A Complete Solution to Erection Dysfunction
[info]qeyifame
Cialis is a prescription only pill for the treatment of erectile dysfunction in men which is to be taken orally. Cialis boosts the blood flow in the penis after some kind of sexual stimulation. This pill helps in maintaining an erection suitably till the time the sexual act is concluded. Cialis is phosphodiesterase type 5 inhibitor and works in the same fashion for impotence as other pills in the same group. A number of other eminent impotence treatments in this category are Viagra and Levitra.

Working of Cialis

Cialis helps in boosting the capacity of cGMP in the body. This in turn easiness the muscles in the penis thus increasing blood flow to the organ to bring on an erection. Cialis works only in presence of sexual stimulation.

Cialis Dosages

Cialis tadalafil is available in following dosages:

• Cialis 10mg Tablets
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Cialis is to be taken once a day. You should keep a gap of at least 24 hours between two consecutive doses. Cialis starts its work within 30 minutes and you can experience its effects for up to 36 hours. Cialis can help you get erection only if there is any sexual stimulation. By just taking Cialis pill, you can not get an erection.

Online Availability

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Cialis tadalafil has some common side effects such as:

• facial flushing
• warmth or redness in face, neck, or chest
• stuffy or runny nose
• headache
• upset stomach
• back pain
• vision changes
• feeling light-headed or fainting
• erection that is painful or lasts 4 hours or longer

Above mentioned list is not comprehensive and there might be other side effects of Cialis. You should ask your doctor, if you find any unusual side effects of Cialis. If your erection is painful or lasts more than four hours, you need to consult your doctor immediately for urgent attention. This condition is called priapism and if it is left untreated, it may cause permanent damage to the veins in penis.

Cialis VS Viagra and Levitra

Cialis is preferred by many men for their impotence treatment because it starts working within 30 minutes and its effects stay almost for 36 hours. Because of this, they do not have to plan their sexual activity at the time of taking impotence treatment. This is the reason people prefer Cialis over Viagra and Levitra. Another reason to choose Cialis over Viagra is that it is available in lower dosage as compared to Viagra.

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CIALIS 20mg
[info]qeyifame



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MedicalConspiracies- Potassium Iodide
[info]qeyifame


Read the link below that I pasted..plus you must add potassium rich foods to your diet

http://www.buzzle.com/articles/potassium-rich-foods-list-of-foods-high-in-potassium.html


as you will see from this link below it is possible to do this without taking the man made potassium Iodate


http://www.radiationdetox.com/depleted-uranium-detox.htm

How to Detox Your Body of Depleted Uranium Residues, the Effects of Radiation, and Radioactive Contamination



It's sad but true that there are thousands of scientific references and medical studies out there on the fact that radiation and radioactivity can harm you, yet despite millions of dollars spent by the government to study radiation, virtually nothing is available about a detoxification diet or nutritional supplements you might use if you are exposed to radioactive contamination.

Here's some of the information we do know from the only book in the world on the topic. Keep this information in the back of your mind as it may one day help save you or someone you know.

Most people are aware taking potassium iodide (KI) or potassium iodate (KIO3) cialis will help block your thyroid gland from absorbing radioactive iodine should there ever be a dirty bomb explosion or nuclear power plant mishap such as the Three Mile Island incident. In 1999, another such accident happened in Tokaimura, Japan where several individuals died from radiation exposure in a fuel processing facility.

What people don't recognize is that potassium iodide or iodate tablets only protect the thyroid gland and do not provide protection from any other radiation exposure, so taking them should not give you a false sense of security. It's important to detox your body after radioactive exposure!

One question is, what do you do if KI or KIO3 tablets aren't available during an emergency? Interestingly enough, according to research by Ken Miller, health physicist at the Hershey Medical Center, he found that an adult could get a blocking dose of stable iodine by painting 8 ml of a 2 percent tincture of Iodine on the abdomen or forearm approximately 2 hours prior to I-131 contamination. Potassium iodine tablets are best, but if they're not available this is the next best thing.

An entirely different problem arises after you've been exposed to radioactive contamination because now you have to get rid of any radioactive particles you may have ingested through the air you breathed, water you drank, or food you ate. Some people suggest Epson salt, Clorox or clay baths to remove any residues on your skin and to leach out any heavy metals you may have absorbed, but the big worry is internal contamination. To gain some insights into what to do, we have to turn to the story of the atomic bombing of Nagasaki.

At the time of the atomic bombing, Tatsuichiro Akizuki, M.D. was Director of the Department of Internal Medicine at St. Francis's Hospital in Nagasaki and he fed his staff and patients a strict diet of brown rice, miso and tamari soy soup, wakame, kombu and other seaweed, Hokkaido pumpkin, and sea salt. He also prohibited the consumption of sugar and sweets since they suppress the immune system.

By imposing this diet on his staff and patients, no one succumbed to radiation poisoning whereas the occupants of hospitals located much further away from the blast incident suffered severe radiation fatalities.

Much of this positive result has to do with the fact that the sea vegetables contain substances that bind radioactive particles and escort them out of the body. This is why seaweed sales usually skyrocket after radiation disasters, and why various seaweeds and algae are typically used to treat radiation victims.

In Chernobyl, for instance, spirulina was used to help save many children from radiation poisoning. By taking 5 grams of spirulina a day for 45 days, the Institute of Radiation Medicine in Minsk even proved that children on this protocol experienced enhanced immune systems, T-cell counts and reduced radioactivity. Israeli scientists have since treated Chernobyl children with doses of natural beta carotene from Dunaliella algae and proved that it helped normalize their blood chemistry. Chlorella algae, a known immune system builder and heavy metal detoxifier, has also shown radioprotective effects. Because they bind heavy metals, algae should therefore be consumed after exposure to any type of radioactive contamination.

In 1968 a group of Canadian researchers at McGill University of Montreal, headed by Dr. Stanley Skoryna, actually set out to devise a method to counteract the effects of nuclear fallout. The key finding from their studies was that sea vegetables contained a polysaccharide substance, called sodium alginate, which selectively bound radioactive strontium and eliminated it from the body.

Sodium alginate is found in many seaweeds, especially kelp, and since that time the Russians have been seriously researching the use of their own kelps from Vladivlostok, from which they have isolated the polysaccharide U-Fucoidan, which is another radioactive detoxifier. Because miso soup was so effective in helping prevent radiation sickness, the Japanese have also done research identifying the presence of an active ingredient called zybicolin, discovered in 1972, which acts as a binding agent to also detoxify and eliminate radioactive elements (such as strontium) and other pollutants from the body.

The kelps and algaes aren't the only natural foods with radio-detoxifying effects. In terms of fluids to drink, black and green tea have shown "radioprotective effects" whether consumed either before or after exposure to radiation. This anti-radiation effect was observed in several Japanese studies, and studies from China also suggest that the ingredients in tea are radioactive antagonists.

In short, after any sort of radioactive exposure you want to be eating seaweeds and algaes along with almost any type of commercial heavy metal chelating formula to bind radioactive particles and help escort them out of the body. Whether you're worried about depleted uranium, plutonium or other isotopes, this is the wise thing to do which can possibly help, and certainly won't hurt. Many nutritional supplements have been developed for the purpose of detoxifying heavy metals, most of which contain the algaes and plant fibers and other binding substances.

Basically, an anti-radiation diet should focus on the following foods:

· Miso soup
· Spirulina, chlorella and the algaes (kelp, etc.)
· Brassica vegetables and high beta carotene vegetables
· Beans and lentils
· Potassium, calcium and mineral rich foods
· High nucleotide content foods to assist in cellular repair including spirulina, chlorella, algae, yeast, sardines, liver, anchovies and mackerel
· Cod liver oil and olive oil
· Avoid sugars and sweets and wheat
· A good multivitamin/multimineral supplement


Yet another benefit of the sea vegetables rarely discussed is their high mineral content, which is a bonus in the case of radioactive exposure. Consuming natural iodine, such as in the seaweeds, helps prevent the uptake of iodine-131 while iron inhibits the absorption of plutonium-238 and plutonium-239. Vitamin B-12 inhibits cobalt-60 uptake (used in nuclear medicine), zinc inhibits zinc-65 uptake and sulfur is preventative for sulfur-35 (a product of nuclear reactors) incorporation by the body.

Since nuclear workers are potentially exposed to radioactive sulfur, this means that workers in the atomic power industry need a higher content of sulfur in their diet. MSM supplements provide a source of dietary sulfur, but thiol supplements such as cysteine, lipoic acid and glutathione serve double-duty in this area because they help detoxify the body and attack all sorts of other health problems as well.

The immune system is usually hit hard after radiation exposure, and a number of steps can be taken to help prevent opportunistic infections after a radioactive incident. Though the full dimensions of the protective mechanism is still unknown, Siberian ginseng is one form of ginseng that exerts a definite radioprotective effect and has been demonstrated to lessen the side effects of radiation. It was widely distributed by the Soviet Union to those exposed Chernobyl radiation and is commonly used to help cancer patients undergoing radiation therapy.

Consuming Reishi mushrooms is another proven way to bolster your immune system after radiation exposure and helps reduce the damage from radiation. It's been used to decrease radiation sickness in animals and help them recover faster after potentially deadly exposure.

Panax ginseng has prevented hemorrhaging after radiation exposure, prevents bone marrow death and stimulates blood cell formation, so it's another supplement to add to one's protocol. In short, yeasts, beta glucans, bee pollen and various forms of ginseng have all been shown to bolster the immune system after radiation incidents. In terms of radiation burns, aloe vera has a proven ability to treat serious radiation burns and offers other radioprotective effects, and can easily be grown in your house.

The amino acid L-Glutamine can be used to help repair the intestine in case of the gastrointestinal syndrome usually suffered due to radiation exposure, and a variety of substances can help rebuild blood cells to prevent hematopoietic syndrome. Those particular foods include beet juice, liver extract, spleen extract, and shark alkyglycerols. Most oncologists don't know that shark liver oil, with alkyglycerols, can help platelet counts rebound in days.

Depleted uranium is currently in the journalistic spotlight because US weapons are made from this material, and after being fired leave a legacy of depleted uranium dust in the environment, which anyone can absorb. Because the kidneys are usually the first organs to show chemical damage upon uranium exposure, military manuals suggest doses or infusions of sodium bicarbonate to help alkalinize the urine if this happens. This makes the uranyl ion less kidney-toxic and promotes excretion of the nontoxic uranium carbonate complex.

In areas contaminated by depleted uranium dusts, it therefore makes sense to switch to drinking slightly alkaline water and to favor a non-acidic diet to assist in this detoxification. Any of the heavy metal detoxifiers, such as miso soup, chlorella, spirulina and seaweeds, are also commonsense warranted.

Another thing you can do is use homeopathics for radiation exposure. People commonly argue over whether homeopathics work or not, but if you assume the position that they produce no results whatsoever then you must also assume that they certainly won't hurt you, which means the only loss from using them is a few dollars. Frankly, there are countless cases and double-blind studies where homeopathic tinctures do provoke physical healing effects in the body. Therefore they are a viable adjunct treatment option. One homeopathic, in particular, is URANIUM NITRICUM (nitrate of uranium) which homeopaths suggest should be used in cases of depleted uranium exposure or uranium poisoning. Not just soldiers or civilians exposed to battlefield dusts, but uranium miners and radiation workers may find it quite useful.

While we've discussed just a few of the many supplements and protocols you can use to help detox the body of the lingering results of radioactive contamination, including the residues of depleted uranium, the last thing that might be of interest is that there is a plant that is a natural geiger counter. The spiderwort plant is so sensitive to changes in radiation levels (its petals change color upon exposure) that it's often used as a natural radiation detector (dosimeter), just as they use canaries in mines as detectors of poisonous gas. Some people like knowing that they have an ongoing monitoring system for radiation in the environment, and this is just another tip available in "How to Neutralize the Harmful Effects of Radiation or Radioactive Exposure."



Debbie Newhook
http://osnanaimo.org/

--- On Sun, 3/13/11, justmeint <justmeint@gmail.com> wrote:

From: justmeint <justmeint@gmail.com>
Subject: [Health_and_Healing] Potasium Iodide
To: Health_and_Healing@yahoogroups.com
Received: Sunday, March 13, 2011, 3:05 PM

 


I received an email today showing the POTENTIAL hazard of a nuclear power plant blast in Japan.... and where it/ the radiation would travel to. The gist was people need to have potassium iodide in their first aid kits.
 
Where do people stand (if we cannot take iodine).... and do you have any thoughts/information on this topic please.
 
here is what I received:

I Received this from a good friend who is a Calif. Highway Patrol Officer.
BillD

Not to alarm anyone, but does your emergency supply kit include Potasium Iodide? The FDA recommends Thyrosafe.
750 rads could be fatal.  This is not an official map but shows what the jet stream can carry since it blows over the pacific.

Also, check radiation levels at this site.


=



Evolution of the Doctor's Office –Reception / Nurse-Medical Assistant / Provider-Doctor / Tran
[info]qeyifame

EONS AGO - THIS WAS THEN…

· Patient “Tommy” arrives.

· Patient signs in at reception desk.

· Chart is pulled by staff (or had been pulled the night before, ideally).

· Patient is asked if any of their demographic information has changed (if staff remembers to ask). New information that is collected is manually recorded in the patient chart.

· Co-pay collected, if due (and if staff remembers to ask). Co-pay is handwritten on a created paper log, if recorded at all.

· purchase cialis is running a half hour to an hour behind because two charts are missing and staff is in a frenzy to find them.

· Patient “Tommy” is finally called back by the nurse or medical assistant.

· Vitals, medical history and reason for visit are taken and hand recorded in Tommy’s chart by the nurse or medical assistant. Since there were no systems in place, there was nothing to compare vitals to from Tommy’s previous visit.

· Tommy tells the nurse that he’s there for a “cough”. Then, he waits again…and waits…and waits…

Meantime, out front again…with no real systems in place to keep track of patients within the work flow…

Patient “Sally” approaches the reception area… seems she has been sitting, waiting to be called for an hour…frustrated, late for work…

Oops…staff FORGOT about this one…

Back to Patient “Tommy”…

· Nurse escorts Tommy to exam room B, places chart in the chart slot outside of the door, enters the room to find Patient “Tina”, sitting on the exam table in her gown, waiting... and waiting… and waiting. Yet another OOOPS!

· Nurse finally finds an empty exam room where she asks Patient “Tommy” to once again WAIT…cheap cialis will be in “shortly” HaHa

At this point, the doctor is so confused, he’s/she’s uncertain which room to enter next, but finally, after opening three or four exam room doors, Dr. HardWorker locates “Tommy”, and the fun begins…

“Hi Tommy, what brings you in today?” I hear you have a “cough”? Doctor asks these questions while trying to simultaneously flip through the thick, overcrowded chart searching for allergies, past medical history, current medications and last visit date, two of which are found. This particular chart had been dropped by staff, is seriously out of order and the doctor cannot read their own handwriting on the last entry of the progress sheet.

“How long has this been going on?” The doctor continues.
Tommy replies, “Well, um, I don’t exactly have a cough. I didn’t want to say this to the nurse, so I told her I had a “cough” when in fact, I have this “embarrassing rash”

“Really, a rash? Tell me more”.

“Well, you know” says Tommy. “It’s a rash “down there”. “I’m itching like nobody’s business.”

“What have you tried to help this “rash”, says Doc?

“Some of that fungus or itch or…some type of cream, I’m not sure. That didn’t help, so then I tried some of that pink stuff, you know, for poison ivy. That didn’t help either. I had to wash that stuff off right away, my buddies at the gym got a real kick out of that one, imagine that. In fact, I think the pink made it worse because then I started getting these “bumps”, and now the bumps are oozing. Wanna see?

Doc says, yes Tommy, drop your pants and let’s have a look. By this time, Doctor HardWorker is running even further behind, and feeling a little impatient.

Tommy sheepishly drops his pants. Doctor steps back three feet, searching for gloves, and calls in the nurse.
“We need to take a swab” Doc says to the nurse. The nurse exits the room and Dr. HardWorker continues. He tells Tommy that he will need to send the swab out for testing, but that he will need to administer a shot of penicillin today.

“What do you think it is, Doc?”

“Looks to me like its Syphilis, answers the Doctor”. Doctor proceeds to go through the patient education routine, writes a prescription for the patient to take home, searches for and collects flyer's and leaflets on the disease for Tommy, and warns him that this disease is very contagious, and that he will need to let those he has been sexually active with know, including his wife”

The examination proceeds and the Doctor asks if everything else is going ok.

Tommy proceeds to tell the Doctor about his lower back pain, his athlete’s foot problems and his intermittent shortness of breath.
So….the visit continues….

After addressing Tommy’s additional symptoms and complaints, Doctor HardWorker decides that Tommy should see an Orthopedic Specialist for his back problems.

During the entire visit, Dr. HardWorker has been handwriting the progress notes, prescription, laboratory orders, follow up visit requirements and notes to the transcriptionist to write a referral letter to an Orthopedic Specialist.

Upon completion of Tommy’s examination and visit, the doctor exits the exam room to find his staff attending to personal business and explodes.

At the end of the long, grueling work day, after a laundry list of chaotic non systematic patient visits, an exhausted staff is working overtime to correct the day’s errors and an exhausted doctor has yet to return patient calls, review laboratory results, and sign off on progress notes. The doctor will get up and do the same thing all over again tomorrow.

Tommy’s chart ended up on the desk of the transcriptionist, awaiting a referral letter. The encounter form had been left inside of the chart, so the billing department did not receive the encounter to bill for the visit.

Three weeks later, when the transcriptionist finally gets to the chart, the encounter form was found and passed on to the billing staff. The biller inserts a HCFA form into their typewriter to manually type demographics, date of service, CPT Codes and when beginning the entry of the ICD-9 code, biller realized that handwritten information was illegible, and had to remove the unfinished HCFA form and return the chart to the doctors piles of other “to do” work” for verification and clarification of the visit.
Biller finally receives verification, inserts HCFA, again, completes the remaining mandatory fields on the form. Tears the two part form apart, files the “file copy”, folds the form, stuffs, addresses and applies postage to the envelope for mailing.

Six weeks later, the biller receives a returned claim at their desk. The claim had been denied as “Member not found”. A human error was made in the entry of the patient’s insurance ID number. Two of the numbers were transposed. The biller whites out the transposed insurance numbers, re-inserts the claim form into the typewriter and corrects the error. Manual copy of the corrected claim is made and attached to the original form after the chart has been re-located and pulled. The corrected claim is once again folded, stuffed, addressed and postage once again applied to the envelope for re-submission.

Yet ANOTHER six weeks later, the claim is returned once again. The biller is backlogged with follow up work as she has been covering the front desk due to staff turnover and another staff member on maternity leave. The claim was denied due to “Insurance Termed”. If staff had requested insurance changes at the time of the patients visit, the correct information would have been issued on the first submission of the claim. By this time, 15 weeks had passed since the date of the initial submission of the claim. An additional two months pass before the denied claim is re-addressed. The patient happens to be on vacation, and staff must wait for their return to obtain corrected insurance information. Two more weeks pass, and staff finally reaches the patient to obtain the new information, at which time the claim is re-typed, re-filed, re-mailed to the new insurance carrier. New insurance carrier receives the claim, and denies for “timely filing” because there is a time limit to file a claim within 6 months of the date of service. The biller does not want the doctor to know that she has not effectively done her job, so she destroys the paper trail of this claim and removes evidence from the patient ledger to prevent discovery of her errors. As the biller’s day continues, she attempts to keep up with the typing, filing, updating patient information, patient interaction, etc. etc. etc.

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Evolution of the Doctor's Office –Reception / Nurse-Medical Assistant / Provider-Doctor / Tran
[info]qeyifame

EONS AGO - THIS WAS THEN…

· Patient “Tommy” arrives.

· Patient signs in at reception desk.

· Chart is pulled by staff (or had been pulled the night before, ideally).

· Patient is asked if any of their demographic information has changed (if staff remembers to ask). New information that is collected is manually recorded in the patient chart.

· Co-pay collected, if due (and if staff remembers to ask). Co-pay is handwritten on a created paper log, if recorded at all.

· order cialis is running a half hour to an hour behind because two charts are missing and staff is in a frenzy to find them.

· Patient “Tommy” is finally called back by the nurse or medical assistant.

· Vitals, medical history and reason for visit are taken and hand recorded in Tommy’s chart by the nurse or medical assistant. Since there were no systems in place, there was nothing to compare vitals to from Tommy’s previous visit.

· Tommy tells the nurse that he’s there for a “cough”. Then, he waits again…and waits…and waits…

Meantime, out front again…with no real systems in place to keep track of patients within the work flow…

Patient “Sally” approaches the reception area… seems she has been sitting, waiting to be called for an hour…frustrated, late for work…

Oops…staff FORGOT about this one…

Back to Patient “Tommy”…

· Nurse escorts Tommy to exam room B, places chart in the chart slot outside of the door, enters the room to find Patient “Tina”, sitting on the exam table in her gown, waiting... and waiting… and waiting. Yet another OOOPS!

· Nurse finally finds an empty exam room where she asks Patient “Tommy” to once again WAIT…cialis will be in “shortly” HaHa

At this point, the doctor is so confused, he’s/she’s uncertain which room to enter next, but finally, after opening three or four exam room doors, Dr. HardWorker locates “Tommy”, and the fun begins…

“Hi Tommy, what brings you in today?” I hear you have a “cough”? Doctor asks these questions while trying to simultaneously flip through the thick, overcrowded chart searching for allergies, past medical history, current medications and last visit date, two of which are found. This particular chart had been dropped by staff, is seriously out of order and the doctor cannot read their own handwriting on the last entry of the progress sheet.

“How long has this been going on?” The doctor continues.
Tommy replies, “Well, um, I don’t exactly have a cough. I didn’t want to say this to the nurse, so I told her I had a “cough” when in fact, I have this “embarrassing rash”

“Really, a rash? Tell me more”.

“Well, you know” says Tommy. “It’s a rash “down there”. “I’m itching like nobody’s business.”

“What have you tried to help this “rash”, says Doc?

“Some of that fungus or itch or…some type of cream, I’m not sure. That didn’t help, so then I tried some of that pink stuff, you know, for poison ivy. That didn’t help either. I had to wash that stuff off right away, my buddies at the gym got a real kick out of that one, imagine that. In fact, I think the pink made it worse because then I started getting these “bumps”, and now the bumps are oozing. Wanna see?

Doc says, yes Tommy, drop your pants and let’s have a look. By this time, Doctor HardWorker is running even further behind, and feeling a little impatient.

Tommy sheepishly drops his pants. Doctor steps back three feet, searching for gloves, and calls in the nurse.
“We need to take a swab” Doc says to the nurse. The nurse exits the room and Dr. HardWorker continues. He tells Tommy that he will need to send the swab out for testing, but that he will need to administer a shot of penicillin today.

“What do you think it is, Doc?”

“Looks to me like its Syphilis, answers the Doctor”. Doctor proceeds to go through the patient education routine, writes a prescription for the patient to take home, searches for and collects flyer's and leaflets on the disease for Tommy, and warns him that this disease is very contagious, and that he will need to let those he has been sexually active with know, including his wife”

The examination proceeds and the Doctor asks if everything else is going ok.

Tommy proceeds to tell the Doctor about his lower back pain, his athlete’s foot problems and his intermittent shortness of breath.
So….the visit continues….

After addressing Tommy’s additional symptoms and complaints, Doctor HardWorker decides that Tommy should see an Orthopedic Specialist for his back problems.

During the entire visit, Dr. HardWorker has been handwriting the progress notes, prescription, laboratory orders, follow up visit requirements and notes to the transcriptionist to write a referral letter to an Orthopedic Specialist.

Upon completion of Tommy’s examination and visit, the doctor exits the exam room to find his staff attending to personal business and explodes.

At the end of the long, grueling work day, after a laundry list of chaotic non systematic patient visits, an exhausted staff is working overtime to correct the day’s errors and an exhausted doctor has yet to return patient calls, review laboratory results, and sign off on progress notes. The doctor will get up and do the same thing all over again tomorrow.

Tommy’s chart ended up on the desk of the transcriptionist, awaiting a referral letter. The encounter form had been left inside of the chart, so the billing department did not receive the encounter to bill for the visit.

Three weeks later, when the transcriptionist finally gets to the chart, the encounter form was found and passed on to the billing staff. The biller inserts a HCFA form into their typewriter to manually type demographics, date of service, CPT Codes and when beginning the entry of the ICD-9 code, biller realized that handwritten information was illegible, and had to remove the unfinished HCFA form and return the chart to the doctors piles of other “to do” work” for verification and clarification of the visit.
Biller finally receives verification, inserts HCFA, again, completes the remaining mandatory fields on the form. Tears the two part form apart, files the “file copy”, folds the form, stuffs, addresses and applies postage to the envelope for mailing.

Six weeks later, the biller receives a returned claim at their desk. The claim had been denied as “Member not found”. A human error was made in the entry of the patient’s insurance ID number. Two of the numbers were transposed. The biller whites out the transposed insurance numbers, re-inserts the claim form into the typewriter and corrects the error. Manual copy of the corrected claim is made and attached to the original form after the chart has been re-located and pulled. The corrected claim is once again folded, stuffed, addressed and postage once again applied to the envelope for re-submission.

Yet ANOTHER six weeks later, the claim is returned once again. The biller is backlogged with follow up work as she has been covering the front desk due to staff turnover and another staff member on maternity leave. The claim was denied due to “Insurance Termed”. If staff had requested insurance changes at the time of the patients visit, the correct information would have been issued on the first submission of the claim. By this time, 15 weeks had passed since the date of the initial submission of the claim. An additional two months pass before the denied claim is re-addressed. The patient happens to be on vacation, and staff must wait for their return to obtain corrected insurance information. Two more weeks pass, and staff finally reaches the patient to obtain the new information, at which time the claim is re-typed, re-filed, re-mailed to the new insurance carrier. New insurance carrier receives the claim, and denies for “timely filing” because there is a time limit to file a claim within 6 months of the date of service. The biller does not want the doctor to know that she has not effectively done her job, so she destroys the paper trail of this claim and removes evidence from the patient ledger to prevent discovery of her errors. As the biller’s day continues, she attempts to keep up with the typing, filing, updating patient information, patient interaction, etc. etc. etc.

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