Saturday 21 November 2009

Medical Billing Outsourcing Versus In-house

There are many compelling reasons why medical billing outsourcing to a professional medical billing and coding company makes sense. A major problem with in-house medical billing services is the human one. Management, turnover, retraining and growth. Do you have the time and money for all of that? HRM (Human Resource Management) is the most compelling single reason why physicians and other medical service providers outsource their medical billing to a medical billing company that specializes in providing this service.
HRM problems come about from two areas, employee turnover and practice growth.
Reducing Employee Turnover With Medical Billing Outsourcing:
While your practice may be lucky by having people who have stayed with you through the years, the fact remains that they will, eventually, leave. Others are faced with an on-going turnover problem. In either event, once a medical billing specialist leaves, you are forced to fill the vacant spot right away or your cash-flow may be compromised. That often means hiring someone with lesser …or worse yet very little medical billing experience. Inexperienced medical billing specialist make errors ... errors that can cost your practice money or seriously delay your getting paid in a timely manner. Also, who will take the time to train your new medical billing specialist? Will you spend your time doing this? Or will you pay someone else to do it? Is that a good use of your time? Even if you still have other medical billing specialists, their use in training will take away from their time normally spent in helping to get you paid in a timely manner. Medical billing outsourcing avoids these problems all together.

Many medical practices go through high turnover periods, while others find loyal people who dedicate many years to working for the same Physician. The human resource management cycle can be very difficult for a Physician to maintain. Once the medical billing specialist leaves, the Physician is left with no other option and is usually forced to hire another medical billing specialist who has very little experience. Ask yourself this question, when would you be the most worried; when your receptionist quits or when your medical billing specialist leaves? Do you really have the time to find a medical billing specialist who is experienced and reliable and can do the right job with the amount of attention your medical billing deserves? Medical billing outsourcing is a better solution.

Growing a Professional Practice:

As your business grows, your revenues will grow and so will the medical billing and coding workload. However, your employee costs are fixed costs, while your billings and receivables are not fixed. So, when your business has grown to the point where the workload overtaxes the current medical billing personnel, you will need to add another medical billing specialist … maybe more. That is an abrupt increase in fixed costs, because now you are - in effect - overstaffed, as the volume of the workload has not as yet caught up to your newly-expanded billing capacity.

Use medical billing outsourcing to change your medical billing expenses from a fixed cost to a variable cost and improve your ability to manage your business.

When you choose medical billing outsourcing, your costs vary directly with your medical billings. If your medical billings drop, your costs drop. If your medical billings go up, your costs do not rise disproportionately. This simple fact can make your business planning easier.

Less Paperwork and Lower Employee Costs With Medical Billing Outsourcing

If you do your medical billing internally, salary is typically only about 70-75% of your employee costs when you figure in payroll taxes, FICA and insurance. Not to mention that added paperwork cost of administering them. Plus, when your medical billing specialists are sick or on vacation, you’re still paying them for not working. When you outsource your billing by taking advantage of our professional medical billing specialists, the overhead and paperwork is ours, not yours.

• Medical Billing Specialist's Employee salary
• Medical Billing Specialist's Employee benefits
o Worker’s compensation
o FICA
o Healthcare insurance
o Vacation, sick leave, etc.
o Performance bonus
• Computer hardware purchase & maintenance
• Software purchase & renewal
• Clearinghouse fees
• Postage
• Stationery
• Physical (Office) Space
• Training and re-training
• Recruitment costs
• YOUR time
• YOUR opportunity costs

Reduce Errors and Receive Revenue Faster With Medical Billing Outsourcing:

Medical Insurers are always looking for ways to slow down paying you. It’s how they manage their cash flow. Anything that is miscoded can cause your bill to be rejected or its payment delayed significantly. When you outsource your medical billing to our medical billing specialists, you’ll not only be getting professional medical billing services, you’ll be benefiting from a degree of accuracy that would be difficult to match internally. At Medical Billing, each submission is reviewed by a supervisor to help ensure accuracy. That “extra level of eyes” is a luxury impractical with in-house medical billing.

Our Incentive, Your Control

When you take advantage of medical billing outsourcing, you improve your cash flow and collections and reduce the costs and headaches of employee problems. And we can even offer you a line of credit at Below-Prime through Medical-Finance.com

Call now for a free consultation. Let our Medical Billing Specialists show you how to keep more of the money you make. Outsourcing your medical billing services allows the money you get to grow in direct proportion to the direction your business is going.

This article was written by the medical-billing.com staff.

Call to speak with one of our medical billing specialists at:

1-800-966-9270

Or visit us at:

1-800-966-9270
solutions@medical-billing.com

http://medical-billing.com

Tuesday 17 November 2009

Understanding Nitrogen Cycle For New Tanks - 20 Interesting Facts Revealed

There are several hobbies one can have that turn in to real passion some day. One among them is maintaining an aquarium. This hobby though is a serious one as there is no room for mistakes else you shall land up harming or killing a living creature.
The first and foremost thing you must understand before deciding to take care of an aquarium and its fishes is that prior to purchasing the fishes you must prepare the fish tank and make it apt for the fish to live in. This process needs lot of patience and knowledge else you might land up killing those beautiful creatures.

For preparing the fish tank you must first add the gravel and all other additives in the tank. Make sure that all these decorations are rinsed well so that the water is free of all harmful bacteria. The process of preparing the tank can take anywhere between 24 hours and 4 weeks.

Make sure that you do not use any soap while washing these substrates. Next, fill in the tank with dechlorinated water. Attach the filters & lighting. Now, allow the tank to cycle until at least once the water becomes clouded. Then allow the cloud to settle down. Make use of that test kit to check for the optimal temperature of water and for the sufficient P.H.

Also, be sure that you do not add any new fish to the tank until and unless the water in there is crystal clear.

Actually, when the aquarium is fully functional, some bacteria support the breakdown of ammonia in to nitrates. These bacteria are generated from the existing fish hence they are not there in a non-active fish tank. So, the crux of this explanation is that without any existing fish, there would be no good bacteria in the tank water.

This is called as the nitrogen cycle. You must know that the nitrogen cycle would not initiate until & unless you add fish to the tank. Hence, running the empty tank for quite a lot of days would not do any help.

The nitrogen cycle that takes place in the fish tank clears away the toxic chemicals being generated in there in to beneficial ones. This cycle generates foam that makes the water cloudy for sometime. This is a natural process and you do not have to worry if this happens, rather it proves that the tank is healthy enough for the fish.

Here are some simple points to understand what nitrogen exactly is:

1. Like all living beings the fishes eat food & generate waste or excreta.

2. This waste combines with the excess food that settles down at the base of the tank and the plant debris forming ammonia in your aquarium.

3. Ammonia is quite toxic and hence pretty harmful for the fishes, therefore we need to imply a mechanism to break it down.

4. This mechanism is the nitrifying of bacteria.

5. These bacteria turn the ammonia in the aquarium in to nitrites that are rather tolerable to the fishes.

6. Next, the varied nitrifying bacteria would convert the nitrites in to nitrates that are further less toxic for the fish & other aquarium life.

7. These nitrates are collected & minimized by filters. They would eventually accumulate in your tank.

Know your fish

Here are some types of fish that we recommend you to place in your aquarium:

1. Hardy fishes like barb, danios, gouramis, and other live bearers are known for their ability to withstand quite high nitrite levels & ammonia that are generated in a new aquarium.

2. Check that the ideal way is to introduce only one fish at a time, and gradually increase the number of fishes in the tank. You could also consider starting with 4 different types of hardy fishes, one of each type.

3. The right way to add a fish in the tank is that you must afloat the fish in a bag in to the aquarium for around 15 minutes prior to leaving them in the tank. This would help your fish get acclimated to the temperature of the water in its new home.

4. Make sure that you do not add the water of the fish bag in to the aquarium as this water might be contaminated, or would at times affect the temperature of the aquarium and the P.H. level of the water in there.

5. Before giving the first ever feed to the fish, give it at least two hours to get acquainted with its new house.

6. While purchasing the first fish of yours, be sure to purchase some food for it. Remember that you should feed only small amounts of the food initially.

7. The food that remains settles down at the bottom and rots down finally. This rotten food becomes debris and develops severely toxic chemicals that can kill your fish that is ammonia. So, try to maintain the least amount of remaining food. This thing must be taken are of in the newly set up aquariums especially those that lack the nitrifying bacteria.

8. The trick to do it simply is to watch your fish while feeding them. Only put in the amount of food it consumes in the first 2-3 minutes, that to only twice a day. In case of food, also make sure to read through the label of the fish that you always get on the purchase of the fish.

9. During the first month, make sure to test the level of P. H. in the water everyday.

10. In case the tank is getting cloudy; it is time to add some clarifiers in the water.

11. Monitor your fish well enough for any signs of ailment or stress.

12. The usual behavior study of the fish in the aquarium explains that the healthy fish would swim regularly and the lethargic ones would usually hover around the surface of its aquarium.

13. Hence, water in the tank must be changed regularly, especially when it is new. For the new fish tank you must consider changing around 10% of its total water every few days. This must be done for at least the first few weeks or so.

Abhishek is an avid Fish Lover and he has got some great Aquarium Care Secrets up his sleeves! Download his FREE 105 Pages Ebook, "Aquarium Care Made Easy!" from his website http://www.Wonder-Homes.com/636/index.htm . Only limited Free Copies available.

Wednesday 11 November 2009

Medical Malpractice : Tragic But Very Common

Medical malpractice can occur whenever a patient is in the care of a healthcare professional. This can involve the failure or delay in properly diagnosing or treating an illness or injury so that it causes new or aggravated injuries.

Highly experienced and knowledgeable medical malpractice attorneys help thousands of people every year who have been the victim of medical malpractice or medical negligence.

Many people do not realize how frequently medical malpractice occurs. In fact, thousands of people every year are either injured from medical malpractice or medical negligence, or die from injuries or illnesses that could have been prevented or treated with proper medical care.

If you or a loved one has been injured or if a loved one has died as a result of medical malpractice, contact an experienced medical malpractice attorney. Medical malpractice claims can be difficult because health records must be researched and rules and regulations must be followed in order to prove that injuries were sustained or aggravated as a result of the medical malpractice or medical negligence.

Since medical malpractice can occur in many different situations, medical malpractice claims can take many different forms, for many different reasons. Some of the common medical malpractice claims are:

· Birth Injury – when an infant is born, it is a very delicate situation, and medical malpractice can arise because of errors made in the delivery or care of the infant.
· Cerebral Palsy – is a medical condition that is caused by brain damage from a number of reasons. Many times, cerebral palsy is caused by medical malpractice or medical errors, such as birth injury.
· Failure to Diagnose – if your healthcare provider fails to diagnose you for an illness, they could be held liable for medical malpractice because they did not prescribe a treatment, and thus allowed the illness to progress.
· Medication Errors – if you are prescribed the wrong medication it is medical malpractice, and the results can be disastrous. If you are allergic to certain substances, the wrong medication can even cause death.
· Defective Medical Devices – if you are injured or suffer medical problems because you are prescribed or given a defective medical device, the healthcare provider can be held responsible for the resulting injury.
· Wrongful Death – Thousands of people die every year from medical malpractice. If you believe your loved one died due to medical malpractice, contact an experienced medical malpractice attorney.

Medical malpractice can cause serious health problems. If you have been the victim of medical malpractice, you are entitled to compensation for the resulting medical bills, lost wages, loss of enjoyment of life, and other damages.

Please contact the attorneys at Bush Lewis, P.L.L.C. today to schedule your confidential initial consultation. The attorneys at Bush Lewis serve clients in Beaumont, Orange and surrounding areas of Texas.
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Monday 9 November 2009

Pontiac Daytona Prototype (dp) and Gt Teams Ready for the Race at the Glen

Pontiac Daytona Prototype (DP) and GT teams are preparing for the second distance race of the season---the Sahlen’s Six hours at the Glen and the round six of the Grand-Am Rolex Sports Car Series presented by Crown Royal Special Reserve which will be run on June 9, 2007, Saturday.

The Watkins Glen International raceway is considered to be historic with a 3.4-mile layout and 11 turns, it the third longest race on the Rolex Series schedule. The six-hour race will feature both GT and DP cars racing together for the first time in Mexico City.

With the DP, Pontiac the maker of high quality Pontiac oxygen sensor has been able to maintain a perfect pole qualifying streak for 2007. The top starting position has been dominated by Pontiac power, three teams, and four drivers. Colin Braun driving the No. 75 Krohn Racing Pontiac Riley has taken the pole in Mexico City and also at Virginia International Raceway.

Jan Magnussen driver of the No. 10 Sun Trust entry has obtained the top spot at Homestead. Alex Gurney and Jon Fogarty in the GAINSCO Pontiac have gotten two point starts to their credit, one at the Rolex 24 while the second at Laguna Seca.

Gurney and Fogarty are hoping to get their second win on the season with the first coming at Mexico City. The California duo have been heading the field all season and consistently qualifying at either first or second in every race so far.

The No.10 SunTrust Wayne Taylor Racing team will have a new driver to join the fold at the Glen. Jonathan Cochet is a Frenchman and will share duties with seasoned veteran Max Angelelli. Cochet will contribute a wealth of open-wheel experience as well as some DP driving miles to the SunTrust camp for this weekend’s race.

Currently the Khron Racing team is the defending six-hour winners from last year. Colin Braun was not able to participate last year since the track includes cigarette marketing contracts and prohibited minor drivers from joining the race. But Braun is now 18 years old and with Pontiac power and teammate Max Papis, the youngster believes that they have better chance to win this season.

The No.91 Riley-Mathews Motorsports Pontiac Riley that was driven by Jim Mathews and Marc Goosens is looking to be a factor in the race this weekend. The duo has improved tremendously with every race that they have joined and are now eyeing for a top finish.

For the No. 06 Pontiac GXP.R, Andy Pilgrim will join Tim Lewis Jr. and Leighton Reese at the Glen. All three drivers are fresh from a win last week with Reese and Lewis Jr. victorious at Lime Rock while Pilgrim won at Charlotte in Cadillac CTSV World Challenge car.

Paul Edwards and Kelly Collins currently sit third in the GT driver point standings. The duo has been fast all year and has led significant laps in the last two events at Lime Rock and Laguna Seca. They will bring the No. 07 Banner Pontiac GXP.R to the Glen and hopes to obtain their first win on the season.

The Six Hours of the Glen will start on Saturday, June 9 at 11:00 AM and will be televised on SPEED Channel in two segments. The first segment will start at 11:00 AM EDT while the second part will rejoin the action at 2:30 PM until the finish of the race.


Zeke Gervis has a degree in Human Resource Management. He is an F1 fanatic and is a collector of racing memorabilias. At present, he enjoys working at a consulting firm in Iowa.
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Sunday 1 November 2009

Paulownia tree Organic Nitrogen

Possibly this is the largest, by comparable overall mass and weight, of

all nitrogenous species. Having originated in China, this deciduous

tree can easily grow to 50 feet, often with leaves to 20 inches across.

This tree grows FAST.

* From planting to 5 years, it can be felled as a stable millable

timber, used for artistic carpentry, veneers, glory-boxes, cabinet

making, general lightweight furniture and musical instruments;


* from 5 to 10 years, it can be milled for projects requiring a more resilient timber, such as chairs and interior walls;

* from 10 years and on, it becomes millable as a hardwood for construction and structural quality timber;

* has a very high ignition point, and is also rot and warp resistant.

* At any point in its growth after 3 years, it can be utilized to make rather excellent charcoal, for artworks.

All of these qualities make it a rather attractive timber commercially.

Once cut, at any age, after having shed its stored nitrogen -

comparable to the biomass it has lost, the stump will re-shoot. The

shed nitrogen becoming fertiliser for the soil. The re-growth can then

be selectively pruned to re-start the whole plantation process.

Grazing animals find the leaves quite palatable, too, and it is not

uncommon to let them graze on the re-growth between the rows in

plantation systems.

Compatible plant species, with particular micro-environmental climatic

needs, such as coffee, cocoa, lychees, or any other understorey crop

for that matter, fare very well with this system. (more about this in

another article)

After the second or third season of growth (now at approx. 16 feet),

Paulownias start to flower, adding yet another fascinating dimension to

this remarkable tree.

The flowers, from lilac, or light mauve to white, are produced on

panicles about 18 inches long, or deep, remarkably similar foxglove

flowers.

As each flower falls from the panicle, they make an audible sound when

they hit the ground, they are so heavy. The flowers are a prime source

of bee food and subsequently produce a light, uniquely flavored, high

quality honey.

The seed-pod is fairly non-descript, other than that it is a dry pod

containing myriad minute seeds. (more on this in a following article)

The leaves, being huge, either green or spent, make an excellent mulch, or green manure, high in nitrogen.

There is also anecdotal evidence of the leaves being used in alternative therapies, such as a hedge against intestinal worms.

Paulownias will grow in poor to degraded soils and are often used as a

reclamation species. The only apparent specific growing needs being,

plenty of sun and a dislike of wet feet.

Being a very deep rooted plant, and a phyto-remediator species,

Paulownias take up and process contaminants present in ruined land, in

return delivering masses of organic material to bolster the land.

Due to the rapid rate Paulownia trees grow and their ease of

regeneration, they make an excellent primary reclamation species,

especially if incorporated with grazing animals.

Biomass builds phenomenally fast using this method, and reclamation of ecologically ruined land, is actually assured.

Indeed the paulownia is almost a miracle tree.

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