Durham VA Geriatrics and Extended Care – Durham VA Medical Center #hotels #in #san #diego

#durham hospice


Durham VA Medical Center

About the Program

The Geriatric and Extended Care Service at the Durham VA Medical Center is composed of the following programs:

  • Physical Medicine and Rehabilitation
  • Community Living Center
  • Home Community Care
  • Palliative and Hospice Care
  • Geriatric Research, Education and Clinical Center

View the comprehensive resource guide to all Geriatric and Extended Care Services.

Services Offered

Physical Medicine and Rehabilitation (PM R)

  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • Specialized services to veterans in need of rehabilitation following amputation, stroke, traumatic brain injury, and spinal cord injury

Community Living Center (CLC)

The CLC is a hospital-based transitional care unit. CLC maintains an average length of stay of 32 days. Most patients require extended rehabilitation and care following surgery and/or lengthy hospitalizations before returning to independent living.

Home Health Care (HHC)

HHC consists of programs that manage care in veterans’ homes and community settings. Services include:

  • Home-based primary care
  • Home telehealth care


Community Living Center

Mary Francis MSN, ACNS Geriatrics and Lonterm Care, Co-Director CLC

Jack Twersky MD, Co-Director CLC

Palliative Care Consult Team and Hospice Unit

Toni Cutson, MD, Medical Director

Home Based Primary Care (HBPC)

Jeannette Stein, MD, Medical Director

Theodore Hodges, MSN, Acting Program Director

Community Nursing Home, Contract Adult Day Health Care, Homemaker Home Health Aide and Non-Institutional Respite

Ivey Chavis, LCSW, MSW, Contract Programs Coordinator

Hospice Patients Alliance – When It is Inappropriate to Have PRN Medical Orders for Morphine #cheap #hotels #in #nyc

#end stage copd hospice


Allowing PRN Orders for Morphine
May Result in Untimely Death
For COPD Patients

Morphine is an opioid medication often used to relieve severe pain in cancer and some other diseases. When prescribed by a physician appropriately for relief of pain, it is a blessing to those whose symptoms are relieved, and to the families of those patients who had suffered watching their loved one in agony. When the patient has severe pain, hospices aim at achieving good pain control as one of their top priorities.

Because morphine is regularly prescribed in hospices for relief of pain and suffering, physicians and nurses come to rely on its power to relieve pain and promote a death without suffering. A death with symptoms well-managed is one important aspect of what is called a “death with dignity.”

Patients in hospice who have diseases without severe pain may not need morphine for comfort. Some take other analgesics and some take none. But patients who have Chronic Obstructive Pulmonary Disease or “COPD” may especially be sensitive to the adverse effects of morphine. COPD patients have breathing difficulties and anxiety which can sometimes be lessened by very small dosages of a sedative and/or a very small dosage of morphine. However, given in too high a dose, morphine can seriously interfere with a patient’s ability to breathe. In fact, anyone who is given a dosage of morphine which is much higher than they are accustomed to, may stop breathing.

One of morphine’s main adverse effects is slowing down the respiratory rate, i.e. respiratory depression. If the dosage of morphine is too high for what the patient is accustomed to, the respiratory depression can become severe and actually stop the breathing periodically for a few seconds or many seconds. This pattern of breathing where the patient stops breathing (skipping breaths) and then starts breathing again is termed “apnea.” Apnea commonly occurs as a result of the terminal illness and the dying process, when certain metabolic changes occur in the patient’s body. If the breathing is stopped completely without restarting, the patient dies. Because COPD patients have compromised breathing already. very inefficient breathing, overly high doses of morphine can quickly cause these patients to stop breathing.

Hospice Patients Alliance has received many, many reports from families about patients with COPD who were given morphine in dosages higher than they were accustomed to receiving. who died shortly after getting those morphine dosages. Most of these patients were given these dosages of morphine by nurses in the hospice setting. In all the cases reported, the physician had ordered that the morphine might be given “as needed” or “PRN” within a certain range and at a certain frequency of time intervals between doses given.

Giving a medication “as needed” requires a careful assessment of the patient’s vital signs, pain level and need for the medication being considered. When a physician writes a PRN order for morphine, most nurses are very dedicated to assessing the patient’s actual needs and doing everything possible to meet those needs by administering the medication as needed. But in the case of COPD patients, the need for extra vigilance in determining the appropriate dosage is very urgent. Pharmacy and drug references, such as the Physicians Desk Reference and morphine package inserts warn about the dangers of giving too high dosages of morphine to COPD patients. The package inserts and the Physicians Desk Reference even write that morphine is “contraindicated” in general for COPD patients. However, when a patient is truly terminal, some of the rules of prescribing medications are adjusted to meet the needs of the patient. In the terminal COPD patient, morphine is sometimes ordered by the physician to be given in very small dosages.

If the physician orders the morphine to be given on a PRN or “as needed” basis, when the patient has COPD, and allows a shorter frequency of administration than that needed for the previous dosage to “wear off” or be metabolized, the concentration of morphine actually in the patient’s blood may increase beyond a therapeutic level, causing severe adverse effects, even respiratory shutdown. If you have a loved one with COPD in a hospice care setting and if you are concerned that he may be euthanized before his natural time of passing on, then it is wise to request that the physician NOT write a PRN order for morphine. If the morphine is actually helping your loved one to breathe better, and is comforting, then you may wish to request the physician to consider ordering the morphine on a fixed dosage and schedule, determined by the physician only, not the nurse.

If you have concerns that your loved one may be medically killed or euthanized in a hospice setting, you should discuss these concerns with the physician and request that PRN orders for morphine not be used. If the physician refuses to do so, you may be able to determine whether the physician is sympathetic to your concerns about euthanasia or not. If you believe the physician is determined to euthanize your loved one, involuntarily, or without your knowledge, then you always have the right to change physicians or to change hospices. Any time that you have concrete evidence that a nurse or physician is acting to euthanize your loved one, the patient, or the patient’s representative may act to change the physician and hospice to a setting that will provide true hospice care.

Real hospice care is NOT about hastening the death of a patient. It is about providing relief from distressing symptoms, supporting the patient and letting them know that they are valued and loved. Hospice patients necessarily choose not to try to cure the terminal illness, because all efforts to cure the disease are believed to have failed and further efforts are believed to be of no use in curing the disease, i.e. the physician has determined that no efforts would succeed in any case. That does NOT mean that treatment for a urinary or respiratory infection is to be withheld, or that food and water are to be withheld if the patient can absorb them. Withholding food and water is a form of euthanasia for the patient who is not already actively dying! Withholding appropriate treatment for an infection when the patient is not actively dying is also a form of euthanasia!

Giving overly high dosages of morphine to a COPD patient, or a patient with another terminal illness, is a form of euthanasia. By being alert, discussing your concerns with the physician and hospice staff and acting promptly to prevent overly high dosages of morphine from being administered, you can save your loved one from an untimely death. Removing your loved one from a setting that is bent on euthanizing your loved one may be the only way to save them from being medical killed.

There are many nurses and physicians who would never even think of doing such a thing, but unfortunately, there are many who would. Surveys and research into the attitudes and practices of physicians and nurses reveals that a significant percentage of nurses and physicians believe that euthanasia is acceptable. If you don’t agree, then you must act to protect your loved one. The best protection is to know what medications are being given, what effect the medications have, what dosages are being given (by being there if possible when they are given) and knowing why the medications are being given. If your instincts tell you that something is not right, act promptly to check with someone you trust who is a nurse, pharmacist or physician who can give you some feedback and further information.

PRN orders for morphine may be totally inappropriate for COPD patients who do NOT have severe pain!

Permission is granted to share these articles with others, to print them, or post them on other websites so long as credit
is given to the author and Hospice Patients Alliance with a link to this original page.

Hospice Admission Criteria for Dementia Patients – Neurology Center: Medical Information on the Brain and Nerves #community #hospice

#hospice criteria for dementia


TUESDAY, Nov. 2 (HealthDay News) — Many people with advanced dementia aren’t getting much-needed hospice care because the admission criteria is flawed, researchers say.

“Dementia is a leading cause of death in the U.S. and hospice care can benefit patients with dementia. The main hindrance to getting palliative [comfort] care is guidelines that try to guide practitioners to wait until an estimated life expectancy of six months,” said Dr. Susan L. Mitchell, a senior scientist at the Institute for Aging Research at Hebrew SeniorLife in Boston, and lead author of a new study.

Such end-of-life predictions are difficult to make with certainty in dementia cases. Instead of using life expectancy as the requirement for admission, hospice care for dementia patients should be offered based on the patient’s and family’s desire for comfort care, suggest Mitchell and colleagues in the study published in the Nov. 3 issue of the Journal of the American Medical Association .

Hospice, or palliative, care is most often associated with cancer patients. The goal is to provide comfort and support to patients and their families, instead of life-prolonging treatments.

For people with cancer, the decision to switch to palliative care is more clear-cut. It generally occurs when someone decides to forgo traditional cancer treatments, such as chemotherapy or radiation, that don’t seem to be working anymore, and instead receive comfort care, which includes better pain management and discussions about important end-of-life care decisions.

For people with dementia, the decision process is murkier. Most people with advanced dementia are already in nursing homes, receiving around-the-clock care, but palliative care can provide families with additional support and help families make difficult decisions, such as whether or not to treat infections with antibiotics or to use a feeding tube to deliver nutrition. Palliative care may also provide better pain management and symptom relief, said Mitchell.

To improve the likelihood of dementia patients getting palliative care, Mitchell and her co-authors tried to come up with a better tool to assess their potential life expectancy.

This new method, dubbed the Advanced Dementia Prognostic Tool (ADEPT), includes 12 items, such as body mass index, ability to perform tasks of daily living like self-feeding, bowel incontinence, shortness of breath and oral food intake.

The researchers compared their assessment tool with the standard Medicare hospice eligibility guidelines on 606 residents in 21 nursing homes.

Their tool accurately predicted a life expectancy of fewer than six months 67% of the time, versus 55% for the Medicare guidelines, said Mitchell.

“While ADEPT was better than the Medicare criteria, its predictive ability isn’t perfect,” said Mitchell. “The delivery of palliative care should be guided by a preference of comfort care rather than by life expectancy,” she added.

A 2009 study by Mitchell and her colleagues was the first to label dementia a terminal illness like cancer and other incurable diseases.

Dr. Joseph Shega, an associate professor in the section of geriatrics and palliative medicine at the University of Chicago Medical Center, said he agrees that the issue of comfort care for dementia patients deserves attention.

“It’s important to recognize that we’re not really good at figuring out how long someone with dementia might live, and I agree with these authors that we should focus more on the goals of care and stop spending resources on trying to figure out how long someone might live,” said Shega.

“Hospice provides more support for nursing home staff, better support for the family, and can help better educate the family on the natural process of dementia so they know what’s going on,” he explained.

Hospice also helps manage symptoms, like discomfort or agitation, Shega added, while making sure that care plans and treatment goals agree with the values and wishes of the patients and their families.

SOURCES: Susan L. Mitchell, M.D. M.P.H. senior scientist, Institute for Aging Research at Hebrew SeniorLife, Boston; Joseph Shega, M.D. associate professor, section of geriatrics and palliative medicine, University of Chicago Medical Center; Nov. 3, 2010, Journal of the American Medical Association

Department of the Medical Examiner #breaffy #house #hotel

#san diego hospice


Department of the Medical Examiner

Welcome to the web pages of the San Diego County Medical Examiner. The Medical Examiner Office is centrally located in Kearny Mesa in the County Operations Center. We are a full service agency, performing all of our investigations, toxicology, and forensic pathology in house. In the following pages, we hope you will find useful information about the services, education and research efforts of the Medical Examiner’s Office as well as collected data on our cases and important links.

Check out our annual reports, which include statistics for 2000 – 2014 as well as insight into the day-to-day work of our office, from the initial investigation and examination, to our contributions to research, assistance with organ and tissue donation, and our collaboration with various multiagency groups trying to reduce sudden and unexpected deaths in San Diego County.

Find out what to expect if you’ve experienced the loss of a loved one and our office has become involved.

Learn the steps necessary to obtain copies of the death certificate and reports from our office. Also, information regarding pending causes of death can be found here.

View an actively updated list of selected cases in the County

Our Bereavement Center can offer help for families in the difficult times following the loss of a loved one.

A map and address for our Department

End-of-Life Decisions – End of Life Issues – California Medical Association #kansas #city #hospice

#end of life issues


End-of-Life Decisions

California law provides individuals the ability to ensure that their health care wishes are known and considered if they become unable to make these decisions themselves.

The California Medical Association (CMA) encourages Californians to think and talk with loved ones about their wishes for end-of-life medical care before a serious illness or injury occurs. CMA has developed a number of guidelines, forms, and other resources to assist providers, patients, and loved ones with making important end-of-life decisions.

NEW! California s End Of Life Option Act

On October 5, 2015, California became the fifth state in the nation to allow physicians to prescribe terminally ill patients medication to end their lives. ABX2-15, the “End of Life Option Act,” permits terminally ill adult patients with capacity to make medical decisions to be prescribed an aid-in-dying medication if certain conditions are met. The following document discusses the requirements under the End of Life Option Act, which went into effect June 9, 2016:

  • CMA On-Call #3459: The California End of Life Option Act
  • On-demand webinar: The California End of Life Option Act: An Overview

Advance Health Care Directive

In California, advance directives are the legally recognized format for living wills. An advance directive enables individuals to make sure that their health care wishes are known in advance and considered if for any reason they are unable to speak for themselves. Advance directives also allow patients to appoint a health care “agent” who will have legal authority to make health care decisions in the event that the patient is incapacitated, or immediately upon appointment if the patient expressly grants such authority.

See below for more information about advance directives, or to purchase CMA’s Advance Health Care Directive Toolkit, available in English and Spanish:

  • CMA Advance Health Care Directive Kit in English (rev. 3/14)
  • CMA Advance Health Care Directive Kit in Spanish (rev. 9/14)
  • CMA On-Call #3451. Decisions Regarding Life-Sustaining Treatment – Advance Directives and POLST (2015)
  • CMA On-Call #3450. Decisions Regarding Life-Sustaining Treatment for Patients Without Advance Directive or POLST (2015)

Physician Orders for Life-Sustaining Treatment

Physician Orders for Life Sustaining Treatment (POLST) in 2009 became a legally recognized document, similar to the widely used do not resuscitate (DNR) orders. The POLST form, used for patients with a serious illness or whose life expectancy is a year or less, outlines a plan of care reflecting the patient s wishes concerning medical treatment and interventions at life s end. The POLST form complements an advance directive by turning a patient s treatment preferences into actionable medical orders.

See below for more information about POLST, or to purchase CMA’s POLST toolkit, available in English and Spanish:

  • 2016 POLST form (effective January 1, 2016)
  • CMA POLST Kit in English (rev. 12/15)
  • CMA POLST Kit in Spanish (rev. 10/14)
  • CMA On-Call #3451. Decisions Regarding Life-Sustaining Treatment – Advance Directives and POLST (2015)
  • CMA On-Call #3450. Decisions Regarding Life-Sustaining Treatment for Patients Without Advance Directive or POLST (2015)

Do Not Resuscitate (DNR) Form

The Pre-Hospital DNR form, developed by the California Emergency Medical Services in conjunction with the California Medical Association, instructs EMS personnel to forgo resuscitation attempts in the event of a patient’s cardiopulmonary arrest. Below you will find CMA resources that include additional details about DNR requests and purchasing information for the DNR form in English and Spanish.

  • Do Not Resuscitate Form in English
  • Do Not Resuscitate Form in Spanish
  • CMA On-Call #3453. Decisions Regarding Resuscitative Measures DNR Requests Orders and Cardiopulmonary Resuscitation (2015)

Other Resources

CMA’s Health Law Library
Updated annually, CMA’s online health law library contains nearly 5000 pages of valuable information for physicians and their staff. The CMA Center for Legal Affairs has developed several On-Call documents on important end-of-life issues in the medical practice. Access to the library is FREE to members. Nonmembers can purchase documents for $2 per page.

  • On-Call #3452. Documenting Decisions Regarding Life-Sustaining Treatment
  • On-Call #3454. Decisions Regarding Life-Sustaining Treatment and the Patient Self-Determination Act and Joint Commission
  • On-Call #3455. Physician-Assisted Suicide
  • On-Call #3456. Responding to Request for Non-Beneficial Treatment
  • On-Call #3458. CMA Model Policy: Responding to Requests for Non-Beneficial Treatment
  • On-Call #3400. Autopsies
  • On-Call #3401. Organ and Tissue Donation
  • On-Call #3402. Pronouncement of Death and Death Certificates
  • On-Call #3403. Pronouncement of Death Diagnosis of Death by Neurologic Criteria

For Patients
For more information about end-of-life medical decisions, visit the Coalition for Compassionate Care of California (CCCC) website, www.coalitionccc.org.

The booklet Finding Your Way was written by the Center for Healthcare Decisions as a useful guide to thinking about and discussing end-of-life issues. To order a copy, visit the CCCC website or call the organization at (916) 489-2222.

If you have a serious medical condition or have been diagnosed with a terminal illness, CMA encourages you to talk to your doctor about POLST. Before initiating that conversation, you may wish to visit www.capolst.org or the California Coalition for Compassionate Care website for more information.

For Providers
End-of-life resources for health care providers are available at the Coalition for Compassionate Care of California website. CCCC also provides decision guides. palliative care tools and resources for physicians.

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The Average Cost of a Medical Assistant Program #medical #assistant #program #cost


The Average Cost of a Medical Assistant Program

Medical assisting is a fast-growing occupation in the United States.

According to the U.S. Bureau of Labor Statistics, medical assisting is expected to be one of the fastest growing occupations in the United States between 2008 and 2018, with prospects looking especially bright for those who have a certificate or an associate’s degree in the field. Although you can complete the necessary training in less than a year, there can still be significant costs involved.


The tuition cost is typically the biggest expenditure when undertaking a medical assistant program. Most regionally accredited medical assistant programs are housed at public community or technical colleges, where the nationwide average yearly tuition in 2010 was $2,713, according to the College Board. Students who opt for a private college often pay considerably more — an average of $27,000, based on 2010 data from the College Board. The type of program you enroll in will also make a difference in overall tuition cost. Certificate programs typically last less than a year. Associate degree programs usually last about two years, so you will end up paying more in total tuition.


Incoming college students are often unaware of the expense involved in purchasing their own textbooks and other supplies. In a survey the College Board conducted, students reported spending an average of $1,100 on books and supplies for the 2010 to 2011 school year. These costs can vary widely based on the courses you take.

Additional Supplies

Medical assisting students must purchase supplies that they will use throughout the program. Medical assisting students must budget for uniforms and medical tools. You may have to purchase a laptop or similar device.

Living Expenses

Factor in living expenses, such as the cost of housing, food and transportation, when preparing your budget. Some students may be able to live at home and thus avoid paying for rent and groceries, but others may need or choose to live away from home. According to a 2010 report by the College Board, the average student at a two-year college spends almost $9,000 a year on housing, food, transportation and other personal expenses.

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File Formats we Translate

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An overview to the medical claims process from coding to billing #school #for #medical #coding


Medical Billing and Coding Online

Course 1: The Medical Claims Process

The United States healthcare system is trillion-dollar industry, which includes pharmacies, pharmaceutical companies, medical equipment manufacturers, and medical care facilities. The complex infrastructure that keeps this industry, which is responsible for the well-being of millions of Americans, running on a day-to-day basis relies on specialized professionals tasked with overseeing these operations. One such system is the medical claims process. The claims process can be summarized as a dual interaction between two of the largest and most important pieces of the healthcare system: healthcare providers and medical insurance companies.

Understanding the Key Players in the Medical Claims Process

The relationship between policyholders, healthcare providers, and insurance companies is essential to understand before tackling the details of the medical billing and coding process.

Healthcare providers

A healthcare provider is any facility or practice where you receive and are billed for a product or service related to your personal health. Healthcare providers include hospitals, private clinics, and pharmacies as well as specialized care providers like nursing homes, in-home caretakers, and chiropractors.

Insurance companies

Health insurance companies subsidize medical care for qualifying patients, called policyholders. Health insurance is not mandatory in the U.S. but many Americans have insurance coverage, whether they purchased it privately or obtained it from their employer or the government. Insurance policies vary, but they all operate under the same business model: policyholders pay a certain amount of money each month or year to the insurance company, which is called a premium. If policyholders need procedures for which they qualify, the insurance company pays for that procedure, either in full or in part.


A policyholder is any individual who has purchased health insurance. For example, a young adult looking for a basic insurance plan may purchase a policy where the insurance provider will pay for all medical bills that cost more than the deductible, which is a pre-arranged amount that the policyholder must pay out-of-pocket before insurance coverage kicks in.

How Medical Claims Work

The medical claims process is initiated when a policyholder goes to a healthcare provider for a medical service, which can be anything from obtaining a monthly prescription to major surgery. After the policyholder receives the service, they are usually financially responsible for a deductible, which is the amount of money that the policyholder agrees to pay before their insurance starts. The policyholder gives their insurance information to their healthcare provider, and the transaction between the policyholder and healthcare provider is complete.

Behind the scenes, the transaction between healthcare provider and insurance company begins. The healthcare provider records all the medical services and their costs offered to the policyholder. This record is known the medical claim, or bill. While working for healthcare providers, medical billers and coders are responsible for creating this record and sending the claims out to the policyholder’s insurance company, which has three options. It can:

  • Accept all expenditures and pay the bill in full
  • Deny the claim on account of a billing error (like incorrect patient information). The bill is then returned to the healthcare provider to be corrected.
  • Reject the claim outright, usually on account of the services not being covered within the health plan. The policyholder then pays for the service out of pocket.

Working with Insurance Providers

The two major types of insurance providers are managed care plans and public insurance. Learn how to handle both types of coverage below.

Managed care

A large portion of insured Americans receive coverage through their employer, usually through managed care plans. These insurance plans work with a specific group of doctors, hospitals, pharmacies, labs, equipment vendors, and other care providers. Individuals insured under managed care plans seek medical services within this managed care network. The three main components of managed care are preferred provider organizations, health maintenance organizations, and point of service plans.

  • HMOs require their policyholders to receive most or all of their medical care under the insurance provider’s managed care network. They also require policyholders to select a primary care physician. If HMO policyholders see a specialist without a referral from their primary care physician, or seek treatment outside of the managed care network, they will most likely have to pay medical bills out of pocket.
  • PPOs also have a network of preferred healthcare providers they request their policyholders to seek treatment from. However, unlike HMOs, individuals do not need to select a primary care provider. Also unlike HMOs, if an individual seeks treatment outside of the managed care network, they can pay the out-of-network healthcare provider directly and possibly get reimbursed for their medical expenses.
  • Point-of-service Plans: Point-of-service plans form a hybrid between PPOs and HMOs. As with HMOs, point-of-service plans allow you to select physicians and services from within a dedicated network of providers. Unlike HMOs, patients can receive care from out-of-network providers, but they will likely have to pay a deductible.

HMOs and PPOs differ in the insurance claim process. All healthcare providers within a managed care network must file a claim with the HMO. So long as services are rendered in-network, policyholders are not required to file anything themselves, and healthcare providers may not bill the policyholder directly. In the case of PPOs, policyholders may have to file a claim to their insurance provider if seeking treatment outside of the managed care network. Filing claims to insurance providers isn’t necessary for POS plans.

Public insurance coverage

The government is also a major provider of insurance coverage in America, through public programs called Medicaid and Medicare.

  • Medicaid is a health service program designed for low-income individuals and families. Medicaid recipients receive health coverage decided by the state in which they reside, though some coverage is federally mandated, such as inpatient and outpatient hospital care. Within this system, states make payments on a fee-for-service system or through arrangements with HMOs.
  • Medicare is another government-funded insurance program for the elderly. Like Medicaid, certain medical services must be covered for Medicare recipients, such as hospital stays and nursing care. This basic coverage is called Medicare Part A. Recipients may also receive coverage in Medicare Part B, also called Supplementary Medicare, for services such as medical equipment, x-rays and labs, and outpatient hospital visits. Recipients of Medicare Part B must pay a monthly premium and pay an annual deductible. There are also Medicare Advantage plans where users can create custom plans that meet their specific needs.

Wrapping Up Course 1

The medical claims process is a dense, complex, but no-less crucial component to the healthcare industry. The following courses will dive deeper into the individual facets of the process referenced in this overview, including coding, insurance providers, medical billing terminology, and medical billing errors. These courses are designed to expand the knowledge base and technical skills needed to become a certified professional medical biller and coder.

Diagnostic Medical Sonography #diagnostic #medical #sonography #online #programs


Diagnostic Medical Sonography

AWARD OFFERED Associate in Applied Science

About the Program

Sonography, or ultrasonography, is the use of sound waves to generate an image for the assessment and diagnosis of various medical conditions. Sonography is usually associated with obstetrics and the use of ultrasound imaging during pregnancy, but this technology has many other applications in the diagnosis and treatment of medical conditions.

Diagnostic medical sonographers use special equipment to direct non-ionizing, high frequency sound waves into areas of the patient’s body. Sonographers operate the equipment, which collects reflected echoes and forms an image that may be videotaped, transmitted, or photographed for interpretation and diagnosis by a physician.

To perform the exam, sonographers use a transducer, which transmits sound waves in a cone- or rectangle-shaped beam. Although techniques vary with the area being examined, sonographers usually spread a special gel on the skin to aid the transmission of sound waves.

Viewing the screen during the scan, sonographers look for subtle visual cues that contrast healthy areas with unhealthy ones. They decide whether the images are satisfactory for diagnostic purposes and select which ones to show to the physician. Sonographers take measurements, calculate values, and analyze the results in preliminary reports for the physicians.

Diagnostic medical sonographers may specialize in obstetric and gynecologic sonography (the female reproductive system), abdominal sonography (the liver, kidneys, gallbladder, spleen, and pancreas), neurosonography (the brain), or breast sonography. In addition, sonographers may specialize in vascular technology or echocardiography.

Career Outlook

Employment of diagnostic medical sonographers is expected to grow through 2014 as the population grows and ages, increasing the demand for diagnostic imaging and therapeutic technology. Opportunities should be favorable because sonography is becoming an increasingly attractive alternative to radiologic procedures, as patients seek alternate treatment methods.

Median annual earnings of diagnostic medical sonographers were $78,520 according to the SDMS Sonographer Salary & Benefits Survey (2012).

Finish on Time

Sample Plan of Study

General Required Courses
1 ORI 110 Freshman Seminar
3 ENG 101 English Composition I
3 HUM Humanities/Fine Arts Elective (Code A or PHL 210)
3 SPH 106 Fundamentals of Oral Communication
3 MTH 100 Intermediate College Algebra
4 BIO 201 Anatomy and Physiology I
4 PHY 115 Technical Physics
3 PSY 200 General Psychology
24 Total

1st Semester
3 DMS 216 Sonographic Principles and Instrumentation
2 DMS 229 Sonography Preceptorship I
2 DMS 202 Foundations of Sonography
3 DMS 204 Sonographic Anatomy
4 DMS 205 Abdominal Sonography
14 Total

2nd Semester
3 DMS 207 Abdominal Pathology
1 DMS 217 Sonographic Principles and Instrumentation Lab
3 DMS 220 Obstetrical Sonography I
4 DMS 206 Gynecologic Sonography
3 DMS 230 Sonography Preceptorship II
2 DMS 203 Sonographic Terms
16 Total

3rd Semester
2 DMS 240 Sonography Seminar I
4 DMS 231 Sonography Preceptorship III
1 DMS 225 Superficial Parts
3 DMS 221 Obstetrical Sonography II
10 Total

4th Semester
1 DMS 245 Sonography Case Presentation
3 DMS 241 Sonography Seminar II
5 DMS 232 Sonography Preceptorship IV
3 DMS 250 Introduction to Advanced Sonography
12 Total


Select one of the departments to learn more

California Health Insurance quotes online: featuring Covered California #california #health #insurance,california #health #insurance #quote,individual #california #health #insurance,group #california #health #insurance,california #medical #insurance


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California health insurance quotes online

20 years of experience in the California health insurance market has taught us one thing. Competent and experienced guidance is Invaluable

We are licensed Covered Ca agents with in-depth knowledge of their plans, process, and tax credits.

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This website is owned and operated by Goodacre Insurance Services, which is solely responsible for its content. This site is not maintained by or associated with Covered California, and Covered California bears no responsibility for its content. The email address and phone numbers that appear throughout the site belong to Goodacre Insurance Services, and cannot be used to contact Covered California.

CORE-AT Electronic Medical Record #electronic #medical #record,pbrn,evidence #based #practice,clinical #outcomes,athletic #trainer


CORE-AT Electronic Medical Record and
Injury Surveillance System

The CORE-AT electronic medical record (EMR) system is a web-based injury surveillance and EMR system for use by athletic trainers. The CORE-AT EMR was designed and developed by athletic trainers in partnership with Essentialtalk. an international technology communication company.

The CORE-AT EMR is compliant with the data acquisition, storage, and transmission standards set forth by the Health Insurance Portability and Accountability Act (HIPAA).

Health information obtained using the CORE-AT system are not stored locally on computers. Instead, data is uploaded in real-time and transmitted to secure, redundant servers.

System Capabilities

The CORE-AT EMR system consists of documentation capabilities including individual patient/athlete registration (e.g. sex, age, grade), injury demographics (e.g. sport, season, position), comprehensive patient evaluation (e.g. diagnosis, injured body part, side, mechanism of injury), and daily treatment, progress, and discharge (e.g. athletic training interventions, rehabilitation protocols, date of return-to-play) notes.

A necessary feature of the patient record is the ability to assign ICD-9 CM and CPT codes to patient diagnoses and treatments, respectively, to enable the characterization of secondary school athletic training practice and for creating cost-estimates for secondary school athletic training services.

Also included in the system are single and multi-item patient-oriented outcome measures, both generic and region specific. Outcome instruments are automatically generated and included as part of the patient evaluation process based on diagnosis and injury region. An automated system not only assures collection of appropriate patient information but also promotes the use of outcome instruments as part of standard athletic training practice.

Injury Surveillance

In addition to the capabilities of the CORE-AT system to collect patient outcomes, CORE-AT is also constructed to capture and integrate injury surveillance information specific to athlete injury and exposure (e.g. incidence, athlete-exposure, time loss/non time loss, sports participation).

With the surveillance component integrated directly into the medical record, information such as time loss/non-time loss, diagnosis, mechanism of injury, sport, and position are all collected and recorded during the initial evaluation, without the need for double entry. Data regarding athlete exposures are also captured and made available to the clinician.

Additional Information

If you are interested in seeing the CORE-AT EMR in action, request a guest account for trial access to the system.

Login to the CORE-AT Electronic Medical Record and Injury Surveillance System.

Preliminary training manual for the CORE-AT Electronic Medical Record. More indepth user manual coming soon.

Loratadine Oral: Uses, Side Effects, Interactions, Pictures, Warnings – Dosing #loratadine #oral, #effectiveness, #satisfaction, #ease #of #use, #medication, #medications, #medicine, #drug, #drugs, #prescription #drugs, #user #ratings, #drug #ratings, #drug #reviews, #rate #a #drug, #treatment, #side #effects, #drug #interactions, #drug #information, #medical #information, #medical #advice, #warnings, #overdose, #drug #images, #over #the #counter, #indications, #precautions, #webmd


Loratadine Tablet,Disintegrating


Loratadine does not prevent hives or prevent/treat a serious allergic reaction (e.g. anaphylaxis ). Therefore, if your doctor has prescribed epinephrine to treat allergic reactions, always carry your epinephrine injector with you. Do not use loratadine in place of your epinephrine.

If you are self-treating with this medication, it is important to read the manufacturer’s package instructions carefully so you know when to consult your doctor or pharmacist. (See also Precautions section.)

Do not use this medication in children younger than 6 years unless directed by the doctor.

How to use Loratadine Tablet,Disintegrating

If you are using the over-the-counter product to self-treat, read all the directions on the product package before taking this medication. If your doctor has prescribed this medication, follow your doctor’s directions and the instructions on your prescription label. If you have any questions, consult your doctor or pharmacist .

Take this medication by mouth with or without food as directed by your doctor or the product package, usually once or twice a day. Remove the tablet from its foil pack immediately before taking and place the tablet on the tongue. It will dissolve quickly. You may swallow the dissolved medication with or without water. Dosage is based on your age, condition, and response to treatment. Do not increase your dose or take this drug more often than directed. Do not take more of this medication than recommended for your age.

Tell your doctor if your allergy symptoms do not improve after 3 days of treatment or if your hives last more than 6 weeks. Seek immediate medical attention if your condition worsens or you think you have a serious medical problem (e.g. very serious allergic reaction /anaphylaxis ).

Side Effects

This drug usually has no side effects. If you have any unusual effects, contact your doctor or pharmacist promptly.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction. including: rash. itching /swelling (especially of the face/tongue /throat), severe dizziness. trouble breathing .

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.


Before taking loratadine. tell your doctor or pharmacist if you are allergic to it; or to desloratadine; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication. tell your doctor or pharmacist your medical history. Do not self-treat with this medication without consulting your doctor first if you have certain medical conditions such as: kidney disease. liver disease.

Loratadine does not usually cause drowsiness when used at recommended doses. However, do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely.

If you have hives and your doctor has prescribed loratadine, or if you are considering using this drug to treat your own hives, tell your doctor right away if you have any of these other symptoms because they may be signs of a more serious condition: hives that are an unusual color, hives that look bruised or blistered, hives that do not itch.

This product may contain aspartame. If you have phenylketonuria (PKU) or any other condition that requires you to restrict your intake of aspartame (or phenylalanine ), consult your doctor or pharmacist about using this drug safely.

Older adults may be more sensitive to the side effects of this drug, especially drowsiness, or confusion. These side effects can increase the risk of falling.

During pregnancy. this medication should be used only when clearly needed and as directed by your doctor. Discuss the risks and benefits with your doctor before taking this drug.

This medication passes into breast milk. However, it is unlikely to harm a nursing infant. Consult your doctor before breastfeeding .


Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Loratadine is very similar to desloratadine. Do not use medications containing desloratadine while using loratadine.

This medication may interfere with certain laboratory tests (including allergy skin testing ), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.


If someone has overdosed and has serious symptoms such as passing out or trouble breathing. call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness.


If your doctor has prescribed this medication for you, do not share it with others.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule. Do not double the dose to catch up.


Different brands/strengths of this medication may have different storage requirements. Read the package labeling or ask your pharmacist for the storage requirements for the product you are using. Protect from light. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.Information last revised July 2016. Copyright(c) 2016 First Databank, Inc.


Lapatinib (GW-572016) Ditosylate #gw #medical #school


Lapatinib (GW-572016) Ditosylate

7 Customer Reviews

Combination of NVP-AEW541 and lapatinib cooperatively inhibits the growth of NVP-AEW541 resistant murine rhabdomyosarcoma primary cell cultures with Igf1r/Her2 complexes. Cell viability assay for Na ve, untreated (U20325; A) and NVP-AEW541 innately resistant mouse rhabdomyosarcoma primary culture (U44676; B) treated with varying concentrations of NVP-AEW541, lapatinib, or a combination of both. Na ve cells (U20325) were sensitive to NVP-AEW541, but lapatinib had no cooperativity. In contrast, NVP-AEW541 at moderate doses increased cell growth in resistant cell cultures (U44676). However, this paradoxical effect was reduced by the addition of lapatinib, although lapatinib treatment alone had very little effect. C, the NVP-AEW541 resistant primary tumor cell line (U44676) was treated with DMSO, 5 mol/L lapatinib, 5 mol/L NVP-AEW541, and a combination of 5 mol/L NVP-AEW541+lapatinib for 25 minutes and Western blot analysis was done on lysates for p-Igf1r and p-Her2.

Mol Cancer Ther 2011 10:697-707. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

(B-C) LNCaP (B) and LNCaP-AI (C) cells were transiently transfected with sPLA2-IIa(-800)-Luc (0.5 lg). The cells were then treated with Erlotinib (20 M), Gefitinib (20 M), Lapatinib (20 M), CI-1033 (8 M), LY294002 (20 M) and Bortezomib (20 M) without or with EGF (100 ng/ml) for 24 h. Luciferase assay was performed according to a standard protocol with Renilla luciferase as an internal control. Data are presented as the mean ( SD) of duplicate values of a representative experiment that was independently repeated for five times.

Carcinogenesis 2010 31, 1948 1955. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

LNCaP-AI cells were starved in 1% stripped medium for 24 h. The cells were then treated with Erlotinib (20 M), Gefitinib (20 M), Lapatinib (20 M), CI-1033 (8 M), LY294002 (20 M) and Bortezomib (20 M) for 24 h. Cell culture medium was collected from each sample and subjected to ELISA for sPLA2-IIa. The condition medium samples were diluted 10 times for ELISA. Average of duplicate samples was converted to nanogram per milliliter against standard curve. The data represent one of five repeated experiments.

Carcinogenesis 2010 31, 1948 1955. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

Impact of the TKI erlotinib, lapatinib, dasatinib, and sorafenib on the viability of MDS/AML cells. MOLM-13 (A) and HL-60 (B) cells were incubated with the indicated doses (given in mM below the x-axis) of the 4 TKI, and cellular viability was assessed by MTT assay after 24, 48 and 72 h of incubation. Changes in viability are given as percentage of cells as compared to non-treated control samples. This experiment was repeated at least three times, yielding comparable results. Graphs show representative results of one experiment carried out in duplicates (mean standard deviation).

Biochem Pharmacol 2011 82, 1457-1466. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

Capacity of the TKI to overcome the AML-typical differentiation blockage. The myeloid cell lines MOLM-13 and HL-60 were incubated for 6 days with 0.01% DMSO (serving as a negative solvent control), 1 M of ATRA (serving as a positive control), as well as with the indicated doses of the four TKI. (A) Representative May-Gruenwald-Giemsa staining of MOLM-13 cells, (B) quantitation of the percentage of MOLM-13 cells exhibiting at least two morphological signs of differentiation (that is a decrease in cytoplasmic basophilia, a reduction of the nucleo-cytoplasmic ratio, appearance of nuclear lobulation and/or cytoplasmic granules). Percentages were evaluated by examining at least 100 cells/condition; (C) representative FACS overlays of MOLM-13 cells depicting TKI-induced CD11b expression (black line) as compared to the isotype (shaded grey); (D) quantitation of TKI-induced CD11b-expression in MOLM-13 cells; (E) representative slides depicting morphology/staining of MOLM-13 cells assessed in the NBT-reduction assay; (F) respective quantitative assessment demonstrating the NBT-reducing capacity under the different drugs; (G) representative May-Gruenwald-Giemsa staining of HL-60 cells.

Biochem Pharmacol 2011 82, 1457-1466. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

Inhibition of signaling pathway activation in lung tumor cell lines by kinase inhibitors. Lung tumor cells were cultured in 10% FBS until reaching 80% confluence and then the cells were starved in serum-free medium for overnight, followed by 4-hour treatment with the inhibitors. Cell lysates were then prepared and used for determination of the pathway activation signals by the CEER assay.

Int J Proteomics 2011 2011, 215496. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

After starved in serum-free medium for 24h,T47D cells incubated with the indicated concentrations of Lapatinib for 3h,followed by 20-minute stimolation of 100ng/ml EGF.

Dr. Zhang of Tianjin Medical University. Lapatinib (GW-572016) Ditosylate purchased from Selleck.

Lapatinib Ditosylate weakly inhibits the activity of ErbB4 with IC50 of 367 nM, and displays >300-fold selectivity for EGFR and ErbB2 over other kinases such as c-Src, c-Raf, MEK, ERK, c-Fms, CDK1, CDK2, p38, Tie-2, and VEGFR2. Lapatinib Ditosylate significantly inhibits receptor autophosphorylation of EGFR and ErbB2 in a dose-dependent manner with IC50 of 170 nM and 80 nM, respectively in HN5 cells; as well as 210 nM and 60 nM, respectively in BT474 cells. Unlike OSI-774 and Iressa (ZD1839) which preferentially inhibit the growth of the EGFR-overexpressing cells, Lapatinib Ditosylate inhibits the growth of both EGFR- and ErbB2-overexpressing cells. Lapatinib Ditosylate displays higher inhibitory activity against EGFR- or ErbB2-overexpressing cells with IC50 of 0.09-0.21 μM, compared with cells expressing low levels of EGFR or ErbB2 with IC50 of 3-12 μM, and exhibits

100-fold selectivity over the normal fibroblast cells. Lapatinib Ditosylate potently inhibits the outgrowth of EGFR-overexpressing HN5 and A-431 cells, as well as ErbB2-overexpressing BT474 and N87 cells, and significantly induces G1 arrest of HN5 cells and apoptosis of BT474 cells, which are associated with inhibition of AKT phosphorylation. [1]

Oral administration of Lapatinib Ditosylate (

100 mg/kg) twice daily significantly inhibits the growth of BT474 and HN5 xenografts in a dose-dependent manner. [1]


In vitro kinase assays:

The IC50 values for inhibition of enzyme activity are generated by measuring inhibition of phosphorylation of a peptide substrate. The intracellular kinase domains of EGFR and ErbB2 are purified from a baculovirus expression system. EGFR and ErbB2 reactions are performed in 96-well polystyrene round-bottomed plates in a final volume of 45 μL. Reaction mixtures contain 50 mM 4-morpholinepropanesulfonic acid (pH 7.5), 2 mM MnCl2. 10 μM ATP, 1 μCi of [γ 33 P] ATP/reaction, 50 μM Peptide A [Biotin-(amino hexonoic acid)-EEEEYFELVAKKK-CONH2], 1 mM dithiothreitol, and 1 μL of DMSO containing serial dilutions of Lapatinib beginning at 10 μM. The reaction is initiated by adding the indicated purified type-1 receptor intracellular domain. The amount of enzyme added is 1 pmol/reaction (20 nM). Reactions are terminated after 10 minutes at 23°C by adding 45 μL of 0.5% phosphoric acid in water. The terminated reaction mix (75 μL) is transferred to phosphocellulose filter plates. The plates are filtered and washed three times with 200 μL of 0.5% phosphoric acid. Scintillation cocktail (50 μL) is added to each well, and the assay is quantified by counting in a Packard Topcount. IC50 values are generated from 10-point dose-response curves.

  • Cell lines: HFF, MCF-7, T47D, A-431, HN5, BT474, N87, CaLu-3, HB4a, and HB4a c5.2
  • Concentrations: Dissolved in DMSO, final concentrations

100 μM

  • Incubation Time: 72 hours
  • Method: Cells are exposed to various concentrations of Lapatinib for 72 hours. Relative cell number is estimated using methylene blue staining. The absorbance at 620 nm is read in a Spectra microplate reader. Cell death and cell cycle analysis are assessed by propidium iodide staining and antibody detection of incorporated BrdUrd and staining with propidium iodide.
    (Only for Reference)
    • Animal Models: CD-1 nude female mice implanted s.c. with HN5 cells, and C.B-17 SCID female mice implanted s.c. with BT474 cells
    • Formulation: Formulated in a vehicle of sulfo-butyl-ether-β-cyclodextrin 10% aqueous solution (CD10)
    • Dosages:

    100 mg/kg

  • Administration: Orally twice daily
    (Only for Reference)

  • Illinois Civil Statutes of Limitations #medical #malpractice #statute #of #limitations #illinois


    Illinois Civil Statutes of Limitations

    Updated April 13, 2016

    A statute of limitations sets the period of time someone has to take some kind of legal action. Statutes of limitation, for example, set deadlines for suing. When a plaintiff misses the cutoff, the defendant can use the statute of limitations as a defense against the suit. If the defendant establishes that the statute of limitations applies and has indeed run, the court will normally dismiss the case.

    (This article is about statutes of limitations in Illinois civil cases. For information about criminal cases, see our article on criminal statutes of limitations in Illinois .)

    Time Limits on Claims

    For statute-of-limitations purposes, the clock normally starts to tick when the claim arises. Courts sometimes refer to this starting point as the accrual of the cause of action ; it s the moment at which the plaintiff has a basis to sue. (Certain events and circumstances can delay or toll statutes of limitations, essentially lengthening the time period for bringing a claim.)

    Assume one person wants to sue another for assault and battery. Assume also that the statute of limitations for assault and battery is two years. In a typical case, the plaintiff would have two years from the date of being hit by the defendant to file suit.

    Statutes of limitations can vary from state to state, and from state court to federal court. They also differ depending on the kind of action involved.

    Statutes of Limitations in Illinois

    Below you ll find statutes of limitations for several claims in Illinois. You can see the statutes to learn more and to look for changes to them. (Be aware that court rulings determine the way statutes are interpreted; they can even make statutes or parts of them unenforceable.)

    Keep in mind that the following is a partial list with broad overviews; you should look at the actual law for nuances and exceptions. For example, whether because the statute says so or a court has decided as much, a limitations period can start to run from the point that the plaintiff knew or should have known of an injury rather than the date of the injury itself. A statute might even provide, for instance, that you have two years to bring an action from the date you knew or should have known that you suffered some kind of harm, but in no event do you have more than six years from the date of the event in question. Examining the law would provide you with that level of detail.

    Also, even if one of the causes of action below seems to apply, you might have grounds for a different or an additional claim with its own statute of limitations. Not only that, but a more specific statute of limitations than what s below could control your case perhaps a statute of limitations for mortgage foreclosure rather than one for contracts.

    Make sure to consult a lawyer for a better understanding of all time limits that apply to your situation and any possibilities for overcoming them. Rules might differ when the action is against the government. Or you might have to file a particular kind of claim before being able to sue. In short, the law in this area is complicated.

    Talk to an attorney

    Palliative chemotherapy: harms and benefits weighed in new study – Medical News Today #cheap #hotels #rooms

    #palliative chemotherapy


    Palliative chemotherapy: harms and benefits weighed in new study

    Palliative chemotherapy is treatment designed for terminal cancer patients to prolong survival and ease symptoms but not cure disease. Now, researchers have found that the therapy comes with certain harms, which they say need to be addressed.

    The researchers, from the Weill Cornell Medical College, Dana-Farber Cancer Institute and Harvard Medical School, have published their results in the BMJ.

    They say their findings uncover a discrepancy between what type of care cancer patients want and what they actually receive.

    Overall, the team found that terminal cancer patients who receive chemotherapy during the last months of their lives are less likely to die where they wish and are more likely to undergo invasive medical procedures – including CPR and mechanical ventilation – than patients who did not receive the therapy.

    Dr. Holly Prigerson, of Weill Cornell Medical College, says that the reasons for the link are complicated, but they may originate in misunderstanding of the purpose and consequences of palliative chemotherapy.

    For the study, investigators assessed data from 386 patients in a federally funded study, called Coping with Cancer.

    This 6-year study followed terminally ill people and their caregivers until the patients died, and the researchers looked at how psychosocial factors influenced patient care.

    After asking the caregivers to rate their patient’s care, quality of life and where the patient would have wanted to die, the researchers reviewed patient medical charts to determine the type of care they actually received during their last week.

    Chemotherapy patients less likely to die where they want

    The researchers found that patients receiving palliative chemotherapy were less likely to talk to their oncologists about the type of care they wanted to receive, to complete Do-Not-Resuscitate orders or to even acknowledge they were terminally ill.

    The findings reveal that 68% of patients receiving palliative chemotherapy died where they wanted, compared with 80% of those not receiving the therapy.

    In detail, 47% of patients who received the therapy died at home, compared with 66% of patients who did not receive the palliative care. Additionally, 11% of patients receiving the chemotherapy died in an intensive care unit, versus only 2% of patients not receiving the therapy.

    Dr. Prigerson says:

    “It’s hard to see in these data much of a silver lining to palliative chemotherapy for patients in the terminal stage of their cancer. Until now, there hasn’t been evidence of harmful effects of palliative chemotherapy in the last few months of life.”

    “This study is a first step in proving evidence that specifically demonstrates what negative outcomes may result,” she adds.

    The team also found that patients receiving palliative chemotherapy were more likely to be referred to hospice care much later than those not receiving the therapy.

    Hospice care is a place that provides comfort and emotional support for terminal patients, and 54% of the patients receiving chemotherapy were referred to hospice late, compared with 37% of the patients not receiving the drugs.

    ‘Potential need for oncology practice changes’

    The team notes that 56% of the patients from the study were receiving palliative chemotherapy in their final months, and they say this majority of use emphasizes the potential need for changes in oncology practice at academic medical centers.

    Dr. Alexi Wright, assistant professor and medical oncologist at Dana-Farber, says:

    “We often wait until patients stop chemotherapy before asking them about where and how they want to die, but this study shows we need to ask patients about their preferences while they are receiving chemotherapy to ensure they receive the kind of care they want near death.”

    But Dr. Wright adds that their findings should not be interpreted that patients should be denied or not offered palliative chemotherapy:

    “The vast majority of patients in this study wanted palliative chemotherapy if it might increase their survival by as little as a week. This study is a step towards understanding some of the human costs and benefits of palliative chemotherapy.”

    “Additional studies are needed to confirm these troubling findings,” concludes Dr. Prigerson.

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    Read Client Reviews

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    Medical Transcriptionist Certification Online

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    The RHDS certification, formerly known as the Registered Medical Transcriptionist (RMT), is for recent graduates with less than 2 years of experience and who work in a single specialty environment, such as a clinic or a doctor s office.

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    Comfort Care Medical Comfort Care Medical #weekly #rates #motel

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    Why Choose Comfort Care?

    Comfort Care will check the patient s insurance benefits and provide the therapist with this information within 24 hours. Learn More

    Low Self-Pay Prices

    For therapists using Comfort Care Medical exclusively as their garment provider, we offer the lowest self-pay prices available. Learn More

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    Here s What Our Customers Have To Say About Us

    What is palliative care: MedlinePlus Medical Encyclopedia #hospice #careers

    #palliative treatment


    What is palliative care?

    To use the sharing features on this page, please enable JavaScript.

    The goal of palliative care is to help people with serious illnesses feel better. It prevents or treats symptoms and side effects of disease and treatment. Palliative care also treats emotional, social, practical, and spiritual problems that illnesses can bring up. When the person feels better in these areas, they have an improved quality of life.

    Palliative care can be given at the same time as treatments meant to cure or treat the disease. Palliative care may be given when the illness is diagnosed, throughout treatment, during follow-up, and at the end of life.

    Palliative care may be offered for people with illnesses, such as:

    • Cancer
    • Heart disease
    • Lung diseases
    • Kidney failure
    • Dementia
    • HIV/AIDS
    • ALS (amyotrophic lateral sclerosis)

    While receiving palliative care, people can remain under the care of their regular doctor and still receive treatment for their disease.

    Who Gives Palliative Care?

    Any health care provider can give palliative care. But some providers specialize in it. Palliative care may be given by:

    • A team of doctors
    • Nurses
    • Registered dietitians
    • Social workers
    • Psychologists
    • Massage therapists
    • Chaplains

    Palliative care may be offered by hospitals, home care agencies, cancer centers, and long-term care facilities. Your provider or hospital can give you the names of palliative care specialists near you.

    The Difference Between Palliative Care and Hospice

    Both palliative care and hospice care provide comfort. But palliative care can begin at diagnosis, and at the same time as treatment. Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness.

    Hospice care is usually offered only when the person is expected to live 6 months or less.

    What Does Palliative Care Include?

    A serious illness affects more than just the body. It touches all areas of a person’s life, as well as lives of that person’s family members. Palliative care can address these effects of a person’s illness.

    Physical problems. Symptoms or side effects include:

    Treatments may include:

    • Medicine
    • Nutritional guidance
    • Physical therapy
    • Occupational therapy
    • Integrative therapies

    Emotional, social, and coping problems. Patients and their families face stress during illness that can lead to fear, anxiety, hopelessness, or depression. Family members may take on care giving, even if they also have jobs and other duties.

    Treatments may include:

    • Counseling
    • Support groups
    • Family meetings
    • Referrals to mental health providers

    Practical problems. Some of the problems brought on by illness are practical, such as money- or job-related problems, insurance questions, and legal issues. A palliative care team may:

    • Explain complex medical forms or help families understand treatment choices
    • Provide or refer families to financial counseling
    • Help connect you to resources for transportation or housing

    Spiritual issues. When people are challenged by illness, they may look for meaning or question their faith. A palliative care team may help patients and families explore their beliefs and values so they can move toward acceptance and peace.

    Learning More

    Tell your provider what bothers and concerns you most, and what issues are most important to you. Give your provider a copy of your living will or health care proxy.

    Ask your provider what palliative care services are available to you. Palliative care is almost always covered by health insurance, including Medicare or Medicaid. If you do not have health insurance, talk to a social worker or the hospital’s financial counselor.

    Alternative Names

    A.D.A.M. Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC’s accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.’s editorial policy. editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. Copyright 1997-2016, A.D.A.M. Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.

    Page last updated: 23 August 2016

    Medical Billing – Coding Schools in Georgia #schools #for #medical #billing #and #coding


    Medical Billing and Coding Schools in Georgia

    Medical Billing and Coding Jobs in Georgia

    Three significant employers of medical billing and coding professionals in Georgia are:

    Atlanta Medical Center

    • Address: 303 Parkway Drive NE, Atlanta, GA 30312
    • Email Address: Use this contact form to email Atlanta Medical Center.
    • Phone Number: (404) 265-4000
    • Website: www.atlantamedcenter.com

    Atlanta Medical Center has been around since 1901. Today, it is a 460-bed tertiary care hospital. It specializes in advanced surgery, neurology, cardiology, orthopedics, women s health, trauma, and rehab. As a member of the Tenet system, Atlanta Medical Center offers great benefits: a 401k, income replacement, medical, vision, dental and life insurance, tuition reimbursement, student loan repayment, an online educational program, paid time off, and an employee stock purchase plan.

    Augusta Surgical Center

    Founded in 1983, Augusta Surgical Center was the first freestanding ambulatory surgical center in Augusta. Services include cosmetic and reconstructive surgery, endoscopic sinus surgery, laser surgery, Gamete interfallopian tube transfer, gastroenterology, infertility treatments, and much more. As an affiliate of Doctors Hospital of Augusta, the Augusta Surgical Center offers a competitive benefits package: dental and vision plans, a flexible spending account, an employee assistance program, short and long term disability, legal assistance, universal life insurance, an HCA 401k, and an employee recognition program.

    Children s Healthcare of Atlanta at Scottish Rite

    • Address: 1001 Johnson Ferry Road NE, Atlanta, GA 30342-1605
    • Email Address: Please use this contact form to email Children s Healthcare.
    • Phone Number: (404) 785-5252
    • Website: www.choa.org

    In 1915, the Scottish Rite Convalescent Home for Crippled Children was founded. Then in 1928, Henrietta Egleston Hospital for Children opened its doors. In 1998, they joined forces, and together the two hospitals became Children s Healthcare of Atlanta. Today, Children s Healthcare employs approximately 150 doctors in 18 locations spread over metro Atlanta for the convenience of their patients. Children s Healthcare offers a nice benefits package: health, vision, dental, life and supplemental term life insurance, a flexible spending account, a health savings account, short and long term disability, leaves of absence, and paid time off, including holidays.

    Top Cities in Georgia for Medical Billing and Coding Careers

    Listed below, compiled with information from the BLS. are the top cities for medical billing and coding employment in Georgia.

    Macon, GA

    There are 170 certified medical billers and coders in Macon, who earn an average of $16.83 an hour or $35,020 a year. The top 10% of workers earns $64,530 — the highest in this list. The bottom 10% earns $22,650.

  • Atlanta Sandy Springs Marietta, GA

    The average annual pay for Atlanta medical billers and coders is $35,200 a year, or $16.92 an hour. The bottom 10% of medical billers and coders in this area makes $22,360, while the top 10% of workers earns $54,400. In addition, this area employs 2,690 workers.

  • Chattanooga, TN GA

    While Chattanooga employs only 300 professional billers and coders, they earn $15.60 hourly or $32,440 annually. The top 10% of employees earns $49,910, while the bottom 10% earns $20,970.

  • Augusta Richmond County, GA SC

    The greater Richmond county area has 330 medical billers and coders who earn an average of $16.59 an hour or $34,510 annually. The bottom 10% earns $20,120 while the top 10% earns $50,440.

  • Athens Clarke County, GA

    Athens employs only 140 medical billers and coders, but they earn $15.94 per hour or $33,150 per year. The top 10% of workers makes $47,750 while the bottom 10% earns $19,600.

  • Gainesville, GA

    The bottom 10% of workers in Gainesville earns $23,680, while the top 10% rakes in a high average salary of $59,730. However, the 60 billers and coders in Gainesville only earn $18.30 hourly or $38,060 annually.

  • Middle Georgia non-metro area

    This region of Georgia is home to 170 medical billers and coders. They earn an average salary of $14.08 hourly or $28,280 annually. The bottom 10% of workers earns a low average annual salary of $17,960, while the top 10% earns $47,250.

  • Rome, GA

    Rome only houses 50 medical billing and coding professionals, but they earn $15.49 per hour or $32,220 a year. The top 10% of workers earns $49,550, while the bottom 10% earns $21,400.

  • Albany, GA

    There are 140 professionals working in Albany, earning an average wage of $12.71 an hour or $26,430 a year, which is a low average salary compared to the other Georgia cities. The bottom 10% of medical billers and coders in this area earns $16,690, while the top 10% makes $39,640.

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    Contact the Atlanta VA Health Care System – Atlanta VA Health Care System #phone, #directory, #list, #contact, #telephone, #fax, #make, #schedule, #change, #cancel, #appointments, #veterans, #health, #administration, #va, #vamc, #medical #center, #healthcare, #health #care, #hospital


    Atlanta VA Health Care System

    Contact the Atlanta VA Health Care System

    Atlanta VA Health Care System offers a variety of health services to meet the needs of our nation’s Veterans. For additional contact information you may also view our phone directory or A to Z List of Services .

    To all our Customers, we’ve taken steps to improve our phone system, however, as we are working on further improvements we want all our Veterans to be aware that they can communicate with their Clinical Provider Teams thru MyHealthyVet.

    Our administrative hours of operation are Monday through Friday, 8:00 a.m. – 4:30 p.m. Emergencies are seen 24 hours a day, 7 days a week. Review our visiting hours and polices page for visitor hours. View our phone list for office numbers.

    Patient Advocates

    Our Service Recovery program is a systematic approach to obtain Veteran feedback while responding to complaints in a manner that creates loyalty and responsively makes system improvements. Service Recovery begins at the point of service. All patient care areas in the hospital have Department Level Advocates who address concerns for patients. Patient Advocates are available to address issue of patients if the Department Level Advocate is unable. Our Patient Advocate program gives you and your family the security of knowing someone is available to focus on your individual concerns and rights.

    If you have a compliment, complaint, or other issue which you believe requires resolution, please contact one of our patient representatives at 404-321-6111, ext. 2264; or visit them at the main medical center, Room 1B152, Hours of Operation: Monday Friday 8 a.m. 4 p.m. or by calling the Telephone Advise Program 404-329-2220 or 2222; Toll free at 1-800-224-4087.

    Additional contact information is available on our customer service page.

    Contacting a Patient

    If you come to visit a patient, please see our maps for directions and parking locations. You may also wish to review our visiting hours and policies page.

    If you would like to send a card, gift or flowers to a patient, the mailing address is:

    Patient Name (Patient Room Number)
    c/o Atlanta VA Medical Center
    1670 Clairmont Road
    Decatur, GA 30033

    Telephone Care

    Please contact our telephone care line at 1-800-224-4087, 24 hours a day, if you need medical advice, have a question about your medication, or need to schedule a non-urgent appointment.

    OEF/OIF Coordinator

    Kerry Traviss, room 2B-150. 404-321-6111, ext. 6345.

    Former Prisoners of War

    Our Former Prisoners of War Advocate for the Atlanta VA Medical Center is Ms. Rhonda E. Sturdivant. Ms Sturdivant can be reached at 404-321-6111, extension 6808.

    Schedule an Appointment

    To schedule an appointment, please contact us at one of the numbers below, or visit My Healthe Vet .

    Media Inquiries

    For media requests, contact the Public Affairs Office at (404) 321-6111 x5385

    Inquiry Routing and Information System

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    The Fulton County Medical Examiner’s Office is a Department within the Fulton County Government. The Department Head is the Chief Medical Examiner, who is appointed by the Fulton County Board of Commissioners. A staff of approximately 40 employees carries out the duties of the office which is located at the Fulton County Medical Examiner’s Center. Our main responsibility is to investigate deaths that occur because of injury or poisoning, or which are sudden, unexpected, and not readily explainable at the time of death. (See “What We Do and Why We Do It”).

    • Administrative and Support Personnel
    • Medical Examiners
    • Medical Examiner Investigators
    • Forensic Technicians
    • Medicolegal Photographers
    • Histology Technical Support Staff
    • Morgue Attendants
    • Custodial Staff

    The staff at the Fulton County Medical Examiner’s Center includes:

    Administrative and Support Personnel

    John M. Cross, Deputy Director

    Paul Desamours, Operations Manager

    Barbara Pringle-Smalls, Administrative Coordinator

    Simone Murphy, Medicolegal Transcriptionist

    Lynette Redding, Medicolegal Transcriptionist

    Karleshia Bentley, Records and Documents Supervisor

    Shirley Gleaton, Administrative Assistant

    Genavieve Howard, Customer Service

    Sharon Cooper, Customer Service

    Randy Hanzlick, MD, Chief Medical Examiner

    Michael Heninger, MD, Associate Medical Examiner

    Melissa Pasquale, MD, Associate Medical Examiner

    Michele Stauffenberg, MD, Associate Medical Examiner

    Karen Sullivan, MD, Associate Medical Examiner

    Mark Guilbeau, PhD, DABMDI, Senior ME Investigator/Forensic Anthropologist

    Tami Schroder, DABMDI, Senior ME Investigator

    James Bartlett, ME Investigator

    Mary Beth Hauptle, DDS, DABMDI, ME Investigator, Forensic Odontologist

    Clinton Harbin, ME Investigator

    Betty Honey, DABMDI, ME Investigator

    Dumonder “Reda” Dawson, Investigator

    Julie Magee, ME Investigator

    Mark Ruffin, ME Investigator

    Jon Hager, ME Investigator

    Brian Reents, ME Investigator

    Forensic Technical Support

    Carlos Evans, Forensic Technician Asst. Supervisor

    Charles Love, Forensic Technician Supervisor

    Angie McCray, Forensic Technician Asst. Supervisor

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    Graduate Medical Education (GME): National Institutes of Health Hospice and Palliative Medicine Fellowship

    Fellowship Program Director:
    Ann Berger, MSN, MD ; Chief of Pain and Palliative Care Service, NIH Clinical Center

    Associate Program Director:
    M. Jennifer Cheng, MD, Senior Attending Physician

    This fellowship program is designed for candidates who have academic and clinical career goals in Hospice and Palliative Medicine. Fellows gain hospice and palliative medicine expertise as they provide consultations for medical, psychological, and spiritual concerns and coordinate team-based, holistic integrative approaches. Palliative care services are provided to adults and children through multiple settings, including inpatient wards, outpatient clinics, and day-hospital clinics. Trainees encounter patients with common and rare diseases from all walks of life, and in both research and community settings. Candidates must have:

    • a MD or DO degree from an ACGME-accredited medical school
    • satisfactorily completed three postgraduate years of training at the time of appointment
    • ABMS board eligibility or certification in one of the following specialties: internal medicine, family practice, pediatrics, psychiatry, neurology, oncology, anesthesiology, surgery, or radiation oncology
    • unrestricted state medical licenses and the ability to be licensed in Washington DC and Maryland by the beginning of training.

    Program Structure
    This one year fellowship program offers training that leads to board eligibility in Hospice and Palliative Medicine. Fellows receive broad, practical experience in palliative medicine and hospice care through inpatient and outpatient palliative medicine rotations at the NIH Clinical Center (approximately half the academic year), inpatient palliative medicine rotations at community Suburban Hospital (12 weeks), and home hospice (4 weeks), inpatient hospice (6 weeks), and long-term-care hospice (4 weeks) rotations at Washington Home and Community hospices. The fellowship includes a four-week elective rotation.
    Additional program highlights:

    • Fellows are expected to demonstrate academic proficiency through literature review, a peer-review quality journal article, a book chapter, or other professional writing project, or a limited and closely-mentored research project
    • Fellows are exposed to and learn about complementary therapies such as acupuncture, relaxation therapy, hypnosis, biofeedback, guided imagery, Reiki, and art therapy
    • Longitudinal self-care activities through confidential, individual meetings with social worker and chaplain
    • Longitudinal educational and clinical collaboration with NIMH Psychiatry Consult Liaison Service

    Application Information
    This program participates in the ERAS system and all applications to this fellowship should be completed through ERAS. The completed application must include three letters of recommendation. The program also participates in the National Resident Match Program (NRMP). Additional information about the Hospice and Palliative Medicine Fellowship application cycle and deadlines can be obtained directly from the ERAS website.

    Currently we do not sponsor J-1 Visa. Fellows receive a stipend based on the salary guidelines of the National Institutes of Health PGY4 level salary.

    Pima Medical Institute Reviews in Las Vegas, NV #pima #medical #institute #las #vegas #nv


    Pima Medical Institute Las Vegas Reviews

    They not only provide quality medical training but, support students and employees in many ways (in 6 reviews)

    The staff and faculty are wonderful, it’s like a giant family at Pima (in 4 reviews)

    I love working for PMI and would recommend it to others (in 4 reviews)

    We are a family owned company, but more importantly because of our ESOP program, we’re a majority employee owned company (in 6 reviews)

    employee owned . great bonuses, great salaries (in 5 reviews)

    There are no cons to working at PMI (in 11 reviews)

    New Management . Don’t talk down to the people who help you run PMI (in 4 reviews)

    There are cons at any place of employment but none here enough to mention, growing pains maybe (in 3 reviews)

    Nobody leaves, pay is low . no room for advancement (in 2 reviews)

    No company is perfect . so it has its challenges like anyone else (in 2 reviews)

    More Pros and Cons

    The managers are always approachable not only at the local campus level, but also at the corporate level. The VP knows every employees name which is impressive. The company is student focused and they value the ideas of the employees. It is important to the company that they treat each employee with respect and with value. This makes the employment turn over rate very low

    Would like to see the regional directors have more time to spend with employees and not just with management team

    Flag as Inappropriate Flag as Inappropriate

    Pima Medical Institute Response

    Pima Medical Institute 2016-06-21 13:51 PDT

    Is this helpful? The community relies on everyone sharing Add Anonymous Review

    Culture Values

    Comp Benefits

    Current Employee – Faculty Coordinator in Las Vegas, NV (US)

    Current Employee – Faculty Coordinator in Las Vegas, NV (US)

    Approves of CEO

    This company puts their students first, regardless. I love the honesty and adherence to solid values that makes this company the leader in private education. I ve been here 8 years. It s been the best place I ve worked at in my life.

    No company is perfect, but there is nothing of any significance to complain about. If issues arise, they are normally resolved to everyone s satisfaction at the campus level.

    Advice to Management

    Sometimes changes come a little to fast to be absorbed by everyone.

    I love working at and for Pima! My boss is the bomb, and the associate campus director is down-to-earth and approachable! There are so many companies and schools out there which are solely financial based, but Pima is employee and student based. This is the best place I ve ever worked! I ve been in the medical field for 20+ years, and have worked for the past 35 years, and Pima Medical Institute is without question my dream job!

    Although I know there are faults and cons with all companies and jobs, I have not yet found any at the campus I work at, nor have I found any with the corporate office which I am in constant communication with.

    Advice to Management

    Stay doing what you are doing! We always say we are here for the students, and as the front line people – we are. However, you as management are here for those of us that work at Pima, and it is something I have never experienced before.

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    Medical Assisting Degree vs. Diploma vs. Certificate

    Are you interested in becoming a medical assistant? There are various ways that you can get into the medical assisting career.

    The medical field has an abundance of careers that one can get into. It is more than just physicians and nurses. One of the medical careers you can consider is Medical Assisting. A medical assistant usually works in a physician’s office, clinic and other health care facilities. As the term implies, a medical assistant helps in the administrative and/or clinical aspect of the facility.

    There are several ways to get into Medical Assisting. You can choose between getting a degree, diploma or certificate. If you are just deciding to get into the field, choosing which way to go can be confusing. Is there really a difference between the three? And the answer is yes.

    Medical Assisting Certificate

    Medical Assisting Certificate programs are offered both in private schools and community colleges. The program runs for about a year, and sometimes even shorter than a year, and focuses on specific skills – administrative or clinical. When you have completed your medical assisting certificate program, you would have to take the medical assistant certification examination. This option may be the least expensive of the three.

    Medical Assisting Diploma

    The diploma course for medical assisting can take 9 months to 1 year to complete, depending on the school or college you are enrolled in. The program offers a more comprehensive look into the medical assisting field. It deals with both the administrative and clinical aspect of the job and offers basic training in both. At the end of your program you would also need to take the medical assistant certification examination to get certified. The medical assisting diploma program may cost a little more than the certificate program. The diploma program is offered both in private schools and community colleges.

    Medical Assisting Degree

    Should you opt to get a medical assistant degree you need two years to finish the whole program. It is more comprehensive and in-depth than the diploma program. Expect higher academic demand that goes with the program combined with practical and on-hand training. Just like in the diploma program, this degree program will train you in both administrative and clinical tasks associated with medical assisting. You will also need to take up additional classes as part of the program requirement. After you have completed your degree you can take the medical assisting certification examination to get certified. This is the most expensive of all the three options. The medical assisting degree program is offered in community colleges and private schools as well.

    Each of these educational options will help you get into the field of medical assisting. You have to consider several factors before deciding which road to take. There is the time element – how much time can you devote to studying? Online studies may be an option here. How much money can you spend on the program? What is your career outlook for the next couple of years? Of course, the degree program offers a more lucrative job opportunities and security. Just weigh all the factors and consider all your options before deciding so you will get the best out of it.

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    MCAT Test Scores
    and Medical School Requirements

    New MCAT scoring and GPAs required by US medical schools and Canadian medical schools are provided in this website. To guide you in your journey to medical school, this page will provide you with helpful information such as new MCAT test scores range (good, high and highest scores), scores percentiles, your chance of medical school admission, and advice on how to attain a high MCAT score.

    How the new MCAT is scored

    The MCAT (Medical College Admission Test) is a prerequisite for admission to nearly all the medical schools in North America. This is administered by the Association of American Medical Colleges (AAMC) in hundreds of testing centers in the United States, Canada and around the world.

    In 2015, over 64,000 premed applicants to American and Canadian medical schools submitted their MCAT test results. While the actual weight given to MCAT scores in the admissions process varies from school to school, often they are regarded in a similar manner to your premed GPA (i.e. your academic standing).

    The MCAT has four sections, namely; (1) Biological and Biochemical Foundations of Living Systems; (2) Chemical and Physical Foundations of Biological Systems; (3) Psychological, Social, and Biological Foundations of Behavior; and (4) Critical Analysis and Reasoning Skills.

    Each section is scored from a low of 118 to a high of 132 while the midpoint is 125. The total score results from a combination of the four sections’ scores. Total score range is from 472 to 528, with a midpoint of 500.

    The MCAT score report that you will receive would reflect the scores’ percentiles, confidence bands that show your true score range, and score profiles that reflect your strengths and weaknesses. For your guide on new MCAT scores, click here: MCAT Score Report .

    MCAT scores are released 30 to 35 days after the exam. Click here: MCAT Score Reporting System

    Average MCAT Test Scores

    To look at average MCAT scores and GPA, click here: US Medical Schools MCAT Scores and Canadian Medical Schools MCAT Scores

    Note: ‘Average MCAT score’ refers to the average of students who were accepted to medical school. Apart from your MCAT score, your GPA and non-academic factors like your personal statement and/or autobiographical material, letters of reference, and the medical school interview influence your chance of getting accepted to medical school.

    * The percentage of students whose scores were lower than yours. Percentile ranks are not used as criteria for medical school admissions. The scaled score is what matters for medical school admissions. Every year, the AAMC releases MCAT score percentiles which gives exam takers an idea on how they fared compared to others who took the exam. For MCAT scores percentiles for past MCAT test dates, click here: MCAT Research and Data

    Old and New MCAT Scores Accepted by Medical Schools

    MCAT scores that date back two or three years are accepted by most medical schools. Although the MCAT has changed in 2015, some medical schools will accept the old MCAT scores until the 2018 application cycle, while some require the new MCAT score for the 2017 application cycle. For a list of medical schools and their acceptance policy, click here: MCAT exam policy .

    To know your chances of getting accepted to medical school, click here: Medical School Admissions Calculator

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    Medical Claims Processing Software, Apex EDI Clearinghouse, medical patient software.#Medical #patient #software


    Apex EDI s Medical Claims Processing Software Is Simple Efficient

    Medical practices of the 21st century need cutting edge software to adhere to current healthcare legislation, as well as maintain a profitable business. Apex EDI makes filing medical claims simple and efficient. Regardless of which practice management software or electronic claims processing you may currently use, Apex EDI integrates seamlessly to ensure efficient and ethical medical claims processing.

    Apex EDI is a national clearinghouse focused on your local medical practice! Our medical claim service is leading technology efforts in thousands of practices nationwide. Physicians and office managers view Apex as the best resource for revenue cycle management. Our clearinghouse services allow you to send your medical claims from your software directly to payers. Additionally we provide you with advanced Claim Status reporting and web based claims management functions to streamline your billing process and to get you paid faster; allowing you to focus on patient welfare.

    We are a proud partner of numerous medical practitioners to provide the following:

    • Send Insurance claims electronically with the Apex OneTouch® service
      • Available with any software print file
    • Verify patient Eligibility benefits in real-time (270/271)
    • Online Claim History — with Apex EDI Real-Time Scrubbing
    • Unlimited Apex EDI claims support and customer service
    • Free ERA 835 Transactions (EOB)
    • Custom advanced Claim Status reporting and searching functionality
    • Low monthly fee for electronic claims processing with no contracts
    • Send and organize patient Statements – with real time processing

    We have a proprietary process of focusing on what matters most — “Getting you Paid!” We offer several distinct ways to improve your claims processing experience!

    1. Connect to your medical office software with our simple desktop app — Apex OneTouch®. This allows us to capture the claim file from most software and complete your medical claims processing in less than two minutes.
    2. Apex API — complete integration. This product allows your existing software to “plug and Play” your claims/statements/patient eligibility information to the patient ledger and billing sections of your software. This allows you to manage medical claim reimbursement from within your software. (Ask us for details)

    Additional Transactions Include:

    • API software integration with your practice management software – New Technology!
      • Ask your software to incorporate Apex EDI integrated claims
    • Claim Attachments NEA/MEA
    • Processing of multiple claim formats
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    Medical Billing Training Program Red-Flags You Should Avoid #medical #coding #online #classes


    Medical Billing Training Program Red-Flags You Should Avoid

    Updated June 13, 2016

    The good news is that medical billing and other medical record keeping jobs are growing, according to the Bureau of Labor Statistics. More good news is that medical billing can be learned and done from home. However, like other areas of working at home, scammers are duping unsuspecting would-be medical information technicians out of their money and their home-based career dreams.

    Quality online medical billing courses exist and it s easy to learn what s involved and how to find a good program.

    However, by learning the red-flags in questionable programs, you have an additional knowledge to help you weed out the scams.

    Here is a list of things to avoid when searching for a reputable medical billing program.

    1. Programs promoted with a lot of hype, especially with a focus on working at home without a lot of experience.
    2. Programs not taught by by experienced medical billers, medical coders, or a successful medical billing business owner.
    3. Medical billing training offered by educational clearinghouse (school that teaches everything from accounting to zoology). The problem with EC s is that you re not taught the in-depth information you need to be proficient within the medical billing industry.
    4. Programs that insist it takes two years to complete, unless one of the following applies:
      • Your current situation doesn t allow you to dedicated the necessary time to complete the course sooner,
      • Your course also consists of additional subjects such as medical transcription. medical coding or healthcare management,
      • Your course also prepares you to sit for one of the National Certification Exams given by the The American Medical Billing Association (AMBA). The American Academy Of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) .
    1. Training programs that don t cover the essential aspects of doing medical billing including anatomy, medical terminology, coding, insurance rules, and billing software programs.
    2. Medical billing programs that are more than $1,200. However if your course also includes classes on becoming a nationally certified medical coder or medical transcriptionist, then the cost could get as high as $2,500.
    1. Medical billing training is separate from certification, so programs that promise certification should be suspect. After your training, you can get certified, but certification isn t included in training. Note, only three organizations, such as American Association of Professional Coders. award medical billing certifications, which involves a lengthy and extensive exam. When you take a course the most that they can give you is called a Certificate Of Completion which means that you satisfied the requirements of the course and have been awarded the certificate as proof that you did.
    2. Program that don t offer several payment options. Depending on where you take the course (i.e. a community college), you might even be eligible for financial assistance.
    3. Medical billing training that doesn t allow you to speak with past or current students. Not providing references is a red flag.

    When you find a program you like, do your research. Don t be afraid to ask questions, such as how long has the school been around and is it accredited, what is the credentials and experience of the instructors, does the program prepare you for the certification test, what are payment options and is there a refund policy, and is there help in finding jobs or clients?

    If you feel you ve been scammed by a medical billing program, there are a few things you can do, including reporting the program and contacting your payment processor to report the fraud.

    Like other work-at-home industries, the home based medical billing industry has scams and questionable programs. However, that shouldn t keep you from becoming a medical biller. Instead, learn all you can about the industry including how to choose a reputable training program, and how to find legitimate medical billing jobs or start a home business.

    Medical Billing Note From Your Guide

    This article is part of the Medical Billing Guide, a five piece series that looks at the ins and outs of medical billing and coding, both as a career and as a home based business.

    Read more: Medical Billing Guide

    Electronic Medical Record, MDLand, patient medical record and history software.#Patient #medical #record #and #history #software



    Primary links

    Electronic Medical Record

    Customize a system that works for you

    With iClinic®, one size does not fit all. iClinic® is completely customizable; it comes preloaded with hundreds of clinical templates all of which can be modified and saved for later use. Templates can be applied globally to the entire record or to any section of the patient chart. Everything from the templates to privilege settings can be customized to your preference.

    An intuitive interface designed by physicians

    The tab-based organization of iClinic® reduces the number of drill-downs and ensures that you can always find what you are looking for. With the unique ExpressMode™ function, you can complete an entire clinical visit without navigating away from the page.

    Spend more time with your patients

    The philosophy behind iClinic® is simple: documenting in an EMR should be as easy as possible. With procedure codes and diagnoses automatically linked to templates, simple office visits and follow-ups can be completed within minutes. Quickly input notes with full touch screen compatibility and integrated voice dictation.

    A pure web-based solution

    iClinic® is one of the few systems on the market that is truly web-native – it works on all browsers across most operating systems. There are no expensive servers to maintain and no complicated software to install. Simply log into your clinic and you are ready to go.

    Your trusted hosting partner

    With MDLand Hosting Solutions, your records are stored and backed up at secure HIPAA compliant data centers. With over ten years experience in the field, MDLand is a trusted hosting partner for sensitive, mission-critical data.

    Offline access

    Through our Local Version™ optional software, providers have offline access to patients’ files, medical history and demographic information. In the event that you lose Internet connectivity, you will always have access to your data via your local desktop or laptop. Best of all, Local Version works in the background and requires no additional effort to maintain.

    Specialty modules

    MDLand has modules available for most specialties including oncology, cardiology, dermatology, gastroenterology and many more.

    Skin Cancer Treatment, Skin Cancer, Melanoma Treatment, Auckland #basal #cell #melanoma #treatment, #doctors #medical #centre #immigration #doctors #melanoma #mole #check #skin #cancer #treatment #auckland #gp #health #care #emergency #doctor



    Skin Cancer Diagnosis and Process

    A thorough dermoscopic skin check is done for a melanoma skin cancers, basal cell skin cancers or sqaumous cell skin cancers. We have specialist dermoscopists and skin cancer surgeons at Eastmed Doctors, who can not only diagnose your skin cancer accurately, but also offer you to treat them here in the custom built surgical theatre. Your skin cancer surgery will by performed under local anaesthetic injections with minimal discomfort. The skin cancer that is cut out is send to the lab for the pathologist to analyse what type of skin cancer this is and whether we have removed it completely. The skin is usually repaired with absorbable sutures to give you a very neat scar.

    Melanoma Skin Cancer Treatment

    Melanoma skin cancer moles can either be dark or light or sometimes an enlarging red spot. If a skin cancer is suspected to be a melanoma the only treatment option is to remove this mole as soon as possible. If you discover a new brown, black, or red mole, please make an appointment with one of our doctors and this will be dealt with promptly.

    Basal Cell Skin Cancer Treatment

    A basal cell skin cancer arises from the basal layers of the skin. This is a very common skin cancer. It used to be known as a rodent ulcer in the past, since it eats away in the middle destroying tissue and bone on its way and enlarges when no treatment was offered. This does not happen now since we pick these up very early. They usually look like a pearl red or pink mole with lots of tiny blood vessels on the surface. Sometimes they are flat red spots on the skin. They usually break down in the middle, causing a hole in the bump, which can bleed. Many patients also have them in the ears which bleed causing stains on the pillows.

    If the basal mole is large and flat and the diagnosis is uncertain, then a punch biopsy can be done to prove what it is before cutting the whole mole out. Some we do frozen section – this is removing a small part of the mole and have this looked by the pathologist in the lab quickly, before removing more out. This is similar to Moh’s surgery

    If the punch biopsy reveals a superficial basal cell cancer, then Aldara ( imiquimod ) cream is funded. This is a immune cream, which works in conjunction with your immune system to clear this mole. This is very successful. Sometime Effudix cream can also be used.

    If the diagnosis is certain or the punch biopsy reveals an invasive basal cell cancer, then removing this entire mole is the only option.

    Squamous Skin Cancer Treatment

    Squamous cell cancers usually come in the lips or legs. There look like very rough skin on top of the mole, sometimes bleeds. They can be very large red flat scaly spots on the skin. If the area is large then punch biopsy can be done to see how bad the squamous cell mole cancer is before removing this entirely. If it is a pre-cancerous mole, then Liquid Nitrogen or Freezing Ice works very well to clear this. If the squamous cell cancers especially on the face, ears or lips or legs which are deep, they need to be removed entirely to offer complete cure.

    Sun Spots – Actinic Keratosis – Pre Skin Cancer Treatment

    Some of these are precancerous lesions. They can be effectively treated with Aldara ( imiquimod ) or Liquid Nitrogen or Efudix ( 5-Fluorouracil cream ) creams.

    Liquid Nitrogen – Freezing Ice

    Liquid Nitrogen or Freezing ice treatment is available at Eastmed Doctors. This can be effectively used to treat a variety of pre-cancerous rough spots, sun spots and superficial basal cell skin cancers.

    Anticancer Creams

    Aldara ( imiquimod ). or Efudix ( 5-Fluorouracil cream ) are used at Eastmed doctors for treatment of skin cancers which respond to them – mainly pre-cancerous sun spots, Actinic keratosis and Superficial basal cell cancers.

    Skin Cancer Checks and Treatment

    If you are new patient and wish to have a skin cancer mole check and have your skin cancer treated at the same time, book an appointment online. choose Dr. Siva Nachiappan from the list and indicate in the special instruction box you are a new patient and you are coming in to have your moles checked. Alternatively you can ring the reception on 09 585 0188.

    Click here for examples of mole surgery done at Eastmed Doctors

    Central Carolina ENT – Ear Nose and Throat Specialist North Carolina ENT Doctor Hearing Aids Sleep Apnea Cosmetic Surgery #workers #compensation, #hearing #loss #evaluations, #disability, #medical #hearing #loss #determinations, #vertigo #evaluations, #medicolegal #aspects #of #hearing #loss, #board #certified #phyician #for #workers #comp, #central #carolina #ent, #ccent, #ear #nose #and #throat #specialist, #north #carolina #ent #doctor, #hearing #aids, #sleep #apnea, #cosmetic #surgery, #sanford #nc, #apex #nc, #raleigh #nc, #lee #county #nc, #wake #county #nc, #fayetteville #nc, #carolina #cary #north


    Central Carolina Ear, Nose, and Throat Associates

    Latest CCENT News!

    Trouble Breathing Through Your Nose? Latest treatment for nasal obstruction is the Latera implant

    Nasal obstruction can be caused by many factors including a deviated septum (the wall on the inside of your nose that separates the right and left nasal passages), inferior turbinate hypertrophy (structures within your nose that help warm and humidify the air that enters your nose), or weakened cartilage on the outside of your nose to name a few. If the septum is crooked or the inferior turbinates are large, this problem can be corrected with a septoplasty that straightens the septum or an inferior turbinate reduction. These are relatively easy procedures to perform and typically do not lead to any cosmetic deformity of the nose because the surgery is performed inside your nose.

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    Sinusitis is one of the most common chronic health problems in the U.S. afflicting an estimated 37 million Americans each year. Patients suffer from facial pain and pressure, congestion, nasal discharge, and fatigue, among other symptoms. Sinusitis has a significant effect on these patients’ physical, functional, and emotional quality of life.

    Read Full Article

    CCENT is pleased to announce our new Audiologist Heather Balsley, AuD.

    Dr. Balsley is licensed by the NC Board of Examiners for Speech-Language Pathologists and Audiologist and certified by the American Speech-Language Hearing Association. She is also fluent in American Sign Language. Her interests include pediatrics, hearing aids, assistive listening devices, diagnostics and early identification of hearing loss.

    CCENT is pleased to announce our new full-time PA, Beth Lisi, PA-C.

    Beth was born and raised in the Northern Virginia area. She attended Virginia Tech for her undergraduate education, where she earned a Bachelor of Science in Human Nutrition, Foods and Exercise in 2009. She then pursued graduate education at Wake Forest University, where she completed a Master of Medical Science in Physician Assistant studies in 2012. She worked in gastroenterology prior to joining CCENT.
    Beth is licensed by the NC Medical Board and the National Commission on Certification of Physician Assistants.

    Online Medical Billing: Popular Software Solutions #free #online #medical #billing #software


    Online medical billing: Most popular billing software solutions

    Are you one of the 9 out of 10 medical practices who report that their medical billing system needs an upgrade? A recent Brown-Wilson study of 8,000 health leaders confirmed that there’s a shake-up coming for revenue cycle management and that the majority of practices are looking for a web-based billing solution for their next step.

    If you’re considering a switch, Practice Fusion has a variety of flexible billing options for you to try, including three new partners offering web-based billing software. And, our award-winning support team is here to make your practice’s transition quick and easy.

    Practice Fusion now offers free connections directly to the most popular web-based billing software solutions, including ADP AdvancedMD. CollaborateMD and NueMD. We’ve carefully chosen our partners for the value and offerings they can provide to the Practice Fusion community, including low monthly fees, unlimited support and claims, as well as implementation and training resources.

    Once you’ve connected your Practice Fusion EHR with our preferred partners’ software, you’ll be able to seamlessly sync your superbills between the two programs. You’ll also get instant feedback to determine if your bill has been processed, and help fixing any errors so that you can get paid as quickly as possible.

    Setup is simple. In your EHR, click on the Reports tab and then Billing to request your connection or to learn more about a specific billing software.

    All three of our partners are ready to help you get started finding the solution that fits your practice best, so you can focus on getting paid faster.

    What is MACRA? What is MIPS? What should I be doing now to get ready? What is.

    Featured posts:

    After ongoing feedback from medical providers, professional medical associations, and Congress, the Centers for Medicare and Medicaid.

    Visit our ICD-10 Center We had a pretty incredible ICD-10 release and received some wonderful feedback and comments from.

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    How Long Is School For Medical Billing And Coding – The Medical Coding Schools #how #long #is #school #for #medical #billing #and #coding


    What Is Medical Billing and Coding. Frequently Asked
    Medical insurance billing and coding for students seeking a hospital billing career can find medical billing and coding info from MedicalBillingCareer.org. Call Now: so it s vital to research any medical billing school you plan to attend.

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    Need advice on medical billing/coding career. Medical Coder jobs forums.

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    The Allen School Of Health Sciences | New York Arizona
    Online medical billing courses at the Allen School of Health Sciences offer all of the interaction and one on nursing homes, or long term care facilities in one of the most Medical Insurance Billing and Coding. I joined Allen School of Health Sciences because it was suitable for my daily

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    Medical Billing And Code Certificate Program Online | DeVry
    DeVry s Medical Billing Coding Certificate program offers students the necessary skills for a career in medical billing. Learn more and apply online now! Keller Graduate School of Management is included in this accreditation.

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    Find medical billing and coding schools in your area, Find a Medical Billing School Home Programs How Long are Most Programs?

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    Searching for a medical billing and coding school? Carrington College offers medical billing and coding training certification. Learn More! Searching for a medical billing and coding school? Carrington College offers medical billing and coding training certification.

    Medical Coding Medical Billing Medical Auditing AAPC
    The nation s largest medical coding training and certification association for medical coders and medical coding jobs. Your Future in Healthcare Starts Speed up your coding with AAPC Coder. Free for 14 day trial. Learn Certify in Medical Billing and Coding. Learn More. Blog View All.

    Medical Billing School, Medical Billing and Coding Schools
    Q: Where can I find the best school for medical billing? A: Our website offers some of the best schools for Medical Billing and Coding. These include campus based as well as online schools.

    Long Island Medical Coding School Yellowpages.com
    Find 29 listings related to Medical Coding School in Long Island on YP.com. See reviews, photos, directions, phone numbers and more for the best Business Vocational Schools in Long Island, NY.

    Medical Insurance Billing and Coding Programs Everest
    Medical Insurance Billing and Coding Overview. Everest s Medical Insurance Billing and Coding (MIBC) Program Careers; Home Programs Categories Medical Insurance Billing Coding. Medical Insurance Billing and Coding Overview. Although the Affordable Care Act (also known as Obamacare )

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    Looking for top Long Island City medical billing and coding schools? It is the 4th highest ranked school in the USA and the highest in the state of New York. Medical Billing and Coding; Medical Imaging; Medical Informatics; Medical Office;

    Medical Billing and Coding School | Branford Hall Career
    If you are considering medical billing and coding school, schools and technical schools to look for a program where he could train to become a Medical Biller. Medical billing and coding was a field that had always when the programs he researched were very long and

    Accredited Medical Billing Schools In Long Beach, California
    Medical Billing Schools In Long Beach, California. In Long Beach, there is only one medical billing school where medical billing faculty can find employment. Medical Coding: $39,180: Health Information Management: $71,650:

    Portfolio Medical Billing and Coding Schools In Long Island NY
    Hunter Business School (HBS) has been leading the way by providing quality career training for Medical Billing and Coding in Long Island NY. Graduation; Store; 13 Reasons; Exercise Your Brain; Study Portals; The Portfolio. Upcoming events. Mon. 10. Oct. 2016. Columbus Day. All Day Both

    Medical Billing and Coding Schools, Training Education
    Find Your Medical Billing School Today. Medical Billing Schools is an online career and education resource for professionals and students in medical insurance billing, medical coding and medical records analysis.

    Medical Billing and Coding How Long Does It Take To
    Medical Billing and Coding How long does it take to complete? If the school will not or does not publish their tuition and fees on the internet for public I am thinking about going through the Medical Billing and Coding course at Medical Careers Institute in Virginia

    Top 10 Medical Coding and Billing Schools

    7 Accredited Medical Coding Schools in Tennessee #online #medical #coding #certification


    Find Your Degree

    Medical Coding Schools In Tennessee

    There are 7 accredited medical coding schools in Tennessee for faculty who teach medical coding classes to choose from. The graphs, statistics and analysis below outline the current state and the future direction of academia in medical coding in the state of Tennessee, which encompasses medical coding training at the following levels:

    • Medical Coding Certificate
    • Associates degree in Medical Coding
    • Bachelors degree in Medical Coding


    Arrange By

    340 Plus Park Blvd, Nashville, Tennessee 37217

    N/A U.S. News National University Ranking

    1556 Crestview Dr, Madison, Tennessee 37115

    N/A U.S. News National University Ranking

    500 South Davy Crockett Parkway, Morristown, Tennessee 37813-6899

    N/A U.S. News National University Ranking

    1186 Highway 45 Bypass, Jackson, Tennessee 38301

    N/A U.S. News National University Ranking

    1860 Wilma Rudolph Blvd, Clarksville, Tennessee 37040-6718

    N/A U.S. News National University Ranking

    415 Golden Bear Court, Murfreesboro, Tennessee 37128

    N/A U.S. News National University Ranking

    441 Donelson Pk Ste 150, Nashville, Tennessee 37214

    N/A U.S. News National University Ranking




    Professional Trends

    Tennessee Vs. National Medical Coding Employment

    Of all of the medical coding professionals in the country, nearly 2% are in the state of Tennessee.

    Employment Growth for Medical coding professionals In Tennessee

    This represents a growth in salaries of 15%. This growth is mirrored by state trends for all professionals. In the state of Tennessee, there is a huge variation in pay, within the field of medical coding. The pay differential between the highest paid medical coding professionals and those in the bottom 10% of the pay bracket is 139%

    Average Salaries for Medical coding professionals and related professions in Tennessee

    Health Information Management

    In Tennessee, medical coding professionals make, on average, less than their counterparts in related professions.

    Educational Trends

    Medical Coding programs available for each degree type for all schools in Tennessee

    As the number of medical coding professionals is decreasing in Tennessee state, the number of students graduating from the 7 accredited medical coding schools in Tennessee state is increasing. In 2006, 12 students graduated from medical coding courses in Tennessee. And in 2010, 170 students graduated.

    Thus there was a 1317% percent increase in the number of medical coding school degree or certificate graduates in Tennessee. A majority of these graduates, or 50%, graduated with a undergraduate certificate in medical coding.

    Medical Coding Faculty Salaries in Tennessee

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    Enter your salary to gain access to our continually growing higher education faculty salary database. Don’t worry! This is 100% secure and anonymous.

    We are now in the process of collecting data for the number of medical coding faculty in Tennessee, growth in the field of medical coding academia and medical coding faculty salaries in Tennessee. If you are involved in teaching medical coding courses to students at the certificate in medical coding, associates degree in medical coding, and bachelors degree in medical coding levels, please take a moment to anonymously submit your information to help us build a valuable database resource for the benefit of current and future faculty in the field of medical coding in Tennessee. Once you submit your information, you will get a chance to see the data we have collected thus far.

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    Bachelors Degree Program in Sonography #bachelors #degree #in #ultrasound, #ultrasound #bachelors #degree, #four #year #degree #in #ultrasound, #bachelor #of #diagnostic #medical #sonography, #ultrasound #bachelor #degree, #advanced #placement #bachelors #programs #in #ultrasound, #advanced #placement #degree #in #ultrasound


    Bachelors Degree Program in Sonography

    A Sonography Bachelor s Degree program is generally open to those who have already completed an associates degree or certificate program and who are currently certified as a Registered Diagnostic Sonographer through ARDMS or a similar professional association.

    Career advancement: It’s something most of us strive for as we seek a higher level of stability, challenge, fulfillment and salary. Completing a Bachelors Degree Program in Sonography enables just that – a move up the professional ladder from sonographer to director of an ultrasound department, consultant, an educator of diagnostic medical sonography or other prestigious positions.

    If you are thinking of going to medical school down the road, then a four year degree in ultrasound would also be an ideal educational foundation. (Note: Admission requirements vary from school to school. For example completion of any two-year allied health program may suffice or in some cases you can start your Bachelor of Science from scratch, rather than transferring credits from a previous associates/certificate program).

    Advanced Placement Bachelors Programs in Ultrasound

    An Advanced Placement Bachelor’s of Diagnostic Medical Sonography is an educational option that allows you to further specialize as a Sonographer or ultrasound technician. In many cases, fulfilling a Bachelors Degree in Sonography involves transferring your credits from a two-year Associates or certificate program plus completing professional credits specific to the profession of sonography. Such a degree is referred to as a “bachelor’s completion program”.

    While pre-requisites for admissions into an ultrasound degree school vary, generally to be accepted into a Bachelors program, you must have already completed a two-year allied health program in areas such as sonography, radiation therapy or nuclear medicine technology and be a practicing Registered Diagnostic Medical Sonographer. Again, not all four year degree in ultrasound programs require this; some schools allow you to complete pre-professional courses at the beginning of your undergraduate degree. But for an Advanced Placement Bachelors Degree in Ultrasound, the emphasis is on professional development for existing sonographers and ultrasound technicians.

    Coursework delves into biology, physics, lab equipment, medical terminology and patient interaction specially tailored to the field of ultrasound. Many Bachelor’s Degrees in Ultrasound programs offer students the opportunity to specialize in a particular area of diagnostic medical sonography. such as vascular, echocardiography or general (abdominal, obstetrics and gynecology). Usually an Ultrasound Bachelors degree will include clinical or internship experiences, but for an Advanced Placement program this may not be required due to previous work experience.


    Should I pursue an Associates or a Bachelors degree in ultrasound?

    If you would like to remain as an entry-level sonographer, then an ultrasound associates degree will suffice. If you wish to continuously engage in professional development and further specialize then you may wish to pursue a Bachelors degree in Ultrasound. Also if you plan to go on to medical school, then a bachelor s degree is a credible, pre-med option.

    What jobs will I qualify for with a Bachelors degree?

    An Ultrasound Bachelors degree coupled with several years work experience can lead to significant career advancements. The ARDMS describes this professional progression: “A sonographer with 3-5 years of experience can become lead sonographer or director of an ultrasound department. There are also opportunities in consulting, sales, equipment manufacturing, imaging administration and education”. According to the Bureau of Labor Statistics (BLS), the demand for diagnostic medical sonographers will continue to grow by 46% through to 2022. This job growth, which is faster than average, also equates to more high-level positions within the ultrasound field.

    Can I pursue a Bachelors degree in Ultrasound while working?

    Yes in many cases you can. If you are already a registered sonographer, some schools offer bachelor completion courses completely online since you would already have the clinical and lab experience from your vocation and prior education. Other schools offer flexible course schedules during the evenings and weekends.

    Will a Bachelors degree make me more competitive in the job market or affect my salary?

    Yes. Completing a program that equates to a four year degree in ultrasound will make you more specialized, qualified and more competitive for both entry-level and advanced sonographer positions. In 2015, the median salary for diagnostic medical sonographers was $68,970 per year, according to the BLS. However, the top 10% of sonographers made more than $97,000 annually. By upgrading your education, experience and job title, you can strive to become a part of this top 10%.

    Makgahlela Mashaba Attorneys – Attorneys – Converyancers #attorneys #medical


    Toughest Defense Lawyers for Your Money

    The Founder

    Lodwick Mashaba, an ambitious, dynamic attorney, founded Makgahlela Mashaba Attorneys and Conveyancers in 2008 to serve growing needs in the changing landscape of the legal fraternity.

    Lodwick served his articles at Biccari Bollo Mariano (BBM) Incorporated. He was admitted as an attorney of the High Court in 2004. He was then appointed as an associate within the firm. In 2007, he was promoted to a position as Senior Associate.

    He has a broad spectrum of legal skills and expertise in the private sector. He specialises in corporate, commercial, labour, matrimonial, civil and commercial litigation.

    Lodwick provides legal advisory services to private and corporate clients and to state organisations, including workers unions.

    Lodwick holds an LLB from the University of the North and a Higher Diploma in Labour Law from the University of Johannesburg.

    Banking Finance

    At Makgahlela Mashaba Attorneys and Conveyancers, no transaction is too big or small for our attorneys. Our emphasis on quality and excellence ensures a first-class experience for all our clients.

    Legal Collections

    All accounts are first scrutinised by our internal legal department before being handed over to one of our attorneys. Cases are individually accessed on merit before proceeding with any action, cases that do not warrant legal action are returned to our clients at no cost.

    Consumer Debt Collection

    Consumer debt is on the rise in South Africa with many consumers failing to settle their debts on time leaving businesses with a cash flow crisis. Consumer debt is our core debt collection service and our mission is to maximise our client’s cash flow by reducing their bad debtor’s books and increasing bad debt recoveries through providing a professional collection and debt management service.

    “The law is more than a simple tool or trade: it is the glue that binds society.

  • We may have establishedWe deliver our pro bono services through the various pro bono clients we service and which we may have established

  • We deliver our pro bono services through the various pro bono clients we service.


    • We keep abreast with all technological developments (for example, we have recently moved our network to the Cloud) to ensure secure data and that we are better able to serve our clients.
    • We are prepared to procure any software or hardware that is necessary to ensure compatibility with our clients’.
    • We use advanced billing systems that simultaneously provide our clients with the progress report of each matter.
    • We maintain sophisticated data retention and backup systems.

    We offer a Broad Range of Conveyancing Services

    Our lawyers will also represent you in civil litigation cases such as divorce, child and spouse maintenance.

    • Cancelling bonds
    • Commercial property estate transfers
    • Conventional transfers
    • Lease agreements
    • Evictions
    • Lease agreements
    • Opening township registers
    • Preparing deeds, bonds and consents
    • Sale purchase agreements
    • Sectional title transfers
    • Various endorsements applications
    • Registering bonds

    Makgahlela Mashaba Attorneys is a 100% black owned boutique commercial law firm based in the Woodmead – Johannesburg. We are fast establishing ourselves as a key player in the fields of Litigation, Commercial Law, Labour Law, Conveyancing and Debt Collection.

    We place great emphasis on handling matters professionally and expeditiously while recognizing that each client and each matter is unique.


  • Medical Treatment Clinic Trenton MI #immunization #garden #city, #infection #treatment #taylor, #medical #clinic #trenton, #taylor #vaccine, #trenton #treatment #center, #flu #vaccine #garden #city #mi, #asthma #treatment #taylor #mi, #respiratory, #infection #treatment #trenton #mi, #tetanus #vaccine #taylor #mi, #treatment #center #garden #city #mi




    Garden City


    Our new facilities are really UNIQUE among other urgent cares. They are extra clean, spacious and well maintained. There is no other urgent care facility with similar warm, comfortable, clean and spacious waiting room.

    All of our clinics are designed to be a “mini-ER”. Our exam rooms are up to date and each clinic is equipped with EKG, Cardiac/vitals Monitor and all other necessary tools for minor emergencies.

    We use non-disposable surgical tools (much better than the ER disposable Tools).We have an autoclave in every facility to sterilize these equipment.

    We have used an Electronic Medical Records system (EMR) since 2008 and we use electronic prescription system in all of our clinics. Our EMR system is Aprima. This offers a great advantage to our patients in terms of storing and reproducing the medical records. In addition, you do not have to worry about paper registration or about telling us your medications and allergies more than once.

    We have been using the Digital X-Rays reading technology at all of our clinics. The FUJI Digital X-Rays reader offers greater accuracy in reading X-Rays, since it allows the doctor to magnify the image, change the contrast and rotate. It makes the interpretation of X-rays much easier. Patients are usually shown their X-rays immediately after it is done. Our X-rays are reviewed usually by a board certified radiologist within 24-48 hours from the time it is done (Fridays and weekends are read on Monday).

    The Woodhaven and Garden city sites have a full service pharmacy attached to the clinic.

    Our Staff

    Our clinics are staffed with experienced Board certified ER, Family practice physicians, surgeons, internists and PA’s. We offer superior high quality medical care

    Our Roster Includes Dr. Nasry
    Dr. Mahfooz
    Dr. Embree
    Dr. VandeRoest
    Dr. Shaker
    Dr. Harp
    PA Dabaja
    PA Aoub

    Each clinic is managed by experienced medical assistants. We educate our employees and strive to deliver the best possible service in the best possible time; although, we must admit we are not perfect but we are committed to continuous education and improvement.

    Uniform and badges are going to be enforced in all of our clinics.


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    Center Drug Co – Geneva AL near 702 W Maple Ave, 702 W Maple Ave #medical #suppliers,medicare,review,compare,ratings,contact


    Center Drug Co


    Center Drug Co is a local retailer of Wiregrass Drugs, Inc, its parent company, in Geneva, Alabama. Center Drug Co sells a total of 22 Medicare chargeable items at 702 W Maple Ave, Geneva, AL 36340. However Center Drug Co do not accept Medicare as payment You should contact Center Drug Co by phone: (334) 684-0453 for more detail about medical equipment, supplies and Medicare payment they offered.

    Address: 702 W Maple Ave
    Geneva, Alabama 36340

    Map and Directions

    Customer Support Phone

    • Accept Medicare Assignment: The supplier always accepts assignment for the category, which means they accept the Medicare-approved amount as payment in full for all claims for the category. You may pay more for equipment and supplies from suppliers that don’t accept Medicare’s approved payment amount as payment in full. You should ask the supplier if it will accept the Medicare-approved amount as payment in full for your item.
    • Competitive Bid Service Area: The intent of the Competitive Bidding Program is to ensure beneficiary access to quality items and services while reducing out-of-pocket expenses by awarding Medicare contracts only to local suppliers with the most competitive bid prices. Generally, if you want Medicare to help pay for Competitive Bidding Program equipment or supplies, you’ll need to get the equipment or supplies from a supplier which participating the Competitive Bidding Program.

    Contact Information

    • Address: 702 W Maple Ave, Geneva, Alabama 36340
    • Phone: (334) 684-0453
    • Office Hours:
      • Monday: 8:00 AM – 5:00 PM
      • Tuesday: 8:00 AM – 5:00 PM
      • Wednesday: 8:00 AM – 5:00 PM
      • Thursday: 8:00 AM – 5:00 PM
      • Friday: 8:00 AM – 5:00 PM
      • Saturday: Closed
      • Sunday: Closed

    Medicare Supplies

    Disclaimer. HealthCare6.com doesn’t endorse any products. The information in this directory comes directly from Medicare database. HealthCare6.com doesn’t edit this information and hasn’t checked the products to verify if they meet Medicare’s rules. You must meet all coverage rules for Medicare to help pay for any item.

    Center Drug Co carries the following product category(s) near 36340

    Blood Glucose Monitors & Supplies: Non-Mail Order

    Breast Prostheses & Accessories

    Commodes, Urinals, & Bedpans

    CPAP, RADs, & Related Supplies & Accessories

    Diabetic Shoes & Inserts: Prefabricated

    Hospital Beds: Electric

    Hospital Beds: Manual

    Nebulizer Equipment & Supplies

    Oxygen Equipment & Supplies

    Power Operated Vehicles (Scooters)

    Seat Lift Mechanisms

    Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads

    Wheelchairs & Accessories: Standard Manual

    Wheelchairs & Accessories: Standard Power

    This supplier information was updated by using data source from Centers for Medicare and Medicaid Services (CMS) which is publicized on Friday, July 24, 2015. If you found out that something incorrect and want to change it, please follow this Update Data guide.

    Call Center Drug Co by phone: (334) 684-0453 for more detailed description about medical equipment, drugs, supplies they offered and also discuss with them about insurance, Medicare questions and medical supply needs before going to them.

    See more related providers


    Center Drug Co Local retailer of Wiregrass Drugs, Inc in Geneva, Alabama

    Nuance Dragon Naturally Speaking, Medical Transcription, Voice Recognition Software #dragon #naturally #speaking, #medical #transcription, #voice #recognition, #speech #recognition, #voice #recognition #software, #dragon, #naturally, #speaking, #medical, #transcription, #scansoft, #voice, #recognition, #speech, #software, #hipaa, #recorder, #microphones, #rsi, #repetitive #stress #injury, #naturallyspeaking


    History of Speech Voice Recognition and Transcription Software


    Speech and vocie recognition refers to the ability of machines to respond to spoken commands. Speech and voice recognition enables hands-free control of various electronic devices a particular boon to many disabled persons and the automatic creation of print-ready dictation. Among the earliest applications for speech voice recognition were automated telephone systems and medical dictation software (for transcription).

    The technology of Automatic Speech Recognition (ASR) and Transcription has progressed greatly over the past few years. Ever since research of this technology began in 1936, the largest barriers to the speed and accuracy of speech voice recognition were computer speed and power (or the lack thereof). With the average CPU now above a Pentium III and RAM levels at 500 MB and up, accuracy levels have reached 95% and better with transcription speeds at over 160 words per minute.

    As mentioned above, the study of automatic speech recognition and transcription began in the 1936 with AT T s Bell Labs. At that time, most research was funded and performed by Universities and the U.S. Government (primarily by the Military and DARPA – Defense Advanced Research Project Agency ). It was not until the early 1980 s when the technology reached the commercial market.

    Like most emerging technologies, there were several competing research camps , each working independently to develop speech recognition. Please view the Speech Recognition Timeline to get a full view of its development.

    The first company to launch a commercial product was Covox in 1982. Covox brought digital sound (via The Voice Master, Sound Master and The Speech Thing) to the Commodore 64, Atari 400/800, and finally to the IBM PC in the mid 80s. Along with (or bundled with) this introduction of sound to computers came an early form of speech recognition.

    Another company that was founded in 1982 and whose eventual product has become the overwhelming leader in the speech recognition market was Dragon Systems. Nuance, Inc. now owns and manufactures this product, Dragon Naturally Speaking.


    Dragon Systems was founded in 1982 by James and Janet Baker to commercialize speech recognition technology. As graduate students at Rockefeller University in 1970, they became interested in speech recognition while observing waveforms of speech on an oscilloscope. At the time, systems were in place for recognizing a few hundred words of discrete speech, provided the system was trained on the speaker and the speaker paused between words. There were not yet techniques that could sort through naturally spoken sentences. James Baker saw the waveforms–and the problem of natural speech recognition–as an interesting pattern-recognition problem.

    Rockefeller had neither experts in speech understanding nor suitable computing power, and so the Bakers moved to Carnegie Mellon University (CMU), a prime contractor for DARPA s Speech Understanding Research program. There they began to work on natural speech recognition capabilities. Their approach differed from that of other speech researchers, most of whom were attempting to recognize spoken language by providing contextual information, such as the speaker s identity, what the speaker knew, and what the speaker might be trying to say, in addition to rules of English. The Bakers approach was based purely on statistical relationships, such as the probability that any two or three words would appear one after another in spoken English. They created a phonetic dictionary with the sounds of different word groups and then set to work on an algorithm to decipher a string of spoken words based on phonetic sound matches and the probability that someone would speak the words in that order. Their approach soon began outperforming competing systems.

    After receiving their doctorates from CMU in 1975, the Bakers joined IBM s T.J. Watson Research Center, one of the only organizations at the time working on large-vocabulary, continuous speech recognition. The Bakers developed a program that could recognize speech from a 1,000-word vocabulary, but it could not do so in real time. Running on an IBM System 370 computer, it took roughly an hour to decode a single spoken sentence. Nevertheless, the Bakers grew impatient with what they saw as IBM s reluctance to develop simpler systems that could be more rapidly put to commercial use. They left in 1979 to join Verbex Voice Systems, a subsidiary of Exxon Enterprises that had built a system for collecting data over the telephone using spoken digits. Less than 3 years later, however, Exxon exited the speech recognition business.

    With few alternatives, the Bakers decided to start their own company, Dragon Systems. The company survived its early years through a mix of custom projects, government research contracts, and new products that relied on the more mature discrete speech recognition technology. In 1984, they provided Apricot Computer, a British company, with the first speech recognition capability for a personal computer (PC). It allowed users to open files and run programs using spoken commands. But Apricot folded shortly thereafter. In 1986, Dragon Systems was awarded the first of a series of contracts from DARPA to advance large-vocabulary, speaker-independent continuous speech recognition, and by 1988, Dragon conducted the first public demonstration of a PC-based discrete speech recognition system, boasting an 8,000-word vocabulary.

    In 1990, Dragon demonstrated a 5,000-word continuous speech system for PCs and introduced DragonDictate 30K, the first large-vocabulary, speech-to-text system for general-purpose dictation. It allowed control of a PC using voice commands only and found acceptance among the disabled. The system had limited appeal in the broader marketplace because it required users to pause between words. Other federal contracts enabled Dragon to improve its technology. In 1991, Dragon received a contract from DARPA for work on machine-assisted translation systems, and in 1993, Dragon received a federal Technology Reinvestment Project award to develop, in collaboration with Analog Devices Corporation, continuous speech voice recognition systems for desktop and hand-held personal digital assistants (PDAs). Dragon demonstrated PDA speech recognition in the Apple Newton MessagePad 2000 in 1997.

    Late in 1993, the Bakers realized that improvements in desktop computers would soon allow continuous voice recognition. They quickly began setting up a new development team to build such a product. To finance the needed expansion of its engineering, marketing, and sales staff, Dragon brokered a deal whereby Seagate Technologies bought 25 percent of Dragon s stock. By July 1997, Dragon had launched Dragon NaturallySpeaking, a continuous speech voice recognition program for general-purpose use with a vocabulary of 23,000 words. The package won rave reviews and numerous awards. IBM quickly followed suit, offering its own continuous speech recognition program, ViaVoice, in August after a crash development program. By the end of the year, the two companies combined had sold more than 75,000 copies of their software. Other companies, such as Microsoft Corporation and Lucent Technologies, are expected to introduce products in the near future, and analysts expected a $4 billion worldwide market by 2001.

    In 2000, Lernout Hauspie acquired Dragon Systems. In 2001, Scansoft, Inc. acquired all rights to Lernout Hauspie s speech recognition products including Dragon Naturally Speaking. In 2003, Scansoft, Inc. acquired Speechworks, and the company chaged their name to Nuance in 2005.

    Nuance, Inc. is presently the world leader in the technology of Speech Recognition in the commercial market.

    The primary source for this history is Garfinkel (1998).

    Funding a Revolution: Government Support for Computing Research. Copyright 1999 by the National Academy of Sciences. http://www.nap.edu/readingroom/books/far/ch9_b2.html

    Speech Recognition. Encyclop dia Britannica. 2003. Encyclop dia Britannica Premium Service.
    08 Oct, 2003 http://www.britannica.com/eb/article?eu=139072 .

    Surgical Technologist #medical #technologist #programs #online


    Surgical Technologist

    Become a vital part of the operating room team

    Did you know that today there are more people than ever who require health care services? This means that there are more career opportunities in the health care industry than ever before.

    Surgical Technologists (also called surgical techs, operating room technicians and OR techs) assist in surgical operations, preparing operating rooms and assisting surgeons, nurses and physicians before and during surgical procedures.

    Advances in medical technology have made surgery safer, and more operations are being done to treat a variety of illnesses and injuries. In addition, the number of individuals who have access to health insurance is expected to continue to increase because of federal health insurance reform, which should in turn lead to increased demand for surgical services. As a result, there is an increasing need for trained Surgical Technologists.

    The aging of the large Baby Boomer generation also is expected to increase the need for Surgical Technologists, because older people usually require more operations. Moreover, as these individuals age, they may be more willing than those in previous generations to seek medical treatment to improve their quality of life. For example, an individual may decide to have a knee replacement operation in order to maintain an active lifestyle.

    Student Success Stories

    “I developed great self-esteem working with the staff and instructors of North-West College. They helped me so much I was able to move back to my home state and was employed by the first employer I submitted my application with. Thank you so much for the learning experience that I received from your school!” Diantha Polley, Medical Assistant

    “I came to North West College Riverside campus not knowing what I wanted to do in life. I learned to have compassion and understand the patients. I have a job now as a medical assistant and all I could say is I’m very grateful that I attended this college.” Elizabeth V. Ruiz, Medical Assistant

    “Thanks to North-West College, I’ve had the opportunity to acquire skills that I needed to be successful! Thanks North-West!” Gabrielle Maria Romero

    Tell us your story!
    How did your experience at North-West College help you? Did our career services team help you find a job after you graduated? Have you been promoted to a new position?
    If you have a story you would like to share, we would love to hear it! ” North-West Family

    MPP – We Change Laws! #marijuana, #cannabis, #legalization #of #marijuana, #medical #marijuana, #legalize, #legalization, #legalize #marijuana


    Defend State Marijuana Laws

    Legislatures Taking On Marijuana Policy in 2017

    Regulating Marijuana Works

    Regulate Rhode Island and allied legislators are announcing a new proposal they call “incremental legalization.”

    Maine Legislature Passes Bill to Fund the Implementation of the Marijuana Legalization Initiative and Change the Agency That Will Regulate Marijuana for Adult Use

    The Maine Legislature has passed a bill to fund the implementation of the successful 2016 marijuana legalization initiative and change the agency that will regulate marijuana for adult use.

    Gov. Phil Scott Vetoes Historic Bill That Would Have Made Marijuana Legal for Adults in Vermont, Offers ‘Path Forward’ for Compromise During Summer Veto Session

    Gov. Phil Scott announced he is vetoing a bill that would have made marijuana legal for adults in Vermont, but offered “a path forward” for passing it later this year.

    Statement Regarding Connecticut Democrats’ Proposed Budget, Which Includes Regulating and Taxing Marijuana for Adult Use

    Democratic state lawmakers proposed a budget that includes regulating and taxing marijuana for use by adults 21 and older.

    Columbus Personal Injury Lawyer: Scott Elliot Smith LPA #medical #malpractice #lawyers #columbus #ohio


    Attorney Scott Elliot Smith

    Attorney Scott Elliot Smith can help you pursue compensation for your losses, but he realizes your case is about more than just money. It’s about justice. It’s about making sure you get the attention you rightfully deserve. It’s about helping you get back to the place you were prior to the injury.

    A Reputable, Aggressive Accident Attorney in Ohio Can Be Your Advocate

    Everyone has advice for you when you’ve been the victim of a personal injury accident – relatives, friends, co-workers. Some of them will tell you that they were once in your place – suffering car and truck accident injuries. dealing with insurance companies and so on. Unless their first recommendation is to hire an experienced Central Ohio personal injury attorney, do not listen to them. You need more than anecdotal advice from someone who once was in an accident; you need professional experience on your side. Scott Elliot Smith has been protecting the legal rights of accident victims and securing financial compensation on their behalf since the 1980s.

    You need more than anecdotal advice.
    you need professional experience on your side.

    A Truck Accident Attorney Who Gets Results

    A collision with a commercial truck can cause devastating injuries for people in a passenger vehicle. Scott Smith knows because he has been fighting for the rights of truck accident victims for more than three decades. He understands that recovering from truck accident injuries can be a long, difficult and expensive process. He knows how to investigate truck drivers and trucking companies to find evidence of negligence. And he knows how to fight insurance companies to get the compensation you deserve.

    If you ve been injured in a truck accident, take back control.
    Contact Scott Smith and demand the justice you deserve.

    You Need a Passionate, Steadfast Personal Injury Lawyer in Columbus

    The staff at the Smith Law Office know that personal injury cases come in many forms – car and truck accidents, motorcycle accidents, workplace accidents, medical malpractice, dangerous drugs and many more. Yet they also know that every case has one thing in common: It is of central importance to the life and well being of the victims and their families.National Board of Legal Specialty Certification Protect your rights by hiring a Columbus personal injury lawyer who will put your needs first. Take a major step toward reclaiming control of your life by calling 800-930-7268 or contacting us online. Your initial consultation is free. and you pay us nothing in fees unless we make a recovery.

    Experience matters when so much is on the line. Find out how Scott Smith can help.

    Medical Administrative Assistant Certification Guide #administrative #medical #assistant #certification


    Medical Administrative Assistant Certification Guide

    Why is the CMAA certification popular?

    The CMAA (Certified Medical Administrative Assistant) exam is one of the more popular certifications available to secondary high school health science programs of study. There are several reasons for the popularity of medical administrative assistant certification.

    1. The Bureau of Labor Statistics reports that medical secretaries are among the fastest growing professions, both in percentage and absolute terms.
    2. The CMAA certification is a great starting point for students who are interested in getting a job, while they continue their education towards positions like Medical Transcriptionist, Billing/Coding Specialist, and Medical Office Manager.
    3. The program is easier for schools to implement, because there typically aren’t requirements for clinical externships.

    How do Health Science Programs of Study work?

    Students who are interested in further study with CTE will choose a program of study, in this case for Health Science.

    Most health science programs have one or two years of foundational courses, where students learn basic skills that are required of all health workers. The basic skills typically include Anatomy Physiology. Legal/Ethical, HIPAA, Vital Signs, Medical Terminology. Medical Math, and more.

    Once students complete the health science core curriculum, they will choose a specialty within that career cluster. Popular career pathways for health science include Certified Nurse Aide, Administrative Medical Assistant, Clinical Medical Assistant, Patient Care Technician, EKG, and Phlebotomy .

    Each career pathway has unique requirements. Some will require clinical externships and others will not. Some jobs require state licensure and other’s don’t. Students need to be aware of the job requirements before selecting a particular pathway/career goal.

    How does the CMAA Certification Process Work?

    Eligibility: Students need to be 18 years old to be officially certified, but the National Healthcareer Association allows students under 18 to sit for the test and become provisionally certified. The provisional certifications can be converted to full certifications once students graduate and turn 18.

    Practice Testing: The best situation for students occurs when practice tests are provided by the institution. When this happens, students get 5 attempts at the test. Teachers can get feedback for each test attempt and help guide students towards successful results.

    Certification Test: Once students are ready, they can take the official certification test. The format of the real test is the same as the practice tests (100 questions), but the actual questions will be different.

    Medical Administrative Assistant Certification Best Practices

    1. Review the CMMA Test Plan (linked at the bottom of this article) to gain an understanding of what is on the test. Please note that the test will be changing in July 2015. Be sure to review the correct edition for your students.
    2. Start with a strong core curriculum, that is aligned with the certification tests.
    3. Provide opportunities for students to take many online assessments. This will help prepare them for the online multiple-choice format used in CMAA test.
    4. Use a curriculum that goes beyond the health care core, to help students master the concepts specific to the CMAA certification. NHA provides study guides and practice exams, but they aren’t meant to be used as a curriculum.
    5. Have students take their first practice assessment early in the school year, so there is plenty of time to close any knowledge gaps.
    6. Students should use the NHA study guides and practice assessments, in combination with normal course curriculum, to be as prepared as possible.
    7. Take one last practice assessment, close to the scheduled time of the official exam. This will give students one more practice attempt.
    8. Pass the exam!

    Medical Administrative Assistant Certification Resources

    About Ken Richard

    Online Medical Billing and Coding Schools #medical #billing #and #coding #online #school


    The Cutting Edge of Medicine Medical Billing and Coding

    Browse Schools that offer online Billing/Coding

    article continued from above.

    Billing and coding continues to be a great career opportunity, with pay being considered generous for an entry level job. However, trying to educate yourself through methods that avoid college courses or classes may not be the best method of insuring that you will have a job once you have the knowledge. The two terms “billing” and “coding,” actually involve two different jobs which are often performed by the same person. Medical billing involves collecting data for all aspects of a claim, helping to make sure the medical facility is performing efficiently. Coding, on the other hand, is the application of the correct code to every medical procedure used in a particular case. Without correct codes, the insurance companies are unable to make correct, speedy payment. Both jobs require knowledge of medical procedures, anatomy and terminology along with an understanding of how the insurance industry operates.

    The medical field has evolved dramatically over the past 10 to 15 years alone. The arrival of the Affordable Care Act has resulted in complex levels of medical coding; the new CD-10 has changed to available codes from just over 13,000 to 144,000. If the wrong code is entered on a bill, the doctor stands to lose thousands of dollars, both in the cost of refiling and in fines and reductions in payment from the insurance company. In fact, it is possible for a physician to lose his practice because of coding errors. As for lost revenue, Ruthann Russo. executive director of HP3 Healthcare Concepts, says that a review of one 200 physician multi-specialty group revealed that an estimated $10 million was simply lost because staff involved had not correctly billed the services.

    Get Educated

    These changes actually mean that billing and coding is as great a career opportunity as ever; in fact one national survey reports that there are 30% more positions than there are people to fill them, and the shortage is expected to increase. But doctors can no longer afford to take a chance on people who claim to know the business but have no formal training. Doctors are urged to hire personnel with AHIMA or APC certification, who have taken courses with AHIMA approved trainers. You may be expected to take courses in Health Information Management, Pharmacology, and Legal compliance as well as the courses in coding. However, don’t feel overwhelmed. Many schools have designed their programs to be completed in as little as four months. Those who complete the course work, a practicum, and pass the test receive certification and are considered billing and coding specialists.

    Use our convenient service to research the education programs and get started on your own billing and coding career.

    Get Paid

    The pay for a billing/coding specialist varies from state to state but according to the BLS. the mean annual wage for Medical Records and Health Information Technicians overall, is about $38,860.

    Popular Degrees

    Can I Sue a Dentist for Medical Malpractice? #medical #malpractice #attorney #tampa


    Can I Sue a Dentist for Medical Malpractice?

    To sue a dentist for medical malpractice, you must be able to prove to a judge or jury that you suffered an injury as a result of a dentist’s provision of sub-standard care. Dental malpractice — much like medical malpractice — gives rise to a very specific type of negligence lawsuit. And any lawsuit that is based on principles of negligence must meet a four-pronged threshold to establish proof. Those four prongs are duty, breach, causation and damages. In this article, we’ll discuss how to establish these four prongs and prove your dental malpractice case.

    A Dentist’s Duty

    Your dentist — and every dentist that practices for that matter — is charged with a legal duty to comply with the standard of care in treating patients. The standard of care is the level at which an ordinary, prudent dentist — in good standing, and of same or similar educational background and geographic location — would administer care under same or similar circumstances. This is simply the legal way of saying that your dentist has a duty to provide care at the same level a similarly educated dentist practicing in your area would provide. If you live in Detroit, MI, your dentist is not held to the same standard of care as a dentist in Alaska or Ohio.

    Breach of Duty

    If your dentist fails in his duty to provide you with care in line with the local standard of competent care, he has breached his duty. Keep in mind that in a dental malpractice case, an unfortunate or unsuccessful result does not automatically equal a breach of duty .

    The practice of dental medicine is not an exact science, and there are no guarantees that any particular treatment will be successful or will sufficiently prevent future complications. However, there are cases where a dentist clearly breaches the standard of care by, for example, extracting the wrong tooth or causing nerve damage with an injection. There are also not-so-clear cases of breached duty, and those cases are usually aided through the testimony of a trained medical expert witness, usually someone who is licensed to practice dentistry and has experience in the same specialty as the defendant.

    For example, if you file a medical malpractice case against an oral surgeon, your lawyer might retain a medical expert who has also practiced oral surgery, or who at least has professional knowledge with the procedure that led to the alleged malpractice. This expert witness would then offer detailed testimony as to:

    1. the appropriate standard of care under the circumstances, and
    2. exactly how the defendant dentist’s conduct fell short of meeting that standard in the plaintiff’s case.

    In this way, proving dental negligence is much the same as proving medical negligence.

    Proving Causation

    Causation is perhaps the key component when proving dental malpractice. It is entirely possible that your dentist could breach his duty to comply with the standard of care without causing you any harm. In fact, you may never know a breach occurred.

    There must be a causal relationship between your dentist’s breach of the standard of care and an injury you’ve sustained. When deciding whether you should pursue a dental malpractice suit, consider whether but for your dentist’s actions, would your injury have occurred? If the answer is a resounding “no,” then you will likely be able to prove causation, provided you can provide an expert dental opinion supporting your claim.

    If your injury would have occurred regardless of your dentist’s actions, there may not be a causal relationship between your injuries and your dentist’s alleged breach. In that situation, you will likely find it difficult to prove your case.

    What Are Your Damages?

    The final component required to prove your dental malpractice case is the damages component. Without damages, your case will be dismissed.

    As a plaintiff, you are charged with proving that your dentist’s breach of the standard of care caused you harm. Damages in a malpractice case can be physical (nerve damage, broken teeth), financial (costs associated with correcting your dentist’s mistakes) or non-economic (embarrassment because your once-winning smile has been forever ruined by an orthodontist ). As long as your damages were caused by your dentist’s breach of duty, your case will be allowed to stand.

    Duty, breach, causation and damages are the four basic building blocks of any dental malpractice case. If you can’t make a basic showing of each of the four elements, your case will likely be dismissed without ever being presented to a jury. Expert support from other dental professionals (as witnesses) is essential to proving your case, as is competent legal representation. If you think you’ve been the victim of dental malpractice, you may want to contact an experienced medical malpractice attorney to discuss your case and your legal options.

    Get the compensation you deserve.

    Associates degree in medical billing and coding #associates #degree #in #medical #billing #and #coding


    Lsu’s Medical Coding Certificate Program

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    Tampa Colleges and Schools

    Colleges in Tampa, Florida

    There are at least 25 Tampa colleges serving tens of thousands of students each year. Institutions range considerably in both size and focus, but include both public and private colleges, universities, and technical or vocational schools. The following are just three of the largest colleges in Tampa (by enrollment):

    • University of South Florida. The University of South Florida is a public college offering undergraduate and graduate degrees in a broad range of subjects. According to the National Center for Education Statistics (NCES), USF’s 2013-2014 school year enrollment neared 41,500 students. Total estimated annual cost of tuition and fees that year was $6,410 for in-state students and $17,324 for out-of-state students.
    • Hillsborough Community College. HCC is a public, two-year community college offering primarily Associate degrees and certificates. Programs are designed with a mind for transfer to four-year institutions or workforce entry, depending on the discipline.The NCES reports that HCC’s total 2013-2014 enrollment exceeded 26,500. Total cost of tuition and fees that year was $2,506 for in-state students and $9,111 for out-of-state students.
    • University of Tampa. The University of Tampa is a private, not-for-profit institution offering Bachelor’s degrees, Master’s degrees and post-master’s certificates. The NCES reports a total 2013-2014 enrollment of just under 7,300 students, most of whom were undergraduates. As a private college, UT’s tuition and fees are the same for both in- and out-of-state students: $25,772 total in 2013-2014. On-campus room and board cost an estimated $9,388 that year.

    Prospective students can learn more about other public and private universities in the Tampa area below, or by visiting NCES online.

    Trade and Vocational Schools in Tampa

    Trade and vocational schools provide students with career-ready skills in areas like Allied Health; Automotive Repair; Legal Assistance; Criminal Justice; and more. There are several of these types of career colleges across Tampa, though many also offer online degrees for students living outside of the area. The following are two of the largest Tampa, Florida colleges providing technical or vocational training, as reported by the NCES.

    • Ultimate Medical Academy – Tampa. The Ultimate Medical Academy is a private, two-year institution offering certificates and Associate degrees in health-related fields, like Medical and Dental assisting; Nursing; and Healthcare Management. The NCES reports that UMA served 11,170 students in Tampa during the 2013-2014 school year. Estimated tuition and fees for that year, for both in- and out-of-state students, was $15,550.
    • Everest University in Brandon. Everest College is a large, national career school that served $4,318 students on its Brandon Campus in the 2013-2014 school year. It also has a second, smaller campus in Tampa with fewer than 500 enrollments. Everest offers certificates and diplomas, Associate degrees, Bachelor’s degrees and Master’s degrees in a wide range of subjects. Estimated tuition and fees for 2013-2014 were $15,156.

    Note that not all career schools report enrollment information, so there may be other large institutions not represented. We recommend contacting prospective schools directly to learn more.

    Careers in Tampa

    Tampa colleges are an investment that tends to pay-off in both earnings and overall employment. According to 2013 data from the Bureau of Labor Statistics (BLS), Associate degree holders earned about $125 more per week on average than workers with high school diplomas alone. Bachelor’s degree holders earned about $450 more that year, and Master’s degree holders earned nearly $700 more, or about double the average weekly earnings for high school graduates. The disparity is even greater for workers with professional and doctoral degrees. The same trend also holds true for employment figures: unemployment rates tend to decline with more education.

    The following careers reported the highest mean earnings in Tampa in May of 2013, per the BLS.

    Most of the careers featured above require advanced doctoral or professional degrees, but some of the most popular careers in Tampa, such as nursing, information technology, and criminal justice, require just two- or four-year degrees.

    Students researching additional Tampa-area colleges can browse the links to nearby cities on the left. For more information about Tampa colleges, review the list below.

    Colleges: Tampa, Search for Schools and Colleges, National Center for Education Statistics, http://nces.ed.gov/globallocator/index.asp?search=1 State=FL city=Tampa zipcode= miles= itemname= College=1 CS=1E360FDA

    May 2013 Metropolitan and Nonmetropolitan Area Occupational Employment and Wage Estimates: Tampa-St. Petersburg-Clearwater, FL, Occupational Employment Statistics, Bureau of Labor Statistics, April 1, 2014, http://www.bls.gov/oes/current/oes_45300.htm

    Education Pays, Employment Projections, Bureau of Labor Statistics, 2013, http://www.bls.gov/emp/ep_chart_001.htm

    Results for your search Refine


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    Become a Medical Assistant In As Few As Eight Months #medical #assistant #diploma


    Medical Assistant / Medical Assisting


    Have you been thinking about medical assisting as a career path? Have you been searching for medical assistant schools? Your search ends at Concorde Career College, where you can train to be a medical assistant in a program that can prepare you to achieve your exciting future in health care in a short time.

    A career path that sustains family and community

    As a member of the growing health care field, your work not only meaningfully impacts your household, but the community in which you live, play and work. Your contributions to health care in this community can positively influence the lives of others around you through your commitment to better care. Our commitment at Concorde is in preparing you for this level of care.

    Career-driven curriculum

    The medical assistant training at Concorde emphasizes real-world coursework that immerses you from day one in the practical aspects of supporting a fast-paced medical work environment. Training comprehensively equips you to serve effectively in both clinical and administrative functions in clinics and physicians’ offices.

    Career outlook*

    Medical assistant jobs are projected to grow at a higher-than-average rate of 23 percent. This field is forecast to continue its growth because of an aging generation of baby boomers. Find out more about what a career in medical assisting looks like.
    *Source: BLS.gov 2014-2024

    Financial aid

    Concorde Career College wants to see you succeed, and part of our commitment to your success is ensuring you have access to comprehensive information and guidance in determining your eligibility for and pursuing financial aid resources. Scholarship programs are also offered by Concorde for those who qualify.

    Join our family

    To learn more about how to get started earning your medical assistant diploma or degree, request information. or call Concorde Career College at 1-800-693-7010.

    *Program length varies by location