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Tuesday, April 14, 2009

How to Get Your Ex Back Even If They Don't Want to Talk to You - Do Not Miss This at Any Cost

A breakup is always painful but it can also get frustrating if your ex refuses to talk to you after the breakup. However, all hope is not lost and you can still use these 3 tips Living Dead Dolls how to get your ex back even if they don't want to talk to you...

Tip No.1 - Let your ex calm down. Instead 1969 Topps baseball cards desperately trying to soothe tempers, let time do the work for you. Do not contact your ex for Apollo 11 Eagle Lunar Module couple of weeks. This will enable your ex to calm down and think logically instead of only emotionally. You and your ex will be able to reflect back to the events that led to the breakup and maybe even come up with solutions.

Tip No. 2 - Change into a hot new body and cool attitude. Even as you allow your ex to cool down, ensure that you run to the nearest salon and spa and get yourself a much needed relaxation package. Open up those clogged pores and open up your mind to get a well-toned body, a new haircut and a calm mind. This new look will not go un-noticed by your ex who might just start regretting his/her decision of breaking up with you.

Tip No. 3 - Write. Dr Strange further calm down frayed nerves, write a SMS, email or a good old letter to your ex. This will allow you to express your feelings without any angry interruptions and will also allow your cooled-down ex to read your thoughts in a more controlled manner. Writing will help you bare your soul and your ex will get to know your true feelings without any emotional outbursts. Apologize if you feel that you have wronged your ex in any way.

These 3 tips are sure to get your ex back into talking mode and once you two get talking, then it is just a matter of time before you both decide to get back into your lost relationship.

Pay Close Attention Here-

Now listen carefully! Take 2 minutes to read the next page and you'll discover a stunning trick which will have your ex begging you to take them back. There is a set of easy to follow psychological tricks which will make your ex crawl back to you within a few days guaranteed. I strongly urge you to read everything on the next page before it's too late and time runs out- relationships66.com/">Click Here

The ICD-10 Mandate - What is it and How Much Will it Cost Your Practice?

In August 2008 the U.S. Department of Health donate car Living Dead Dolls charity Human Services (HHS) announced that it would update the universal health-care diagnosis and procedure codes with the expanded ICD-10 set and initially required providers to fully implement this system 1948 Bowman baseball cards October 11, 2011. This date has since been pushed back to October 2013 due to organizations that protested that it simply could not be done by the initial deadline date.

For the past 30 years providers have used the ICD-9 set. HHS has called the ICD-9 coding system "outdated" due to what it describes the codes inability to accommodate new procedures and diagnoses. The ICD-10 coding system has Star Trek aliens codes compared to the 17,000 codes that are currently used under the ICD-9 coding system.

Nachimson Advisors, a Maryland-based health care information technology consulting group have estimated the costs for practices as follows:

  • Small practice comprised of three physicians and two administrative staff - $83,290.
  • Medium practice comprised of 10 providers, one full time coder and six administrative staff - $285,195.
  • Large practice comprised of 100 providers and 64 coding/medical records staff - $2.7 million.

The study indicated six key areas in which the transition to ICD-10 would increase costs to physician practices:

  • Staff education and training
  • Business-process analysis of payer contracts, coverage and supporting documentation.
  • Updates to "Superbills"
  • IT system updates
  • Expenses associated with increased documentation costs
  • Cash flow disruption

Several organizations, including the Medical Group Managers Association (MGMA), objected to the time frame that was initially allotted for medical practices to adopt the new coding set.

MGMA's President William F. Jessee, MD stated "We are just now beginning to learn the increased costs on physician practices associated with moving to the ICD-10 code set - and they are staggering.".

In addition to the ICD-10 mandate, the HHS is also requiring that practices become compliant with the 5010 version of the Health Insurance Portability and Accountability Act (HIPAA) electronic transactions. The initial deadline was set at April 2010 but this has also been pushed back to January 1, 2012.

The 5010 version of the HIPAA electronic transactions is supposed to supersede the 4010 version and provide a more secure environment for electronic transactions under the HIPAA regulations.

The final version of 4010 was implemented in 2001 and took four years to implement. The National Provider Identifier also took four years to implement and bogged providers down with huge costs, administrative headaches and cash flow problems.

Organizations such as the MGMA pushed hard for the HHS to reconsider their time line for the ICD-10 implementation and 5010 mandate. Due to their efforts, the required deadline dates were reconsidered and adjusted as mentioned in this article.

Although the deadline dates have been pushed back, this is still a major concern to the health care industry and should not be taken lightly.

Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that is focused on helping business owners improve cash flow. Services include full service medical billing for health care providers, medical record coding audits, practice management and other general consulting services.

To learn more about Atlantic Financial Consulting, you may visit their website at atlanticfinancial.usatlanticfinancial.us or contact Dallas L Alford IV, CPA at 1 888-428-2555, Ext. 200.