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Pay-per-view: CMS shifts 2-midnight rule responsibility to QIOs, finalizes packaging expansion

CMS finalized its proposals regarding the 2-midnight rule, including moving responsibility for rule enforcement and education from Recovery Auditors to Quality Improvement Organizations (QIO). This latter change occurred October 1, 2015.

For stays in which the physician expects the patient will need less than two midnights of hospital care, inpatient admission may be allowed on a case-by-case basis determined by the judgment of the admitting physician. The documentation must support the admission and will be subject to review by a QIO. CMS expects inpatient admission for minor surgical procedures to be unlikely and will prioritize those cases for medical review. For hospital stays expected to last two midnights or longer, CMS policy remains unchanged.
 
Continue reading "CMS shifts 2-midnight rule responsibility to QIOs, finalizes packaging expansion" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the January issue. 

HCPro.com – APCs Insider

How To Choose The Security Technology Used In Medical Packaging

Pharmaceutical Packaging Has now become closely linked with drugs and indispensable component of the rapid development and medicine, but as the impact of its being a fake is obvious.

First, it must be clear Anti-counterfeiting technology Is difficult to counterfeit technology, rather than a pirate technology. In fact, there is now the world has never been a kind of anti-counterfeiting technology that can not be deciphered, anti-counterfeit effect only through the “anti-counterfeit materials + processing + security Law Attack “can be realized with each other.

Second, security is a multi-faceted cooperation of long-term work, on the one hand to ensure that the leading technological content and uniqueness, once a technology more than three master, the security effect will be compromised; the other hand, the part of technology level must be the same high-tech (cost) content, mutual support, are indispensable, but not a monopoly, so it will not be a part of technology low, loopholes and even a vacuum, so that speculators take advantage of. But should be more concerned must work in all aspects of management oversight role to play, so security programs will truly achieve real results.

Different times and in different market demand, and the battle of wits with those who make the market there are lots of security tools. As distinguished from the anti-counterfeiting materials can be divided into: laser anti-counterfeit technology (laser coating, laser positioning hot stamping, hot non-positioning laser printing, true color laser light Polymer ), Security ink (Thermochromic inks, optical variable ink, etc.), the watermark Security paper , Fiber Composite security paper, nuclear track security, network security (telephone Security code , Coding security code) so. Way from the security process can be divided into: Print Security, Plate (Version grain) security, security labeling, security lamination, hot stamping security and so on.

So how many of the security measures from the market to find the most effective and appropriate their own security plan? Let’s start with fake reason for the existence of view, as consumers purchased products will not identify true and false, in fact more difficult to identify genuine and fake products is the packaging, leading to the real brand awareness and loyalty down , and sales channels, product sales devastating blow. This situation was due to the low threshold of its packaging, manufacture, easy to counterfeit, consumers can not identify true and false from its packaging; the other hand, Pharmacy Indeed, the security company also uses means, but in the identification process, the procedures to be complicated or specialized testing equipment, manufacture of the identification of man-made obstacles, not easy to identify the consumer on the spot, would not achieve an effective role, so to those who make opportunity to capitalize.

Based on this, our security program should be in two ways: on the one hand, market-based, security is not just for experts, to manufacturers, to Monitor Departments and a few other people to see, more is to different geographical markets, the majority of consumers see, must make them the first time, without specialized training can quickly identify the authenticity of the spot, that is easy to identify?? Public recognition simple, convenient and accurate; the other hand, anti-counterfeiting technology and means must be implemented in only a few people can not afford three or more, or will not achieve security of the unique nature. There needs to be noted on the credibility of the security technology unit of study visits and technical strength are equally important. In a market economy is not perfect in China, as a result of the economic interests of the two cargo owners, should be the various pharmaceutical companies must always be cautious, but regarded the use of security portfolio is the best way to avoid such risks (example: laser positioning holographic hot stamping + printing security + security + version of the watermark pattern paper … … security must be formulated for different combinations of the practical needs of the pharmaceutical companies), created in this manner provided by the co-operation with the core of anti-counterfeiting technology advantage?? powerful combination, which requires companies not only overcome the cost of false problems, technical difficulties, but also to break through a security barrier or even multi-channel, which can more effectively protect the interests of pharmaceutical companies and consumers.

Finally, security measures should not only packaging supplier, security and scientific research units provided for the pharmaceutical companies Service Projects with pharmaceutical companies should be the daily production management, market closely linked to, any part of the management oversight of all sectors are likely to naught. Anti-counterfeiting technology is not the protagonist of security work, but on the pharmaceutical industry security management, enabling users to add their own, only to effectively implement the management of all aspects of security program will truly achieve real results, the cost will be to achieve the best security Best value for money.

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Medical Packaging Material Summary – Medical Medical Packaging – Pharmaceutical Industries

Medical Packaging Materials Include: medical supplies for packaging or for packaging Medical Devices Packaging materials: can be taken, and contact with medical products or as functional (such as moisture, barrier, etc.) packaging packaging materials and so on. Since the development of polymer materials, plastic packaging materials packing materials in medical hold more key position.

Can take Pharmaceutical Packaging Material; such packaging materials are mainly capsules, microcapsules and Accessories . Commonly used with food starch, gelatin, ethyl cellulose, polyvinyl alcohol and so on.

Traditional packaging materials: such as wax, glass, ceramics, paper (board), and metal.

Plastic Packaging Materials: packaging materials in medical hold more key positions, as plastic as a packaging material with high strength and good barrier properties, light and portable, transparent, and many fine features, and thus become a modern medical packaging The main material, whether pharmaceuticals or medical devices packaging. In the pharmaceuticals packaging, in addition to a variety of plastic bags (including blood transfusion bags, etc.) Plastic bottles And so on, it should focus on to point out that pills help plastic blister packaging is * only developed a new packaging, it solves the access to several pieces after a few sheets and access to drugs often affect other film preservation is not the problem . Then a useful synthetic paper made of plastic, can be achieved by blocking bacteria, to provide for the realization of aseptic conditions.

L, medical plastic bottles.

Meet the medical and health requirements by the plastic; is the practical application of the plastic varieties are: polyethylene (PE), polypropylene (PP), polystyrene (PS), polyester (PET) and so on.

Divided into high-density polyethylene (HDPE, density> 0.94g/cm3), low density (LDPE, density layer 0.92-0.93g/cm) and linear low density (LLDPE, density 0.92 -o.93g/cm3), etc. In addition to polyethylene bottle, but also used for making caps. There are many grades of polypropylene, is the product of different copolymerization. PS no melting point, pure and crisp, so there are a variety of modified varieties, such as high impact strength polystyrene (HIPS).

PET plastic bottles in recent years to enter medical material, characterized by transparency, to see whether drugs bad, excellent barrier properties, especially moisture, which greatly benefit the preservation of drugs; easy to color or add some additives to meet specific requirements (such as UV resistance). To improve the oxygen barrier property. On copolymerization; such as adding acid.

2, thin film, composite film.

Pouch is usually made for doctors Pharmaceutical Packaging Application. Plasma composite film packaging bag is the most typical examples of pharmaceuticals. By pharmaceutical industry standards YY0236-1996 (pharmaceutical packaging composite film (General)) division, pharmaceutical packaging applications, films, composite films were:

Breathable film category in the bone paste application in medicine package has an important position. Manufacturing methods known to one of breathable film is used in membrane materials to add salt, wash away the salt after film technology.

3, sheet material and tablets of the blister packs.

Is the pharmaceutical packaging new technologies, new stage, the main materials used are aluminum foil, adhesives and plastic sheets; the plastic sheet and the main use of polyvinyl chloride (P VC ) Sheet and polyester (PET) sheet two.

Polyvinyl chloride (PVC) sheet requested non-toxic formula; PVC resin, ethylene oxide (VC) content of

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