The article is about how doctors also billers can Essays

The article is about how doctor's also billers can submit clean claims, along with correct doctor's information, such as, NPI number. When supplying the wrong NPI the claim will be kicked back and be unpaid. On the CMS-1500 some people will put information in the wrong slot which would allow the claim to be denied and kicked back also. In the article the reimbursement commit came up with modifiers. In which a CPT code along with clinical are provided so that the procedure can get approved with accuracy. The article also stated how lost claims are less controllable. However, since more doctors moved from paper claims to electronic claims it is easier to track a lost claim. Paper claims sometimes got lost in the mail and electronic claims sometimes got lost in cyberspace but noted in the article it very seldom get lost as an electronic claim. The ACA is a coding and compliance manual that cost about $50 for member and $80 for non-member which helps/teachers providers and they staff how to submit clean claims. They also emails to provider and their staff to keep them updated on the coding and claim processing. I think that this resource was a good ideas and hopefully has alleviated the problem of providers not getting paid on time.

Do you give yourself a break

Do you give yourself a break Pressure! When you are job seeking, or running a business, or possibly both, you might put a lot of pressure on yourself to keep working; take the next action step; schedule your life better; stop procrastinating; or some combination of all these things. Achieving results does require action, and there are 24 hours in a day last I checked, so it is valuable to get things done reliably and frequently. But continuously? No matter how much we might like to think we can keep going and keep doing, sometimes we just need a break. The Release Valve Where I often go for down time is Viroqua, Wisconsin, a town in the country about 100 miles from my home in the city of Madison. A little artistic oasis surrounded by farm country, Viroqua boasts a food coop and holistic healing center. I go there because, for just a couple of days, I achieve a sense of timelessness. One activity guaranteed to produce that timeless space is picking berries. I get up early and walk to the raspberry patch and there is nothing but me and the colors of ripe and ripening fruit. One berry at a time, one prickle at a time, I zone out until my collection container is full. While picking, I don’t know whether minutes or hours go by. I am present. I am happy. Achieving Timelessness It’s not always berries that get me to that state. This trip I reached a similar state by spending time with a three-year-old. But picking fruits and veggies reliably transports me into timelessness. Sometimes I engage with the aliveness of apples, snap peas, or clover flowers. I am fortunate to know several families in the area, all of whom grow edibles and have wild berries on their land. I also have a small garden myself, complete with one lone blueberry bush, several fully grown broccoli heads and a burgeoning zucchini plant- but it’s not quite the same as a garden in the country. This latest trip to Viroqua was the start of my â€Å"birthday week† and it was as perfect as it gets. Topping it off, as mentioned above, was the opportunity to read stories to my friends’ 3-year-old girl (she will be reading to me pretty soon!). I also relaxed and unwound with a few sessions of bodywork from some amazing healers, David and Susan Breitbach (see www.wiseworldseminars.com to learn more). And the work gets done The miraculous thing about these trips is that although I spend what seems like hours picking berries and snap peas, and hours driving, and more hours with body workers David and Susan, I always get my work done. It just doesn’t feel stressful to do it. Then I return home, fortified to take more action steps and get results that bring in more monetary income than a bowl full of berries. Do you take care of yourself? Do you give yourself a break (at least once/year on your birthday)? What gives you that prized sense of timelessness that fuels you for your action items to come? And if you don’t give yourself this gift, what are you waiting for?

Social enterprise Essay Example | Topics and Well Written Essays - 2000 words

Social enterprise - Essay Example The enterprises must ensure collaboration and implement competitive strategies that will ensure sustainability in providing high quality products and services to their stakeholders. The enterprises must remain committed to their strategies bottom lines of improving social and environmental welfare of the society. In addition, national government agencies must support their activities through favorable regulatory framework. Social enterprises aim at attaining both commercial and social goals. In this case, a social enterprise whether for-profit or non-profit organization will strive to attain social, cultural, economic and environmental outcomes through redirecting the surplus towards the pursuit of environmental and social goals (Paton 2003). The businesses range from credit unions, community centers, and companies that engage in solving societal problems such as producing renewable energy (Doherty 2008). Social enterprises can take the form of community interest company (CIC) whereby the social mission of the organisation is regulated or industrial and provident society (IPS) which is co-operative that is democratically controlled by the members for the benefit of the society (Ridley-Duff and Bull 2011). Another form is the companies limited by shares or guarantee whereby the memorandum of association outlines how the profits will be channeled towards social causes. The fourth is the group structures that have charitable status whereby companies engage in charitable activities in order to enjoy tax benefits (Doherty 2008). Unlike commercial enterprises that focus on profit maximisation, the social enterprises have limited access for debt financing and attain most of their financing from grants such as trusts and foundations (Doherty 2008). Other sources of financing include community finance from credit unions, equity finance from the

Written Assignment #2 Essay Example | Topics and Well Written Essays - 1000 words

Written Assignment #2 - Essay Example Donatello’s version of David is estimated to have been created around 1440. It was a rather unique and famous statue owing to two facts; that one, it was the first unsupported bronze sculpture of the 15th century, and two, it was one of the earliest â€Å"nude† sculptures known to the Renaissance. It has the figure of a David who seems quite young, like a seventeen-year-old, wearing only a hat and some knee-height boots. The rest of his body is nude. He is holding a large sword (seemingly Goliath’s), in his right hand, and his left hand akimbo. Beneath his feet is Goliath’s head, badly severed. One of the Renaissance aspects of this work is in proportion. The Renaissance artists, focussed on realism, and that meant capturing their subjects accurately; as they appeared in nature. As is evident here, David is wholly proportional. The second aspect is texture. The body has been made smooth as should be in nature, and the hair has its texture simulated in a similar manner. The boots he is wearing also have the â€Å"leathery† appearance achieved through texture creation. The other outstanding Renaissance art feature is the capturing of fine details, such as his face in which one can see the smile on him. It displays a happy emotion. Finally, the body has been molded such that the light falling on it will create shading so some parts of David will be dark and others lighter; creating depth. Verrocchio’s David was created in bronze in the given period between 1473 and 1475. Similar to Donatello’s, it was commissioned by the Medici family for placement at the Medici Pallazo (Pallazo della Signoria). The David here is older than Donatello’s, seemingly in his early to mid-twenties. He has no hat on his head, wears a decorated battle vest, and a knee-length skirt. His hair falls freely and he is a little more muscular than Donatello’s David. The sword he holds in his right

Enterprise Resource Planning Article Example | Topics and Well Written Essays - 4250 words

Enterprise Resource Planning - Article Example While there has been detailed analysis and interpretation in the forth coming sections, a few basic definitions have also been added to facilitate the study here. It is important that companies have an absolutely clear understanding regarding what is enterprise resource planning before contemplating on its implementation as the urgency to acquire results in a limited time frame most often defeat the very purpose of investing in ERP. While we are aware ERP accelerates results and speed is one of the key drivers, the faster it is implemented the quicker and better are the advantages and delivery in terms of results, however this early process has a huge hindrance, the returns are sought at a shorter period which may blind the companies to foresee long term effects. This deviation from the conventional practice is being largely implemented as far as many companies are concerned. Business process reengineering played a vital role with respect to its implementation. One needs to know the components of Enterprise resource planning beyond the definition to further the interest of ERP . The most natural outcome of this effort lead to development of gaps between the actual results and the one derived during the process of foreseeing or at planning stage. Customizing ERP without a thought through analysis, merely at the slightest requirement of various stakeholders in the organization, molding of practices followed in the company would inevitably drag the assessment of results beyond the time limits permitted to evaluate its success. Let alone the huge monetarily impact, it also damages basic customer's trust. It is also necessary to understand that mere ERP planning does not guarantee the benefit of ERP. It has to be implemented as planned project after understanding the components of enterprise resource planning. In spite of having improved the implementation issues what remains static is the manner in which companies go ahead with ERP implementation. The objectives regarding why ERP, need to be very clear to any firm that is planning to implement it. The key ones are listed in the diagram below with enhanced customer service at the top of it as increased customer service is directly proportional to additional business and growth in revenue. Why ERP 2. Enterprise Resource Planning Approach The section above briefly explains the key drivers an organization need to consider prior to using the ERP approach. It can be increasingly difficult to manage and measure effectiveness and success of the approach if it is implemented as a need of the times exercise, just for name sake without following systematic procedures. It is important to

Rate of convergence and bisection

Rate of convergence and bisection Rate of convergence estimate of the speed with which a given sequence or iteration approaches its limit, often measured by the number of terms or evaluations involved in obtaining a given accuracy. Although strictly speaking, a limit does not give information about any finite first part of the sequence, this concept is of practical importance if we deal with a sequence of successive approximations for an iterative method, as then typically fewer iterations are needed to yield a useful approximation if the rate of convergence is higher. This may even make the difference between needing ten or a million iterations. Rate of convergence is measured in terms of rate at which the relative error decreases between successive approximations. There are mainly two type of convergence: linear and quadratic. Convergence of a sequence subject to the condition, for p > 1, that as n increases is called pth-order convergence; for example, quadratic convergence when p = 2. One similarly speaks of logarithmic convergence or exponential convergence. The Bisection Method In mathematics, the bisection method is a root-finding algorithm which repeatedly bisects an interval then selects a subinterval in which a root must lie for further processing. It is a very simple and robust method, but it is also relatively slow. The bisection method is simple, robust, and straight-forward: take an interval [a, b] such that f(a) and f(b) have opposite signs, find the midpoint of [a, b], and then decide whether the root lies on [a, (a + b)/2] or [(a + b)/2, b]. Repeat until the interval is sufficiently small. The bisection method, suitable for implementation on a computer allows to find the roots of the equation f (x) = 0, based on the following theorem: Theorem: If f is continuous for x between a and b and if f (a) and f(b) have opposite signs, then there exists at least one real root of f (x) = 0 between a and b. Procedure: Suppose that a continuous function f is negative at x = a and positive at x = b, so that there is at least one real root between a and b. (As a rule, a and b may be found from a graph of f.) If we calculate f ((a +b)/2), which is the function value at the point of bisection of the interval a f ((a + b)/2) = 0, in which case (a + b)/2 is the root; f ((a + b)/2) f ((a + b)/2) > 0, in which case the root lies between a and (a + b)/2. Advantages and drawbacks of the bisection method Advantages of Bisection Method The bisection method is always convergent. Since the method brackets the root, the method is guaranteed to converge. As iterations are conducted, the interval gets halved. So one can guarantee the decrease in the error in the solution of the equation. Drawbacks of Bisection Method The convergence of bisection method is slow as it is simply based on halving the interval. If one of the initial guesses is closer to the root, it will take larger number of iterations to reach the root. If a function is such that it just touches the x-axis (Figure 3.8) such as it will be unable to find the lower guess, , and upper guess, , such that For functions where there is a singularity and it reverses sign at the singularity, bisection method may converge on the singularity (Figure 3.9). An example include and, are valid initial guesses which satisfy . However, the function is not continuous and the theorem that a root exists is also not applicable. Figure.3.8. Function has a single root at that cannot be bracketed. Figure.3.9. Function has no root but changes sign. False position method The false-position method is a modification on the bisection method. The false position method or regula falsi method is a root-finding algorithm that combines features from the bisection method and the secant method. If it is known that the root lies on [a,  b], then it is reasonable that we can approximate the function on the interval by interpolating the points (a, f(a)) and (b, f(b)).  The method of false position dates back to the ancient Egyptians. It remains an effective alternative to the bisection method for solving the equation f(x) = 0 for a real root between a and b, given that f (x) is continuous and f (a) and f(b) have opposite signs. The algorithm is suitable for automatic computation Procedure: The curve  y = f(x)  is not generally a straight line. However, one may join the points (a,f(a)) and (b,f(b)) by the straight line Thus straight line cuts the  x-axis at (X, 0) where so that Suppose that  f(a)  is negative and  f(b)  is positive. As in the bisection method, there are the three possibilities : f(X) = 0, when case  X  is the  root  ; f(X) f(X)>0, when the root lies between  X  and  a. Again, in Case  1, the process is terminated, in either Case  2  or Case  3, the process can be repeated until the root is obtained to the desired accuracy. Convergence of False Position Method and Bisection Method Source code for False Position Method: Example code of False-position method C code was written for clarity instead of efficiency. It was designed to solve the same problem as solved by the Newtons method and secant method code: to find the positive number x where cos(x) = x3. This problem is transformed into a root-finding problem of the form f(x) = cos(x) x3 = 0. #include #include double f(double x) { return cos(x) x*x*x; } double FalsiMethod(double s, double t, double e, int m) { int n,side=0; double r,fr,fs = f(s),ft = f(t); for (n = 1; n { r = (fs*t ft*s) / (fs ft); if (fabs(t-s) fr = f(r); if (fr * ft > 0) { t = r; ft = fr; if (side==-1) fs /= 2; side = -1; } else if (fs * fr > 0) { s = r; fs = fr; if (side==+1) ft /= 2; side = +1; } else break; } return r; } int main(void) { printf(%0.15fn, FalsiMethod(0, 1, 5E-15, 100)); return 0; } After running this code, the final answer is approximately 0.865474033101614 Example 1 Consider finding the root of f(x) = x2 3. Let ÃŽÂ µstep = 0.01, ÃŽÂ µabs = 0.01 and start with the interval [1, 2]. Table 1. False-position method applied to f(x)  =  x2 3. a b f(a) f(b) c f(c) Update Step Size 1.0 2.0 -2.00 1.00 1.6667 -0.2221 a = c 0.6667 1.6667 2.0 -0.2221 1.0 1.7273 -0.0164 a = c 0.0606 1.7273 2.0 -0.0164 1.0 1.7317 0.0012 a = c 0.0044 Thus, with the third iteration, we note that the last step 1.7273 à ¢Ã¢â‚¬  Ã¢â‚¬â„¢ 1.7317 is less than 0.01 and |f(1.7317)| Note that after three iterations of the false-position method, we have an acceptable answer (1.7317 where f(1.7317) = -0.0044) whereas with the bisection method, it took seven iterations to find a (notable less accurate) acceptable answer (1.71344 where f(1.73144) = 0.0082) Example 2 Consider finding the root of f(x) = e-x(3.2 sin(x) 0.5 cos(x)) on the interval [3, 4], this time with ÃŽÂ µstep = 0.001, ÃŽÂ µabs = 0.001. Table 2. False-position method applied to f(x)  = e-x(3.2 sin(x) 0.5 cos(x)). a b f(a) f(b) c f(c) Update Step Size 3.0 4.0 0.047127 -0.038372 3.5513 -0.023411 b = c 0.4487 3.0 3.5513 0.047127 -0.023411 3.3683 -0.0079940 b = c 0.1830 3.0 3.3683 0.047127 -0.0079940 3.3149 -0.0021548 b = c 0.0534 3.0 3.3149 0.047127 -0.0021548 3.3010 -0.00052616 b = c 0.0139 3.0 3.3010 0.047127 -0.00052616 3.2978 -0.00014453 b = c 0.0032 3.0 3.2978 0.047127 -0.00014453 3.2969 -0.000036998 b = c 0.0009 Thus, after the sixth iteration, we note that the final step, 3.2978 à ¢Ã¢â‚¬  Ã¢â‚¬â„¢ 3.2969 has a size less than 0.001 and |f(3.2969)| In this case, the solution we found was not as good as the solution we found using the bisection method (f(3.2963) = 0.000034799) however, we only used six instead of eleven iterations. Source code for Bisection method #include #include #define epsilon 1e-6 main() { double g1,g2,g,v,v1,v2,dx; int found,converged,i; found=0; printf( enter the first guessn); scanf(%lf,g1); v1=g1*g1*g1-15; printf(value 1 is %lfn,v1); while (found==0) { printf(enter the second guessn); scanf(%lf,g2); v2=g2*g2*g2-15; printf( value 2 is %lfn,v2); if (v1*v2>0) {found=0;} else found=1; } printf(right guessn); i=1; while (converged==0) { printf(n iteration=%dn,i); g=(g1+g2)/2; printf(new guess is %lfn,g); v=g*g*g-15; printf(new value is%lfn,v); if (v*v1>0) { g1=g; printf(the next guess is %lfn,g); dx=(g1-g2)/g1; } else { g2=g; printf(the next guess is %lfn,g); dx=(g1-g2)/g1; } if (fabs(dx)less than epsilon {converged=1;} i=i+1; } printf(nth calculated value is %lfn,v); } Example 1 Consider finding the root of f(x) = x2 3. Let ÃŽÂ µstep = 0.01, ÃŽÂ µabs = 0.01 and start with the interval [1, 2]. Table 1. Bisection method applied to f(x)  =  x2 3. a b f(a) f(b) c  =  (a  +  b)/2 f(c) Update new b à ¢Ã‹â€ Ã¢â‚¬â„¢ a 1.0 2.0 -2.0 1.0 1.5 -0.75 a = c 0.5 1.5 2.0 -0.75 1.0 1.75 0.062 b = c 0.25 1.5 1.75 -0.75 0.0625 1.625 -0.359 a = c 0.125 1.625 1.75 -0.3594 0.0625 1.6875 -0.1523 a = c 0.0625 1.6875 1.75 -0.1523 0.0625 1.7188 -0.0457 a = c 0.0313 1.7188 1.75 -0.0457 0.0625 1.7344 0.0081 b = c 0.0156 1.71988 1.7344 -0.0457 0.0081 1.7266 -0.0189 a = c 0.0078 Thus, with the seventh iteration, we note that the final interval, [1.7266, 1.7344], has a width less than 0.01 and |f(1.7344)| Example 2 Consider finding the root of f(x) = e-x(3.2 sin(x) 0.5 cos(x)) on the interval [3, 4], this time with ÃŽÂ µstep = 0.001, ÃŽÂ µabs = 0.001. Table 1. Bisection method applied to f(x)  = e-x(3.2 sin(x) 0.5 cos(x)). a b f(a) f(b) c  =  (a  +  b)/2 f(c) Update new b à ¢Ã‹â€ Ã¢â‚¬â„¢ a 3.0 4.0 0.047127 -0.038372 3.5 -0.019757 b = c 0.5 3.0 3.5 0.047127 -0.019757 3.25 0.0058479 a = c 0.25 3.25 3.5 0.0058479 -0.019757 3.375 -0.0086808 b = c 0.125 3.25 3.375 0.0058479 -0.0086808 3.3125 -0.0018773 b = c 0.0625 3.25 3.3125 0.0058479 -0.0018773 3.2812 0.0018739 a = c 0.0313 3.2812 3.3125 0.0018739 -0.0018773 3.2968 -0.000024791 b = c 0.0156 3.2812 3.2968 0.0018739 -0.000024791 3.289 0.00091736 a = c 0.0078 3.289 3.2968 0.00091736 -0.000024791 3.2929 0.00044352 a = c 0.0039 3.2929 3.2968 0.00044352 -0.000024791 3.2948 0.00021466 a = c 0.002 3.2948 3.2968 0.00021466 -0.000024791 3.2958 0.000094077 a = c 0.001 3.2958 3.2968 0.000094077 -0.000024791 3.2963 0.000034799 a = c 0.0005 Thus, after the 11th iteration, we note that the final interval, [3.2958, 3.2968] has a width less than 0.001 and |f(3.2968)| Comparison of rate of convergence for bisection and false-position method Like the bisection method, the method of false position has almost assured convergence, and it may converge to a root faster. Finally, note that bisection is rather slow; after  n  iterations the interval containing the root is of length  (b a)/2n. However, provided values of  f  can be generated readily, as when a computer is used, the rather large number of iterations which can be involved in the application of bisection is of relatively little consequence. The false position method would be better i.e. converges to the root more rapidly as it takes into account the relative magnitudes of f(b) and f(a) unlike bisection which just uses the midpoint of a and b, where [a,b] is the interval over which the root occurs. Following is the example of the convergence rate of bisection method and false position method for the similar equation which shows that rate of convergence of false position method is faster than that of the bisection method.

The Psychological Portrait in The Yellow Wallpaper -- Yellow Wallpaper

The Psychological Portrait in The Yellow Wallpaper   Ã‚   Charlotte Perkins Gilman was famous in her time as a women's activist. Later, she began writing fiction. As noted in her Norton Anthology biography, Charlotte's stories often reveal her worldview. The Yellow Wallpaper is a short story written to combat the modus operandi for curing depression in her day. This cure consisted of being completely sequestered from any intellectual or artistic engagements. Her addendum to the story also makes clear she experienced this same treatment. Gilman's catalyst was to write a story that would serve as a social corrective. What we are left with today is a masterpiece of psychological suspense.      The story begins with our main character, a writer whose name is never given, imagining the house in which she is to spend her recuperation. In choosing to never name the narrator and main character, Gilman emphasizes the erasure of the individual that takes place within the story. She pictures the house in romantic terms, a colonial mansion or perhaps a haunted house. This romantic identification indicates an emotional person who puts a priority on the natural. Contrarily, her husband is portrayed in no uncertain terms. John is practical, has no patience with faith, and hates superstition. He is skeptical, and scoffs at anything that cannot be "...felt and seen and put down in figures"(658). Clearly, the preliminary material on these two characters sets them in sharp contrast with one another.      Ã‚  Ã‚  Ã‚  Ã‚   The narrator then privately blames her husband, who is also her physician, for her lingering illness. She suggests perhaps it is because he is a physician that she is still ill. She believes this lack of recov... ... X. J. Kennedy and Dana Gioia. 6th ed. New York: Harper Collins, 1995. 424-36. Hume, Beverly A. "Gilman's Interminable Grotesque': The Narrator of 'The Yellow Wallpaper.'" Studies in Short Fiction 28.4 (1991):477-84. Johnson, Greg. "Gilman's Gothic Allegory: Rage and Redemption in 'The Yellow Wallpaper.'" Studies in Short Fiction 26.4 (1989):521-30. King, Jeannette and Pam Morris. "On Not Reading between the Lines: Models of Reading in 'The Yellow Wallpaper.'" Studies in Short Fiction 26.1 (1989): 23-32. Owens, E. Suzanne. "The Ghostly Double behind the Wallpaper in Charlotte Perkins Gilman's 'The Yellow Wallpaper.'" Haunting the House of Fiction. Ed. Lynette Carpenter and Wendy K. Kolmar. Knoxville: U of Tennessee P, 1991 64-79. Scharnhorst, Gary. "'The Yellow Wallpaper.'" Charlotte Perkins Gilman. Boston: Twayne, 1985. 15-20.