Thursday, November 20, 2008

Health Claims Processing Terminology

Every field seems so have its own secret set of terminology. I think it has more to do with a need by those on the inside to feel superior to those on the outside than for any real need on part of those utilizing the terms. You see it in every field. Education has it, nuclear medicine has it, lawyers have it, and even medical billing utilizes such terms.

A particular phrase will come into vogue and before you know it, it has been shortened to an acronym so only those inside the field of "know" will understand. As those on the inside begin to utilize the phrase, it begins to get on the outside of the field of "know". As more and more people learn the shorthand, those on the inside change it to something else. Same old tired concept, just a new handle.

Education does it more than most. For years they relied on simple charts to get information across. Suddenly, the chart became a rubric disguised in fancy language [What is a rubric? For most educators, a rubric is a printed set of scoring guidelines (criteria) for evaluating work (a performance or a product) and for giving feedback. Credit-Rubrics.com]-a table. Same thing, just those on the inside now had an internal feeling of superiority. Don't get me wrong, I am not picking on education, everybody creates their own little private codes.

In claims processing, we used to get EOBs (Explanations of Benefits). Medicare felt superior so they would refer to theirs as EOMB (Explanation of Medicare Benefits). Like that was some grand and marvelous different thing but it was the same old tired story, just a new way of expressing it. Now they all want to say ERA (Electronic Remittance Advice). For years Georgia Medicaid called their EOB an RA (remittance advice). Again, same old tired concept except that unless you were on the inside you had no idea what they meant.

Seems no one really wants to tell you what they mean, they just want to keep you guessing and let the teller feel that they are in some way superior because they have this certain knowledge that you do not have. Do not let anyone talk down to you. That is precisely what they are doing. Remember, at some point they had no knowledge of the terms and they had to learn.

Next time you hear a term with which you are not familiar, slow the person down and ask them what they mean-likely they are unable to explain it in your language because they really do not know, but hold them to it until you know what they mean.

I do, and I have been in this industry since 1967. I force the other party to detail what they mean. Then I slyly ask, why didn't you say that to begin with and save us both a lot of time? To make life easier for yourself, get a little book of medical acronyms and abbreviations. It is inexpensive and available on-line. Now you too can have that feeling of I know something you do not!

The Wynn Group, Inc was founded by Nat Wynn in 1996 dedicated to helping physicians with medical billing and practice management by allowing them to focus on their patient while The Wynn Group focused on making sure each and every claim got paid. Visit us here.

Skin care tips

Tuesday, November 18, 2008

Cheat Planet - How to Win at Your Favorite Game!

Nothing can be more frustrating than getting stuck on a level in your favorite game and you just can't figure out how to get any further. Your gamer instincts tell you there must be a simpler way to battle the ugly demon standing in your way or a clue you're missing out on. Try as you might, you just can't figure out what to do. Should you give up? Or join the thousands of members of cheat planet, the gamers who know how to get the best out of their gaming by visiting the increasingly popular cheat sites.

Getting the Most Out of Game Cheat Sites
You may think that resorting to a cheat site could take the fun and skill out of gaming. But many of the best sites also offer guides and tutorials to help you figure out where you're going wrong or something you're missing. All you have to do is find a site, search for the game you're playing and find a tutorial. Then search within the site for the level you're at. Once you've found the answer you were looking for you can carry on with the rest of the game.

If you still can't work out how to proceed, then you can find real cheats in the form of codes which you can enter. Whether you're using an Xbox, Wii or Playstation, or a handheld PSP or Nintendo DS, cheats are available for pretty much any game or console.

The best cheat sites also offer trailers and demos for the latest releases, as well as news of release dates and the latest consoles.

How to Choose a Cheat Site
  • Be aware of paying a monthly subscription - there are plenty of free game cheats with no need to pay a monthly fee. The other alternative if you can't find the cheat you want for free is to pay a one off fee.

  • Cheats are most useful to overcome the end of a game level, where the biggest battles and hardest obstacles are found. Try to have a good go at beating the game yourself, or you'll be relying on cheats to get through every single level!

  • As well as cheat codes, these sites show you hidden passages and secret weapons which will help your game become even more exciting.

  • Be aware of scam sites - especially if you're paying a fee. Look for blogs and chat rooms for customer cheat reviews to check you're not about to be ripped off.

  • For lots more gaming tips, articles and resources visit http://www.barginbargains.com/gaming.html

    Thursday, November 6, 2008

    Free Online Games at GamingBooth


    Gaming Booth is a great free online games arcade that offers over 5,000 games. My favorite game is Onslaught 2. Check out the site and see which game is your favorite.

    Tuesday, October 21, 2008

    Corporate Blogging: 7 Best Practices

    Blogs have become one of the hottest communication tools on the Web. Offering the opportunity for anyone to create their own free Web site, encouraging opinions and interaction, blogs provide forums for individuals to create their own highly personal presentations to the Web audience. They also provide for consortia of all types to experience the sort of online community feeling that was pioneered by early newsgroups and by the phenomenal success of AOL in the 1990s.

    Blogs have reached into the corporate and government sectors as well. What started out as an outlet for teenage expression and grassroots journalism has turned into a lucrative communications tool for small and large businesses alike.

    Corporate Blogging refers to a company producing or supporting a blog that it uses to accomplish business objectives. As with anything, there are certain best practices to be followed to ensure your company reaps the maximum benefits. These seven tips guidelines will help make your blog a success.

    1. Fine Print. Blogging can lead to legal issues. Companies should have real concerns about liability, exclusions and limitations, and indemnity. Although there are laws that protect against libel, misappropriations and other injuries suffered as a result of posts on the Web, companies can still be held vicariously responsible for statements made by employees that are harmful to others. Since there are so many legal issues surrounding blogs, it is imperative that the site has some sort of disclaimer and limitation of liability.

    2. Know What Youre Doing. Senior management should be educated by the corporate communications and legal department about what blogs are and how they might affect business. That way, they can be contributing members of the blog, further improving employee relations. Their support and participation is often what makes a blog more effective.

    3. Create blogging policies. In any medium where an employee is sharing information, there is the possibility of leaking trade secrets or financial information. Blogging also has a tendency to become personal. A company should have a list of policies regarding blogging to ensure that trade secrets are kept secret and personal lives do not become public. Policies may include keeping financial information from being posted, as well as severe consequences for anyone using the blog for negative publicity.

    4. Avoid the Marketing Blog. Making your blog into a blatant marketing campaign is a bad idea. Customers are looking for real answers and honest opinions. They will pick up on insincerity instantly. Use the blog for what it's for, transparency. This is an opportunity to make a real connection with your customers. Don't ruin it by filling it with empty advertising.

    5. Keep It Fresh. Blogs are usually judged by their amount of new content. Easy to add on to, they are designed to be updated constantly. To keep your readers coming back, make your content relevant and timely. Don't forget, content can include anything from product releases to job openings, recent news to thoughts from the CEO. It's practically impossible to run out of material.

    6. Reinforce the companys core values. Use your blog to reflect your company's inner soul: its mission, goals and direction. A blog is just another medium by which you interact with your customers and employees. It's another part of the brand experience. It should be consistent with the impression the company wants to make.

    7. Encourage employees to use it. Create an atmosphere where they are comfortable asserting their opinions and concerns. Youll be surprised how the quietest employees will speak up when given such an opportunity. With all communication, blogging can become negative, so remind employees of the public nature of the blogs and the ramifications for their actions.

    Kari White is a Content Devloper for Brook Group, LTD, a Web design firm near Washington, DC.

    For more information and a special offer on Brook Group's services, visit http://www.brookgroup.com/content.