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Are You Getting the Long-Term Care Training You Need?

Long-term care training is crucial now more than ever before. With the OIG and CMS zeroing in on long-term care facilities, you and your staff need to take extra care in getting the training that can mean avoiding fraud, abuse and Stark law problems.

Long-term care training — specifically in how to prepare for an OIG or CMS compliance audit — should be your top priority right now. CMS and the OIG are getting generous funding to enhance their Medicare and Medicaid enforcement efforts, with a main focus on long-term care facilities.

Watch Your Quality of Care, Medication Policies

Among the most common long-term care targets are quality-of-care issues, deals with medical directors and suppliers, and medication policies. The OIG and CMS are directing a critical eye toward Stark law violations in long-term care settings. Your long-term care training should focus on these issues, plus the crucial step of creating and properly using a compliance committee.
Of special concern for federal investigators is any deals or contracts you might have with medical directors, doctors and suppliers. You’ll need make aggressive efforts to unwind or modify these problematic deals — before they send up red flags.

What FY 2010 Has in Store for SNF PPS

Your long-term care training should also encompass coding, billing and related compliance issues. Medicare’s final rule on the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs) has a plethora of changes in store for your coding and billing.
When planning your long-term care training on these coding, billing and compliance issues, keep in mind these major changes to the SNF PPS:

The RUG IV system will replace the current RUG III system; FY 2010 payment rates will include a 2.1-percent market basket increase, but the adjustments will result in a negative rate update worth hundreds of millions of dollars; MDS 3.0 will be implemented; and The ADL scoring range will change to 0 to 16 instead of 4 to 18.

Incorporate these major issues with your fraud, abuse and Stark law education in your long-term care training to keep your facility out of trouble and running smoothly.

by Jeff Kubina

What type of Electronic Whiteboard do you need?

Electronic whiteboards are becoming the new standard in classrooms and meeting rooms, in the 21st century. They take presenting, teaching and learning to new levels of interactivity.

 What is an Electronic Whiteboard?

An electronic whiteboard allows material to be presented or displayed from a computer. Images, slides, text and even video can be displayed on an electronic whiteboard. Electronic whiteboard technology then allows for the teacher or presenter to interact with that image. For example, notes can be written on the electronic whiteboard adding information to the image presented. Electronic whiteboard technology can then capture that information and store it. Electronic whiteboards provide many useful applications in both business and classroom settings.

 Thermal Electronic Whiteboard

Thermal electronic whiteboards allow the user to write, and print in black and white only. Each thermal electronic whiteboard comes with a printer attached and the images captured on this electronic whiteboard are then printed on thermal paper. This provides ease of use, but presentations on thermal electronic whiteboards often lack flair as they can only be seen in black and white. The PLUS BF-041S Electronic Whiteboard is a good example of a thermal electronic whiteboard. It is a freestanding electronic whiteboard unit with the ability to be mounted and contains a printer.

 Color Electronic Whiteboard

Color electronic whiteboards can add pizzazz to presentations by introducing color. These electronic whiteboards can also be called copy boards. Using this technology, images are captured on the electronic whiteboard in color. These images can then be stored and either printed or distributed electronically. The PLUS M11s Electronic Whiteboard is a good choice for a color electronic whiteboard. It can be connected directly to a PC and images can be stored there or printed and distributed. Images stored on the computer from the electronic whiteboard can be further edited.

 Portable Electronic Whiteboards

A portable electronic whiteboard is an alternative solution to a standard electronic whiteboard. Using a system such as eBeam, it is possible to turn any whiteboard into an electronic whiteboard. Simply attach the eBeam receiver to the whiteboard and connect the receiver with a USB cable to your computer. This system is quick and easy to set up on any whiteboard and it is easy to transport. The Quarter IdeaShare Q8000 Portable Whiteboard Capture System includes a receiver, mounting systems, electronic pens, dry-erasure markers, software and USB cable. These come with a carry bag for ease in portability. Portable electronic whiteboard systems are an economical alternative to standard electronic whiteboard systems.

 Electronic whiteboards are setting the standard in presenting in both business and classroom settings. New schools being built include electronic whiteboards in each classroom. Electronic whiteboard sales have reached nearly billion dollars. Teachers are developing new teaching strategies utilizing interactive whiteboards and are finding excellent results in student learning. Electronic whiteboards have a positive effect on the motivation and attention learners have toward their subject.     While electronic whiteboards might once have been the wave of the future in classrooms and business settings, this is a technology that is here to stay.

For more information about electronic whiteboards, please visit iShopit.com

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by lafrancevi

Medical translation bridges the urgent need of translation

Therefore medical translation is very crucial for a wide range of documents and reports. Medical translation normal deals with the translation of  Multimedia medical applications, psychology papers, patient information papers, Medical texts, medical reports, User guides for medical staff and patients, Medical prescriptions, Clinical, toxicological, pharmacological and biological information, Medical equipment: instruction manuals, brochures and software, medical questionnaires, Equipment, packaging labels and medical terminology glossaries. Medical translation also involves patient information and history records, clinical study reports, patent applications, medical charts, hospital discharge summaries, general medical documents, product specifications, insurance claims, manuscripts and many other documents related with medical terminology.

Medical translator always uses the current and up to date medical terminology, essential brochures and medical books while translating. Medical translation is a highly specialized discipline and should only be translated by suitably qualified translators like qualified doctors who has a vast knowledge and experience in that field and have the good understand of source language and target language. Medical translation is given much priority among translation because it deals with medical field which comes under the essential subject matter which had to be dealt with much care and quick translation into different languages to meet the emergency need of the hour. Translating medical documents and medical terms cannot be entrusted to a translator who simply speaks the native language. The translators use the current medical terminology and slang, appropriate medical terms and culturally sensitive language to give the intended meaning of a medical text.

Medical translation is done by the native speaker who has mastered the language and is an expert in the medical field because certain medical terms and it’s meaning varies from region to region, some local terms are also generally used among them so keeping in mind all these a translator aims at giving the best result in the assigned work.

Medical translation requires very specialized knowledge; the wording should be very exact and can have no ambiguity under any case. Getting the translation of a medical document incorrect can cause confusion, frustration, undue delay and loss of human life. As medical subject deals with many branches of specialization, it is better to hire a translator who has working experience in that specified subject so that the total outcome of the translation is without a mistake. 
A medical translator always understand the importance of urgency and pressure given in the translation of medical document in the assigned languages and meets the need of quick and correct medical translation. Sometimes a medical translator should be available online to meet the doubts and clarification in the translated document. It is always advised to cross check the final medical translation by an expert before delivery of the document to the client. This will ensure a better quality and error free medical translation.

Meet the Directors of Veritas Language Solutions, the global leader in translation, interpreting and language-related services: dedicated to providing businesses and individuals alike with a deadline-driven, high-quality and affordable service.
Video Rating: 5 / 5

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by George

Why Businesses need a Solution for Outlook Email Archiving

Ranging from business compliance to the performance of Outlook itself there are many reasons why in today’s world a company needs to look for a successful Outlook email archiving solution. There are a number of issues that businesses face with regards to email archiving and compliance below this article focuses on the more critical issues and some of the solutions to these problems. Whilst this article is focusing predominantly on businesses that use the Outlook and Microsoft Exchange systems much of what is discussed will be relevant to all businesses, particularly in the US and the UK.

Research has shown that the average worker can spend up to 90 minutes of every workday managing their mailboxes and performing archiving and data management tasks. This leads to loss of productivity to the entire business. Aside from the productivity issues most Exchange servers are only set to backup information once per day, meaning that any emails that have been deleted through the course of a day are not archived this can also be said to the auto archiving feature that Outlook has.  Also due to the way that the auto-archive feature works, finding a specific email that has been archived is incredibly laborious and time consuming.

There are several issues that need to be looked at with regard to the need for a good email archiving solution, these issues are outlined below.

Data flow over time

Before looking at any of the legal ramifications or performance problems of not having a good email archiving solutions it is important to first look at the points which create these issues.

Even smaller companies will generate massive amounts of emails over a long period of time.  This is caused by storage of emails and attachments, however part of the problem stems from having all versions of these emails stored for example: an email is sent out with a 1 MB attachment to every employee (30 people). Every reply to that email is also now being stored along with the original email text. Whilst the email sizes are not of any real significance at this point, over a period of a year with multiple instances of this example the storage required will add up, especially with taking into account the attachment being saved also.

Auto Archiving

Many businesses feel that they have no problems with archiving as they have the Outlook auto archiving in place for their company emails. This unfortunately is not as helpful as it may at first seem to be.  As mentioned earlier, any emails deleted prior to the auto-archive taking place are not archived.  This in itself provides massive issues with compliance which will be covered later. 

A common problem shared by all companies that rely on the Outlook auto archive tool is initially the build up of emails and more specifically the overall deterioration of performance from the Microsoft Exchange servers as a consequence of a large email volume.  As the Exchange servers fill with archived emails the system begins to slow and takes longer to perform each backup. The servers filling also increase the chance of a critical systems failure.

Outlook saves all email data as .pst files when it archives the old emails. Many .pst files will be created over time as bulk archives are created over a period of time. How often this happens depends on the specific settings a company has organised themselves and how many emails the company has sent and received within specifically set parameters. These parameters would be determined by the company’s individual settings.  The more data stored on a .pst file the slower the servers and Outlook will function for their various daily tasks such as a backup.

A more pressing concern with the way that Outlook auto archive functions however is that bulk email packages are saved as .pst files, specifically a maximum storage per file of 20 GB. 20 GB of space can store thousands of emails; if a .pst file is corrupted the information on every one of those emails can potentially be lost forever.  Aside from the difficulty for an individual to navigate these files to locate specific emails when called upon to do so, if the files are lost this can provide very costly issues with regard to compliance.

Compliance

The issues of compliance covers multiple different points that will affect companies to different degrees depending on what countries they are in or do business with. That said all of these points are worth understanding as the laws are quickly changing world wide to cover the issues raised by emails being regarded as legal documents. Whilst the specifics below are predominantly for the UK, other countries will have similar laws with different specifics laid out.

Freedom of Information Act 2000 (UK)

The public have the right to ask for copies of emails from public authorities. The authorities then have 20 days in which to provide the copies.

Data Protection Act

Individuals have the right to request for copies of personal data held about them by an authority or company. The authority or company then has a 40 day time frame for compliance; failure to comply can lead to heavy fines.

Employment Tribunals

The highest possible award at a tribunal for unfair dismissal in the UK is £66,200. With more communication in the places of work happening via email, companies need to ensure that they have easy access to all possible evidence available to protect themselves

Court Actions

A wronged party has 6 years from the date that a contract has been breached or a civil wrong committed to bring a court action. With emails potentially being used by either party it is necessary for a company or organisation to be able to access any information required that was stored within those previous 6 years. This means it is paramount that an organisation has the best possible email archiving system available to them.  The system the organisation uses can make the difference between winning and losing a court action.  Furthermore inability to provide requested evidence can result in heavy fines depending on the nature of the court action, thus having the ability to store and easily find the information could avoid these fines before a court action ever reaches a court.

The Sarbanes-Oxley Act

This is a piece of US legislation also affects any company outside of the US which is listed on NASDAQ or the New York Stock Exchange, including subsidiaries of US companies that are themselves based outside of the US. The Act states that any transactional data meet the requirement of the Act.  Furthermore the Act sates over several sections that an organisation’s IT department is obligated to be able to provide any and all electronic data pertinent to a potential case during the discovery period in the event of a lawsuit or investigation.  Simply put an organisation must be able to provide copies of any electronic data as requested during the discovery period, the period prior to a case where evidence is collected to prepare for the legal proceeding, to a legal action.  Failure to provide the evidence in the discovery period results in heavy fines which are weighted against the nature of the legal proceeding.

The Solution

Most of the problems outlined above are not new and have been occurring for years, however with the exponential increase in the use of computers and by extension email these problems have begun to be far more severe and obvious.  The only possible solution is for a company to utilise an email archiving solution. The qualities one should look for in an email archiving solution, as outlined by the problems listed above, are as follows:

Can function independently from the Outlook’s auto archive facility Allows for settings to be standardised with capacity for users to create and archive new email folders with ease A program that does not rely on storing emails in bulk but instead saves each email individually so as to avoid the issues of file corruption. However still provides the functionality to archive files at the same time A solution that allows for customised archiving structures allowing companies to tailor how and where the files are saved. A solution which allows for deletion upon archiving of the emails from Outlook to again avoid high email volume effecting Microsoft Exchange servers Intuitive design to negate the need for training or complications prior to use of the solution. A solution that saves emails in a format that is readable independently of Outlook

It is important that all these criteria be met at the very least when looking for a solution to email archiving with Outlook to avoid all of the problems listed above. In the end avoiding these problems could save your business time and money and avoid the issue of decreased productivity from staff spending too much time organising mailboxes.

MsgSave is an Outlook add-in designed to tackle all of the afore mentioned issues and many more. MsgSave is offered in 3 different versions to meet your specific needs. MsgSave is a product of Sarcophagus a leader in IT business solutions.

by CoCreatr

Health and Nutritional Supplements, You Need Both

Health is the greatest treasure a man can have.

There are several factors that influence our health. Among them we find the pollution, stress, inadequate nutrition. All these factors are hurtful to our body.

Did you know that in a whole year we consume over four kilos and a half to five kilos of poisonous substances present in our food?

If not eliminated, these substances create a chaotic movement of our body cells and generate a favorable ground for the action of free radicals. These free radicals generate a great diversity of cancer forms.

Health depends on an adequate diet too. “Scientific evidence in support of the health benefits of nutritional supplements has grown dramatically in recent years,” said Jeffrey Blumberg, Ph.D., a professor in the School of Nutrition Science and Policy at Tufts University in Boston. “We must now work to translate this knowledge to health care providers, policy makers and consumers so the simple actions people can take to promote their health and prevent disease can be more fully realized. The impact of a rational use of dietary supplements can also help reduce health care costs which escalate every year as our population grows older.

Symptoms

Many problems such as : lack of energy, insomnia, headaches, depression, mood swings, anxiety, easy bruising, bleeding gums, slow wound healing etc. can be traced directly to deficiencies in specific vitamins and minerals.

Circumstances

Because of the methods applied nowadays in agriculture, which destroy the natural mineral substances, we cannot be sure that the agricultural products ensure us the necessary vitamins and minerals. Although all people should try to have healthy and balanced diet, few in reality do.

Nutritional Supplements to bridge your nutrition gaps

More and more people try the nutritional supplements as a way to combat the nutritional deficiencies and to ensure the necessary of vital nutrients for maintaining the quality of their life. Before you start taking nutritional supplements you must know a few things about them.

Nutritional supplements represent a support to our body. The nutritional supplements clean the human body and restore the deficiencies present inside. While taken constantly, nutritional supplements promote good health and help prevent disease. Nutritional supplements represent a good thing that we need . Here are a few things that you might consider before taking nutritional supplements:

1. Everybody can consume nutritional supplement and mostly if is diagnosed with a nutritional deficiency.

2. You must find out if you have a nutritional deficiency.

3. Ask your physician if it is safe for you to take nutritional supplements.

4. Does this supplement interacts with any drug or food you are consuming?

5. If you want to know more you can read about it or you can find more information at nutritional supplements guide from the Internet.

Quality

Regarding their quality, the nutritional supplements must be natural, easy to assimilate, must have a high nutritional value, must come from ecologically non-polluted areas and must be certified.

On the market are thousands of dietary supplements. Great companies fight for a place on the market. Each of them offers a diversity of products. These products seem to bring the same benefits to our body but they are in fact very different one from another. The difference is obvious when you read the label and you see the ingredients. The ingredients are the ones which make the products so valuable.

Research

The nutritional supplements are usually obtained after a period of research.

The research services work hard in order to offer us good products having great and rapid effects. It would be good for you when you choose to take nutritional supplements to inform upon the company which produces the products. If it is a world leadership or if it is among the greatest in the world than you may decide to consume the products it proposes to you. They are first tested over and over again and are only then offered to the public.

So we must be very careful when choosing nutritional supplements and do not forget to consult your physician!

by -mrsraggle-

Prom Dresses From Overseas Auction Sellers: Five Things You Need To Know

Browse online auction sites and you’re sure to be amazed by the number of bargain prom dresses being advertised. However many people fail to factor in shipping charges, customs duty and VAT before purchasing a gown and end up with a prom dress which costs more than they expected. In addition to this, buying overseas may make it harder to get a refund if you receive a gown that does not match the description.

The purpose of this article is to highlight some of the things to bear in mind when buying prom dresses from overseas auction site sellers.

1. They may be making money on the shipping charge, not the purchase price

Does the price of the gown seem too good to be true? Many sellers offer a very low price on prom dresses and make their money from charging very high shipping charges. They do this because they know that many consumers will focus on the purchase price, treating the shipping price as an incidental cost. In some cases, by the time you’ve added on shipping costs, you can end up paying more than three times as much as you expected.

What to do: Many people focus on the bargain purchase price and try to put the postage price out of their mind. When ordering a prom dress from overseas the cost of shipping becomes part of your cost of purchasing the item. Always check the postage price and calculate the total amount that ordering this dress will cost you before making the decision to buy.

2. Overseas Prom Dresses will cost you 30% more than you think

If you’re importing a prom dress into the UK from a county outside of Europe you will be charged VAT and Customs Duty by HMRC if the amount you pay (for the item, shipping included) is over £70. VAT and Customs Duty are calculated based on the shipping and purchase cost. Once added on these taxes will normally increase the price of prom dresses by around 30%. This means if you pay £50 for the dress and £70 for delivery the total you will end up paying will not just be £120, it will be close to £160.

What to do: Contact HMRC for advice on how to work out the VAT and customs prom dresses attract.

So let’s say you receive a gown and wish to return it.  What are your options with regards to prom dresses which don’t fit or don’t meet their descriptions?

3. It will cost you money to return the Dress

If the factory agrees to let you return your prom gown then don’t forget that you’ll be the one who has to pay out for international postage to send it back to them.

What to do: Ensure that you bear this risk in mind when purchasing your gown

4. You may find UK law unenforceable

What happens if the factory refuses to allow you to return an item? If you were buying from a UK seller you have the options of contacting Trading Standards or taking the seller to small claims court. However, while UK law is enforceable in the UK, you may find it very difficult to enforce if you’ve bought prom dresses overseas.

What to do: Be aware of the risks involved; the greatest protection you have are therefore the threat of negative feedback or using a protected payment method.

5. Raising a dispute may not be successful

If worse comes to worst and the seller won’t refund your money for a dress which doesn’t match the description then you have two options. You can either threaten the seller with negative feedback or (if you’ve used a secure payment method) you can raise a dispute. However do bear in mind that such disputes are often difficult to settle and it is by no means a guarantee that you will definitely get your money back.

Buying prom dresses overseas from online auction sellers not only has hidden customs and VAT costs, it also has inherent risks. Be aware that buying abroad often means paying high shipping costs, customs duty, VAT and can affect your ability to return an item with which you are not satisfied. With this in mind you will be in a position to make an informed decision about whether the costs and risks involved in buying from an overseas seller make it a good option for you.

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by City College Norwich

Email Management Policies and Why Businesses Need One

Email management could be a company’s saving grace in today’s world of litigation and information overload. Email is now one of the most used communication systems around, over which important business decisions are often made, therefore an adequate email management system is vital to any business.

Managing one’s emails effectively could result in a much more productive work environment in terms of organization and timeliness, as well as helping with audit purposes. Furthermore, recent legislation has made it mandatory that all businesses and organizations need to be able to produce any documentation requested by the courts if legal issues arise.

Email Archiving as part of email management

Email archiving is one of the first steps to a successful email management program. Administrators can maintain an archive of all the company’s email correspondence which will be easily searchable and recoverable, and therefore reduce the dependence on PST files that can easily get corrupted and are not secure backups of email data.

Moreover, in order to comply with eDiscovery requests, email archiving is a must, whilst being able to access archived emails and corporate data in a matter of seconds can help realize a return on investment and therefore boost the company’s productivity.

Legislation and Regulations

Apart from the legal benefits that an email management policy presents, it is also important when dealing with inter-company issues such as harassment or dismissal charges, where critical information may have been recorded via email.

If an employee used his work email account for illicit purposes, verifying such a fact could prove to be a difficult task without an adequate email archiving system.

Email management from a legal perspective requires organizations to keep records of email documentation for a minimum period of up to five years. Such legislation includes the Sarbanes-Oxley Act (SOX) which affects all industries and imposes severe penalties on anyone who deliberately alters or deletes documents with the intent to defraud third parties.

Even though it is a US law, SOX act is also applicable to European companies with US listings as well as to companies that do business with the US. There are other legislations that also require companies and organizations to archive emails, as well as government bodies that comply with the regulations set by the Freedom of Information Act (FOIA), the Patriot Act, National Archive Records Administration (NARA) and other legislative entities.

Storage & Knowledge Issues with Email Management

Managing one’s emails is not only a legal and compliance issue but also delves into the fields of storage and knowledge management. There has been a dramatic increase in storage size due to the increase in email usage over the years as well as the upsurge in attachments sent with original emails.

This increase has affected the efficiency, reliability and speed of message servers. An efficient email archiving solution stores emails in a compressed format, resulting in considerable disk space savings and centralizes your email records.

Furthermore, emails are automatically archived as soon as they pass through the message store, thus users can clean up their mailboxes without the worry of losing important emails. Additionally, an email archiving solution that allows authorized users to view emails from a central repository will encourage them to do so without having bulky PST files stored locally.

Large volumes of email correspondence, increased storage limitations, government regulations and potential legal implications have made the need for an email management policy a critical issue for any company. Managing emails through archiving allows organizations to have control over employees’ email accounts whilst ensuring regulatory and corporate compliance.

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by DJ SINGH

Do You Need Cheap Calls to Bangladesh?

Have you ever wondered if there was a way to make cheap calls to Bangladesh or other places and whether you needed this service or not? Wonder no more. There is, indeed, a way to make international long distance calls at a fraction of the cost charged by traditional telephone companies via land lines. Anyone who does business globally, or has family in various locations around the world, will want to pay close attention to the available options.

How it Works
Making cheap calls to Bangladesh and other countries is quite simple. There are many companies that now offer a service for placing calls either via a dialled access number or via the internet with Voice over Internet Protocol (VoIP).

With the first option, you simply register your phone number, from either a traditional land line phone or a cell phone, and then dial an access number in order to receive your discounted rates. With the second option, you use your computer with appropriate software to route telephone calls over the internet. This can be accomplished either via communicating directly on your PC, or with a telephone you attach to your CPU with a small piece of hardware.

Who Needs Cheap Global Calling Options
Are you someone who might benefit from such a calling service? Consider the types of customers who are currently enjoying deeply discounted rates on telephone calls around the world.

Students who are studying internationally will surely want to keep in frequent contact with friends and family back home. Whether it’s asking mum and dad for more money to pay expenses or staying in touch with a boyfriend or girlfriend until their return, students will be able to call home as often as they wish.

Business owners who are wishing to expand their operations will really love cheap call service, especially if it includes the ability to gain additional phone numbers that are local to their specific countries. This is a great way to save a lot of money on bills whilst growing a customer base around the world.

Overseas workers are another type of customer who enjoys an account with a company offering cheap international phone rates. When you are going to be away from home for any length of time, it is always a comfort to know that you can simply pick up the phone – or dial via the computer – and reach your loved ones quickly and cheaply. Avoid being homesick whilst you are away from familiar surroundings.

No matter your specific circumstances, if you have need to make cheap calls to Bangladesh or nearly any other country in the world, consider contracting with a company that offers these services at a fantastically low rate. VoIP or access calling allows you to stay in touch and quit worrying about the cost.

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