Medical Coding History – From Paper to Medial Coding Software

If we define medical coding as the assignment of alphanumerical characters to diagnoses, diseases, and treatments, then medical coding has been traced back to the 1600s in England with the London Bills of Mortality. A more standardized system of coding was developed for classifying death at the tail end of the 19th century. In 1893, Jacque Bertillon, a statistician, created the Bertillon Classification of Causes of Death, a system which was eventually adopted by 26 countries at the beginning of the 20th century. Shortly after the Bertillon Classification system was implemented, people began discussing the possibility of expanding the system beyond mortality as a way of tracking diseases.

By the middle of the 20th century, the World Health Organization (WHO) adopted a goal of a single global classification system for disease and mortality, entitled the International Classification of Diseases, Injuries, and Causes of Death (ICD). This classification system is updated every 10 years. The latest revision, ICD-10, is scheduled for adoption in the United States in 2013.

What started out as a small set of medical codes has evolved into a complex system that was initially standardized by the American Medical Association back in 1966 with current procedure codes (CPT) codes that are updated annually.

In the late 1970s, the Healthcare Common Procedure Coding System (HCPCS) was developed based on CPT. HCPCS has three levels of codes: Level One is the original CPT system. Level Two codes are alphanumeric and include non-physician services such as ambulances and other transportation as well as patient devices such as prosthetic devices. Level Three codes were developed as local codes, and were discontinued in 2003 in order to keep all codes relevant worldwide.

Recently, medical coding systems have been expanded to include other medical specialties. For example, there are coding systems related to disabilities, the dental field, prescription drugs, and mental health.

As the coding systems have become more complex and diverse, the need for training of medical coders has grown exponentially. Private training schools and public colleges throughout the country have developed certification programs. In order to be awarded a certificate, students must obtain a two-year degree from an accredited medical coding school and pass an exam given by the AHIMA.

Over the past 20 years, many coding processes have shifted from a paper-based system to a computer-based system using medical coding software and medical billing software. Many companies sell complete medical software-based coding solutions and myriad of products for specific medical disciplines, such as products that are specifically tailored to skilled nursing facilities, physicians, hospitals, surgery, cardiology, and more.

As medical facilities and professionals begin preparing for the conversion to ICD-10 in 2013, the need for more sophisticated medical coding software solutions and qualified medical coders will continue to grow.

CPT is a registered trademark of the American Medical Association.

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Microsoft Access and Medical Private Practice

For physicians medical office software installation could be nerve-wracking, not because they want to avoid electronic medical records, but because the majority of the software packages are too complicated and very expensive for them.

The good news is, you can make your medical office software system uncomplicated and relatively easily maintained with one of the popular database software packages being used today, the Microsoft Access.

Microsoft Access is a relational database system developed by Microsoft. Microsoft Access is one of the easiest and most flexible database management solutions for the medical office and provides data validation and user-friendly features on data entry screens. It has been the dominant lightweight database system used for the last decade and has continued to grow with additional features. Access is a productive and very customizable solution for small medical practices and comes with MS Office (or standalone). However the next step up in a medical environment would be MS SQL Server but small medical offices usually only has need of a lightweight application and the added functionality with MS SQL Server, comes with a heavy price.

With this relational database system you can be up and running in one hour, which means that it is not necessary for your practice to spend lot of money to purchase, configure, update and maintain an SQL Server solution. Microsoft Access includes without any additional costs, points of integration with popular software packages including: Microsoft Word, Excel & Outlook and provides a free runtime version.

MS Access network setup is very easy. A medical office with 2-8 users is up and running within ten minutes, while installation and application maintenance is extremely simple. Virtually any user with a basic knowledge of Microsoft Access can handle all maintenance procedures without the assistance of IT personnel.

Keep also in mind that SQL Server is the flagship database system from Microsoft and it is suitable for use in environments with up to thousands of users. Microsoft Access can handle 2- 8 users and it is limited to 2 GB data storage.

We are convinced that the best way for private medical offices around the world to enter the world of electronic medical records is to purchase a professionally designed but inexpensive and affordable Microsoft Access based software solution.

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Computer Hardware Course – The Advantages of Taking It

Computer hardware courses are an excellent way to learn how to manage the inevitable computer failures that you will encounter as you find yourself hanging on your computer more and more everyday. While you do have the option of taking your computer to the service center it can cost you a lot of time and money. Your computer hardware course is invaluable for helping you understand the hardware requirements for your computer that will be enable you to jump to the rescue instead of trudging along to the repair shop.

It does not take an engineer or a technician to be successful in learning about computer hardware. If you are interested in engineering or technician positions however, a background in computer hardware can make you a far more valuable person in your field and can enhance your employability tremendously.

To troubleshoot your computer you can do very well with a simple computer hardware course. You can become your own specialist and forgo spending the money on an IT specialist.

The time invested in a computer hardware study program will pay off quickly when things go wrong. But, this is not the only reason taking a computer hardware course would be a good plan.

Not only will you be able to fix your computer, but you will have the knowledge to build a computer from scratch. The cost of computer parts is often far less expensive than buying a pre-made package. You will also be able to customize your computer so that it is perfectly designed for your needs.

By avoiding the cost of labor from the computer store you will have a far less expensive computer that is perfect for you. You will also no longer need to worry about taking your computer in for repairs as you will know just how to fix what goes wrong.

Computer knowledge is in high demand no matter what career you are involved in. With the information you learn in a computer hardware course you will be able to take on an IT position. Such positions are in high demand as a limited number of people have the knowledge to take on an IT role.

The time needed to take a computer hardware course is well worth the investment. Learning about software and programming can only make you even better with your computer goals. If you are limited in time, not to worry. Many courses are available online or on CD for you to do at home.

Take some time to discover exactly what will be covered in your course. The computer technology field is huge, so you will need to focus. You will never be able to learn everything about computer hardware in a single course. It takes a lifetime of study to learn, and with technology constantly changing you will need to continuously work on keeping your knowledge up to date. A computer hardware course will bring you a chance to get ahead of the game and keep up with your own computer.

Louis Zhang, computerhardwarecute dot com

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How to Change the MPI Node Address For a Siemens S7-300 PLC

I have seven Siemens S7-300 PLCs connected together using the MPI (Multi Point Interface) interface. The Siemens MPI protocol is used by Siemens PLCs to communicate with external devices. I want to rename each of the seven PLCs. Here are the steps to accomplish that task.

First, connect your MPI cable to the first PLC. I will be connecting my laptop to each PLC individually. Power up the PLC and open Simatic Manager. The "New Project" Wizard window will open. Just click Cancel to close the window. Now click the Accessible Nodes icon on the toolbar. A window will open showing the identification of the PLC you are connected to. My window is showing MPI = 2 (directly). Make a note of this address and close the window.

Next we need to download a hardware configuration to the PLC. This is where we will rename the PLC node address. There are probably a couple of different ways to do this – following is how I accomplish this. All seven of my PLCs are the same model; Therefore, I am using the same hardware configuration. For the obvious reasons, I want to give each a different MPI node address. I have a project file that contains all seven of my PLC programs and one hardware configuration file. I open the one hardware configuration file, and then double click Hardware in the right hand window. This will open the HW Configuration window. In this window you should see your PLC with its MPI address given.

Remember when we clicked the Accessible Nodes icon and saw MPI = 2 (directly)? My Hardware Configuration Window is showing a MPI address of 7. Place your mouse cursor on the 7 and double click. Your CPU Properties window will open. It should open to the General tab. Look down and you will see Interface Type MPI with an address of 7. Click Properties and the MPI interface Properties window will open. Using the pull down menu, choose your MPI node address and make sure the MPI (1) 187.5kbps is highlighted and click OK. You are now back on the CPU Properties window where you will see your address has changed. Click OK and you will go back to the Hard Ware window where you can verify your MPI node address has changed.

You will now click the Save and Compile icon and then click the download icon. The Select Target Module window will open. Click OK and the Select Node Address window will open. Here you will see the MPI node address you assigned earlier. You will need to click the View button right below this. You will see the current node address appear, this should be the same as what you saw earlier when you clicked the Accessible Nodes icon. Simply click on this number and you will see it appear in the MPI address slot under the Enter connection to target station. Click OK and the Download to Module window will open. Click OK and the Stop Target Modules window will open. Click OK and the "Do you want to start the module?" Window will open. Click Yes.

Now go back to the SIMATIC Manager window and click the accessible nodes icon. You will see your new MPI node address. You can see this same article with pictures at http://www.morerobototics.com .

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Computer Viruses Problems and Solutions

We all are now aware with the term Computer Viruses

Let’s understand this simple definition: Computer Viruses can be considered as small software application which tends to take control over computer operation. The computer virus may delete contents from the hard disk and even take a ride on e-mail programs to become pandemic. Computer viruses be in various formats like in form of images, audio or video files. They may spread while downloading files from the Internet. Sometimes they may be purchased along with the pirated software too.

Let’s concentrate on symptoms of Viruses

There can be difficulty in accessing any disk or drive. The system might be running slow. Sometimes it may freeze. You may see distorted menus and dialog boxes. Any program may disappear on its own without any action. Sometimes you may see some new icons on the desktop. Application will not be running smooth. You may get error of any system file missing. Your windows may restart automatically sometimes. If you see this kind of symptoms on your system, then install any latest version of anti virus which you think compatible with the Operating System you have. Scan your system for the Computer Viruses. Even in severe condition you may need to format your system completely.

Let’s see what we can do to remove a Virus

You need to apply a Computer Viruses removal tools for the purpose. Sometimes you may find specific problems which are associated with some unwanted software programs which carries Computer Viruses You may get those viruses again in your system after uninstalling those programs. So you should be very much smart while choosing for the Tools for Computer Viruses removal.

To remove virus, follow these steps

1. Visit the Microsoft website to get latest updates from Microsoft Updates.

2. Perform regular scanning of your system with any updated Anti- Virus.

3. Download, install, and then run the Microsoft Malicious Software Removal Tool to remove Computer Viruses the system.

Preventive measure for Computer Virus

Its highly recommended you to keep your Operating systems updated. If you are not online don’t forget to check for Windows updates frequently. This is important because the Virus creator always tries to make use of any void in your Operating System to install their software Computer Viruses. If you are online user then make sure that your web browser is also an updated one. Try to use the most compatible and latest of the Web browser may be from any one like IE, Firefox, Opera or anyone else, because the Virus writer always tries to find mistakes in your browser.

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Advantages and Disadvantages of Professional Shopping Cart Software

Advantages & Disadvantages of professional shopping cart software As e-Commerce is becoming a regular technique in the business industry it appears that more and more software development firms are developing professional shopping cart software to be released in the market. There is currently a huge range of free shopping cart software that has been released, and it seems that most e-Commerce website owners prefer these free systems over paid for professional shopping cart software. In this article we are going to look at the advantages and disadvantages of professional shopping cart software.

Advantages

• Even though you will have to pay for the solution, you get a cart package that has been fully developed, tested and used in the real working world by other e-Commerce websites. If the solution is used by a popular website service then the chances are it has been under more than enough testing to be deemed ready for use.

• Professional shopping cart software will be supported by the people who developed it. A lot of free solutions out there are simply developed and then discontinued as the freelance developers move onto their next project. Support is essential if you are going to want upgrades as mentioned in our next point.

• As the system is supported, the development team are likely to fix any bugs that may occur and provide patches and security fixes. This means the shopping cart software will only get better as time goes on and furthermore improve your e-Commerce website.

• Your site is likely to be more secure when using a professional software solution as in most cases the it developed house private content management systems. This improves security as public content management systems such as WordPress are constantly under threat from hackers as they try to compromise the free source code.

• Another huge advantage of using professionally developed software in e-Commerce is that they will already support a huge range of different payment options for your customers. There are various carts – that only offer PayPal for payment by standard, and it can take a very long time to find plug-ins or figure out how to add other methods yourself. With professional software you can save time and possibly money as it is all included.

Disadvantages

• Your e-Commerce venture might be a small time project and professional cart does cost money which you may not have. In this case you may have to make do with a free shopping cart solution. The good part of conducting business online is that after you have made profit with the free system you can reinvest your money to buy a professional package.

• You trust the developers to do everything they promise to ensure the best experience. It might be slightly difficult to use at first and you might have to spend some time getting used to the bespoke system. You also have to understand that you are vulnerable until patches are made if a security flaw is found.

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Build Your Own Tree House – Pros and Cons, Fasteners and Hardware

Tree houses are fun, bonding activities you can do with your friends or family, and can provide a unique and ideal hangout spot surrounded by Mother nature. One of the biggest differences in my opinion, between tree houses and other on-ground add-ons you can build on your property, is the fact that a house up in the trees sways – to varying degrees depending on the height and size of the Tree and branches – and so can add a unique and soothing feel.

There are several prerequisites that must be met before this particular project would be considered feasible for you. The first ones are also the most obvious:

  1. Do you have a suitable tree with your property on which you can construct your tree house? This question may be ambiguous to some, as what kind of tree exactly is considered suitable? Well, this depends largely on the size of the structure in question, as well as the expected load – number of people, furnishings, etc. The larger your tree house is, the larger your tree needs to be.
  2. How are you with heights? Now is not a good time to kid yourself or anyone else if you happen to be abnormally scared of heights! We're all scared of heights to varying degrees, but if you lack the courage or ability to comfortably work at the needed height, this project may not be for you. Granted, it can be built relatively low to the ground as well and still be called a "tree house" – in which case, this may not apply.

Now that we have those out of the way, we can get into the other aspects of building. When compared with a structure on the ground, a tree house may somehow seem like a simpler project due to the fact that some of us have grown up "throwing" little makeshift tree houses up here and there. However, it's important to remember that any halfway decent structure, whether on the ground or up in a tree, requires careful planning and implementation of standard safety code.

Here are some other questions you should ask yourself before concluding the planning stage:

  1. What will I use the tree house for? Depending on your answer, you may want a roof and walls, or you may find it unnecessary. In either case, a rail and / or walls at least a meter high is recommended for safety.
  2. How long do I want it to last? You may think that the answer to this question is obvious, but you should understand that the lifespan of your tree house depends heavily on the materials you use and the quality and number of layers of your protective stain. Tree houses, by virtue of their definition, stand within and under the canopy of the tree in which they are built. Because of this, they are more susceptible to premature rot due to the prolonged shade and humid nature of their environment. The fallen leaves and branches scattered across the deck also serve as decay-accelerators unless they are regularly swept off.

Foundation and Floor-shape

One of the unique beauties of a tree house is the fact that you can simply build around the various branches leaving them exposed within your tree house, enhancing the "natural" atmosphere. As with an on-ground structure, you should start with building your base and floor. You may face complications with the shape of your floor due to the limitations of suitable branches to base off of.

Because of this, there's a possibility you may have to set up for a non-square shape. This may be what you want, or this may be a problem for you. In any case, you should understand that there are some restrictions placed upon you by the particular tree you're working with. All branches used for a foundation should be able to single-handedly carry several hundred pounds, and more if you're expecting higher traffic.

Tree Wood Density and Fastener Quality

Large tree houses that weigh more than the collective weight of their occupants should be carefully designed , as various factors such as the hardness of the tree and fastener quality and design come more into play. Wood will compress where the fasteners connect to the tree to varying degrees based on the hardness of the tree in question, causing a sinking of the tree house.

Professional-grade Tree house Fasteners – Are they Necessary?

There are various tree house fasteners available on the market today specially manufactured for their unique needs. However, the question invariably arises as to how necessary these customized bolts and brackets are in comparison to normal ones found in home centers due to their price. They often cost between one and several hundred dollars each!

The first thing to bear in mind when contemplating the pros and cons of these rather pricey pieces of hardware is that trees are living organizations, and are still growing, moving, and changing shape. Therefore, your tree house and the hardware on which it is mounted must accommodate this movement. Simply bolting the beams into the tree's branches results in a fixed attachment that will force the tree to either pull the screw through the beam or try to grow around the beam.

The first of the two will result in a sudden and dangerous failure , while the second will result in an unhealthy and unnatural growth around the beam, potentially causing disease and decay to set in. Custom bolts and brackets are made with a certain allowance for tree growth, with a section of the bolt that is embedded deep in the tree's heartwood and a large shank that allows axial movement coupled with a female part that is attached to the beam.

So to answer the question of whether these expensive custom parts are necessary, the short answer is yes, and no. Yes, if you lack the know-how to find parts that will accomplish the same purpose as the professional parts do, and no, if you do, and do not require your tree house to last for fifty years. Home centers sell bolts and hardware with large diameters and lengths which can be used, but the entire shank can not be threaded.

The half or so that is embedded into the tree must be threaded, but the reminder that acts as the cushion to compensate for tree-growth must be smooth. You also need a female piece that fits around the smooth shank that has a bracket that can be screwed into your beam. This female bracket then has the freedom to slide along the axis of the smooth bolt shank as the tree grows in girth. All parts should be stainless steel as well – others may corrode to failure.

Obviously, the big tree house building companies would disagree with the above opinion, and the ideal is to buy these parts. I'm just offering an alternative for those who do not have a large budget but still want to construct a safe and environmentally-friendly tree house. There is also a chance you will not be able to find hardware that meets the criteria, leaving you with no other choice.

The professional criterion when it comes to fastening your tree house to your tree seems to be "perch, do not pin". I agree whole-heartedly with this principle and any alternative I save above should not contradict this. But not everyone looking to build a tree house is willing to spend tens of thousands of dollars, so, your budget is a primary factor in determining the quality as well as what kind you would build.

In any case, it should be a safe and fun place to accommodate whatever activities you envision. Taking into consideration the damage inflicted on the tree as well as future complications that may arrise such as those mentioned above when planning, is simply the responsible and consider course of action.

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Strengths and Weaknesses of Waterfall Approach for Software Development

One of the most famous and widely used approaches for software development is the waterfall model. Waterfall approach is an old technique that has been in use for quite some time, but in modern times agile approach is gaining prominence.

Waterfall approach, as is evident from the name, refers to a systematic approach where one step comes after the other. It cannot go the other way round. The process works like the waterfall effect that flows in one direction, which is from up to down.

In this process the life cycle of the development process is predetermined. All the steps are defined before the start of the project. The approach is predictive, where the team is well aware of the order of each step and therefore works accordingly. It starts from the requirement analysis, the design phase and then proceeds on to the implementation, testing and the maintenance phases.

The waterfall approach can be quite beneficial for those who are quite clear on their requirements. A planned approach works for them because they want fixed processes and budget. Where fixed processes are beneficial, at the same time they can be inconvenient at times. In cases where the client is not clear on the requirements and finds in the middle of the project that he/she wants to change course, this approach can prove to be quite problematic.

Another point of the waterfall approach is that the requirement analysis and design of architectural structure can consume a lot of time. Extensive research is done initially as the next phases depend completely on the planning strategy. However, the good thing is that everything is thoroughly worked out and each aspect is studied beforehand. The developers in such cases know what is expected of them.

A waterfall approach works in a systematic order, with one step following the other and the testing phase comes in the end. If there are any big problems encountered in the testing phase, it means a long process to make the amends. The process can consume extra time and money.

We cannot conclude that one approach is better than the other, as every method would have its own strengths and weaknesses. The determination of success for each method depends on how it is being used and whether the approach suits the scope of work being undertaken. While one approach may be suitable for a particular project, it might become totally useless under different circumstances. For example, some believe that agile methods are not well suited for offshore development, as they require a closer contact and communication that is not possible in an offshore project.

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Advantages of Antispyware Programs

Much like the antivirus programs, now a days anti spyware programs also is a must if you are browsing the net. Most of the antivirus programs provide a good job by taking care of the computer viruses. However, many of them fail to detect the spyware which gets installed onto the PC when connected to the internet. This is where Anti spyware programs comes to help. They do a good job by protecting our computers by identifying the spyware and promptly remove them.

There are so many antispyware programs are available in the market. Both in the Online as well as near to your computer retail showroom. However, you have to ensure that you buy a good Anti spyware program which fulfills the requirements what it promises. Also, make sure to check that the software works on your Operating System. Most of them work on Windows Operating system; however, there is no harm in double checking the same.

Some of the characteristics of a good antispyware program is as below.

Real time scanning

Real time scanning is the heart of these type of programs. The program once installed should reside on your system tray and should be able to do a real time scan in the background. This way it should be able to identify all kinds of threats like Adware, spyware, Trojans and the harmful key loggers.

Automatic Updates

There is no point in having an Antispyware software program which does not update the spyware definitions automatically and at periodic intervals.

Customer Support

Most of the time you will not be require to call up their helpdesk as the software will work automatically provided if the operating system is compatible and all the installation prerequisites are met. However, if you run across any installation problems or some kind of bugs customer service comes in handy.

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What is the Argus Safety Database?

The Argus safety database is a key part of the Argus Safety 3.0.1 pharmacovigilance software system. In a nutshell, pharmacovigilance is defined as the monitoring of any possible adverse effects of both herbal remedies and synthetic drugs as they are used.

The digital database is used to help companies ensure compliance with global regulations regarding pharmacovigilance and related activities. As a comprehensive pharmaceutical software system, it supports pharmacovigilance business processes that take place in both the pre- and post-marketing phases.

The Argus database is hosted in a data center that is ISO-9001-certified, and operates according to the security standards promulgated by FDA guidelines. By managing this data center, a pharmaceutical firm or laboratory may obtain maximum physical data security as well as access to effective data backup and recovery procedures whenever these services are needed.

ACCOVION, the full-service contract research organization that offers pharmacovigilance as a core service, has configured the Argus database with customized and validated rules to expedite safety reporting. This setup enables generated safety reports to be sent to regulatory investigators and central ethics committees.

The system covers a wide range of the most commonly used forms, including the American FDA MedWatch 3500A form for drugs, the VAERS form for vaccines, the CIOMS-I form, and many others utilized in European countries.

The standard setup in use by the Argus safety database system includes coding with current World Health Organization and MedDRA data dictionaries, as well as older versions of these dictionaries and many others to meet user requirements.

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