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Sunday, May 24, 2009

The Acai Berry and Nutrition

For the last few years more individuals have been becoming aware of the Acai berry. From losing weight to having more energy this is basically what the Acai berry will produce. Of course the results don't happen over night but the Acai berry has been proven to assist any essential vitamins in a nutritional diet.

Some of the Acai berry is extracted into a liquid formula where it can be used as a diet beverage and also to give those nutrients that are missing from the individual not eating certain foods.

Although this type of diet and nutrition has been around for less than a decade it has caught on dramatically and those who are using in have nothing but good to say about it. As far as the nutritional value it is in a big way pretty high in comparison to some of the other vitamins and nutrients found in other nutritional food.

In reality the Acai is a fruit and it doesn't have a very long life span when being grown. Of course it is a berry with very high nutritional and energy levels. While it is only available in juice extract, it is grown on the Amazon tree in the country of Brazil. In addition the pulp as well as the juice can then be used in beverages and other forms of dieting and nutritional foods.

There is absolutely nothing wrong with the Acai berry replacing some of the vitamins and minerals such as being an alternative. Its amazing how the taste combined with other juices and consumption of the Acai the nutritional value is intensified and most of the nutrients needed are found with the nutrition from an individual's diet in addition to the acai regimen.

Acai is used in many different ways, and for many different health and nutrition as well. Some individual's have reported better eyesight, better memory and so much more.

Although there are always going to be critics about products the best thing of course is to try the product for your self. There are several web sites that teach people about the Acai berry and what it is capable of. Also, on various web sites the nutritional value of the acai pulp and juice are also listed. Unfortunately, its not like an individual can walk in a grocery store and find it, but it can be purchased in some health and nutrition stores as well as some web sites via the Internet.



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Medicare Supplement Plans - Reduce Your Healthcare Costs

The U.S. national healthcare system has been undergoing a series of changes since Barack Obama has taken office, and there will only be more changes in the future. It is important to keep up with these changes and how they affect your individual situation and health issues.

A Medicare Advantage plan can lower your out of pocket costs if you rarely need to visit your doctor or the hospital. However, you are taking a gamble on when you rely on this - unfortunately, you never know when you may need to go to the hospital or require other medical services. While your monthly premiums may be significantly less than with a Medicare supplement plan, your deductibles and co-payments will likely be much higher if you do need to visit your doctor or another specialist. With Medicare Advantage plans, you are essentially betting that you won't get sick in the near future - and why would you want to take that kind of gamble with your health and your bank account?

If you are a senior who has pre-existing health issues or think you may need to visit the hospital or require other medical services, you need to seriously consider purchasing a Medicare Supplement Plan. Although your initial out of pocket costs may be a little higher, Medicare supplemental insurance will be much less expensive in the long run that the alternative option of a Medicare Advantage plan. Therefore, doing the research and finding the right Medicare supplement for your needs is best long term choice for your physical and financial health.



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Accurate Edits Return Dollars

Many companies offer various services and ideas on how to improve revenue. Most, if not all, concentrate their efforts on the front-end registration process, dealing with eligibility, making sure the patients have enough insurance coverage, collection of co-pays, etc. All these procedures are important, are good practices to follow and are essential to a good revenue cycle program.

There is one vital step in the revenue cycle program that tends to be ignored or inadequate. That is proper setup and use of a scrubbing system. In order to have a clean claim, there are a few components dealing with systems and personnel that need to exist. A good, reliable scrubber system needs to be in place, the billers need to know how to use it, understand the information the scrubber provides and, most of all, know how to resolve claims issues presented by the scrubber.

Companies spend hours on research and development concentrating on how well the electronic file is built so the insurance company will accept it. However, even though it is an important step as part of claim submission, how accurate is the information within the file? What if you do not have electronic file submission established for all the carriers and paper claim submissions need to be reviewed?

In addition to a good scrubbing system, there needs to be a good revenue integrity person at your facility keeping up with all the various scenarios relating to reimbursement. The revenue integrity person needs to understand the types of contracts the hospital has with a particular insurance company.

Your facility needs to have solid background on what insurance companies look for and what the best practices are in the billing and coding arena. In our experience with many clients over the years, we have determined that in order to have a good revenue cycle program, there needs to be a synergy between revenue integrity, medical records, coding, billing and compliance. A good "scrubber" system can help to ensure you receive the most appropriate reimbursement for the services you provide.

Besides the front-end eligibility and compliance on file structure, what are the claims issues at a hospital? There are three components:

Compliance
Lost Charges
Payer-specific Issues

There also needs to be a good understanding on how to build edits on your scrubber to look for certain edits dealing with areas such as:

Outpatient Medicare
Carve out
Interventional Radiology
Drug Administration
User-defined

The question is do you have a person, in-house, dedicated to reviewing claims before or after they are billed, to ascertain they are coded correctly? Are you relying on the scrubbing system to do just that? Does your scrubber perform to your expectations? Systems are supposed to be automatic, but we know in the healthcare environment, there are too many variations for a system to automatically pick up most coding errors.

There needs to be someone or some system in place to review particular claims either right before you bill them, and/or shortly thereafter.

Only with the synergy mentioned above, will your facility experience the expedience and accuracy of claims processing and reimbursement it deserves.

By Vince Arencibia and Julie Souder
Omega Technology Solutions
800-859-8009

About the authors

Vicente Arencibia

Vicente Arencibia is a Chief Information Officer with Omega Technology Solutions. In this role, Vicente Arencibia leads a team providing all aspects of electronic technologies, including compliance, claim submission and revenue management.

A big believer in standardization, Vicente Arencibia supports CORE requirements.
Vicente Arencibia is a qualified manager and holds a B.S. in Management and Marketing degrees from Florida Atlantic University.

Before joining Omega Technology Solutions in 2003, Vicente Arencibia worked for twenty years for an HCA facility in South Florida responsible for the Information Services department and coordinated the implementation of a full facility hospital system (Meditech).

Vicente Arencibia is employed by Omega Technology Solutions to create innovative new programs with the pool of experts in both technology and healthcare in an effort to help hospitals with revenue management.

Julie K. Souder, CPC, CPC-H, CPAT

Julie is a business analyst for Omega Technology Solutions with over 22 years in the healthcare industry. Her experiences have taken her everywhere from working on systems to collect patient information during emergency situations, to patient billing, to medical record audits. Previous positions have included the business office management of what was the largest private ambulance company in South Florida, to owning her own medical collections agency.

Her current position involves research and development of claims edit systems that report compliance issues as well as alerts for potential lost charges/revenue. She is also involved in the charge description master products provided by OTS.



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