Medical Coding History – From Paper to Medial Coding Software

If we define medical coding as the assignment of alphanumerical characters to diagnoses, diseases, and treatments, then medical coding has been traced back to the 1600s in England with the London Bills of Mortality. A more standardized system of coding was developed for classifying death at the tail end of the 19th century. In 1893, Jacque Bertillon, a statistician, created the Bertillon Classification of Causes of Death, a system which was eventually adopted by 26 countries at the beginning of the 20th century. Shortly after the Bertillon Classification system was implemented, people began discussing the possibility of expanding the system beyond mortality as a way of tracking diseases.

By the middle of the 20th century, the World Health Organization (WHO) adopted a goal of a single global classification system for disease and mortality, entitled the International Classification of Diseases, Injuries, and Causes of Death (ICD). This classification system is updated every 10 years. The latest revision, ICD-10, is scheduled for adoption in the United States in 2013.

What started out as a small set of medical codes has evolved into a complex system that was initially standardized by the American Medical Association back in 1966 with current procedure codes (CPT) codes that are updated annually.

In the late 1970s, the Healthcare Common Procedure Coding System (HCPCS) was developed based on CPT. HCPCS has three levels of codes: Level One is the original CPT system. Level Two codes are alphanumeric and include non-physician services such as ambulances and other transportation as well as patient devices such as prosthetic devices. Level Three codes were developed as local codes, and were discontinued in 2003 in order to keep all codes relevant worldwide.

Recently, medical coding systems have been expanded to include other medical specialties. For example, there are coding systems related to disabilities, the dental field, prescription drugs, and mental health.

As the coding systems have become more complex and diverse, the need for training of medical coders has grown exponentially. Private training schools and public colleges throughout the country have developed certification programs. In order to be awarded a certificate, students must obtain a two-year degree from an accredited medical coding school and pass an exam given by the AHIMA.

Over the past 20 years, many coding processes have shifted from a paper-based system to a computer-based system using medical coding software and medical billing software. Many companies sell complete medical software-based coding solutions and myriad of products for specific medical disciplines, such as products that are specifically tailored to skilled nursing facilities, physicians, hospitals, surgery, cardiology, and more.

As medical facilities and professionals begin preparing for the conversion to ICD-10 in 2013, the need for more sophisticated medical coding software solutions and qualified medical coders will continue to grow.

CPT is a registered trademark of the American Medical Association.

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Microsoft Access and Medical Private Practice

For physicians medical office software installation could be nerve-wracking, not because they want to avoid electronic medical records, but because the majority of the software packages are too complicated and very expensive for them.

The good news is, you can make your medical office software system uncomplicated and relatively easily maintained with one of the popular database software packages being used today, the Microsoft Access.

Microsoft Access is a relational database system developed by Microsoft. Microsoft Access is one of the easiest and most flexible database management solutions for the medical office and provides data validation and user-friendly features on data entry screens. It has been the dominant lightweight database system used for the last decade and has continued to grow with additional features. Access is a productive and very customizable solution for small medical practices and comes with MS Office (or standalone). However the next step up in a medical environment would be MS SQL Server but small medical offices usually only has need of a lightweight application and the added functionality with MS SQL Server, comes with a heavy price.

With this relational database system you can be up and running in one hour, which means that it is not necessary for your practice to spend lot of money to purchase, configure, update and maintain an SQL Server solution. Microsoft Access includes without any additional costs, points of integration with popular software packages including: Microsoft Word, Excel & Outlook and provides a free runtime version.

MS Access network setup is very easy. A medical office with 2-8 users is up and running within ten minutes, while installation and application maintenance is extremely simple. Virtually any user with a basic knowledge of Microsoft Access can handle all maintenance procedures without the assistance of IT personnel.

Keep also in mind that SQL Server is the flagship database system from Microsoft and it is suitable for use in environments with up to thousands of users. Microsoft Access can handle 2- 8 users and it is limited to 2 GB data storage.

We are convinced that the best way for private medical offices around the world to enter the world of electronic medical records is to purchase a professionally designed but inexpensive and affordable Microsoft Access based software solution.

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The 4 Elements That Makes Up A Personal Computer System

There are 4 elements that make up a personal computer system: the user, software, hardware and the electricity all working together for the whole system. Each of these elements is essential to the system itself.

The user is the person's who perform the task using the computer system. The nature of the task depends upon the application program or software that is needed to perform the task. The software that the user used requires certain hardware components to function properly.

The hardwares of the personal computer system are made up of its equipment that are usually connected (the computer, monitor, printer and so on). It is defined as hardwares because you can physically touch these components. The programs are called softwares since their function can only be used when the computer is turn ON. Software is a set of coded instructions that the computer uses in order to carry out the user's tasks.

The user can only use the computer when it is turned ON. Without any electrical power to run through the personal computer system, it will not function. The ability of the personal computer system to control its components is through a series of on / off signals.

Here is how it works, when a user tries to type a document or a letter using his / her personal computer. The first thing the user do is to turn ON the power for the computer. Choosing a Word Processor software in order to write the document. The user uses the hardware such as the keyboard to write the content of the document; The typed document is then displayed onto the monitor screen. After the user finished writing his / her document. The user will use the software to instruct the printer to print the document. The software works together with the hardware components (the keyboard, monitor and printer) to accomplish the task that the user requested.

All of the four elements: the electrical power, hardware, software and the user work together to make up a personal computer system.

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Advantages and Disadvantages of Biometric Time and Attendance Software

First of all let me ask you what you understand by time and attendance software? Have you ever been asked to log in as soon as you enter office and the main gate of the office has a Biometric machine that takes in your finger prints and allows you to enter the office premise? Yes, these are the time and attendance software being installed in a company.

Biometrics consists of methods for uniquely identifying a person (human being) by his/her physical or behavioral traits. There are many biometric software available in market for such purpose and their use is widely known. One such use is Biometric time and attendance management software.

Those days are gone when we had to punch in cards or sign into a register to tell the other person that we are present. Just as paper checking has been changed from manual to computerized, identifying a person and letting him in your office has been changed from manual to biometrics.

There are many benefits of having such methodology in your office. Such as:

• Accurate timing: When a person looks at his watch and enters the time there is a slight chance that he may see the wrong timing and write. Whereas with biometric time and attendance software there is no possibility of such mistake. The user does not need to see or check the time, it automatically gets logged in.

• Less error: There is no scope of human error here.

• Profit to company: If it’s accurate and correct the company will definitely gain from it.

As everything has a good and bad side this too has its disadvantages, such as:

• Extra cost to company: Biometric software and machine cost a lot more, so installing such software need a good investment money wise.

• Extra management: Remember when every employee is logging his own timing when he comes or leaves; there is no extra management here. But, if you are putting a machine there has to be taken some care of it.

Biometrics time and management software is really helpful when creating payrolls for employees. Once a definite timing has been registered you don’t need to think twice before creating the employees pay.

Many homes are also using such kind of software to have a safe and secure home. Biometric software is really helpful when you need security in your home as well as in office. There are many companies all over the world providing such biometric time and attendance software. You just need to keep an eye on the technologies and websites that are providing you these.

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Top 25 Terms All Computer Students Should Know

The following basic terminologies are considered the top 25 terms all computer students should know before they even begin their studies:

1. Bit: Binary data storage unit valued at either 1 or 0.

2. Byte: Eight data bits valued between zero and 255.

3. Word: Two data bytes or 16 data bits between zero zero and 16,535.

4. CD-ROM: A storage disk with approximately 640 megabytes of capacity.

5. CD-ROM Drive: Hardware used for reading and writing to CD-ROMs.

6. Storage Media: Magnetic devices that permanently store computer data.

7. File: Permanent storage structure for data kept on a hard drive or other permanent place.

8. Virus: Unauthorized programs that infect files or send themselves via email.

9. Vulnerability: When unauthorized access can be gained due to software errors.

10. Security Flaw: When attackers gain unauthorized system access due to a software bug.

11. Worm: Unwanted programs accessing computers via application / system vulnerabilities.

12. Hardware: Physical parts of computer (case, disk drive, monitor, microprocessor, etc.).

13. Software: Programs that run on a computer system.

14. Firmware: Software that has been permanently written into a computer.

15. ISP: Internet Service Provider.

16. BIOS: The basic input / output system computers use to interface with devices.

17. MIME: Multipurpose Internet Mail Extension.

18. Boot: What happens when a computer is turned on and beginning to run.

19. Crash: When computer software errors occur and programs fail to respond.

20. Driver: Program that understands interfaced devices like printers and video cards.

21. Network: Cables and other electrical components carrying data between computers.

22. Operating System: A computer's core software component.

23. Parallel: Sending data over more than one line simultaniously.

24. Serial: Sending data over a single line one bit at a time.

25. Protocols: Communication methods and other standard Internet / networking functions.

These are the top 25 terms all computer students should know before they even begin their technical training. Most computer students know much more. In fact, everyone who uses a computer these days should understand these terms so they can be better informed about the important tool that is so integral to our daily lives.

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Website Design – Hardware and Software Tools You May Need

Before you get started with your new website or editing your current site, you need to consider which hardware and software tools you may need to support your efforts.

When it comes to hardware needed this can be very simple or reasonably complex depending on your particular needs. Of course, if you plan to create a new website (or even view your new website later) you need a computer. Simple enough, right? Not necessarily. We prefer to work with Apple Macintosh (OSX Leopard on MacBook Pro) as we do a lot of intensive graphics work and have previously invested in Adobe Creative Suite software (Photoshop, InDesign, Flash, Dreamweaver, etc.). It is just as easy to create your new website using your Windows PC but we would suggest you stay away from using Windows Vista (any version) and migrate to Windows 7 or stick with Windows XP. These operating systems are just much more stable and reliable.

Another consideration for hardware should be some sort of backup hard drive or removable USB memory stick(s). It is important that you back up all of your website data to a removable drive in the event your computer crashes, is broken or is stolen. When you create website files, most of your data will be stored on the website hosting servers but, in many cases, you will have many other “builder files” that usually never make it to the hosting servers. If you lose this data you will be forced to start from scratch in many cases. Another piece of hardware that many forget about is a HD Video Camcorder. If you plan to include video on your site, you should be investing in something half decent; you can normally pick up a good video camera that also captures “still photos” for under $500.00.

When it comes to software needed, this can be somewhat more complicated, again depending on what your website design goals are. At the very least, you will need some sort of text editing software, FTP (file transfer software), graphics creation software and then a variety of other tools as you progress.

Here are some of the most common subjects you should consider when planning the design of your website product.

COMPUTER

Do you currently have a computer that can process large files (i.e. – video files) quickly and efficiently?

WEBSITE SERVER

Are you planning to host your own website portal? If so, do you know what type of hardware and server software you will need?

BACKUP HARD DRIVE or USB STICK

Do you currently have some sort of backup hard drive equipment or plan?

VIDEO CAMERA

Will you be creating custom videos for your website and, if so, do you have a HD video camera ready to go?

MOBILE WEB DEVICES

Are you planning to make your website “mobile web friendly”? If so, do you have an iPhone and an iPad? Android phone? Blackberry device? These will be needed for testing purposes!

WEBSITE CREATION SOFTWARE

Do you have any website creation software (i.e. – Adobe Dreamweaver or Microsoft Front Page) installed, licensed and ready to use?

GRAPHICS EDITING SOFTWARE

Are you planning to create your own website graphics or edit pictures? Do you have the necessary software (i.e. – Adobe Photoshop or Photo Studio)?

DATABASES

Are you planning on creating a database for your website and, if so, do you know which software to use for this purpose?

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The Importance Of Excel In The Workplace

Excel is perhaps the most important computer software program used in the workplace today. That’s why so many workers and prospective employees are required to learn Excel in order to enter or remain in the workplace.

From the viewpoint of the employer, particularly those in the field of information systems, the use of Excel as an end-user computing tool is essential. Not only are many business professionals using Excel to perform everyday functional tasks in the workplace, an increasing number of employers rely on Excel for decision support.

In general, Excel dominates the spreadsheet product industry with a market share estimated at 90 percent. Excel 2007 has the capacity for spreadsheets of up to a million rows by 16,000 columns, enabling the user to import and work with massive amounts of data and achieve faster calculation performance than ever before.

Outside the workplace, Excel is in broad use for everyday problem solving.

Let’s say you have a home office. You can use Excel to calculate sales tax on a purchase, calculate the cost of a trip by car, create a temperature converter, calculate the price of pizza per square inch and do analysis of inputted data. You can track your debt, income and assets, determine your debt to income ratio, calculate your net worth, and use this information to prepare for the process of applying for a mortgage on a new house. The personal uses for Excel are almost as endless as the business uses for this software – and an Excel tutorial delves into the practical uses of the program for personal and business use.

The use of spreadsheets on computers is not new. Spreadsheets, in electronic form, have been in existence since before the introduction of the personal computer. Forerunners to Excel and Lotus 1-2-3 were packages such as VisiCalc, developed and modeled on the accountant’s financial ledger. Since 1987, spreadsheet programs have been impacting the business world. Along the way, computerized spreadsheets have become a pervasive and increasingly effective tool for comparative data analysis throughout the world.

Today, end users employ Excel to create and modify spreadsheets as well as to author web pages with links and complex formatting specifications. They create macros and scripts. While some of these programs are small, one-shot calculations, many are much more critical and affect significant financial decisions and business transactions.

Widely used by businesses, service agencies, volunteer groups, private sector organizations, scientists, students, educators, trainers, researchers, journalists, accountants and others, Microsoft Excel has become a staple of end users and business professionals.

The beauty of Excel is that it can be used as a receiver of workplace or business data, or as a calculator, a decision support tool, a data converter or even a display spreadsheet for information interpretation. Excel can create a chart or graph, operate in conjunction with Mail Merge functions, import data from the Internet, create a concept map and sequentially rank information by importance.

Excel offers new data analysis and visualization tools that assist in analyzing information, spotting trends and accessing information more easily than in the past. Using conditional formatting with rich data display schemes, you can evaluate and illustrate important trends and highlight exceptions with colored gradients, data bars and icons.

Indeed, Excel can be customized to perform such a wide variety of functions that many businesses can’t operate without it. Excel training has become mandatory in many workplaces; in fact, computer software training is a must for any workplace trying to keep up with the times.

Let’s say you’re an employer with 97 workers, 17 of whom called in sick today, and you want to know the percentage represented by absentees. Excel can do that. You can learn Excel and use it to determine the ratio of male to female employees, the percentage of minorities on the payroll, and the ranking of each worker by compensation package amount, including the percentages of that package according to pay and benefits. You can use Excel to keep track of production by department, information that may assist you in future development plans. You can create additional spreadsheets to track data on vendors and customers while maintaining an ongoing inventory of product stock.

Let’s say you want to know your business production versus cost. You don’t have to be a math wiz – you just have to learn Excel. Excel allows you to input all of the data, analyze it, sort it according to your customized format, and display the results with color, shading, backgrounds, icons and other gimmicks that offer time-saving assistance in later locating precisely the information desired. If this spreadsheet is for presentation purposes, Excel helps you put it together in such a visually appealing way that the data may seem to pop and sparkle.

The single most important thing an employer may do is learn Excel – it is one of the most essential tools of the workplace.

Excel and Microsoft are trademarks of Microsoft Corporation, registered in the U.S. and other countries. Lotus is a registered trademark of International Business Machines Corporation in the U.S. and/or other countries.

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Understanding the Significance of Computer Hardware

We are living in an age that is highly influenced by technology. Most of the activities we need to do now are automatic or computerized. Of all the technological developments achieved in the recent past, one significant tool that got developed and which will certainly keep influencing our lives is the computer. You would agree that computers play a very basic role in our daily life, just like the television and the cell phone. We are already at a stage where life will be difficult without a computer. That makes it important to understand the way a computer works, and then be informed of what we should do if it stops working. The most important part of any computer is its hardware, in the absence of which it just can not function.

If you are really keen to assess what has gone wrong with your computer when it stops working, you should understand the working and constituents of its hardware. You should especially have solid knowledge about the computer hardware when you want to undertake its troubleshooting on your own. One important part of the hardware is the RAM memory of any computer. For running any program or application, any computer needs a RAM memory. Other than that, if the computer has a RAM with specifications that are not compatible with the programs it is expected to run, its operation will be slowed down and it would almost crawl. When choosing a computer, you need to ensure that its hardware is not outdated, otherwise you'll have to upgrade it in order to be able to use the intended program.

You must take certain basic precautions while handling the hardware of computers. The most essential precaution is to ensure that the power supply to your computer is switched off, else it could cause an electric shock. Then, before you touch any part within the computer, ensure that you are not carrying any electric charge by connecting to a grounded piece of metal or you may procure an anti-static mat or wrist band available in the market. While inspecting the hardware components, you should look for broken or damaged component, as these are most likely the reasons for the computer malfunction. If a component does not fit in the slot, you are probably trying to fit it in the incorrect slot.

Once you know the hardware employed in your computer and the role it plays in the functionality of your computer, you'll be in a position to undertake its troubleshooting when it malfunctions. Each piece of hardware contributes to the successful function of the computer. To a large extent, the working of a computer depends on the quality of its hardware, making it imperative to keep it in good condition.

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Introduction to Silk Test Architecture

Normal use of an application consists of a person manipulating a keyboard and mouse to initiate application operations. The person is said to be interacting with the GUI (Graphical User Interface). During Silk Test testing, Silk Test interacts with the GUI to submit operations to the application automatically.

Thus Silk Test can simulate the actions of a person who is exercising all the capabilities of an application and verifying the results of each operation. The simulated user (Silk test) is said to be driving the application. The application under test reacts to the simulated user exactly as it would react to a human rest. Silk Test consists of two distinct software components that execute in separate processes:

The Silk Test host software

The 4Test Agent software

Silk Test host software

The Silk Test host software is the program you use to develop, edit, compile, run and debug your 4Test scripts and test plans. This manual refers to the system that runs this program as the host machine or the Silk Test machine.

The Agent

The 4Test Agent is the software process that translates the commands in your 4Test scripts into GUI-specific commands. In order words, it is the Agent that actually drives and monitors the application you are testing. One Agent can run locally on the host machine. In a networked environment, any number of Agents can run on remote machines. This manual refers to the systems that run remote Agents as target machines. This manual refers to the systems that run remote Agents as target machines. In a client/server environment, Silk Test drives the client application by means of an Agent process running on each application’s machine. The application then drives the server just as it always does. Silk Test is also capable of driving the GUI belonging to a server or of directly driving a server database by running scripts that submit SQL statements to the database. These methods o directly manipulating the server application are intended to support testing in which the client application drives the server.

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The Advantages and Disadvantages to Bug Tracking Software

Bug tracking has been around as early as the 1940’s, just not in a software form. In these early days, simply using a pen and a paper created tracking systems. It evolved from then to using spreadsheets. Now there is bug tracking software like the defect tracking tool and even more specific programs like Mantis and Bugzilla, just to name a couple. As with anything that evolves however, there will always be those that are 100% for the programs and those that are against it. This article will cover all claims – both positive and negative – of bug tracking software like the defect tracking tool.

The Positive Claims

It certainly depends on the type of bug tracking software that is used, but it seems as if there are many more advantages to these tools than disadvantages. The most obvious advantage is that these types of tools allow companies to keep a record of the issues that are recorded, who fixed them, and even how long it took to fix the issue for some types of programs. Customers are encouraged to be as detailed as they can be when requesting that an issue be fixed so that companies can complete their requests as quickly as possible. The fact that the issues are recorded and saved is a huge benefit for the companies because sending the recorded bug list with the purchased software is a common practice. This is a benefit to customers because if it is a common error, they can simply look up this issue in the previously recorded bug list. However, if the list is incredibly long (a common disadvantage) it can become more of a hassle.

The Negative Claims

As with anything that has a list of positive aspects there is also a list of negative aspects, though there are few. One of the biggest complaints is not so much from the bug tracking software or defect tracking tool itself but more from the process of submitting issue requests. Customers need to be extremely detailed with their issue requests if they want a detailed response. Miscommunication isn’t a fault of the product, the customer, or the company – it’s simply something that happens. Customers and companies alike both need to remember to be patient with each other and to treat each other with a mutual respect. A second complaint that was previously mentioned is the length of issues in some of these software programs.

Some customers don’t have the patience to look through a long list of software issues that have been previously recorded and this causes frustration among the companies that took the time to purchase software that saves them. The length of issues that are submitted can also become a problem because if there are too many issues submitted and not enough engineers to address them, some can get overlooked. Nobody likes to be forgotten, but usually these types of bug tracking software include detailed instructions and are easy to use.

Usually when a company purchases a bug tracking software or defect tracking tool it already has an experienced IT department in place. Whatever the software is that is being used with these programs should have some sort of backup for when the work is completed so it does not get lost if the issues that occur are deadly.

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