the identical.

    Why does well being care fraud look to get the ‘lions-share’ of interest?
    Could it be that it is the ideal auto to push agendas
    for divergent teams in which taxpayers, overall health treatment people and wellbeing care suppliers are dupes in a health and fitness treatment fraud shell-activity operated with ‘sleight-of-hand’ precision?

    Consider a closer search and a person finds this
    is no activity-of-prospect. Taxpayers, people and vendors constantly reduce due to
    the fact the trouble with wellbeing care fraud
    is not just the fraud, but it is that our govt and insurers use the fraud difficulty to even further agendas while at the similar time are unsuccessful to be accountable and consider responsibility for a fraud issue they
    aid and allow for to prosper.

    1.Astronomical Expense Estimates

    What much better way to report on fraud then to tout fraud charge estimates,
    e.g.

    – “Fraud perpetrated from the two general public and non-public health strategies fees between $seventy two and $220 billion yearly, expanding the charge of healthcare treatment and wellness insurance coverage and undermining community belief in our health care technique… It is no lengthier a secret that fraud represents 1 of the swiftest rising and most expensive types of crime in The usa right now… We shell out these expenses as taxpayers and by better overall health insurance rates… We should be proactive in combating health and fitness treatment fraud and abuse… We have to also guarantee that law enforcement has the resources that it requirements to discourage, detect, and punish well being treatment fraud.” [Senator Ted Kaufman (D-DE), ten/28/09 push release]

    – The Common Accounting Business office (GAO) estimates that fraud in health care ranges from $60 billion to $600 billion per year – or wherever amongst three% and 10%
    of the $2 trillion health care spending budget. [Wellness Treatment Finance News reports, ten/two/09] The GAO is the investigative arm of Congress.

    – The Countrywide Overall health Care Anti-Fraud Affiliation (NHCAA) reviews over $54 billion is stolen each year in frauds built to adhere us
    and our insurance providers with fraudulent and unlawful health-related fees.
    [NHCAA, website-web page] NHCAA was produced and is funded by wellness insurance plan businesses.

    Sadly, the trustworthiness of the purported estimates is dubious at finest.
    Insurers, state and federal companies, and other people may get fraud data linked to their possess missions,
    wherever the type, quality and volume of data compiled differs extensively.
    David Hyman, professor of Regulation, College of Maryland,
    tells us that the extensively-disseminated estimates of the incidence of health
    and fitness treatment fraud and abuse (assumed to
    be ten% of full spending) lacks any empirical foundation at all,
    the small we do know about wellbeing treatment fraud and abuse is dwarfed by what
    we do not know and what we know that is not so.
    [The Cato Journal, 3/22/02]

    two.Overall health Treatment Benchmarks

    The legislation & principles governing wellbeing treatment – change
    from state to condition and from payor to payor – are considerable
    and very complicated for suppliers and other individuals to fully
    grasp as they are created in legalese and not simple converse.

    Suppliers use particular codes to report ailments
    handled (ICD-9) and expert services rendered (CPT-4 and HCPCS).

    These codes are employed when searching for payment
    from payors for providers rendered to sufferers. Although created to
    universally utilize to facilitate precise reporting to reflect providers’ services, many insurers instruct companies to report
    codes centered on what the insurer’s computer enhancing plans recognize – not on what the company rendered.
    Further, apply setting up consultants instruct vendors on what codes to report to get compensated
    – in some cases codes that do not precisely reflect the
    provider’s service.

    Individuals know what expert services they get from their medical
    doctor or other company but may well not have a clue as to what all those billing codes or service descriptors necessarily mean on rationalization of added benefits received from insurers.
    This lack of knowing could outcome in people transferring on without
    having getting clarification of what the codes suggest, or may perhaps result in some believing they were improperly billed.
    The multitude of insurance policies strategies obtainable right now, with varying stages of coverage, advert a wild card
    to the equation when expert services are
    denied for non-protection – specially if it is Medicare that denotes
    non-protected products and services as not medically needed.

    3.Proactively addressing the health and fitness treatment fraud difficulty

    The government and insurers do really small
    to proactively handle the trouble with tangible routines that will consequence in detecting inappropriate claims before they are compensated.

    Without a doubt, payors of wellbeing care promises proclaim
    to work a payment method dependent on rely on that
    suppliers monthly bill accurately for companies rendered, as they
    can not review each claim before payment is produced for the reason that the reimbursement system would shut down.

    They assert to use subtle pc packages to appear for faults and styles in statements, have elevated pre- and publish-payment audits
    of chosen vendors to detect fraud, and have made consortiums and
    undertaking forces consisting of law enforcers and coverage
    investigators to research the challenge and share fraud data.

    Even so, this exercise, for the most part, is working with exercise following the declare is paid and has very little bearing on the proactive detection of fraud.

    4.Exorcise wellness care fraud with the development
    of new rules

    The government’s studies on the fraud problem are released in earnest in conjunction with attempts
    to reform our overall health treatment method, and our experience displays us that it in the end final
    results in the govt introducing and enacting new laws – presuming new regulations will consequence in extra fraud detected, investigated and prosecuted – without setting up how
    new rules will carry out this additional effectively than present laws that
    ended up not made use of to their whole likely.

    With such attempts in 1996, we acquired the Overall health Coverage Portability and Accountability Act (HIPAA).
    It was enacted by Congress to deal with coverage portability and accountability
    for individual privacy and health and fitness treatment fraud and
    abuse. HIPAA purportedly was to equip federal law enforcers and prosecutors with
    the applications to assault fraud, and resulted in the development of a variety of
    new health care fraud statutes, including: Overall health
    Care Fraud, Theft or Embezzlement in Wellbeing Treatment, Obstructing Prison Investigation of Overall health Treatment,
    and Bogus Statements Relating to Well being Care Fraud Issues.

    In 2009, the Overall health Treatment Fraud Enforcement Act appeared
    on the scene. This act has not too long ago been launched by Congress
    with claims that it will build on fraud prevention attempts and improve the governments’ ability to investigate and prosecute waste, fraud and abuse in the two governing administration and non-public wellness insurance coverage by sentencing will increase
    redefining wellness care fraud offense increasing whistleblower statements generating popular-perception mental point out need for health
    treatment fraud offenses and rising funding in federal antifraud paying out.

    Definitely, regulation enforcers and prosecutors Ought to have the applications to properly do their work opportunities.

    However, these steps alone, with out inclusion of some tangible and
    significant just before-the-assert-is-paid out steps, will have
    small effect on reducing the occurrence of the problem.

    What is one person’s fraud (insurance company alleging medically unnecessary
    expert services) is one more person’s savior (supplier administering assessments to protect against likely lawsuits from authorized sharks).

    Is tort reform a likelihood from people pushing for wellness treatment reform?
    Sadly, it is not! Aid for laws putting new and onerous
    needs on providers in the name of combating fraud,
    nevertheless, does not surface to be a issue.

    If Congress seriously would like to use its legislative powers to make a difference on the fraud
    challenge they have to imagine outdoors-the-box of what has
    already been finished in some kind or trend. Focus on some front-close exercise that
    deals with addressing the fraud before it takes place.
    The adhering to are illustrative of ways that could be taken in an effort and hard work to stem-the-tide on fraud
    and abuse:

    -Demand all payors and companies, suppliers and other
    folks only use authorised coding units, where the codes are clearly defined
    for ALL to know and comprehend what the specific code suggests.
    Prohibit any one from deviating from the defined indicating when reporting expert
    services rendered (providers, suppliers) and adjudicating
    statements for payment (payors and other people). Make violations a stringent legal
    responsibility concern.

    -Demand that all submitted claims to general public
    and non-public insurers be signed or annotated in some fashion by
    the individual (or ideal agent) affirming they been given the reported and billed
    providers. If this kind of affirmation is not current claim isn’t really paid.

    If the declare is later identified to be problematic investigators
    have the skill to speak with both the service provider and the individual…

    -Call for that all claims-handlers (especially if they have authority to pay out promises),
    consultants retained by insurers to assist on adjudicating statements, and fraud investigators be accredited by a countrywide accrediting business less than the purview of the govt to
    exhibit that they have the requisite knowledge for recognizing overall health care fraud, and the knowledge to detect and examine the fraud in overall health care statements.
    If these kinds of accreditation is not obtained, then neither the personnel nor the
    specialist would be permitted to touch a health care assert or investigate suspected health and
    fitness treatment fraud.

    -PROHIBIT community and personal payors from asserting
    fraud on promises previously paid out wherever it is recognized that the payor realized or need to have identified the declare was incorrect and must not have
    been paid. And, in people conditions where by fraud is set up in compensated statements any monies collected from suppliers and suppliers for overpayments
    be deposited into a national account to fund many fraud and abuse instruction programs for buyers, insurers,
    law enforcers, prosecutors, legislators and many others fund front-line investigators for state health and fitness treatment
    regulatory boards to examine fraud in their respective jurisdictions as nicely as
    funding other well being care similar exercise.

    -PROHIBIT insurers from elevating rates of policyholders centered on estimates of
    the occurrence of fraud. Call for insurers to establish a factual basis for purported losses attributed to fraud coupled with exhibiting tangible
    proof of their attempts to detect and examine fraud, as properly as not spending fraudulent claims.

    five.Insurers are victims of well being care fraud

  10. November 14, 2018 at 4:15 am

    Pretty! This has been a really wonderful article. Thanks for supplying this info.

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