#Medical Coding Audit in new york in US

[hayleymedbil]

Browsing New York Medical Billing: Essential Tips for Healthcare Providers in 2023

Navigating New York Medical ⁣Billing: Essential‌ Tips‌ for Healthcare Providers ‌in 2023

As the healthcare landscape‌ continues to evolve, ​navigating the ⁢complexities of ‍medical billing in New York can be a ⁣daunting task‍ for healthcare providers. With constant changes in regulations, insurance policies, and technology, understanding how‌ to streamline ‍your ‍billing process is crucial for the success of your‍ practice. In this article, we will ⁢explore⁤ key ‍tips to enhance your ‍medical billing practices⁣ effectively in ‍2023.

Understanding‌ the‌ Basics‍ of Medical ​Billing

Before diving ‍into the deeper aspects of medical billing, it’s essential to grasp⁢ the foundational ‌knowledge.

Medical Billing⁣ Process: The medical billing process involves submitting claims to health insurers ⁢for billing purposes and collecting‌ payments.

Payers: Familiarize yourself with private⁤ insurers, Medicaid, and Medicare‌ policies specific to New ‍York.

ICD-10 Codes: Ensure accurate coding of‍ diagnoses ⁣to avoid claim rejections.

Essential ⁣Tips for Effective ⁢Medical Billing

1. Stay⁢ Informed on‍ Regulations

The ⁤healthcare industry is governed by various regulations that can change frequently. Ensure that you are updated on state laws, federal ⁢regulations, and payer rules:

Regularly consult the New York ​State Department ​of Health website.

Subscribe to industry newsletters for ongoing updates.

Attend continuing education webinars or conferences.

2. Utilize Technology ⁣for Efficiency

Taking advantage of​ technology can significantly⁢ improve your billing⁣ processes:

Billing Software: ​ Invest in ⁢reliable medical billing⁤ software that meets your practice’s needs.

Automation: Implement ​automated reminders ⁣for follow-ups with patients‍ and ​insurers.

Electronic Health Records (EHR): ⁢Ensure‍ your EHR⁢ system can easily​ integrate⁣ with your billing software.

3. Train Your‌ Staff Effectively

Your team plays a vital role in​ the ‌billing process. Proper training can lead to a more ⁤efficient⁢ workflow:

Conduct regular training sessions⁣ on new billing policies and software updates.

Encourage open communication among billing staff to discuss challenges.

Promote cross-training to ensure coverage during staff ⁣absences.

4. ⁤Accurate Coding⁢ is Key

Errors in coding can lead to claim denials.​ Follow ⁣these best practices ‌for correct coding:

Use updated coding manuals to stay current with changes​ to codes and ‌procedures.

Double-check that ICD-10, CPT, and HCPCS codes‌ are accurate and up-to-date.

Consider‍ hiring a certified medical coder if ⁣you lack in-house expertise.

5. Focus on Patient ‌Engagement

Enhancing ⁢patient communication can lead to better billing ⁤outcomes:

Provide clear information regarding costs ⁤before procedures.

Send‌ detailed statements ⁣and reminders ⁢for outstanding⁣ balances.

Offer multiple payment options to facilitate timely payments.

6. Regular Auditing ⁣and ⁢Monitoring

Conducting regular audits helps identify areas of improvement:

Review⁢ claim rejection rates monthly to understand patterns.

Implement solutions for recurring⁣ problems, such as staff training or software updates.

Monitor⁤ revenue cycle metrics to gauge overall⁣ performance.

Benefits of ‍Streamlined Medical Billing

Implementing these‍ essential tips⁣ not only simplifies⁣ the‌ billing process but ‌also​ offers several benefits:

Increased Revenue: Fewer⁤ rejected claims mean more revenue for ⁤your practice.

Reduced ‌Stress: Improved⁤ processes lead to less ⁣administrative burden.

Better Patient ⁢Experience: Clear billing information enhances patient satisfaction.

Case Studies: Success Stories in New York

Here are two brief‌ case studies showcasing how effective medical billing ⁢practices⁢ made a difference for healthcare providers in ‍New ⁣York:

Provider

Challenge

Solution

Outcome

ABC‍ Family Practice

High claim‌ rejection rates

Invested ⁤in training and new software

75%‌ reduction in rejections

XYZ Mental Health‌ Clinic

Poor patient payment ⁢compliance

Enhanced communication⁣ strategies

Increased payments by 40%

First-Hand ‌Experience: Insights from a Healthcare‍ Provider

“We’ve faced numerous challenges with medical billing⁤ in our ⁢practice, from coding errors ⁤to​ claim denials. After implementing a structured approach to our billing processes—including staff training and ⁤advanced ⁤software—we’ve seen a remarkable improvement in our revenue cycle and overall efficiency. Understanding the importance of‍ staying abreast of ⁣regulations⁤ has empowered us to serve our patients better,” shares‌ Dr. Jane ⁤Smith, ​a physician ⁤in New York.

Conclusion

Navigating the complexities of medical billing ⁤in New York can⁢ be challenging, yet ⁢it’s essential for the financial health of healthcare practices. By following‍ the⁤ essential tips outlined in this article—from staying informed on regulations to utilizing technology and focusing on ‍patient engagement—you can streamline your⁢ billing processes and enhance your ‌practice’s revenue cycle in 2023. Remember that success in medical​ billing hinges not only on technology but also on the commitment ‍of your entire team to ⁢provide accurate and efficient billing solutions.

https://medicalcodingandbillingclasses.net/browsing-new-york-medical-billing-essential-tips-for-healthcare-providers-in-2023/

[amymedbiller]

Demystifying Medical Billing: The Ultimate Guide for New York Patients and Providers

**Title:** Demystifying Medical Billing: The Ultimate Guide for New York ‌Patients and‌ Providers

**Introduction:** Medical billing can often be a confusing and daunting aspect of healthcare for both patients and providers. Understanding the intricacies of medical ⁤billing is crucial for ensuring that patients receive the care they need and that providers are properly compensated for ‍their services.‍ In New York, where healthcare costs are notoriously high, having a solid grasp of medical billing practices is essential. In this ultimate guide, we will demystify medical billing for ‌New York patients and ⁤providers, ⁢covering everything ⁣from insurance claims to billing codes.

**Understanding Medical Billing in New York:**

**1.​ Insurance Claims:** One of the primary components of⁤ medical billing in New York is the submission of insurance⁤ claims. Healthcare providers submit claims to insurance companies to receive​ payment for services rendered. In New York, there are various types of insurance plans, including Medicaid, Medicare, and‌ private insurance. It⁢ is⁢ essential for patients​ and providers to understand‍ the specific⁣ requirements of their insurance⁤ plans to ensure ⁢that claims are processed accurately and efficiently.

**2. Billing Codes:** Billing codes are used to identify specific medical procedures and services provided to patients. In New ‍York, medical billing ‌codes are⁤ typically based on the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding ​System (HCPCS). These codes are crucial for‌ accurately billing insurance companies and tracking patient services.

**3. Charges and Payments:** In New ⁤York, ⁤medical billing includes charges for services rendered,‍ as well as payments received from​ insurance companies and​ patients. ⁤Understanding how charges ​are calculated and payments⁣ are processed is⁣ key to ensuring accurate billing and reimbursement.

**Benefits and Practical⁤ Tips:**

**1.⁣ Verify ​Insurance Coverage:** Before undergoing‍ medical treatment in New York, patients⁣ should verify their insurance coverage to ensure that‍ the services‌ will be covered by their plan. This can help prevent unexpected expenses and ensure⁢ that patients are ​prepared for any out-of-pocket ​costs.

**2. Keep⁤ Detailed Records:** Providers‍ should keep detailed records of all services provided, including procedures, diagnoses, and billing codes. This can help ‍ensure accuracy in billing and provide documentation in case of audits or disputes.

**Case Studies:** *Case Study 1:* A patient in New York undergoes a medical procedure⁤ and receives a bill with⁢ unclear charges. By reviewing⁣ their ​insurance coverage and discussing the bill with their⁤ provider, the patient learns that there was a billing error and the charges are ⁢adjusted accordingly.

*Case Study 2:* A healthcare provider in New York consistently experiences delays in receiving payments from insurance companies. By streamlining their billing process and verifying insurance ‌information upfront, the provider is able to improve‍ their cash flow and reduce payment delays.

**Firsthand Experience:** As a patient or provider in​ New York, navigating the complex world of medical billing can⁣ be challenging. By staying informed, asking questions, and seeking assistance when needed, patients and providers can successfully ⁤navigate the medical billing process and ensure that all parties are treated fairly.

**Conclusion:** Medical billing in New York ⁣can be complex, but with​ the right knowledge and resources, patients and providers can‌ effectively manage the billing process. By⁢ understanding insurance claims, billing codes, charges, and‍ payments, individuals can ensure that they receive the care they need and providers are properly compensated. By following the ​tips and case studies outlined in this guide, patients ⁣and providers in New York can demystify medical billing ​and navigate‌ the healthcare system with confidence.

https://schoolsformedicalbilling.org/demystifying-medical-billing-the-ultimate-guide-for-new-york-patients-and-providers/

[sahraeyll]

The Ultimate Guide to Medical Billing in New York: Everything You Need to Know

**Title: The Ultimate Guide to Medical Billing in New York: Everything You Need to Know**

**Introduction:**

In the ever-evolving field of healthcare,⁤ medical billing plays a crucial role in‌ ensuring healthcare providers receive proper reimbursement for the services they provide. However, navigating the complex world of medical billing can ‍be daunting, especially in ⁣a state like New York⁢ with its unique ​rules ‍and regulations. This comprehensive guide aims to provide you⁤ with everything you need to know about medical billing in New York, from the basics ⁢to advanced tips and strategies.

**Basics ‌of Medical Billing in ‍New York:**

Medical billing is the process of​ submitting and‌ following up on claims with health insurance companies in ‍order to receive payment for healthcare services provided.‍ In New York,‌ medical billing follows​ similar protocols to‍ those in other states, but there are some key differences to be‍ aware of:

1. **Regulations:**‌ New York has strict⁢ regulations regarding medical billing, including specific laws governing‌ healthcare ​billing practices, such as the New York State Insurance‌ Law. It is important to stay up-to-date with these ⁣regulations to avoid potential ‍legal issues.

2. **Insurance Companies:** New York has a diverse range of insurance companies, including ⁤private insurance companies, Medicaid,‌ and ​Medicare. ​Each ‍insurance company has its own billing ‌requirements and fee schedules, so it is essential to familiarize yourself‍ with these differences.

3. **Coding:** Proper coding is essential⁢ in medical billing to ‌ensure accurate reimbursement. In New York, medical ⁢billers ​must use specific healthcare procedure codes,⁤ such as CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases, 10th⁢ edition)‍ codes.

**Advanced Strategies for Medical Billing in⁢ New York:**

Once you have a solid understanding of the basics of medical billing‌ in New York, you can explore ‍advanced strategies to optimize your billing practices:

1. **Electronic Billing:** ​Utilizing electronic billing software can streamline the billing process and reduce ⁣errors. Many insurance companies in⁤ New York prefer electronic claims submission, as it is faster and ​more efficient.

2. **Regular Audits:** Conducting regular audits of your​ billing processes can help⁤ identify errors and ⁣discrepancies before they become​ major issues. By reviewing ​your billing ‌practices regularly, you can spot⁤ areas ⁣for improvement and ensure accurate reimbursement.

3. **Outsourcing:**⁤ Consider outsourcing your medical billing to a professional billing company.​ Outsourcing can save time and resources, allowing you⁢ to focus on providing quality healthcare services ‍to your patients.

**Benefits of Proper ‍Medical Billing Practices:**

Implementing proper medical billing practices can offer⁤ a range of benefits to healthcare providers in New York, including:

1. **Increased Revenue:** Accurate and timely billing can lead to ‌higher reimbursement rates and improved cash flow for ‍healthcare practices.

2.​ **Compliance:** Following New ⁣York’s medical billing regulations can​ help healthcare providers avoid legal issues​ and penalties.

3. **Patient Satisfaction:** Efficient billing practices can result in fewer billing errors and‍ delays, leading ⁢to greater patient satisfaction.

**Practical Tips for Success‌ in Medical Billing:**

Here ​are‍ some practical tips to help you succeed in medical billing in New‌ York:

1. **Stay Updated:** Keep abreast of changes in medical billing‍ regulations and insurance policies in New York to ensure compliance.

2. **Invest in Training:** Training your staff on proper⁣ coding⁤ and billing practices can help prevent ​costly errors.

3. **Utilize Technology:** Embrace billing software and electronic billing systems to streamline the⁣ billing ‍process.

**Conclusion:**

Mastering medical billing ‍in New York requires a combination​ of knowledge, skill,⁣ and attention ⁣to detail. By understanding the regulations, utilizing advanced strategies, and implementing proper‌ billing practices, healthcare​ providers can optimize their ​reimbursement‌ and improve the overall⁢ financial health of their practices. Remember to stay ⁣informed, stay compliant, and stay⁣ focused on providing excellent care to your patients.

https://medicalbillingcertificationprograms.org/the-ultimate-guide-to-medical-billing-in-new-york-everything-you-need-to-know/

[hiddenwiki13]

Fall In Love With HIDDEN WIKI

Reviewing the 1970s, "darknet" was truly not an awful term: it just inferred networks that were detached from the standard of ARPANET for security purposes. Notwithstanding, as ARPANET changed into the web and a brief timeframe later ate up basically the wide extent of various PC networks out there, the word came to perceive areas that were connected with the web yet not really of it, hard to track down on the off chance that you didn't have a guide.

 The alleged weak web, a catch-all verbalization covering the pieces of the web not reported through web crawlers, is the stuff of shocking legend. Notwithstanding, as with most legends, the fact of the matter is a touch more ordinary. This shouldn't deduce that that astonishing stuff isn't accessible on dull sites, in any case, some of them murmured staggering stories you might've heard don't make up a large portion of the exchanges there.

 We watched out for some security experts who offered to offer us somewhat a guided visit through the web's lower zones. Ideally, it will demystify things each.

 New weak locales spring up dependably...

 A 2015 white paper from danger data firm Recorded Future analyzes the linkages between the Web you know and the darknet. The ways regularly start on complaints like Pastebin, from the outset proposed as a direct spot to move long code tests or other substance yet now regularly where partners with the dark Tor network are saved a few days or hours for contributed individuals.

While looking for dull locales isn't only likely as essential as utilizing Google—the reality of the situation is to be truly subtle, considering everything—there are approaches to manage discover what's there. The screen gets under was given by Radware security analyst Daniel Smith, and he says it's the eventual outcome of "altered substance that go out there and find new URLs, new onions, dependably, and from there on show them. It's like Geocities, yet 2018"— an energy that is helped along by pages with names like "My Deepweb Site," which you can see on the screen get.

 ...besides, many are totally authentic

Matt Wilson, the central data security counsel at BTB Security, says that "there is a sensible/weak side to the weak web that would presumably shock an extensive number of people. You can trade some

cooking plans—with video!— send an email, or read a book. Individuals utilize the dull web for these smart things for a plan of reasons: an impression of the area, insight or following of web tendencies, or just to accomplish something in a substitute manner."

 [ Prepare to change into a Certified Information Security Systems Professional with this broad web course from PluralSight. Before long contribute a 10-day free starter! ]

 It legitimizes auditing that what thrives with the darknet is material that has been kept somewhere else on the web. For instance, in 2015, in the wake of the Chinese government stopping any tomfoolery with VPN relationship through the claimed "stunning firewall," Chinese-language conversations ended bouncing up on the darknet — all around flooding with individuals who essentially expected to exchange with one another in agreeableness.

 Radware's Smith brings up that there is an assortment of media sources on the weak web, going from the news website from the hacking group Anonymous to the New York Times, which appeared in the screen get here, all considering individuals in nations that adjust the open web.

 A few spaces are by hi from a certain point of view

 Plainly, not all things are so faultless, or you wouldn't endeavor to look at this article. Considering everything, "you can't simply be starting up your Tor program and mentioning 10,000 Visa records, or passwords to your neighbor's webcam," says Mukul Kumar, CISO and VP of Cyber Practice at Cavirin. "A gigantic piece of the checked 'delicate' information is simply open to those that have been affirmed or welcome to express friendly events."

 How should you get a hello to such dull locales? "They should see history of terrible conduct," says Radware's Smith. "From an overall perspective, it takes after a mafia trust test. They need you to show that you're not a prepared proficient and you're not law execution. In like manner, an enormous heap of those tests will be something that a specialist or law need genuinely can't do."

 There is shocking stuff, and crackdowns mean it's harder to trust

 In reality, as a year earlier, different weak web business networks for drugs and hacking associations included corporate-level client care and client audits, making exploring less staggering yet rather safer for learners. Nonetheless, since law essential has started to stop messing around with such protests, the experience is more stunning and more hazardous.

 "The entire considered this darknet business center, where you have a partner outline, where individuals can survey calms that they're purchasing from transporters and get up on a get-together and say, 'in all actuality, this is real' or 'No, this genuinely harmed me'— that has been diminished since faint business living spaces have been taken withdrawn," says Radware's Smith. "You're seeing unapproachable vendors open up their own shops, which are all things considered, hard to vet yourself truly. There won't be any audits, there's not a lot of escrow associations. Also, in this way, by these takedowns, they've really fired up a business opportunity for extra misleads to hop up."

 Surveys can not be right, things sold under contortions—and a ton is on the line

There are still protests where medications are evaluated, says Radware's Smith, regardless, review that they ought to be taken with a gigantic grain of salt. A specialist may get a high from something they purchased on the web, at any rate not like what the medication was that given it.

  One explanation such errors are made? Different weak web drug makers will in addition buy pill presses and tones, which retail two or three hundred dollars and can make risky clone drugs. "One of the later alerts that I could imply would be Red Devil Xanax," he said. "These were sold as some super Xanax bars when truly, they were simply horrible medications expected to hurt you." Everything You Wanted to Know About hidden wiki and Were Too Embarrassed to Ask

 The weak web gives discount things to striking nearby retailers...

 Smith says that some standard remedy cartels utilize the dull web networks for dissipating—"it disposes of the subject matter expert and awards the cartels to send from their own stockrooms and spread it on the off chance that they need to"— yet inconspicuous administrators can also give the individual touch at the neighborhood level following to purchasing drug produced combinations discount from China or somewhere else from areas like the one in the screen get here. "You know how there are loads of neighborhood IPA microbreweries?" he says. "We in addition have a ton of nearby little investigation workplaces. Around there, there's obviously, notwithstanding, one child that is gotten canny and recognizes how to arrange drugs on the darknet, and make very few solutions to offer to his neighborhood affiliation."

 ...who utilize the gig economy

 Smith depicts how the darknet meets with the unregulated and passed on the universe of the gig economy to help reasonable hold. "What about we expect I need to have something bought from the darknet transported off me," he says. "I'm not going reveal my authentic territory, isn't that so? I would have something like that passed on to an AirBnB—a territory that can be discarded, a burner. The case appears to be the day they lease it, by then they put the thing in a Uber and send it to another space. It winds up being astoundingly hard for law need to follow, particularly in the occasion that you're going across different domains."

Not all things are open to being purchased on the dull web

 We've contributed an enormous heap of energy looking at drugs here purposefully. Smith calls narcotics "the genuine foundation" of the weak web; "cybercrime—selling attempts and inadequacies, web application assaults—that is the electronic foundation. Basically, I'd say a ton of the darknet is in reality medications and children analyzing little encroachment on get-togethers."

 A piece of the truly terrifying sounding stuff you get some answers concerning being open to being purchased as frequently as potential breezes up being by and large gossipy treats. Take weapons, for example: as Smith puts it, "it would be less hard for a criminal to buy a firearm, truly, versus the web. Going to the darknet is adding an additional development that isn't huge for the association. Precisely when you're administering confirmed hoodlums, they will recognize somebody that is selling a weapon."

 Unequivocal specialties are in

 Notwithstanding, there are some sure darknet specialty includes out there, regardless of whether they don't have the very impression that tranquilizers do. One that Smith made me notice was the universe of skimmers, gadgets that fit into the openings of genuine credit and ATM card perusers and get your money-related harmony information.

 In addition, giving another outline of how the darknet weds certified articles open to be purchased with information available to be purchased, similar complaints likewise give information manual sheets to different standard ATM models. Among the jewels accessible in these sheets are the default passwords for a couple, praised web-related models; we will not give everything away here, in any case for a couple, it's a similar digit emphasized on different events.

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[outweek30]

Rewriting the Social Contract

How come we're the only industrialized country besides South Africa without national health care? The simplest answer to that question would identify what else we have in common with South Africa — a pervasive history of racism deeply rooted in our national history. The lack of federal provision for the well-being of all Americans is directly tied to the fact that many Americans are left outside the social contract — and this means poor people, people of color, gay men and lesbians.

[...]

The U.S. missed a chance, just after World War II, to extend the reforms of the New Deal to the health care system. President Truman fought a long and losing battle against the American Medical Association (AMA) to implement universal health care. Doctors banded together to defend their economic and social privileges, claiming that universal health care was the thin end of the communist wedge.

Instead, the U.S. subsidized widespread hospital building in rural areas and improved the health care infrastructure. Federal funding of research through the National Institutes of Health burgeoned.

In the 1960s, President Johnson engineered the greatest expansion of the welfare state since the New Deal. In 1965, LBJ signed Medicare and Medicaid into law. Medicare, disguised as an addition to Social Security insurance for the elderly, would provide health care for people who were over 65 or had been disabled for over two years. Even then, old people had to pay for many of their own prescription drugs. Only in 1988 was an amendment passed that would provide for coverage of outpatient prescription drugs by 1991 — and this amendment is under attack by the well-organized lobby of retired Americans, which op- poses the tax surcharges (of up to $800 a year) to be imposed on the mote affluent recipients.

Medicaid was intended to provide health care for the poor. But because the criteria for implementing the program were left up to the states, over half the poor don't qualify. And those that do qualify are subject to routine bureaucratic brutality and careless medical attention. Even when good doctors attempt to treat Medicaid patients, many are driven away from the effort by relentless audits by cost-conscious bureaucrats like New York State Health Commissioner David Axelrod.

American is a diverse country, more diverse ethnically than the European and Japanese countries which do have national health care. The provision of universal coverage to all their citizens occurred during periods when many of those nations were ethnically homogeneous. [...] And the social contract which prevailed from FDR to LBJ, and which provided at least the illusion that all citizens were entitled to certain basic equities, has been wholly revoked during the last nine years of the AIDS epidemic. President Bush, a "kinder, gentler" Reagan, won office on the basis of crudely coded racist and nationalist appeals to white heterosexual voters.

Under Bush's social contract, the hundreds of millions spent on AIDS research in the last nine years will help only the few people who have the knowledge and the money to obtain HIV antibody testing, quarterly T-cell testing and early AZT and PCP prophylaxis. According to a paper published in the September 14, 1989, Journal of the American Medical Association (JAMA), this will cost about $9,637 a year per person. Add just one additional drug (like high-dose Acyclovir for herpes, or perhaps fluconazole for candida) and the bill for early intervention could easily double.

About 600,000 Americans could use early therapeutic intervention for HIV infections now. The total tab will come to about $5 billion a year, if someone would pay for it. The Vietnam War effort cost the U.S. government $1 billion a day. It's easier to get Washington to pay for dead bodies than for living ones.

We need to rewrite the social contract to include everybody. We need to demand that our government distribute the fruits of its anti-AIDS research to everyone who needs them, now.

— Mark Harrington, OutWeek Magazine No. 14, September 24, 1989, p. 30.

[instapayhealthcareservices]

[hayleymedbil]

Learning Medical Billing in New York: A Complete Guide for Healthcare Providers

Title: ⁢Mastering Medical⁣ Billing in New York: A Complete Guide for Healthcare Providers

Meta Title: A comprehensive‍ guide to mastering medical‍ billing⁤ in New York for healthcare providers

Meta Description: This complete guide covers all the‍ essential aspects of medical ‍billing in New York for healthcare providers, including key⁢ tips, ⁣benefits, ‌and practical advice to improve revenue management.

Introduction: Medical ‌billing is a critical ‍aspect of running‍ a successful⁤ healthcare practice in ​New York. However, ⁤navigating the complex world of medical billing can be daunting for many healthcare providers. This comprehensive guide is designed to help healthcare providers in New York master medical billing, ⁤optimize revenue management, and enhance their practice efficiency.

Benefits of Mastering Medical Billing ‍in New York:

1. Increased Revenue: Efficient medical billing practices can help you⁢ maximize reimbursements and improve cash flow for your practice. 2. Reduced Errors: Accurate medical billing reduces the risk of claim denials, leading to faster reimbursements and improved​ revenue. 3. Improved Compliance: Staying updated with⁢ the latest billing regulations in New ⁢York ensures compliance and reduces the risk of penalties. 4. Enhanced Patient Experience: Streamlined billing processes can lead to quicker claim ⁢processing, reducing patient wait times and improving satisfaction. 5. Practice Efficiency: Mastering medical billing saves time and resources, allowing you to focus on providing quality patient care.

Key Aspects of Medical ​Billing⁣ in New⁤ York:

1. Understanding⁣ Billing Codes: Familiarize yourself with CPT, ⁤ICD-10, and HCPCS codes to accurately document and bill for services. 2. Insurance Verification: ‌Verify patient eligibility, coverage, and benefits to avoid⁢ claim rejections and denials. 3. Claim Submission: ⁢Submit clean claims⁣ in a timely manner to ensure prompt reimbursement from insurance companies. 4.⁢ Payment Posting: Accurately post payments, adjustments, and denials ⁢to maintain financial‌ transparency and monitor revenue. 5. Denial Management: Analyze claim denials, identify ⁤trends, and address root causes to reduce denials and maximize ​reimbursements. 6. Compliance Monitoring: Stay updated with New York⁣ billing ⁣regulations, HIPAA, and other industry ⁣standards to ensure compliance.

Practical Tips for Mastering Medical Billing in New York:

1. Invest in Training: Provide ongoing training to your billing staff to keep them informed ⁤about industry changes and ‍best practices. 2. Use Technology: Implement a reliable billing software system to ​streamline processes, track claims, and improve billing accuracy. 3. Outsource Billing:⁤ Consider outsourcing ‌medical⁣ billing to a professional service to reduce administrative burden and improve efficiency. 4. Conduct Audits:​ Regularly audit billing⁤ processes to⁣ identify areas for improvement, address errors, and optimize revenue. 5. Communicate​ with Patients: Educate patients about their insurance coverage, billing statements, and payment options to improve transparency.

Case ⁣Study: Dr.⁢ Smith, a primary care physician in New York, struggled with claim denials and delayed reimbursements ⁤due to inaccurate billing practices. After implementing a comprehensive billing training⁤ program for staff ​and upgrading ⁣to a new billing software system, Dr. Smith saw ⁤a 20% increase in revenue and a significant reduction in‌ claim denials within six ​months.

Conclusion: Mastering medical ‌billing in New York is crucial for ‍healthcare providers ⁢to optimize revenue, reduce errors, and improve practice efficiency. By understanding key billing aspects, implementing practical tips, and staying updated with industry regulations, healthcare providers can streamline their billing processes, maximize reimbursements, and enhance patient⁢ satisfaction. Follow this comprehensive⁤ guide to take your medical billing practices⁢ to the⁢ next level in New York.

https://medicalcodingandbillingclasses.net/learning-medical-billing-in-new-york-a-complete-guide-for-healthcare-providers/

[daniels09stuff]

Medical Billing Services In New York (NY)

With the advancement in the healthcare industry, it has become imperative for healthcare providers to hire professional full-time medical billers and coders. The cost of hiring a medical billing service provider is also too high. Therefore, we at 24/7 Medical Billing Services have come up with a solution to all your problems with reasonable cost services for practitioners of all sizes in New York (NY).

Our services (offered in the past) have the record of reducing operational costs by 50% and increasing revenue by 10%. Take a look at the services offered by the team of 24/7 Medical Billing Services in New York:

Medical Billing Services – From the first appointment of patients to accounts receivable follow-up, our team monitors and organizes each and every process for you. Patient information is entered and their medical eligibility and verification is done. Latest coding is used in the coding documentation by CPC, CPC-P, CPC-H, CPM, CPMA, CPCO, CIC and COC certified coders. At each step of the billing, quality is reviewed by our quality review team. Till the very end of the operation i.e. revenue payment by the payer, we deliver our best.

Coding reviews – Apart from the certified coders (mentioned above), we have a team of the best American Academy of Professional Coders (AAPC) & American Health Information Management Association (AHIMA) certified auditors. Our team works steadily to remove loopholes from the system. This reviewing process leads to fewer claim rejections and denials.

Analysis of documentation is also done to check the performance of the employees and eliminate mistakes/errors if any. Due to the lengthy procedure involved, providers sometimes refrain from resubmitting claims. We offer full assistance in ensuring you get paid for all your services.

Speak to our Experts on

+1 888-502-0537

End-to-End Medical Billing Services provider across entire US.

GET IN TOUCH

ICD-10 training – To be in line with the current healthcare regulatory rules and regulations, we provide effective training to our employees on ICD-10. Just knowing is not enough for precise medical billing and coding, as knowing when and where to apply the code is extremely important. Our team uses up-to-date technology for coding that saves time and ensures precision.

Auditing – Auditing is an extremely important but often overlooked process. 24/7 Medical Billing Services  provides auditing and consultation services to all clients to help them upgrade their services and fill in the gaps.

All our services lead to 99% error-free claim submission and timely payment. We are at your service in New York to upgrade your healthcare providing services.

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[bluehunter411]

Dme Mac Supplier Manual Jurisdiction B

Get Free Dme Mac Supplier Manual Jurisdiction B Dme Mac Supplier Manual Jurisdiction B When people should go to the books stores, search instigation by shop, shelf by shelf, it is in point of fact problematic. This is why we present the book compilations in this website. Medicare Supplier Directory National Supplier Clearinghouse (NSC) 866-238-9652 Pricing, Data Analysis and Coding (DME PDAC) 877-735-1326. Medicare DME MAC Contractors. Jurisdiction A - 866-419-9458 Jurisdiction B - 866-590-6727 Jurisdiction C - 866-270-4909 Jurisdiction D - 877-320-0390. DME MAC or ZPIC medical staff must resolve the issue. Acceptability of Faxed Orders and Facsimile or Electronic CMNs or DIFs CMS Manual System, Pub. 100-08, Medicare Program Integrity Manual, Chapter 5, §5.3 When reviewing claims and orders or auditing CMNs or DIFs for DMEPOS, DME MACs and ZPICs.

A/B MAC Jurisdiction L; A/B MAC Jurisdiction M (Processes HH+H claims) A/B MAC Jurisdiction N; return to top. The DME MACs process Medicare Durable Medical Equipment, Orthotics, and Prosthetics (DMEPOS) claims for a defined geographic area or 'jurisdiction,' servicing suppliers of DMEPOS. Learn more about the DME MAC in each. Jurisdiction B Supplier Manual This manual contains an overview of important and useful information for DMEPOS suppliers regarding the MEdicare program. This manual contains an overview of important and useful information for DMEPOS suppliers regarding the MEdicare program.

Dme Mac Supplier Manual Jurisdiction By State

* Georgia Medicare DME Fee Schedule 2020 * DME Provider Medicare Credentialing Requirements 2020 * DME Medicare Info 2020

Medicare Jurisdiction B DME MAC

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DME MAC Jurisdiction B Award Fact Sheet – CMS

Sep 3, 2015 … Durable Medical Equipment Medicare Administrative Contractor … The Jurisdiction B DME MAC serves Medicare beneficiaries who reside in …

MM9526 – CMS

Mar 17, 2016 … Implementation of the Award for Jurisdiction B Durable Medical Equipment. (DME ) Medicare Administrative Contractor (MAC) Workload.

CMS Manual System

Mar 11, 2016 … SUBJECT: Implementation of the Award for Jurisdiction B Durable Medical Equipment (DME). Medicare Administrative Contractor (MAC) …

DME Jurisdiction Map – CMS

JA awarded to Noridian December 2015; implementation in progress. * JB awarded to CGS in September 2015; implementation in progress. DME Jurisdiction …

DMERC and DME MAC Contacts – CMS

May 15, 2008 … DMERC and DME MAC Contacts. Revised: May 15 … Region B: 877-299-7900 ( IVR). 866-590-6727 … Region C: 1-800 MEDICARE. Region D: …

Award of DME MAC Contract for Jurisdiction B – CMS

Sep 10, 2015 … Durable Medical Equipment Medicare Administrative Contractor … The Jurisdiction D DME MAC serves Medicare beneficiaries who reside in …

One-Time Notification – CMS

Mar 11, 2016 … Jurisdiction B (JB) Durable Medical Equipment (DME) Medicare … CMS does not construe this as a change to the MAC Statement of Work.

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Medicare Claims Processing Manual – CMS

Apr 24, 2012 … 10.1.1 – Payment Jurisdictions Among A/B MACs (B) for Services Paid … 10.1.9.5 – An A/B MAC (B) or DME MAC Receives a Claim for a UMWA.

MEDICARE ENROLLMENT APPLICATION CMS-855S

DMEPOS SUPPLIER STANDARDS FOR MEDICARE ENROLLMENT …. DME MAC: Durable Medical Equipment Medicare …. All States in Jurisdiction B. Illinois .

Medicare Claims Processing Manual – CMS

Jun 30, 1993 … 50.2 – A/B MAC (A) or (HHH) Format for Durable Medical Equipment, …. for covered items, within their claims processing jurisdictions, supplied …

module 4: medicare part b medical insurance – New York State …

Dme Mac Jurisdiction B Supplier Manual Chapter 5

Medicare Part A and Part B MAC for all of New York State is National Government Services. …. NHIC is the Jurisdiction A Durable Medical Equipment Medicare …

Medical Foods for – DHCFP How to use passport photo tool for macbook pro.

May 1, 2016 … APPENDIX B – COVERAGE AND LIMITATIONS POLICIES …. DURABLE Embarrassing medical exams video. MEDICAL EQUIPMENT MEDICARE ADMINISTRATIVE CONTRACTOR …. the DME. MAC Jurisdiction D Supplier Manual, Chapter 3 – Documentation.

Quarterly Listing of Program Issuances-January Through March 2016

May 9, 2016 … Part A/Part B (A/B) Durable Medical Equipment (DME) Medicare … trative Contractor (MAC) and the Single Testing Contractor (STC) …… Award of Medicare Administrative Contractor (MAC) Contract for Jurisdiction 15. 1601 .

CMS-6072-N

Dme Mac Jurisdiction B Or C Supplier Manual Chapter 6

Dec 21, 2016 … (DMEPOS) is a covered benefit under Part B of the Medicare program. …. to one state in each of the DME MAC geographic jurisdictions allows …

Appendix for SEER-Medicare 11/2016 Claims Files – Healthcare …

Employee: a Medicare beneficiary who is still working or a worker who died before retirement … B = End stage renal disease (ESRD) beneficiary in the 18 month coordination period with …. MTUSIND (for DME) … 1998; term. 02/2008) ( replaced by MAC #04202 — see below) …. JURISDICTION 1 — Part B MACs. 01002 = J1 …

Part 1 – Iowa Department of Human Services

May 23, 2014 … 5.1.6.1.2 A/B MAC Jurisdiction 3 . … 5.1.6.1.4 Legacy Medicare Part A and B Contracts . Wd my passport user manual for mac. …. 5.2.4.1.2 Jurisdiction D DME MAC (Noridian) .

Improving Audits: How We Can Strengthen the Medicare Program …

The Impact of Current CMS Strategies to Reduce Medicare FFS Improper Payment Rate …. The same MACs now process both Part A and Part B claims, … http://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative- Contractors/DME-MAC- … place for reducing improper payments made in their jurisdiction.

Durable Medical Equipment – Mass.Gov

Mar 5, 2010 … For durable medical equipment, those matters are covered in 130 CMR …. MassHealth DME provider in accordance with 42 CFR 431.52(b) and 130 …. (e) the Region A Durable Medical Equipment Carrier (DME Medicare Administrative … the instructions established by the Region A DME MAC and in …

RL34217, Medicare Program Integrity: Activities to Protect Medicare …

Dme Mac Supplier Manual Jurisdiction Based

Jul 12, 2011 … Medicare program integrity activities are funded in statute, largely through …. 6 DME includes hospital beds, wheelchairs, respirators, walkers, artificial …. implementing the A/B MAC contracts in two other Jurisdictions (11 and …

Download US Complaint in Intervention – US Department of Justice

Sep 2, 2015 … from Medicare prior to supplying DME to Medicare patients, and the … Court may exercise personal jurisdiction over Qualium Corporation d/b/a …. Palmetto GBA ( “Palmetto”) was the MAC responsible for processing Medicare.

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[orbemnews]

Online Cheating Charges Upend Dartmouth Medical School HANOVER, N.H. — Sirey Zhang, a first-year student at Dartmouth’s Geisel School of Medicine, was on spring break in March when he received an email from administrators accusing him of cheating. Dartmouth had reviewed Mr. Zhang’s online activity on Canvas, its learning management system, during three remote exams, the email said. The data indicated that he had looked up course material related to one question during each test, honor code violations that could lead to expulsion, the email said. Mr. Zhang, 22, said he had not cheated. But when the school’s student affairs office suggested he would have a better outcome if he expressed remorse and pleaded guilty, he said he felt he had little choice but to agree. Now he faces suspension and a misconduct mark on his academic record that could derail his dream of becoming a pediatrician. “What has happened to me in the last month, despite not cheating, has resulted in one of the most terrifying, isolating experiences of my life,” said Mr. Zhang, who has filed an appeal. He is one of 17 medical students whom Dartmouth recently accused of cheating on remote tests while in-person exams were shut down because of the coronavirus. The allegations have prompted an on-campus protest, letters of concern to school administrators from more than two dozen faculty members and complaints of unfair treatment from the student government, turning the pastoral Ivy League campus into a national battleground over escalating school surveillance during the pandemic. At the heart of the accusations is Dartmouth’s use of the Canvas system to retroactively track student activity during remote exams without their knowledge. In the process, the medical school may have overstepped by using certain online activity data to try to pinpoint cheating, leading to some erroneous accusations, according to independent technology experts, a review of the software code and school documents obtained by The New York Times. Dartmouth’s drive to root out cheating provides a sobering case study of how the coronavirus has accelerated colleges’ reliance on technology, normalizing student tracking in ways that are likely to endure after the pandemic. While universities have long used anti-plagiarism software and other anti-cheating apps, the pandemic has pushed hundreds of schools that switched to remote learning to embrace more invasive tools. Over the last year, many have required students to download software that can take over their computers during remote exams or use webcams to monitor their eye movements for possibly suspicious activity, even as technology experts have warned that such tools can be invasive, insecure, unfair and inaccurate. Some universities are now facing a backlash over the technology. A few, including the University of Illinois at Urbana-Champaign, recently said they would cease using the exam-monitoring tools. “These kinds of technical solutions to academic misconduct seem like a magic bullet,” said Shaanan Cohney, a cybersecurity lecturer at the University of Melbourne who researches remote learning software. But “universities which lack some of the structure or the expertise to understand these issues on a deeper level end up running into really significant trouble.” At Dartmouth, the use of Canvas in the cheating investigation was unusual because the software was not designed as a forensic tool. Instead, professors post assignments on it and students submit their homework through it. That has raised questions about Dartmouth’s methodology. While some students may have cheated, technology experts said, it would be difficult for a disciplinary committee to distinguish cheating from noncheating based on the data snapshots that Dartmouth provided to accused students. And in an analysis of the Canvas software code, The Times found instances in which the system automatically generated activity data even when no one was using a device. “If other schools follow the precedent that Dartmouth is setting here, any student can be accused based on the flimsiest technical evidence,” said Cooper Quintin, senior staff technologist at the Electronic Frontier Foundation, a digital rights organization, who analyzed Dartmouth’s methodology. Seven of the 17 accused students have had their cases dismissed. In at least one of those cases, administrators said, “automated Canvas processes are likely to have created the data that was seen rather than deliberate activity by the user,” according to a school email that students made public. The 10 others have been expelled, suspended or received course failures and unprofessional-conduct marks on their records that could curtail their medical careers. Nine pleaded guilty, including Mr. Zhang, according to school documents; some have filed appeals. Some accused students said Dartmouth had hamstrung their ability to defend themselves. They said they had less than 48 hours to respond to the charges, were not provided complete data logs for the exams, were advised to plead guilty though they denied cheating or were given just two minutes to make their case in online hearings, according to six of the students and a review of documents. Five of the students declined to be named for fear of reprisals by Dartmouth. Duane A. Compton, the dean of the Geisel School, said in an interview that its methods for identifying possible cheating cases were fair and valid. Administrators investigated carefully, he said, and provided accused students with all the data on which the cheating charges were based. He denied that the student affairs office had advised those who said they had not cheated to plead guilty. Dr. Compton acknowledged that the investigation had caused distress on campus. But he said Geisel, founded in 1797 and one of the nation’s oldest medical schools, was obligated to hold its students accountable. “We take academic integrity very seriously,” he said. “We wouldn’t want people to be able to be eligible for a medical license without really having the appropriate training.” Updated  May 8, 2021, 5:12 p.m. ET Instructure, the company that owns Canvas, did not return requests for comment. A Hunt Begins In January, a faculty member reported possible cheating during remote exams, Dr. Compton said. Geisel opened an investigation. To hinder online cheating, Geisel requires students to turn on ExamSoft — a separate tool that prevents them from looking up study materials during tests — on the laptop or tablet on which they take exams. The school also requires students to keep a backup device nearby. The faculty member’s report made administrators concerned that some students may have used their backup device to look at course material on Canvas while taking tests on their primary device. Geisel’s Committee on Student Performance and Conduct, a faculty group with student members that investigates academic integrity cases, then asked the school’s technology staff to audit Canvas activity during 18 remote exams that all first- and second-year students had taken during the academic year. The review looked at more than 3,000 exams since last fall. The tech staff then developed a system to recognize online activity patterns that might signal cheating, said Sean McNamara, Dartmouth’s senior director of information security. The pattern typically showed activity on a Canvas course home page — on, say, neurology �� during an exam followed by activity on a Canvas study page, like a practice quiz, related to the test question. “You see that pattern of essentially a human reading the content and selecting where they’re going on the page,” Mr. McNamara said. “The data is very clear in describing that behavior.” The audit identified 38 potential cheating cases. But the committee quickly eliminated some of those because one professor had directed students to use Canvas, Dr. Compton said. In emails sent in mid-March, the committee told the 17 accused students that an analysis showed they had been active on relevant Canvas pages during one or more exams. The emails contained spreadsheets with the exam’s name, the test question number, time stamps and the names of Canvas pages that showed online activity. Questions Arise Almost immediately, questions emerged over whether the committee had mistaken automated activity on Canvas for human activity, based on a limited subset of exam data. Geisel students said they often had dozens of course pages open on Canvas, which they rarely logged out of. Those pages can automatically generate activity data even when no one is looking at them, according to The Times’s analysis and technology experts. School officials said that their analysis, which they hired a legal consulting firm to validate, discounted automated activity and that accused students had been given all necessary data in their cases. Class Disrupted Updated May 5, 2021 The latest on how the pandemic is reshaping education. But at least two students told the committee in March that the audit had misinterpreted automated Canvas activity as human cheating. The committee dismissed the charges against them. In another case, a professor notified the committee that the Canvas pages used as evidence contained no information related to the exam questions his student was accused of cheating on, according to an analysis submitted to the committee. The student has appealed. The committee has also not provided students with the wording of the exam questions they were accused of cheating on, complete Canvas activity logs for the exams, the amount of time spent on each Canvas page and data on whether the system flagged their page activity as automated or user-initiated, according to documents. Dartmouth declined to comment on the data issues, citing the appeals. Mr. Quintin of the Electronic Frontier Foundation compared Dartmouth’s methods to accusing someone of stealing a piece of fruit in a grocery store by presenting a snapshot of that person touching an orange, but not releasing video footage showing whether the person later put back the orange, bought it or pocketed it without paying. Dr. Compton said the committee’s dismissal of cases over time validated its methodology. “The fact that we had a large number of students and we were very deliberate about eliminating a large, large fraction or majority of those students from consideration,” he said, “I think actually makes the case well for us trying to be really careful about this.” Campus Tensions Tensions flared in early April when an anonymous student account on Instagram posted about the cheating charges. Soon after, Dartmouth issued a social media policy warning that students’ anonymous posts “may still be traced back” to them. Around the same time, Geisel administrators held a virtual forum and were barraged with questions about the investigation. The conduct review committee then issued decisions in 10 of the cases, telling several students that they would be expelled, suspending others and requiring some to retake courses or repeat a year of school at a cost of nearly $70,000. Many on campus were outraged. On April 21, dozens of students in white lab coats gathered in the rain in front of Dr. Compton’s office to protest. Some held signs that said “BELIEVE YOUR STUDENTS” and “DUE PROCESS FOR ALL” in indigo letters, which dissolved in the rain into blue splotches. Several students said they were now so afraid of being unfairly targeted in a data-mining dragnet that they had pushed the medical school to offer in-person exams with human proctors. Others said they had advised prospective medical students against coming to Dartmouth. “Some students have built their whole lives around medical school and now they’re being thrown out like they’re worthless,” said Meredith Ryan, a fourth-year medical student not connected to the investigation. That same day, more than two dozen members of Dartmouth’s faculty wrote a letter to Dr. Compton saying that the cheating inquiry had created “deep mistrust” on campus and that the school should “make amends with the students falsely accused.” In an email to students and faculty a week later, Dr. Compton apologized that Geisel’s handling of the cases had “added to the already high levels of stress and alienation” of the pandemic and said the school was working to improve its procedures. The medical school has already made one change that could reduce the risk of false cheating allegations. For remote exams, new guidelines said, students are now “expected to log out of Canvas on all devices prior to testing.” Mr. Zhang, the first-year student, said the investigation had shaken his faith in an institution he loves. He had decided to become a doctor, he said, to address disparities in health care access after he won a fellowship as a Dartmouth undergraduate to study medicine in Tanzania. Mr. Zhang said he felt compelled to speak publicly to help reform a process he found traumatizing. “I’m terrified,” he said. “But if me speaking up means that there’s at least one student in the future who doesn’t have to feel the way that I did, then it’s all worthwhile.” Source link Orbem News #Charges #Cheating #Dartmouth #medical #Online #school #upend

[foodvisi]

Required Equipment for Food Safety

Medical care food administration has food creation prerequisites that numerous different kinds of activities don't have to consider. Medical care food administration administrators need to consider well being bargained clients, around 12 to 14 menu varieties going from a normal to a dysphasia diet, food conveyance and a food spending that permits a normal expense for every feast of $1.75 to $2.50. To an eatery administrator, this would be a considerable assignment yet medical services administrators should dominate these challengers.

Medical care food administration administrators' comprehension of the U.S. Food and Drug Administration prerequisites is the contrast between obtaining a companion or enemy. As expressed inside the Food Code, "The shared objective of administrators and controllers of retail and food administration foundations is to deliver protected, quality nourishment for customers. Since the beginning of administrative oversight of retail and food administration tasks, administrative reviews have accentuated the acknowledgment and amendment of food handling infringement that exist at the hour of the assessment."

Inability to follow sanitation necessities, which are characterized in the USDA Food Code, will cause numerous issues for an activity. I can't pressure enough that administrators should consistently audit their food creation measures and guarantee that all security rehearses are followed.

Food quality is consistently a factor in any food administration and improving cooking, chilling and warming of items are for the most part basic control focuses. Cooking at lower temperatures in broilers intended to warmth and hold items can improve creation plans, permitting dishes to be cooked during off hours. Numerous administrators use impact chillers; nonetheless, if the chilling cycle is excessively quick and freezing happens, nourishments can get solidified. Remedying crystallization can be pretty much as straightforward as directing subsequent preparing for staff or utilizing the temperature tests that are standard segments in most impact chillers.

Cold food stockpiling is a key food handling region, particularly on the grounds that freezing items can cause food decay. Buying an impact chiller that can likewise deal with impact freezing can assist with keeping up the honesty of items. The capacity to impact freeze will additionally help creation limit, limit creation turns and improve operational execution. With numerous medical care food administration activities executing eatery style menus with extended food choices, impact chilling and freezing can improve creation effectiveness. Another approach to upgrade food handling and operational execution is to buy gear intended to improve defrost times contrasted and leaving items in a fridge, warming under running water or the risky interaction of presenting items to encompassing temperatures.

Shutting the sanitation circle by seeing all the basic control focuses in food creation and utilizing gear creation innovation will keep administrators from review lacks, also improving food quality. Administrators should set aside some effort to audit their present food creation stream and think about it against set up HACCP strategies and the FDA Food Code. This activity can just assist with setting up quality improvement pointers, keep clients safe and improve their fulfillment

Creator's Bio

Andrew Catalano living in Maspeth, New York has worked in the food administration industry for more than 30 years working for private, corporate, and medical care related food business. Andrew holds a Master certificate in Strategic Management, which give him the refined abilities to thoroughly consider the issues, build up a dream, and plan subsequent stages to improve the quality and estimation of the activity. Kindly join Andrew by visiting the online magazine called "The Schechter Report" where the subject of Andrew's Blog depends on the food business through the eyes of the administrator, appropriated named the "Administrators Perspective".