The healthcare reform bill has passed in the US Senate. However both the US House of Representatives and the US Senate bills have yet to address important details affecting patient care. Oversight concerning the determination of medical necessity as well as provider network inclusion issues have greatly affected medical reimbursement and patient access to care. Many insurance companies reimburse medical expenses based upon a determination of medical necessity by the carriers claims department. In the absence of external oversight or regulation, the insurance carrier is free to deny care solely based upon their on private internal review.

Another key issue not addressed is how provider networks create financial barriers to care. Many insurance carriers reimburse medical expenses at lower rates or refuse reimbursements for out-of-network providers. Medical practitioners may also be excluded from insurance company networks for a variety of reasons. Practitioners may be required to limit medical procedures for patients and the number of office visits as a precondition for inclusion in the insurance network. Medical practitioners may also be required to accept lower rates of reimbursement for services provided to patients as another precondition to network inclusion. Some medical networks charge medical practitioners a fee for inclusion in networks.

The patients right to choose their own medical practitioner is not federally guaranteed by law. Additionally, there is no guarantee an insurance company will pay for medical services and patients often have no way to determine what will be paid until after a claim is submitted and a response is generated the insurance companys claims department. The federal government seeks to mandate health insurance coverage for all US citizens yet has not stipulated that insurance companies must reimburse patients for medical expenses nor is there language to address oversight of the determination of medical necessity.

The determination of reimbursements is often based on what is termed as usual and customary. Insurance companies have sole discretion over this aspect of reimbursement for general health insurance policies and may choose to exclude many procedures, office visits, and medical tests whether or not teams of doctors agree that such medical services are vital to the patients survival, recovery, or comfort.

The US House of Representatives and the US Senate have not addressed these details which represent core issues affecting healthcare outcomes for patients. Until these unresolved issues are rectified, it is unclear whether or not US citizens with health insurance coverage will have adequate access to medical care.

Since the 1970’s, there have been millions of people in the United States who have undergone fertility treatments to allow them to conceive. In the mid-west, these procedures have not always been regarded as valid or respectable, but the modern medical community recognizes the development of the technology and information on the procedures has made them more successful, reliable, and safe. One of the first fertility specialists in the mid-west was the RRC fertility clinic in Overland Park, a suburb of Kansas City. Dr. Rod Lyles founded the Reproductive Resource Center in the 1988. This full service clinic was the first of its kind in the Kansas City metro area.

RRC fertility clinic has focused on offering full service fertility coordinated care. Dr. Lyles always looked for ways to increase the potential for pregnancy, but he also worked at minimizing the risk of multiple births. In fact, the Reproductive Resource Center has a reputation of some of the highest pregnancy rates in the entire United States. Cutting edge technologies and procedures have been available at RRC before any other fertility clinic in the area. These include ICSI, GIFT, TESE, blastocyst cryopreservation, donor oocytes, blastocyst culture, and embryo biopsy for preimplantation genetic diagnosis.

In 2009, when Dr. Lyles retired, the position of medical director was taken over by Dr. Celeste Brabec. Dr. Brabec was a physician in the practice for ten years, with a good understanding of the goals and culture at RRC fertility center before undertaking management responsibilities. She seeks to continue the tradition of innovation in the field of fertility assistance. Her personal mission is focused on couple care, and she meets face to face with couples to assist them in accomplishing their dream of adding children to their families. Like Dr. Lyles, under her direction, the Reproductive Resource Center has maintained high pregnancy rates with low multiple birth rates.

Couples in the entire Kansas City metro area consult with the doctors and staff at the RRC fertility center when wishing to conceive a child under difficult circumstances. The Reproductive Resource Center offers a variety of treatments, including consultation, oral medication, intravenous medicines, egg donation, sperm donation, in vitro fertilization and implantation, preimplantation genetic testing, and more. Both Dr. Brabec and Dr. Riggs (renowned reproductive surgeon) are award-winning, published physicians in the field of reproductive assistance. With the emergence of more fertility practices in the region, RRC has maintained a very high level of client care and medical success.

Most healthcare facilities have businesses that complete their collection, coding, and invoicing jobs for them. These activities are known as hospital billing services. Most invoice hosting providers work directly with a physicians office, a medical clinic, or hospital to effectively handle the process of filing insurance claims, and they may also communicate with patients by sending them copies of their account statements. Many times medical facilities will outsource their hospital billing services because outsourcing comes with several advantages, especially when compared to hiring a full-time staff to complete the tasks that an outsourced company can provide for much cheaper, and oftentimes more successfully.

Saving money is one of the main advantages to outsourcing hospital billing services. Medical facilities find that hiring staff to handle all of the tasks associated with invoice tasks can become quite expensive; however, outsourcing the activities allows the jobs to be completed for a fraction of the cost of hiring staff to do them. Since money can be saved by outsourcing these activities, it also helps medical facilities to save money when it comes to paying staff salaries, on taxes and benefits, and as well as training expenses. Hospital and medical facilities that are not paperless can even save money on printing and office supplies by outsourcing their hospital invoice jobs.

Outsourcing hospital billing jobs has become so popular over the past decade because it helps many physicians and medical offices save money on training new personnel to compete invoice service related tasks. These jobs often include coding claims, documenting and tracking different types of claims, and also handling the process of collecting money on accounts that have become delinquent. When these activities are outsourced, the medical office does not have to train personnel to handle the tasks, the hired outsourced company trains their own personnel to complete the services.

Most companies that provide physician billing services offer different invoice job packages, which helps to ensure they can meet any medical offices wants and needs. Most small doctors offices will opt with a basic physician billing activity package, and larger medical offices usually opt with a more complex invoice service package that is accompanied with more support features. Most complex billing task packages will include transcription tasks, and some may even include enhanced feature and functions relating to emergency medical activities. Most basic packages will only include hosted jobs which file medical claims and that also effectively retain and maintain patient records.

Any medical office that is considering outsourcing their hospital billing services should always examine different companies who can perform the tasks and their different available packages; this ensures the medical office will be able to partner with a job provider who can meet their needs.

If you have recently quit smoking, or if you are getting ready to embark on a smoking cessation program congratulations! You have taken the first steps to improved health and a longer, happier life.

Years of smoking can take quite a toll on your physiology and appearance. Among other things, excessive smoking causes the production of harmful free radicals in the body.

But it is possible to reverse some of this damage, and vitamins play a big part in the healing process. Antioxidants found in many vitamin compounds can eliminate free radical activity and restore your body to a healthy state.

Vitamin C is an antioxidant that everyone needs to stay healthy, but smokers have a special need for this compound. Smoking depletes the body of ascorbic acid, so a smoker will need up to three times more Vitamin C than the average non-smoker.

Vitamin C also helps your body absorb iron, which means more oxygen in your blood stream. This vitamin even counteracts atherosclerosis, or hardening of the arteries, caused by smoke inhalation.

Smoking can cause bone loss associated with aging to happen at an accelerated rate. Its common knowledge that calcium works to prevent bone loss, but did you know Vitamin C improves your ability to absorb and use calcium?

Good sources of Vitamin C include citrus fruit, broccoli, strawberries and cabbage.

Folic acid is another important vitamin compound, especially for smokers. This is a B-complex vitamin, and is crucial for lung health. Studies have shown that increasing folic acid intake can reduce symptoms of bronchitis and other lung-related maladies.

Get your folic acid via orange juice or fortified cereal.

Smoking also depletes the body’s Vitamin E supply. Vitamin E is a powerful antioxidant that offers protection from dangerous free radicals and can help the body rebuild.

In fact, research even indicates that Vitamin E can reduce the risk of heart attack and stroke. Sources of natural Vitamin E include oils, nuts, seeds, liver, and clams.

In addition to eating a well-balanced diet, many doctors and rehabilitation specialists recommend that smokers and ex-smokers take a good multivitamin supplement to help the body recover from the devastating effects of smoking.

There have been many studies conducted in a variety of industries linking job satisfaction and customer satisfaction, and all seem to point in one direction: there is a distinct correlation that when happy employees provide services to the public, customer satisfaction prevails.

In an extensive study performed in a major New York City Hospital in 2006, an Employee Engagement Advisory Committee was created to gather feedback from all areas of the hospitals workforce. These areas included administrative and non-clinical staff, service personnel, nurses and physicians and all were asked their own evaluations of employee loyalty and retention. This feedback enabled the committee to identify the hospitals strongest and weakest areas in job satisfaction which lead them to a better understanding of how to motivate involvement and effort.

Another important topic undertaken by the advisory committee was on Employee Engagement.
After many forums and hundreds of comments were gathered, it became concisely clear that engaged employees at their hospital make personal commitments to their jobs and take pride and in their entire organization and the care of their patients.

Just as patient care is adversely affected when poor morale and job satisfaction are inherent, particularly in the nursing industry, that level of care is positively impacted when nurses are given more decision making power and have a strategic role in the care of their patients. Follow-up patient surveys have proven that nurses who are encouraged to take a more active role in their jobs, have higher levels of patient safety and fewer medical errors recorded.

The most commonly used methods in the Health Care
Industry promoting employee engagement and retention are:

– Management accessibility and leadership styles
– Organizational communication
– Recognition programs
– Company reputation
– Empowerment in decision making
– Access to training, resources and opportunity

Hospital Administrators who incorporate policies of employee well being and engagement while on the job, report that they are encouraged and satisfied when they see the reductions in recruitment and retention costs, a dramatic reduction in absenteeism, along with lower patient costs.

Vitamins are indispensable to human metabolism. Vitamins are present in small quantities in food and sometimes, the human body produces them. Vitamins can also be artificially created. We all need vitamins; if we dont have enough vitamins in our diet, we run the risk of developing vitamin deficiencies that can ultimately lead to serious ailments. If you are looking for the best diet for life it should include the food sources for each of the vitamins mentioned below.

Vitamin A: The Vitamin for the Eyes

A fat-soluble vitamin, vitamin A plays an important part in eyesight, helping us to distinguish things around us when there isnt enough light. Vitamin A also contributes to the creation of skin, hair and mucous membranes and keeps them in good condition. Vitamin A strengthens the immune system and it is also connected with the development of bones, teeth, and epithelial cells, the cells situated on the inside and outside of body cavities such as the nose, mouth, throat, lungs, stomach, intestines, urinary tract.

Sources:Foods that contain high levels of vitamin A include orange and yellow vegetables and fruits (e.g., nectarines, cantaloupe, carrots), spinach, broccoli, butter, eggs, milk, fish oil and liver (beef, pork, chicken, turkey, lamb).

Vitamin B: The Vitamin for Metabolic Activities Vitamin B consists of several vitamins: B1, B2, B6, B12, biotin, folic acid, niacin and pantothenic acid. The B vitamins have an essential role in the human metabolism. They are responsible for transporting red blood cells, which contain oxygen, throughout the body. The B vitamins also have a major role in the process of protein synthesis and creation of energy.

Sources: Vitamin B is present in whole grains (e.g., oats and wheats), peas, beans, leafy green vegetables, citrus fruits, seafood, eggs and dairy products such as milk and yogurt, and meat. A type of bacteria residing in the large intestine is also capable of producing some types of B vitamins. Vitamin B deficiency is responsible for the occurrence of the so-called “Beri Beri” disease. Symptoms of vitamin B deficiency include weak muscles, cracked lips and malformed red blood cells. Vitamin B deficiency can affect a person’s normal growth and can create problems in the nervous system.

Vitamin C: The Antioxidant Vitamin Vitamin C is also called ascorbic acid. It is a water-soluble vitamin with antioxidant properties. Vitamin C plays a key role in collagen production. Collagen is a type of protein that provides strength in the case of bones, cartilages, ligaments, tendons, muscle, teeth and blood vessels. Vitamin C helps keep the gums and muscles in good shape. Vitamin C is also responsible for accelerating the healing of various wounds. Vitamin C also prevents fat-soluble vitamins like vitamin A and vitamin E, and other fatty acids from oxidizing.

Sources: High levels of vitamin C are present in citrus fruits (e.g., orange, lemon) and in other fruits (e.g., cantaloupe, strawberries) and vegetables (e.g., broccoli, tomatoes, cabbage).

For many of the roughly 463,000 residents that live in the greater Kansas City, MO area, it can be difficult to live with a physical imperfection or disfigurement. Whether the issue is a genetic defect, the cause of aging or accident or a simple flaw that can be easily repaired, the uses of plastic surgery and cosmetic procedures are many. However, it is important to ensure that a good Kansas City facial clinic has the staff, the equipment and the knowledge to ensure a successful procedure, whatever the expected results.

A Kansas City facial clinic can provide their clients with board certified surgeons and staff that will be able to professionally assess your needs and your options. Some of the most popular procedures that are available from a good clinic include cheek implants, face lifts, rhinoplasty and even upper or lower eyelid surgery. Before you can get a full understanding of the procedure, results and risks, you will need to make an appointment for a complete consultation with a facial clinic. A consultation will cover payment plans, medical histories, expected results and the surgery itself. By getting the most information from your consultation, you can get the best results.

Although Kansas City, MO is comprised of just over three hundred square miles, it is home to some of the finest medical talent in the country. This is especially beneficial to those who wish to have a cosmetic procedure. It can be difficult to find high quality surgeons in an isolated geographic area, and therefore it is that much more important that the few options available are good ones. Finding a good Kansas City facial clinic does not have to be difficult; simply look for someone who has the knowledge, staff and even certifications and qualifications.

Women, traditionally the primary facial clinic client, will be able to get advice from and for a woman’s perspective, and so can get an added bit of skill and knowledge. Women’s bodies are by necessity very different, and in addition, women also have special cosmetic needs. By using a Kansas City facial clinic that specializes in women’s concerns, procedures and issues, you can ensure that you get compassionate care and efficient help. It is also important to find a clinic that will provide unique and individualized care and attention. Each person’s body is unique, and so too should their surgical needs be as well.

Since so many people develop eye problems because of the too long hours spent in front of the computer screen, the popularity of the eye vitamins has increased a lot over the last decade. Taking eye vitamins is presently considered a remarkable way of staying healthy for a longer period of time, protecting our sight from the radiations we come into contact with. Though a balanced diet is essential to the proper body functioning, sometimes it may not be enough to meet all the requirements for healthy eye sight. Eye vitamins are over the counter products that can be purchased from any drug store, and they are usually a combination of vitamins A, C, E and lutein.

Minerals and the B2 vitamin are also part of the supplements that carry the name of eye vitamins; their main action is antioxidant, meaning that they prevent the accelerated decay of the retina and the lens tissues. Even if there are hundreds of brands that sell eye vitamins, it is definitely good to follow some very critical selection criteria before buying a product. You may actually ask for the advice of your health care provider to learn what the proper dosage of eye vitamins should be used to match your health condition.

Eye vitamins usually prevent or slow down the degeneration process of the macula. Vitamin E is most often associated with incredible successes reputed in the fight against sight problems. Moreover, studies conducted on thousands of patients have also revealed that zinc is also an important mineral in the limitation of the vision loss disorders that are so common in our times. Many of the eye vitamins we take as supplements should come from a normal diet; this means that someone who has a correct fruit and vegetable intake would be less exposed to eye health problems.

Carotenoids or the unprocessed forms of vitamin A are present in carrots, oranges and all colored fruits and vegetables; hence, one may very well support the administration of eye vitamins with enough salads and fresh juices that contribute to the maintenance of the vision integrity. Given the fact that antioxidants are the supplements usually prescribed for eye problems, most doctors have come to refer to these products as eye vitamins. Nevertheless, even if highly positive in action in case of vitamin deficiencies, supplements can also lead to overdosing, which may prove just as dangerous as lack of nutrients.

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Health care is not one-dimensional. There’s more to it than what takes place inside a hospital. Recognizing the need for a more holistic approach to health and well-being, community hospitals have come up with supplementary services for their patients, primarily in terms of education and training.

General Health Education

Taking care of yourself all boils down to knowing the basics of health. Every now and then, a person needs a refresher course on what needs to be done to keep the body in good shape. Community hospitals offer general health education classes, as well as lessons on alternative lifestyle methods that can boost one’s efforts to stay healthy.

First Aid Training

Knowing how to handle emergencies is a valuable skill, which is why community hospitals have first aid training sessions that their patrons can enroll in. Both children and adults can benefit from a few courses so they will know what to do when faced with a medical emergency.

Maternity and Neo-Natal Care Education

One of the most popular courses offered by community health care facilities like the San Joaquin hospital in Bakersfield, California is about mother and child care during pregnancy and after birth. The issues of maternity and neo-natal care are discussed in the hospitals’ regular sessions on the topics.

Disease Management

People who suffer from conditions such as diabetes can go about their routines normally as long as they manage their diseases well. To help them with this, San Joaquin hospital, CA and its counterpart facilities spread all over the country offer disease management courses. These courses cover diet requirements, lifestyle adjustments, therapies, and other related topics.

Getting access to these classes and trainings isn’t that difficult. Most of these sessions are offered for free, and participants only need to register for the programs. It is important to regularly check a community hospital’s schedule of events to know whether there are courses that one is interested in. In addition, a person can also request for a particular class that isn’t in the current list. Community health centers like San Joaquin hospital, CA are open to suggestions from their patients.

Dr. Chee Yew Wen is a qualified medical practitioner with many years of experience in the medical field. He believes in understanding the needs of the patients and providing them with a personalized level of care at his medical facility. To cater to the specialized needs of patients and to give them world-class care for their medical problems, he founded The Chelsea Clinic (formerly known as Wen & Weng Medical Group). At the medical clinic Dr. Chee Yew Wen follows a medical approach that caters to the overall wellbeing of his patients. Many of the medical ailments often have their root in the type of lifestyle and the habits we practice. By paying attention to the daily life of a person and making small changes, many of the lifestyle problems can be avoided completely.

At his medical clinic, Dr. Chee offers safe and effective treatments to patients at affordable prices. He believes treatments should be effective as well as affordable. He has immense interest in curing various skin ailments and he offers treatment options such as topical creams, serums, oral medication and more to help patients get smooth and youthful skin. After studying the condition of the patient’s skin in detail, the medical professionals at The Chelsea Clinic offer the most suitable treatment option.

Dr. Chee Yew Wen graduated from St. Bartholomew’s and the Royal London School of Medicine, University of London. He went on to obtain his Grad. Dip FP Dermatology from the National University of Singapore. As a general practitioner with special interest in Dermatology and Aesthetic Medicine, he is one of the fore most professionals known in the Aesthetic medicine field. He uses modern technology to treat his patients and he has helped patients get rid of issues like acne, acne scarring and pigmentation by using lasers. He also uses botox and fillers to help patients who want to get facial shaping done to appear more beautiful. He is also one of the first medical professionals to use Intense Pulsed Light in Singapore to treat oily skin, acne, pigments and dull complexions by using light beams of different wavelengths. To know more about him and his professional achievements, please browse through