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The Basics Of Emergency Room Coding

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The emergency room is oftentimes the very first place that potential patients arrive at a hospital. They are sometimes hurt seriously and will need to be admitted to the hospital for inpatient treatment or transferred to another hospital. Emergency departments are ranked on a one to four scale that determines trauma levels. One is the highest level of a trauma center.

What Is Emergency Room Coding?

This is the process of assessing a patient’s diagnosis and ranking it appropriately based on diagnosis, treatment, and prospective payments. Coders classify all of these figures and bill a patient based on the Hospital Outpatient Prospective Payment System (OPPS). The coders use Ambulatory Payment Classifications (APCs) to determine where in the OPPS a patient falls.

Ambulatory Payment Classification

Ambulatory Payment Classifications (APCs) are the federal method in the United States to pay for services within the Medicare system. APCs are only applicable to hospital outpatient services. There are other methods by which a physician is reimbursed in the United States. Though APCs were originally created for determining Medicare payments, the standards are applied by some state programs, by Medicaid, and by some private health insurance firms. The streamlined process makes the job of coders more straightforward.

Guidelines

Emergency room coding guidelines vary from hospital to hospital, so it can be very difficult for a coder to properly determine how to code a certain patient’s services. Many facilities adhere to the OPPS and the APCs applicable therein, so it’s merely a matter of a coder being well versed in the statutes.

Coders have the unenviable task of considering every single documented procedure whether it is by a nurse or a physician. They are must also review a physician’s notes. They must also be very well versed in the medical field to properly assess how the diagnosis relates to the treatment and whether it was warranted. Also, the notes and documentation will have medical procedure codes and diagnosis codes. The coder must read the codes and determine the necessity of the resulting procedures. Also, there are no national or federal standards for what defines a necessary procedure and what doesn’t. That means every management service has to set its own guidelines. This can get very complex very quickly since there is no widespread standard. In fact, the codes between a hospital and a physician, even one with admitting privileges to the hospital, could be different. Determining the proper amount to bill a patient requires intricate knowledge of medical procedures and the medical field. Because of that, it is advisable to hire a firm that is experienced in coding and billing. These management companies can allow you to rest assured that you are getting the best coding and billing services that are available.

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Death toll from Borneo bridge collapse reaches eleven

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Death toll from Borneo bridge collapse reaches eleven

Monday, November 28, 2011

The death toll from the weekend suspension bridge collapse on the Indonesian island of Borneo has risen from four to eleven. Search and rescue teams continue to look for bodies in the Mahakam River.

The number of wounded is currently 39 injured; reports from locals suggest 33 people remain missing at the scene in East Kalimantan’s Kutai Kartanegara district, where “Kalimantan’s Golden Gate Bridge” linked the towns of Tenggarong and the regional capital, Samarinda. A six-month-old baby is among the dead.

Cars, motorbikes, and buses all fell into the Mahakam River when the bridge came down during repairs. Another car was left overturned and balanced upon wreckage over the water. State-owned builders PT Hutama Karya completed the bridge about a decade ago in the image of California’s Golden Gate Bridge. A cable on the 720-metre structure is thought to have failed as workers dealt with it; six of the repair crew were reported missing yesterday. It had been the longest suspension bridge in Borneo.

Eyewitnesses described heavy traffic at the time of the collapse, and one survivor said he left his truck to investigate a traffic jam. Some people were left trapped by debris as the bridge came down. “It happened so fast, only about 30 seconds,” according to National Disaster Management Agency spokesman Sutopo Nugoroho.

National search and rescue head Daryatmo said yesterday cranes will attempt to move debris today, with new reports saying echo-sounding equipment will be used to check it is safe to begin lifting. It is believed the bodies of more victims will be found trapped in vehicles beneath the water, which is 35-40 metres deep. Visibility is poor, and one official explained authorities are still unsure how many vehicles are on the riverbed.

“The above-water search is continuing, but underwater operations have not been carried out because we’re worried that the bridge’s pylons are unstable and could collapse any time,” said Nugoroho today. He explained that bodies had washed onto the riverbanks overnight and were recovered today.

The president, Susilo Bambang Yudhoyono, has sent three ministers to the site to investigate the accident, while Bambang Widaryatmo, head of East Kalimantan’s police, promised “parties found to be negligent will be prosecuted”. The government has promised a replacement ferry service. The river is closed to boats as rescue operations continue, and a 22-strong team has been dispatched from the national police, comprising six forensics experts, five disaster victim identification specialists, and eleven investigators. They are there to augment the East Kalimantan Police. Health Minister Endang Rahayu Sedyaningsih yesterday visited survivors in Parikesit Hospital and promised them medical treatment at government expense.

Some people swam ashore after falling, with the aftermath filled with screams. Survivor Syakrani, 24, yesterday asserted “The authorities should have closed the bridge if it was under repair.” His words were followed by a Jakarta Globe editorial declaring the accident “unacceptable”.

The Globe went on to comment upon suggestions corruption may have played a role; “It is too early to point fingers and look to place blame, but if shoddy materials were used in the building of the bridge, those responsible must answer to the public.” Another suggestion is coal barges striking the bridge may have weakened it. Local coal company Harum Energy lost five percent of its share value today amid fears the river blockage will hamper their ability to ship coal.

Samarinda’s seen a population and construction boom lately. A few years have seen the population triple and the construction of a large mosque, and a sports stadium; an airport and port are set to follow. However, the Corruption Eradication Commission warns 70% of the corruption it investigates concerns government contracts and up to 40% of money earmarked for infrastructure ends up stolen.

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Shrink-wrapped sheep survive: Researchers say ‘Biobag’ artificial uterus, successful on lambs, may one day be suitable for use on premature human babies

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Shrink-wrapped sheep survive: Researchers say ‘Biobag’ artificial uterus, successful on lambs, may one day be suitable for use on premature human babies
July 12th, 2021 | Uncategorized |

Friday, April 28, 2017

In findings published Tuesday in Nature Communications, a team mostly from the Children’s Hospital of Philadelphia announced they have successfully created an artificial womb in which premature lambs can be brought to term. The researchers say this technology could develop into a means of helping premature human babies survive, but it has also drawn concern from bioethicists.

According to first author Emily Partridge and her team, previous efforts at creating an artificial womb have failed because the pumps used, to provide oxygen and nutrients to the developing animal, put too much stress on the heart, causing circulatory failure; and because they used open-fluid systems, which were easily exposed to germs. Partridge et al.’s system uses a closed-fluid apparatus, which they’ve called the Biobag. The sound of a maternal heartbeat was played in the room where the fetuses were kept.

The animals housed in the artificial womb showed normal blood gases and their lungs, brains and nervous systems showed normal development. They opened their eyes and grew wool. When they were removed from the circuit and dissected, their brains, lungs and other organs were found similar to those of lambs delivered by hysterotomy (Cesarean section) when nearly full term.

Although lambs often serve as an experimental model of fetal development, the researchers concede that not all of their findings can be translated to humans. While the lambs’ brains appeared healthy, they also develop certain traits much earlier than human brains, so not all of these effects may be attributable to the Biobag system.

The researchers also acknowledge the startling appearance of a fetus wrapped in plastic. “It is important to consider that the comparator is the extreme premature infant on a ventilator and in an incubator,” reads the official paper. “We feel that parents will be relatively reassured that their fetus is being maintained in a relatively protective and physiologic environment.”

One of the researchers, Dr. Alan Flake, also of the Children’s Hospital of Philadelphia, says the apparatus may be ready for testing on human babies in three to five years. The researchers noted premature birth is the leading cause of infant mortality in the United States, with about nine out of ten infants born at 23 weeks gestation or earlier suffering complications such as mental retardation, deafness, blindness, paralysis, and cerebral palsy. When a fetus is removed from the amniotic fluid and placed on a respirator, the shift from liquid to gas can cause the lungs to stop developing. The most common direct cause of death among premature infants is failure of the lungs to properly oxygenate the blood.

Bioethicist Dena Davis of Lehigh University notes this invention raises several ethical issues. “If it’s a difference between a baby dying rather peacefully and a baby dying under conditions of great stress and discomfort then, no, I don’t think it’s better,” she told National Public Radio. She also notes the problem of babies who would otherwise have died surviving with severe side effects and the implications that this has for the abortion debate: “Up to now, we’ve been either born or not born. This would be halfway born, or something like that.” Scott Gelfand of Oklahoma State University worries that women who would otherwise seek abortion could be pressured into putting their fetuses in Biobags instead or that employers would punish mothers who took maternity leave instead of using an artificial uterus.

“I want to make this very clear: We have no intention and we’ve never had any intention with this technology of extending the limits of viability further back,” Dr. Flake said in response to these issues. “I think when you do that you open a whole new can of worms.” He went on to call gestating fetuses younger than 23 weeks “a pipe dream at this point.”

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Wikinews Shorts: March 7, 2007

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Wikinews Shorts: March 7, 2007
July 8th, 2021 | Uncategorized |

A compilation of brief news reports for Wednesday, March 7, 2007.

The European Union has banned the 35 planes in the Pakistan International Airlines (PIA) 45 aircraft fleet from flying in EU airspace. The reason provided by EU was that these plans do not fulfill the safety requirement for international planes and thus were banned. PIA has redeployed its Boeing 777 jets from US to EU flights to facilitate passengers in Europe. Flights PK 782 and PK 790 are still running on time from Toronto in Canada.

Sources

The Oklahoma Senate approved a bill introduced by lawmaker Patrick Anderson of Enid that enables police to seize vehicles when drivers fail to produce proof of insurance. The bill was tacked onto a measure to prohibit inserting microchips into people without their permission. 91,000 drivers have been ticketed for lack of insurance in Oklahoma to date.

Sources

The New Orleans Saints have released All-Pro wide receiver Joe Horn because of money issues. The Saints hope to draft LSU (Louisiana State University) wide receiver DeWayne Bowe in the NFL Draft to fill Horn’s place.

Sources

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Discount Camping Gear For All Your Outdoor Needs A Complete Review.

July 7th, 2021 | Dance |

By Tracie M. Loewe

Do you remember the last time you went camping? What better way to find peace and quiet with Mother Nature. Imagine just you, a crackling camp fire, and the trees. Simply leave the crowds of people and smog behind you for a weekend. Its time to head and bond with the great outdoors as well as take in breathe of fresh air. But hey, don’t just take off right now for the nearest patch of timber. First you need to do a bit pf planning. Do you already have decent camping supplies? This is important folks. For sure you want to escape from all the hi-tech technology but you don’t want to rough it like a caveman! Do not worry if you don’t have the necessary equipment at hand. Simply hop online today and check out all the

discount camping gear

available. The World-Wide-Web has it all for the absolute best deals.

When was the last time you ventured into the bushes for a quiet night under the stars? For me, this was my absolute favorite past-time as a child. What I mean is, I took it all the way. I just wasn’t one of those guys that stumbled upon a bunch of

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discount camping gear

, and decided to try a new hobby; no sir, I was the real deal.

I lived with my family on 15 acres of woods and we didn’t even have a neighbor for miles. I enjoyed taking off up through the trees with my knife on my side and my long boy in hand. My sleeping bag was perhaps all I needed to tote along, canteen, and a few matches. Well, I can say roughing it was my forte. Now for those who are probably wondering what I ate? Well, the woods were filled with squirrels and rabbits. I could always shoot one with my bow, skin it, and then roast it over the fire. For sure that’s good eating, folks. Please don’t nock it until you’ve tried it.

In any case, the majority of you might prefer to bring along a few more supplies. Perhaps you’re in need of a good tent, camping lantern, and a decent campfire grill. Sure, you will be able to find these all in cyberspace. Truly the greatest thing about the web is all the discount camping gear you will find. Hey, don’t waste your money and time browsing at your local sporting goods store. I assure you will find better deals on discount camping gear via the Internet.

For those of you who are on a look out for quality discount camping gear for that next big outdoor getaway. Well, look no further than your laptop. You can find virtually any camping supplies you can fathom – Online. Make sure you browse through a range of websites in order to locate the best prices on discount camping gear. Now you can’t possibly go wrong – especially with the world at your fingertips!

About the Author: Tracie M. Loewe provides readers with up-to-date commentaries, articles, and reviews for

shopping

as well as useful

buying guides

and other related information.

Source:

isnare.com

Permanent Link:

isnare.com/?aid=117580&ca=Travel

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SEPTA buys rail cars from NJ Transit to deal with crowding">
SEPTA buys rail cars from NJ Transit to deal with crowding

July 7th, 2021 | Uncategorized |

Tuesday, July 29, 2008

As gas prices have risen in the United States, the regional transport authority for southeastern Pennsylvania, SEPTA, has seen a sharp increase in ridership, which has caused overcrowding on the trains.

“As fuel prices have continued to rise, SEPTA ridership has steadily increased and is the highest in 18 years,” said SEPTA General Manager Joseph Casey. Monthly ridership was 22 percent higher last month than a year ago.

“They have crushed loads on their rail lines, already where people are standing, and there’s not enough seats,” said Rich Bickel, the director of the Delaware Valley Regional Planning Commission.

“At peak times some railcars are standing room only and commuter parking lots are nearly full. All Regional Rail lines are running near full capacity and the train station parking lots are at about 90 percent capacity or more,” SEPTA spokesperson Felipe Suarez said.

While SEPTA awaits new Silverliner V trains from Hyundai Rotem, which begin arriving in 2009, it had hoped to lease eight rail cars from New Jersey Transit, at an agreed-upon rate of US$10,000 per month. However, due to problems with insurance and liability indemnification, the deal fell through, according to Casey.

SEPTA has entered a new agreement to purchase the eight rail cars from NJ Transit. The transit authority will pay US$670,000 for the cars and assorted supplies plus one additional inoperative car which will be used for spare parts. The rail cars will be operated using a SEPTA provided locomotive as they are not self-propelled.

The cars are being disposed of by NJ Transit because it has switched from single-floor cars to double-decker cars.

SEPTA is expecting to raise US$3.1 million by selling rail that has been out of service since 1981 at auction.

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Obama responds to criticism over medical marijuana raids">
Obama responds to criticism over medical marijuana raids

July 6th, 2021 | Uncategorized |

Thursday, May 3, 2012

In a Rolling Stone magazine interview on Wednesday, United States President Barack Obama responded to recent backlash over his alleged policy shift on medical marijuana.

In January 2004, then-Illinois Senator Obama said, “The war on drugs has been an utter failure. We need to rethink and decriminalize our nation’s marijuana laws.” Since he took office as president, over 170 raids have been conducted on medical marijuana facilities across the U.S.

In the U.S. certain states have voted to allow for the use of marijuana for medical purposes, although it is still illegal to possess and consume under federal law. This has led to the recent raids and seizures on dispensaries by authorities with the federal government.

“What I specifically said was that we were not going to prioritize prosecutions of persons who are using medical marijuana,” President Obama said. “I never made a commitment that somehow we were going to give carte blanche to large-scale producers and operators of marijuana – and the reason is, because it’s against federal law. I can’t nullify congressional law.”

On April 2, the Internal Revenue Service (IRS) and Drug Enforcement Agency (DEA) raided Oaksterdam University in Oakland, California. Oaksterdam provides courses in which students can learn about the horticulture and business aspects of the medical marijuana industry, but does not distribute marijuana. Authorities confiscated marijuana plants, records, computers and seized bank accounts held by that department of the university.

“In many respects [the raids in California] are not a surprise considering that these dispensaries and cultivation centers are in violation of federal law, and always have been.” said Allen St. Pierre, executive director of the National Organization for the Reform of Marijuana Laws (NORML). Along with the advocates at NORML, multiple lawmakers have written letters to President Obama criticizing his alleged shift on policy. The lawmakers have also called for the federal government to allow states to regulate themselves.

While medical marijuana is legal in California, as well as sixteen other states including Washington D.C., the Controlled Substances Act classifies marijuana as an illegal substance. California state law requires dispensaries to run as non-profit, and those who do make a profit are subject to getting raided by federal and local authorities. “If you grow a small amount at home or buy some off the street then he doesn’t care, that’s what they’ve said,” St. Pierre said.

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Frequently Asked Questions About Opossums And Animal Control In Columbus Oh

July 6th, 2021 | Bird And Pest Control Products |

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If you’ve noticed opossums on your property and you don’t want them around, contact an experienced company that specializes in Animal control in Columbus OH. Below you’ll find the answers to frequently asked questions about opossums, humane removal and how to keep them away.

Q.) Are opossums dangerous and do they attack people?

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A.) Although you may think that opossums look scary, these animals aren’t a threat to you or your family. These nocturnal animals are afraid of you too and they only act aggressive if they feel threatened. If you scare an opossum, many times the animal will act as if it’s dead. Even though an opossum won’t hurt you, they can be a nuisance and cause damage to your property. If you have opossums in your house or in your yard, you should have them removed by a company that performs Animal control in Columbus OH.

Q.) What will an animal control company do when I call them for Opossum Removal?

A.) A company that performs animal control will remove the animal as humanely as possible. A trap is baited and placed in the area where the animal travels. After catching the animal in the trap, the animal control company will release the animal in a safe location away from your home.

Q.) Is there anything that can be done to keep opossums away?

A.) Opossums come out at night to look for food, so to keep them away, you shouldn’t leave food or garbage outside overnight. These animals often find cat or dog food that’s left outside for your pets. After your pet is finished eating, bring any remaining food indoors. Keep your garbage inside of a metal or plastic container that has a secure lid. If you have trees in your yard that bear fruit, regularly pick up fallen fruit that’s on the ground.

If you have nuisance animals in your home or on your property, contact the The Wildlife Control Company to humanely trap the animal for you. Visit their website at yourohiowildlifepro.com to learn more about their services and to contact the company.

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Apple plans to sell movies on iTunes">
Apple plans to sell movies on iTunes

July 4th, 2021 | Uncategorized |

Tuesday, June 20, 2006

Apple Computer is planning to sell full-length feature films for download via the online iTunes Music Store. The store currently sells digital music tracks, and more recently has begun to sell TV episodes.

Apple executives are in negotiations with film studios to arrange the deal and settle on pricing structures. It is expected that films will retail for around $9.99 US dollars, although some studios are reported to want to set a higher price.

iTunes is currently by the biggest online retailer of digital music, with its software tightly integrated with the popular iPod line of products. Newer versions of the iPod include a colour screen capable of displaying videos, and so consumers could watch the films on the devices, but it is not yet clear how many people will want to do this.

Apple CEO Steve Jobs is also the largest single shareholder of Disney, which now owns animation studio Pixar, however he could end up playing a wider role within the film industry if iTunes becomes the dominant online distributor.

A full-length TV movie, ‘High School Musical‘ from Disney, is already available on iTunes, suggesting that the technical infrastructure is already in place.

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Qantas ordered to check oxygen cylinders">
Qantas ordered to check oxygen cylinders

July 3rd, 2021 | Uncategorized |

Sunday, July 27, 2008

Australian Transport Safety Bureau announced that an oxygen cylinder which was located near the area of the explosion on Qantas flight QF30 from London, England to Melbourne, Australia was unaccounted for but said that it was too early to say that an oxygen cylinder could be the cause of the mid-air explosion. It did say it had ruled out explosives as a cause stating that they “found no indication of explosives”.

The Civil Aviation Safety Authority has ordered Qantas to check all oxygen cylinders and the brackets which hold them on its Boeing 747s, but hasn’t ruled out that the order will be extended to all of the Qantas fleet.

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