The spine is perhaps the most essential structural part of your body. It has several functions and faces constant demands regularly. In addition to its skeletal structure, the spine is composed of nerves, muscles and ligaments which serve as the core connection areas that help your body to function. Because of its key functions, it is necessary to maintain your spine in the best condition in order to maintain a good overall health. The following are lifestyles strategies that individuals can apply in order to maintain a healthier and supple spine.
1. Practice Proper Movement & Biomechanics
Movement and biomechanics are very essential components towards maintaining a strong and healthy spine. These may include running, jogging, swimming, Yoga, biking and performing chores at home such as cleaning. Movement and flexibility of the spine enhances normal functioning of joints and reduces risks of injury to the spine.
2. Create an Exercise Program
One specific exercise is performing back and abdominal workouts. The back and abdomen rarely get sufficient exercises from day-to-day routine. The back and abdominal muscles require toning so that they can support the spine and relieve tension from the lower back. Back and abdominal exercises are easy to perform and can be done for 20-30 minutes of a regular routine.
Stretching regularly is also critical to the back and neck. The spine move in various directions and it should therefore be stretched in different directions. Tight hamstrings are normally significant causes of back pain. Tense hamstrings can pull the base of the pelvis forcing it to turn backward thereby causing change in posture and also increasing pressure on the entire spine.
Yoga is another exercise that offers great benefits to the spine. Regular Yoga helps to improve the movement across the entire body. It improves the flexibility and agility which are important in reducing the chances of persistent and spinal injury.
However, caution should be taken if you have back and abdominal problems as exercises may add pressure on your spine
3. Seek Professional Spinal Care
Consulting with professional for spinal care can go along way toward maintaining a healthy and supple spine. A spinal professional can assist you to break apart blockages and maintain optimal spinal health, as well as steer you in the right direction to attain better spinal health.
If you’re dealing with a severe issue of the spine, perhaps the best course of action is to visit an orthopedic, or experienced spine surgeon. Many spinal surgeons are capable of fully-assessing your condition with X-rays and CT scans, and will often provide a number of non-surgical treatments and referrals before suggesting going under the knife. And if the need for surgery is recommended, consider all minimally-invasive spine surgical treatments first, as the process and recovery time will go much smoother.
Consulting a chiropractor is one of incredible ways to protect your spine. A chiropractor has the expertise to perform manual manipulation to streamline the vertebrae of the spine. This eliminates pain and support optimal healthy functioning of your entire body. The chiropractic care also strengthens your back and keeps it healthy which makes your body strong and healthy.
You can also consult an active release practitioner for massage. Massage has various therapeutic advantages as well relieving stress. A proper massage has an effect of releasing endorphins which not only enhances a feeling of pleasure but also act as a natural painkiller. Massage enhances blood circulation in your spine which increases relaxation and circulates healing nutrients in case of a back pain.
You may also consult a physical therapist (PT). This expert can help you to reduce pain and improve your spine without costly surgery and at the same time reduce prolonged use of prescription medicine. PTs can also teach you on how to prevent spinal injuries to help you achieve long lasting benefits. They can also develop fitness and wellness-based lifestyle strategies that can improve your spinal health.
Our parents dream of the day we get a good job, marry a good person, or become independent. But in their selflessness they forget that when children leave the nest, there might be nobody to care for them when the reach old age.
Nobody wants their elderly parents living alone at home and many consider taking them to senior care homes but that is not ideal. This is where in-home care services can offer a great solution.
In-home Care vs. Senior Living Centers
Human behaviourists intimate more often than not that taking old people out of their normal environment only accelerates aging, leaves them lonely and makes them more susceptible to ailments. This leaves us with one another option-in home care.
This is a situation where people hire professional caregivers to provide in home care services from home as opposed to sending parents to center living centers or retirement homes. The caregiver does everything that you would do including:
- Bathing the individual needing care
- cleaning up the house
- preparing meals
- accompanying them to appointments
- aiding with patients’ medication
- helping with eating
Besides providing important physical care to those who are dependent they also offer emotional support when needed.
Social & Emotional Needs
They make excellent companions to aging parents who need someone to chat with and send out on important errands. Such help is important to people whose lives have drastically changed from being able to do everything themselves to depending on others for help.
While in home care seems like the best way to ensure the safety, happiness and comfort of your folks it is not easy to find reliable people for the job. You certainly have to be cautious because no matter how much you need it you do not want to leave your dependent parents in the hands of a person who will mistreat them. This is why experts recommend a thorough background check on any candidate before hiring them.
Sourcing an In-home Caregiver
To uphold professionalism many in-home care providers work under an Peoria Illinois assisted living facility that keeps them in check. Sourcing a caregiver from a company is great as you don’t have to do a background check yourself or worry about ill treatment. Make sure that the choice company is accredited by relevant institution to make sure that they offer high standards of Peoria home care services for seniors.
Remember that in-home care givers charge different rates according to the services they provide. If you are on a budget then you should limit your expectations of the caregiver to avoid compromising the way they handle your loved one. Overworking caregivers makes them lose sight of the important goal which is caring for the old, frail or ill. Discuss everything that caregivers have to do every day to avoid unnecessary conflicts that might cause suffering for your innocent parents.
If finding an in-home caregiver proves too difficult, try talking to your parents’ doctor or the local authorities for help. Once you find the perfect person who you feel will get along with your folks make sure that you treat them well and pay them in time so that they are motivated to work for you all day long. This way you can work peacefully in the knowledge that your elderly parents are safe, satisfied and secure.
New Jersey has various reputable spine centers that serve the people in and around the state. In fact, the state host some of the most highly-sought spine centers in New Jersey, as well as New York. To help shed light on the best in the surgical profession, below we profile the top three reputable spine centers in New Jersey.
1. Progressive Spine & Orthopaedics
Progressive Spine & Orthopaedics is a reputed medical institute that addresses that various issues related to the spine. The institute is run by Dr. Rovner who is known for his reputations. Dr. Rovner has made sure to build his staff doctors to be more tolerant towards the patients and act friendly with them. The team of doctors at Progressive works in association with each other to deliver quality treatment for the patients.
The staff members at this top spine center in New Jersey are friendly and understanding here. It has been successful in solving at various problems associated with the spinal conditions. The physician’s expertise to provide a wide variety of options for treating the spinal problems. The institute is equipped to address both surgical and non-surgical treatments for the pains related to the spine. The team of doctors strives hard to provide the best possible solution to the patients suffering from spinal issues.
Dr. Rovner has succeeded in his goal of accomplishing first-class treatment to his patients. Being a degree holder from the State University of New York Downstate Medical Center College of Medicine, he completed an orthopaedic surgery residency at Albert Einstein College of Medicine in the New York City. Following this, he completed his spine surgery fellowship at the Twin Cities Spine Center in Minneapolis, Minnesota. You can visit the address or contact Dr. Rovner at:
Progressive Spine & Orthopaedics
440 Curry Avenue, Suite A
Englewood, NJ 07631
2. Atlantic Neurosurgical Specialists (ANS) Spine Center
ANS Spine Center has been operational for more than 50 years. As one of the leading spine centers in New Jersey, the institute has been serving the patients with their experience and innovative techniques for their treatments. The primary goal of this spine center is to serve the best neurological care towards the patients with the positive experience. The dedicated staff members from the center strive hard to provide the best support and care for the patients and their family members. Dr. John J. Knightly, MD is the director of the ANS spine center and has been doing a great job in integrating the staff doctors to work in a cooperative manner.
The ANS spine center is located in various places of New Jersey, namely, Morristown, Neptune, Summit, Sparta, Bedminster, and Englewood Cliffs. The center is affiliated with various leading healthcare systems and other local hospitals. This allows the patients to derive the care and attention they deserve without any hassles of traveling much.
3. University Spine Center
University Spine Center is known for its unique approach towards solving the spinal problems of the patients. The institute integrates the physical therapy, medical management, and the pain management to provide the best care for the patients. The primary aim of this spine center lies in improving the level of function, reducing the pain and enhancing the quality of life for the patients who suffer from spinal problems.
The range of options for treatment are varied and range from the primary conservative care to the advanced surgical procedures. The doctors make sure to provide the best surgical options for the patients. The ones who undergo a minimally invasive surgery procedure can discharge on the same day of surgery. The team of doctors at the University Spine Center works in coordination with the patients to deliver the best treatment options.
For close to fifty years now, Federally Qualified Health Centers (FQHCs) have been providing health care services in the United States. In 2012 alone, FQHCs, formerly known as Neighborhood Health Centers, treated close to twenty-two million patients. An average FQHC has an independent board of directors and is a non-profit making organization. Here is a review of the top three FQHC billing consultants in the U.S.
1. Practice Management
With a proven track record in revenue maximization, there is no doubt that Practice Management is a reputable FQHC billing company. The organization provides the much-needed resources and experience to ameliorate FQHC billing systems. They provide a wide range of services, but their specialty is in FQHC billing consulting services.
Practice Management has a team of talented individuals with great billing software capabilities, and they are readily available to be consulted on various topics. The typical topics that these individuals can offer advice on include software usage, coding, financial procedures and policies, and front office procedures.
Being one of the renowned medical companies, Practice Management promotes both ethical and legal business practices within the organization. A decision to work with this company will see you lower overheads, make payments faster, receive higher revenues, and above all, derive satisfaction.
Just as their name implies, this medical billing consulting company exists to provide solutions. Visualizations is a well-established company with a sole aim of assisting health centers train and prepare for billing collections. Provided they have some few details of the interested parties, the FQHC billing consultants of visualizations can assist in coordinating training to the system. Here are some of the services that this company offers:
Gone are the days when one had to log on to multiple systems so as to gain access to the required information. Thanks to VisAnalytics, an application developed by Visualutions. This application makes it possible for you to benefit from the functionality that your native application has to offer.
Revenue Cycle Management
For those who would like to outsource the entire cycle management, Visualutions has you covered. Their staff is experienced in a wide range of billing areas such as dental, provider-based billing, behavioral health, medical, managed care, and much more.
Community Health Care Solutions
Visualutions provides services to over 35,000 users and 7000 providers across two U.S territories and forty-six states. From basic consulting services to optimize FQHC billing practices to more extensive service programs, the company offers a wealth of solutions.
Cloud & IT Services
Visualutions has been providing cloud hosted services for more than thirteen years. They have narrowed down on providing applications that empower medical offices and businesses to succeed.
3. Synergy Billing
Synergy Billing is an FQHC billing company with good track record of collection rates and helping FQHCs overcome financial challenges. At times, FQHC billing process gets complicated, making it hard for community health centers to prosper. This is where Synergy Billing comes in handy. They believe that there are efficient ways to collect dollars for a health center. Therefore, this FQHC billing company offers their experience to help community health centers increase their billing revenue. Here are some of the perks and programs that this company provides:
- Retirement plan
- Employee council
- Incentive program
- Synergy leadership academy
For many years, FQHCs have been the linchpin of health care provider system. The above are the top billing consultants that you should consider hiring their services.
Federally Qualified Health Centers (FQHCs) provide health care for under-privileged individuals within a specific community. For this reason, FQHCs often struggle with patient billing processes and getting timely payments for their health and medical services.
Below we share some information, resources, and FAQs to help these unique health centers optimized FQHC billing and coding practices for maximized revenue.
First, what defines an FQHC?
A Federally Qualified Health Center (FQHC) is a health facility which is defined by any of the following elements.
- FQHCs receive grants under Title 42, Chapter 6A, Subchapter II, Part D, subpart i, section 254b of the U.S. Code (Formerly known as Section 330 of the Public Health Services).
- A tribe or tribal organization operating outpatient health programs or facilities under the Indian Self-Determination Act that elects to be designated as an FQHC (Please see the program overview in the Tribal Health Program Provider Guide for more information.)
- FQHCs receive grants referenced above based on the recommendation of the Health Resources and Service Administration within the Public Health Service, as determined by the secretary, to meet the requirements for receiving such a grant.
What special rules are there for FQHC billing?
Unlike other forms of medical billing, FQHC billing often includes special rules, including some of the following.
- All related services performed on the same day by the same clinician or by the same provider specialty must be billed on the same claim. This includes any services performed during an encounter-eligible visit that are not encounter-eligible. For example, lab services performed at the same visit as evaluation and management.
- An encounter-eligible service must be billed with the T1015 procedure code.
- If reprocessing a denied service or a service that was not correctly included when the original claim was billed, the paid claim must be adjusted. If the original claim is not adjusted to add these services, the additional claim may be denied.
- If a non-encounter-eligible service is billed and paid prior to an encounter-eligible claim submission for the same date of service, adjust the paid claim and submit the services together to receive payment.
When billing the encounter code, bill $0.00. For services eligible for encounter payments, the system will automatically pay the difference between the FQHC encounter rate and the fee-for-service amount paid. For clients in programs eligible for encounter payments, the agency denies Evaluation and Management (E & M) codes when billed without a T1015. When billing for services that do not qualify for encounter payments, do not use an encounter code on the claim form.
How do I bill for orthodontic services performed in an FQHC?
When billing for orthodontic services, FQHCs are required to follow the same guidelines as non-FQHC providers. However, orthodontic codes that are considered “global” and therefore cover a specific length of time are billed at the end of the time indicated – except for the initial placement of the device, which is billed on the date of service.
Because FQHCs are reimbursed by an encounter payment, they are allowed to bill up to the maximum number of encounters. An FQHC may bill on the date of the appliance placement for 1 unit and up to a total of 4 units during the first 3 months of the appliance placement.
If a clinic chooses to bill in this manner instead of waiting the full 3 months, the latest paid claim must be adjusted each time, and another unit added to the line containing the T1015 code. If the claim is not adjusted, the claim will be denied as a duplicate billing.
How do I bill for more than one encounter per day?
This is common question that many FQHCs ask time and time again. Such ambiguities can be best avoided when working with experienced FQHC billers. Each individual provider is limited to one type of encounter per day for each patient, regardless of the services provided except in the following circumstances:
- The patient needs to be seen by different practitioners with different specialties.
- The patient needs to be seen multiple times due to unrelated diagnoses.
Each encounter must be billed on a separate claim form. This is a common mistake made during the FQHC billing process. On each claim, to indicate that it is a separate encounter, enter “unrelated diagnosis” and the time of both visits in field 19 on the CMS-1500 claim form, or in the Comments field when billing electronically. Documentation for all encounters must be kept in the client’s file.
How do I handle crossover claims in an FQHC setting?
FQHCs do not receive an encounter payment when billing a crossover claim. The payment methodology for these claims is spelled out in the ProviderOne Billing and Resource Guide. Note that FQHC crossover claims will not exceed the co-insurance amount. They do not follow the same methodology as other claims.
FQHCs are required to bill crossover claims in the UB04/837I claims format. If Managed Medicare or Medicare Part C require services to be billed on a CMS1500/837P and they are paid or the money is applied to the deductible, FQHCs must switch the claim information to the UB04/837I format or the claim will not process correctly. These crossover claims must be billed to the agency using the Type of Bill 77X and the FQHC taxonomy for the billing provider.
If you are like most women considering breast augmentation, you certainly have plenty of questions and concerns regarding the entire process and understandable so. You have probably done research online and talked to a few close friends.
Nevertheless, the information and options you are gathering can get overwhelming very quickly. Hence, we took the time to simplify things, and give you only what is relevant. Here are the most important factors you should consider prior to getting breast augmentation surgery.
Types of Breast Implants
Knowing which types of breast implants are best for you is only one of many considerations before undergoing surgery.
There are two basic types of breast implants to choose from when undergoing breast augmentation surgery: saline and silicone. Each option has its own pros and cons. Without going into the details, saline implants cost less, produce a smaller scar, and offer greater variability in size, but they are also firm so they do not feel as natural, and they can cause rippling.
On the other hand, silicone implants are softer and feel more natural, have a lower deflation rate and do not ripple but they are also more expensive, cause a larger scar and are tougher to detect when they rapture. The two types are inserted differently, and have different aftercare practices.
The Cost of Breast Augmentation
The procedure use to be very costly in the past but since 2010, the average cost of breast implants has gone down significantly in the US. The cost of this cosmetic surgery can vary greatly depending on where you live, the cost of implants, your surgeon’s fees and surgery-related expenses such as anaesthesia.
According to reliable statistics, the average cost of a good breast implant procedure in the US in 2015 is $4800 for saline implants and $5900 for silicone implants. Your medical insurance does not cover this procedure but you do not have to dip into your pockets right away as there are various financing options available as will be explained by your surgeon.
There are many local resources that help shed light on the cost of breast augmentation surgery in designated areas (because location is a very relevant factor.) For instance, if you’re seeking a breast augmentation surgeon Bay Area of California, the cost may be much higher than a breast augmentation surgeon located in Orlando, FL.
Key Questions to Ask Your Breast Augmentation Surgeon
Before you agree to a breast augmentation by a certain surgeon, you need to ask various questions so that you can put your mind at ease and make well-informed decisions. Some common questions to ask during the consultation include his/her training experience and credentials, risks of the procedure, what you can do to prepare for the surgery, what your recovery and aftercare will be and how and where the surgery will take place.
If you need some additional insights on what to ask your breast augmentation surgeon, scope out this great blog post of breast augmentation surgery FAQs.
Consider the Impact On Your Partner
This may not come as a surprise but not all men love breast implants – some women too. In fact, it is a major turn off for some since they say plenty about a woman’s self-esteem, which looks to be externally derived. No matter how good the implants are, they feel different to touch and may be a barrier to enjoying intimacy with your partner.
Suitability to the Breast Augmentation Procedure
Did you know it is possible not to qualify for a breast augmentation? Yes, if you are extremely overweight, elderly or suffering from certain medical conditions, then breast implants might not be suitable for you. The best candidates are generally women of 22 years age and above of reasonably healthy condition.
For more great information, we encourage you to visit this resource that offers more information, cost estimates, and FAQ’s about breast augmentation surgery.