10 Benefits of Drinking Water

I saw a video on You Tube that said we need to drink at least half our body weight in fluid ounces. So if you weigh 200 pounds, then you need to drink at least 100 fluid ounces every day. I would buy gallon jugs of water, but I rarely drank the whole gallon in a day. I noticed that the small bottles of water were measure in 16.9 fluid ounces. This was easy to measure.

I started to buy 24 packs of 16.9 ounce bottles of water. I made a goal to drink 10 bottles a day. I only weighed 190 pounds at that time but I knew that since I had severely dry skin then I probably needed to drink much more water than one half my body weight in fluid ounces. I probably drink an average of about eight 16.9 fluid ounce bottles of water each day. Since I started paying attention to the amount of water that I drink I noticed several things within only two weeks.

– The cracked, flaky skin on my legs started to clear up.
– The discoloration around my wrists disappeared completely. (The skin around my wrists had be extra dry and discolored for years.)
– My urine was either clear or light yellow (It was normally dark yellow.)
– The hard calloused skin on my feet started to soften up.
– I am more regular.
– I noticed a dramatic difference in my sexual performance. (There is nothing more devastating to the 30 something male self-esteem than the inability to "get it up.")
– I lost about 10 pounds of fat. (I was not trying to lose weight, but I am more ripped than I have ever been in my life!)

Those are just the things that I immediately noticed. I was so blown away that I looked up some of the other benefits of drinking water. Here are 10 benefits of drinking water.

1. Drinking water is good for fat loss. Water flushes out the by-product (waste) of fat breakdown. When there is not enough water to do this job the liver compensates, which diverts the livers attention from its more important job of burning fat. Also you will naturally eat less when you drink more water.
2. Drinking water is good for preventing certain ailments. Some ailments such as fatigue, headaches, muscle spasms, and back pain are caused by dehydration.
3. Drinking water can help you to look younger- What? Yes, water is the mythical fountain of youth. Water flushes toxins out of the skin. When you are properly hydrated your skin and muscles are more full and radiant. If you are not drinking enough water you may start to look more and more like Skeletor.
4. Drinking water is good for sexual performance. Yes it is true. Your pride and joy, the love muscle, is mostly comprised of water when it is at its peak performance.
5. Water is good for cleansing and detoxing. Spending tons of money on detoxing solutions without drinking lots of water is defeating the purpose, and may do more harm than good.
6. Drinking water reduces the risk of disease- cancer, heart attack
7. Drinking water helps you to recover from injuries quicker.
8. Drinking water will help to boost your immune system and mental acuity.
9. Drinking water increases energy and alertness
10. Drinking water cushions joints and muscles.

If 75% of your body is water and roughly 90% of your brain, does not it make sense to drink plenty of water? Drinking more water is just one thing you can do for better health. When you incorporate drinking more water with other healthy habits you will be well on your way to a healthier lifestyle.

Source by Jeremiah Carstarphen

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Possible Side Effects of Slimming Tea

Slimming tea is an herbal product that includes approximately 25% tea. Perhaps, the manufacturers and marketers are trying to latch onto the benefits of other pure teas by creating a beverage that is said to stimulate weight loss.

However, these herbal concoctions are filled with laxatives. There is a time in everyone’s life when a laxative may be warranted. Use for weight loss is not one of those times. Among the possible side effects of the use or abuse of these brewed beverages are:

  • Diarrhea
  • Stomach cramps
  • Nausea
  • Vomiting
  • Fainting
  • Chronic Constipation
  • Dehydration
  • GI Tract problems
  • And possibly death from extended abuse by those who suffer from anorexia or bulimia

  • These side effects may not manifest with occasional use or the first use. However, for some who have “delicate” systems, diarrhea and stomach cramps may occur after the first cup. It must be noted that there are times when the product is useful, especially if one is suffering from constipation. However, it must be further noted that extended use of laxatives in any form will make the body become dependent on them to stimulate the bodily functions. The end result may be that the very product one uses to override constipation may create a never ending cycle on dependency and necessity.

    It goes without saying that pregnant women should not use the products during the nine months of pregnancy as there could be disastrous results.

    Generally, nausea and vomiting follow more than the occasional use. Fainting and dehydration go hand in hand. Often these side effects follow repeated daily use. While death is not likely to be attributed to drinking a laxative filled product, it is understandable that extended use followed by vomiting, dehydration and fainting could eventually lead to death.

    Of particular note, many anorexia nervosa sufferers and those who experience bulimia are more likely to suffer the dire consequences of taking, or drinking, these slimming products daily. The psychological dependence can lead to physical dependence and to death. While no one is suggesting that any of the products are directly responsible for death, the abuse of any weight loss product by someone with a weight related disease should be a consideration.


    Perhaps, there is a place for these products in the cupboard, especially for those times when a laxative is needed. However, before using these products as a weight loss tool, one should be fully aware of the consequences that can arise from regular use or abuse.

    Source by Jena Jackson

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    Statutes in U.S. Healthcare System

    The healthcare field is the subject of a host of federal statutes, regulations, guidelines, interpretive information, and model guidance. There are a considerable number of statutes and regulations that have an impact on the delivery of healthcare services. A statute is legislative enactment that has been signed into law. A statute either directs someone to take action, grants authority to act in certain situations, or to refrain from doing so. Statutes are not self-enforcing. Someone must be authorized to do so to take action. A statute may authorize the Department of Health and Human Services to take action, and it is up to the department to implement the law. Regulations, or rules, are made by administrative personnel to whom legislatures have delegated such responsibilities. It is a tool for developing policies, procedures, and practice routines that track the expectations of regulatory agencies and departments. The statutory and regulatory requirements are subject to judicial interpretation.

    A very important element of healthcare management is to understand the key regulatory environment. One government statute that effects patient healthcare is the Anti-Kickback Statute. The Medicare and Medicaid Patient Protection Act of 1987 (the “Anti-Kickback Statute”), has been enacted to prevent healthcare providers from inappropriately profiting from referrals. The government regards any type of incentive for a referral as a potential violation of this law because the opportunity to reap financial benefits may tempt providers to make referrals that are not medically necessary, thereby driving up healthcare costs and potentially putting patient’s health at risk. The Anti-Kickback statute is a criminal statute. Originally enacted almost 30 years ago, the statute prohibits any knowing or willful solicitation or acceptance of any type of remuneration to induce referrals for health services that are reimbursable by the Federal government. For example, a provider may not routinely waive a patient’s co-payment or deductible. The government would view this as an inducement for the patient to choose the provider for reasons other than medical benefit. While these prohibitions originally were limited to services reimbursed by the Medicare or Medicaid programs, recent legislation expanded the statute’s reach to any Federal healthcare program. Because the Anti-Kickback statute is a criminal statute, violations of it are considered felonies, with criminal penalties of up to $25,000 in fines and five years in prison. Routinely waiving copayments and deductibles violates the statute and ordinarily results in a sanction. However, a safe harbor has been created wherein a provider granting such a waiver based on a patient’s financial need would not be sanctioned. The enactment of the 1996 Health Insurance Portability and Accountability Act (HIPAA) added another level of complexity to the Anti-Kickback statute and its accompanying safe harbors. HIPAA mandated that the OIG (Office of Inspector General) furnish advisory opinions to requesting providers that are either in an arrangement or contemplating an arrangement that may not fit squarely within the law. For a fee, the OIG would analyze the arrangement and determine whether it could violate the law and whether the OIG would impose sanctions on the arrangement. In many of its advisory opinions published over the past few years, the OIG has stated that it would not impose sanctions, even though it found that the arrangement in question could violate the statute. A common reason the OIG has given for not imposing sanctions has been that the arrangement provides an overall benefit to the community. Healthcare finance professionals need to ensure that all business transactions comply with the Anti-Kickback statute.

    The Anti-Kickback statute effects the patient. The main aim of this statute is to improve patient safety, provide satisfaction and avoid risk. The result of the acquisition of a physician’s practice would serve to interfere with the physician’s subsequent judgment of what is the most appropriate care for a patient. It would also interfere with a beneficiary’s freedom of choice of providers.

    Physicians have direct patient care responsibilities. Any incentive payments to such physicians that are either tied to overall costs of patient treatment or based on a patient’s length of stay could reduce patient services. Also, the profits generated by cost savings may induce investor-physicians to reduce services to patients. Health care programs operate on the good faith and honesty of health care providers. It is important to ensure that quality services are provided at the hospital. The Anti-Kickback statute helps the government not to tolerate misuse of the reimbursement systems for financial gain and hold the responsible parties accountable for their conduct. Such conducts can also prompt patient complaints. The hospitals and physicians who are interested in structuring gainsharing arrangements might adversely affect patient care.

    The Anti-Kickback statute creates a protective umbrella, a zone in which patients are protected so that the best health care is provided. This statute helps to improve efficiency, improve quality of care, and provide better information for patients and physicians. The Anti-Kickback statute is not only a criminal prohibition against payments made purposefully to induce or reward the referral or generation of Federal health care business, it also addresses the offer or payment of anything of value in return for purchasing, leasing, ordering of any item or service reimbursable in whole or part by a Federal health care program. It helps to promote quality and efficient delivery of health care transparency regarding health care quality and price.

    There are millions of uninsured patients who are unable to pay their hospital bills. Giving a discount on hospital charges to an uninsured patient does not implicate the Federal Anti-Kickback statute. Most need-based discounting policies are aimed at making health care more affordable for the millions of uninsured citizens who are not referral sources for the hospital. For discounts offered to these uninsured patients, the Anti-Kickback statute simply does not apply. It is fully supported that a patient’s financial need is not a barrier to health care. Furthermore, OIG legal authorities permit hospitals and others to offer bonafide discounts to uninsured patients and to Medicare or Medicaid beneficiaries who cannot afford their health care bills. The Anti-Kickback statute is concerned about improper financial incentives that often lead to abuses, such as overutilization, increased program costs, corruption of medical-decision making, and unfair competition.

    There are risk management implications of this statute. There are risks associated with the Anti-Kickback statute and its good to prevent them. Rather than be an imposing and daunting challenge to understand, the outcome can be development of risk management systems to guide the delivery of health care. This fact is recognized that such statutes are an important attribute of the risk management professional. For example there are potential risks under the Anti-Kickback statute arising from hospital relationships. In case of joint ventures there has been a long-standing concern about arrangements between those in a position to refer or generate Federal health care program business and those providing items or services reimbursable by Federal health care programs. In the context of joint ventures, the chief concern is that remuneration from a joint venture might be a disguised payment for past or future referrals to the venture or to one or more of its participants. The risk management should be done by having a knowledge of the manner in which joint venture participants are selected and retained, the manner in which the joint venture is structured and the manner in which the investments are financed and profits are distributed. Another area of risk is the hospital’s compensation arrangements with physicians. Although many compensation arrangements are legitimate business arrangements, but may violate the Anti-Kickback statute if one purpose of the arrangement is to compensate physicians for past or future referrals. Risk management is to follow the general rule of thumb that any remuneration flowing between hospitals and physicians should be at fair market value for actual and necessary items furnished or services.

    Risk management is also needed in entities such as in cases where a hospital is the referral source for other providers or suppliers. It would be prudent for the hospital to scrutinize carefully any remuneration flowing to the hospital from the provider or supplier to ensure compliance with the Anti-Kickback statute. Also, many hospitals provide incentives to recruit a physician or other health care professional to join the hospital’s medical staff and provide medical services to the surrounding community. When used to bring needed physicians to an underserved community, these arrangements can benefit patients. However, recruitment arrangements pose substantial fraud and abuse risk. This can be prevented by having knowledge of the size and value of the recruitment benefit, the duration of payout of the recruitment benefit, the practice of the existing physician and the need for the recruitment. Another area where risk management is to be applied is when the discounts are given. The Anti-Kickback statute contains an exception for discounts offered to customers that submit claims to the Federal health care programs. The discounts should be properly disclosed and accurately reported. The regulation provides that the discount must be given at the time of sale or, in certain cases, it should be set at the time of sale. This will help in risk management. It is also needed in medical staff credentialing and malpractice insurance subsidies.

    The key areas of potential risk under the Federal Anti-Kickback statute also arise from pharmaceutical manufacturer relationships with 3 groups: purchasers, physicians or other health care professionals, and sales agents. Activities that pose potential risk include discounts and other terms of sale offered to purchasers, product conversion, consulting and advisory payments. The pharmaceutical manufacturers and their employees and agents should be aware of the constraints the Anti-Kickback statute places on the marketing and promoting of products paid for by federal and state health care programs. To that end, the draft guidance recommends pharmaceutical manufacturers ensure that such activities fit squarely within one of the safe harbors under the Anti-Kickback statute. The Department of Health and Human Services has promulgated safe harbor regulations that protect certain specified arrangements from prosecution under the Anti-Kickback Statute.

    Healthcare being one the most regulated of all sectors of commerce, it is important that all facts and circumstances with respect to the statutes and regulations are evaluated.

    Source by Meenu Arora Kapur

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    Supplemental Infertility Insurance – When Your Employer’s Plan Does Not Cover IVF

    Infertility treatments are very expensive, and there are no guarantees that you will conceive. Health insurance plans that cover IVF and other infertility treatments are hard to find. Fourteen states have laws mandating some level of coverage, but each state mandate is full of holes; most couples have little or no coverage.

    If you employer does not offer a group plan with infertility coverage, your chances of finding individual coverage is slim. And if you do find coverage, it comes in the form of a rebate. You get a partial refund if you don’t conceive. But this approach covers your smaller exposure: the cost of infertility treatment that fail. Your costs are just beginning when you conceive.

    Wouldn’t it make sense to purchase insurance coverage that pays benefits for you bigger exposure: you conceive and have a baby? Supplemental insurance pays a benefit for your normal delivery. Your benefit may greatly exceed the premium you pay. Use this excess to cover some of your infertility treatment costs.

    State Mandates for Group Coverage

    Fourteen states have health insurance laws that mandate some form of coverage for infertility treatments, and sometimes for IVF explicitly. If you are fortunate to live in one of these states, or work for an employer headquartered in these state, count yourself very lucky. You have at least some level of coverage.

    Couples living in one of these states are not guaranteed infertility coverage. Some states have a mandate to offer coverage. Insurers are required to offer these plans, but employers are not compelled to buy them. Other states limit the mandate to employer groups of a certain size based upon the number of employees. States can only regulate insurers. If your employer self ensures, they are exempt from the regulations. Also if your employer is headquartered in one of the thirty six states with no state mandate, they are exempt as well.

    If you live in one of the thirty six states with no mandate, you are on your own.

    Individual Health Coverage for Infertility

    Most infertility health insurance options sold to individuals are rebate plans. You are refunded a portion of your infertility or IVF treatment cost if you do not conceive and/or delivery a baby. The insurer will provide this option only if you qualify medically.

    Many couples find this option appealing – after all who wants to pay lots of money only to get nothing in return? Upon closer inspection, these plans don’t make sense for everybody for three reasons. First, insurer offers the refund program only to couples likely to conceive based upon their extensive knowledge of fertility rates and medical conditions. Second, couples are asked to bet against the insurer who is better informed, and has deeper pockets. Third, this insurance fails to address couples biggest exposure: when happens when they get pregnant?

    When infertility treatments fail, you get a portion of your money back. When they work, you pay for the insurance, plus the infertility treatment, and then have to deal with the possibility of a high risk pregnancy, followed by a loss of maternity leave income, followed by the cost of raising a child.

    Individual Coverage for Your Bigger Exposure

    Supplemental insurance, when purchased preconception provides a means to cover some of your infertility treatment costs, and protect you in case of complications. Your benefit for normal delivery may greatly exceed the premium you pay. Use this excess to fund some of your infertility treatment costs. Plus, you have extra security in case of complications, premature birth, accidents and illnesses – all at no additional cost.

    Source by Kevin Haney

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    Hotel California Meets the Great Gatsby – Music As a Teaching Resource For Literature

    The most famous artistic product of the boozy 1920’s is F. Scott Fitzgerald’s The Great Gatsby, a novel about a man trying to recreate an ideal past in a drunken, materialistic present. It’s one of those books just about everyone has a strong impression of whether or not they’ve actually read it – which makes it hard for many to approach the story with fresh eyes.

    If you’re a teacher looking for interesting, relevant ways to dig into The Great Gatsby, why not try something like this on for size: the 1920’s were to WWI what the 1970’s were to the hippy movement. The unprecedented global carnage following the so-called “War to End All Wars” turned disillusioned Americans inwards, setting their priorities on money, bootlegged liquor, and partying. Similarly, after the hippies failed to elevate worldwide consciousness with peace, love, and patchouli oil, 1970’s America drowned its sorrows in disco, drugs, and polyester pants.

    As an assignment, have your students compare The Great Gatsby to a 1970’s song in this same vein. Take, for example, The Eagles’ Hotel California, one of the best-selling and most recognizable songs from this (or any) era of American history.

    Hotel California boasts some of the most analyzed and memorized lyrics in rock and roll. If the element of mystery means a lot to you, you’ll probably be disappointed to hear Don Henley’s two cents: “It’s basically a song about the dark underbelly of the American dream.” Not that a bunch of rock stars would know anything about that. In other words, the symbol of Californian prosperity (back when that still existed) stands in as a microcosm of American decadence in the 1970’s.

    The “hotel” (wink, wink) California is no Motel 6. It has mirrored ceilings, courtyards, master’s chambers, pink champagne, and high-falutin’ guests. The narrator can’t help but notice the seductive woman with a Benz, a mind that’s “Tiffany-twisted,” and a lot of hot guys following her around. He asks for wine, to which the captain famously replies, “We haven’t had that spirit here since 1969.” Since wine isn’t a spirit (and we’re betting The Eagles have a basic understanding of liquor), we’re going to go ahead and assume Henley is referring to some other spirit of ’69.

    In a creepy turn of events, there is then a beast-killing ceremony involving “steely knives,” which prompts the narrator to high-tail it “back to the place [he] was before.” Only when it’s too late does he realize that he can “check out” but “never leave.” How, pray tell, can a person be checked out without going anywhere physically? We’re thinking there might be some chemistry involved.

    So let’s review: luxury, substance abuse, a beautiful temptress, materialism, violence, living in the past, and being trapped. Remind you of anyone?

    As a rule of thumb, music is one of the best teacher resources because it can be deeply personal and easily relatable at the same time. Plus, the fact that lyrics are usually highly open to interpretation means your students will be putting in a lot more work than they think.

    Source by Paul Thomson

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    Statutes in U.S. Healthcare System

    The healthcare field is the subject of a host of federal statutes, regulations, guidelines, interpretive information, and model guidance. There are a considerable number of statutes and regulations that have an impact on the delivery of healthcare services. A statute is legislative enactment that has been signed into law. A statute either directs someone to take action, grants authority to act in certain situations, or to refrain from doing so. Statutes are not self-enforcing. Someone must be authorized to do so to take action. A statute may authorize the Department of Health and Human Services to take action, and it is up to the department to implement the law. Regulations, or rules, are made by administrative personnel to whom legislatures have delegated such responsibilities. It is a tool for developing policies, procedures, and practice routines that track the expectations of regulatory agencies and departments. The statutory and regulatory requirements are subject to judicial interpretation.

    A very important element of healthcare management is to understand the key regulatory environment. One government statute that effects patient healthcare is the Anti-Kickback Statute. The Medicare and Medicaid Patient Protection Act of 1987 (the “Anti-Kickback Statute”), has been enacted to prevent healthcare providers from inappropriately profiting from referrals. The government regards any type of incentive for a referral as a potential violation of this law because the opportunity to reap financial benefits may tempt providers to make referrals that are not medically necessary, thereby driving up healthcare costs and potentially putting patient’s health at risk. The Anti-Kickback statute is a criminal statute. Originally enacted almost 30 years ago, the statute prohibits any knowing or willful solicitation or acceptance of any type of remuneration to induce referrals for health services that are reimbursable by the Federal government. For example, a provider may not routinely waive a patient’s co-payment or deductible. The government would view this as an inducement for the patient to choose the provider for reasons other than medical benefit. While these prohibitions originally were limited to services reimbursed by the Medicare or Medicaid programs, recent legislation expanded the statute’s reach to any Federal healthcare program. Because the Anti-Kickback statute is a criminal statute, violations of it are considered felonies, with criminal penalties of up to $25,000 in fines and five years in prison. Routinely waiving copayments and deductibles violates the statute and ordinarily results in a sanction. However, a safe harbor has been created wherein a provider granting such a waiver based on a patient’s financial need would not be sanctioned. The enactment of the 1996 Health Insurance Portability and Accountability Act (HIPAA) added another level of complexity to the Anti-Kickback statute and its accompanying safe harbors. HIPAA mandated that the OIG (Office of Inspector General) furnish advisory opinions to requesting providers that are either in an arrangement or contemplating an arrangement that may not fit squarely within the law. For a fee, the OIG would analyze the arrangement and determine whether it could violate the law and whether the OIG would impose sanctions on the arrangement. In many of its advisory opinions published over the past few years, the OIG has stated that it would not impose sanctions, even though it found that the arrangement in question could violate the statute. A common reason the OIG has given for not imposing sanctions has been that the arrangement provides an overall benefit to the community. Healthcare finance professionals need to ensure that all business transactions comply with the Anti-Kickback statute.

    The Anti-Kickback statute effects the patient. The main aim of this statute is to improve patient safety, provide satisfaction and avoid risk. The result of the acquisition of a physician’s practice would serve to interfere with the physician’s subsequent judgment of what is the most appropriate care for a patient. It would also interfere with a beneficiary’s freedom of choice of providers.

    Physicians have direct patient care responsibilities. Any incentive payments to such physicians that are either tied to overall costs of patient treatment or based on a patient’s length of stay could reduce patient services. Also, the profits generated by cost savings may induce investor-physicians to reduce services to patients. Health care programs operate on the good faith and honesty of health care providers. It is important to ensure that quality services are provided at the hospital. The Anti-Kickback statute helps the government not to tolerate misuse of the reimbursement systems for financial gain and hold the responsible parties accountable for their conduct. Such conducts can also prompt patient complaints. The hospitals and physicians who are interested in structuring gainsharing arrangements might adversely affect patient care.

    The Anti-Kickback statute creates a protective umbrella, a zone in which patients are protected so that the best health care is provided. This statute helps to improve efficiency, improve quality of care, and provide better information for patients and physicians. The Anti-Kickback statute is not only a criminal prohibition against payments made purposefully to induce or reward the referral or generation of Federal health care business, it also addresses the offer or payment of anything of value in return for purchasing, leasing, ordering of any item or service reimbursable in whole or part by a Federal health care program. It helps to promote quality and efficient delivery of health care transparency regarding health care quality and price.

    There are millions of uninsured patients who are unable to pay their hospital bills. Giving a discount on hospital charges to an uninsured patient does not implicate the Federal Anti-Kickback statute. Most need-based discounting policies are aimed at making health care more affordable for the millions of uninsured citizens who are not referral sources for the hospital. For discounts offered to these uninsured patients, the Anti-Kickback statute simply does not apply. It is fully supported that a patient’s financial need is not a barrier to health care. Furthermore, OIG legal authorities permit hospitals and others to offer bonafide discounts to uninsured patients and to Medicare or Medicaid beneficiaries who cannot afford their health care bills. The Anti-Kickback statute is concerned about improper financial incentives that often lead to abuses, such as overutilization, increased program costs, corruption of medical-decision making, and unfair competition.

    There are risk management implications of this statute. There are risks associated with the Anti-Kickback statute and its good to prevent them. Rather than be an imposing and daunting challenge to understand, the outcome can be development of risk management systems to guide the delivery of health care. This fact is recognized that such statutes are an important attribute of the risk management professional. For example there are potential risks under the Anti-Kickback statute arising from hospital relationships. In case of joint ventures there has been a long-standing concern about arrangements between those in a position to refer or generate Federal health care program business and those providing items or services reimbursable by Federal health care programs. In the context of joint ventures, the chief concern is that remuneration from a joint venture might be a disguised payment for past or future referrals to the venture or to one or more of its participants. The risk management should be done by having a knowledge of the manner in which joint venture participants are selected and retained, the manner in which the joint venture is structured and the manner in which the investments are financed and profits are distributed. Another area of risk is the hospital’s compensation arrangements with physicians. Although many compensation arrangements are legitimate business arrangements, but may violate the Anti-Kickback statute if one purpose of the arrangement is to compensate physicians for past or future referrals. Risk management is to follow the general rule of thumb that any remuneration flowing between hospitals and physicians should be at fair market value for actual and necessary items furnished or services.

    Risk management is also needed in entities such as in cases where a hospital is the referral source for other providers or suppliers. It would be prudent for the hospital to scrutinize carefully any remuneration flowing to the hospital from the provider or supplier to ensure compliance with the Anti-Kickback statute. Also, many hospitals provide incentives to recruit a physician or other health care professional to join the hospital’s medical staff and provide medical services to the surrounding community. When used to bring needed physicians to an underserved community, these arrangements can benefit patients. However, recruitment arrangements pose substantial fraud and abuse risk. This can be prevented by having knowledge of the size and value of the recruitment benefit, the duration of payout of the recruitment benefit, the practice of the existing physician and the need for the recruitment. Another area where risk management is to be applied is when the discounts are given. The Anti-Kickback statute contains an exception for discounts offered to customers that submit claims to the Federal health care programs. The discounts should be properly disclosed and accurately reported. The regulation provides that the discount must be given at the time of sale or, in certain cases, it should be set at the time of sale. This will help in risk management. It is also needed in medical staff credentialing and malpractice insurance subsidies.

    The key areas of potential risk under the Federal Anti-Kickback statute also arise from pharmaceutical manufacturer relationships with 3 groups: purchasers, physicians or other health care professionals, and sales agents. Activities that pose potential risk include discounts and other terms of sale offered to purchasers, product conversion, consulting and advisory payments. The pharmaceutical manufacturers and their employees and agents should be aware of the constraints the Anti-Kickback statute places on the marketing and promoting of products paid for by federal and state health care programs. To that end, the draft guidance recommends pharmaceutical manufacturers ensure that such activities fit squarely within one of the safe harbors under the Anti-Kickback statute. The Department of Health and Human Services has promulgated safe harbor regulations that protect certain specified arrangements from prosecution under the Anti-Kickback Statute.

    Healthcare being one the most regulated of all sectors of commerce, it is important that all facts and circumstances with respect to the statutes and regulations are evaluated.

    Source by Meenu Arora Kapur

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    Top 10 Physics Tips

    Physics is a very interesting and thought provoking subject. Even though it is an interesting area of study, many students have a rough time passing physics exams. The reason for this is that they have not developed proper study strategies that might help them ace the subject. The following tips are designed to help students pass their physics exams.

    1. Develop an interest in physics

    There is no way you are going to excel in physics if you are not committed and interested in the subject. This fact also applies to other activities in life. You need to get involved in the subject by learning something new every day. A good idea is to find something related to physics in your everyday life.

    2. Keep up with the subject

    It is good to stay up to date with the subject than playing catch up. Once you fall behind, it will be hard for you to get hold of the concepts and this will negatively impact your exam performance. It is easy for you to study throughout the school period than trying to master concepts days before the exam.

    3. Go through your lecture notes before class

    Doing this allows you to understand what the teacher will say and you will not need to write everything the tutor says. Reading physics notes beforehand enable you to have ample time to ask questions.

    4. Set aside time each day

    You will absorb more physics content if you devote time each day reviewing the course materials. It is essential that you devote at least 1 hour each day rather than trying to read a huge portion once a week.

    5. Create or join small study groups

    Two heads are better than one. This saying is also true when it comes to excelling in physics. You need join a size-able group; let’s say of 3 to 5 members who are devoted to helping each other understand the subject.

    6. Go through past exam papers

    Going through previous exam papers is the best way of getting to know the feel of actual exam questions. It is advisable to time yourself when answering the questions. You can mark the test exam yourself or give it to your teacher.

    7. Develop an interest in math

    A lot of physic questions involve calculations and it goes without saying that you will have to be good in math to score highly in physics exam. Do not only memorize formulas but get to learn about the principles behind the formulas.

    8. Pay attention to definitions

    Physics has plenty of definitions that you need to master if you want to excel. Make sure you understand the real meaning of common terms used in the subject. Some words may be used interchangeably in English but may have different meaning in physics.

    9. Attend all lab sessions

    Physics does have lots of practical sessions, which you need to attend if you want to ace your exams. Have a curious attitude during the practical lessons and do not be afraid to ask questions.

    10. Believe in yourself

    Have the right attitude concerning the subject. If you tell yourself that physics is hard, chances of you excelling will be very low.

    Source by G Euden

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    The Ultimate Guide to Commitment Phobic Men

    Commitment phobic men are masters at deceptively keeping you hooked on them.

    Just about every woman has dated at least one commitment phobic man in her life. They are the ones who keep you waiting for the day they’ll finally agree to live with you or marry you or commit exclusively to you. But they never do. When you meet them they are hard to resist because they compliment you and appeal to your vanity. And they lie. They lie about being in love with you, they lie about wanting to date you long term, they lie about not wanting just a sexual fling. And they don’t care.

    Here are examples of Commitment Phobic Male Behavior:

    • You date for one week and he tells you he loves you, the next week you never hear from him again
    • You date for a month and he tells you he only wants to date you, then you find out a friend saw him flirting at a party with someone else…the night he was too tired to go out with you
    • You live with him for 8 years and he still won’t marry you
    • He still doesn’t call you his girlfriend and sees his mom more than he sees you, after one year of dating

    Commitment phobic men are men who cannot commit to you with the emotional intimacy of marriage or living together because they are emotionally attached to someone or something else that makes emotional intimacy with you impossible.

    I know you’re thinking right now, “But how can I avoid these men when I don’t know if a guy is commitment phobic until after we’ve dated for weeks or months?

    Actually, it’s easy to spot a commitment phobic man when you first meet him, just by talking to him for a short period of time, before you even date him. You just need to know what behavior traits to look for. You must focus on certain signs a guy gives you that are indications of commitment phobic problems. These “red flags” are glaringly apparent when you know what they are. But even if you know what they are, you must summon the inner strength to ignore a commitment phobic man’s charismatic charm, the appeal of his compliments, and your codependent desire to care for him.

    Don’t even give a guy like this a chance by dating him even once, if it’s possible. Once you date him, he’ll trap you with his bag of deceptive tricks, and manipulate you into feeling a comfortable false sense of emotional intimacy by telling you “You’re the woman I’ve always dreamed of finding”.

    It’s important to know the ploys and manipulative behavior of these men. They have the ability to make a woman feel a “codependent” need to take care of them by appealing to her need to feel special by taking care of others. They paint themselves as helpless victims of past love relationships, past failed jobs, and parents who abused them; and this makes a woman feel vulnerable to wanting to “fix” their lives and be the one to finally make them happy.

    If you were the one in your family tending to the emotional needs of your parents or siblings, you will be easily lured into the world of a commitment phobic man. I highly suggest you read books on codependency by Melodie Beatty and learn what codependency is. It’s important to know if you are susceptible to the charm of commitment phobic men due to your codependent behavioral upbringing.

    Commitment phobic men hide behind a persona of charm and adulation towards women that completely camouflages how they truly feel inside. Behind the charming façade of a commitment phobic man’s outer persona, is a man who wants to control, deceive and abuse women. They are unhappy with their lives and often blame a woman in their past for ruining it. Of course, this blame started with their mother, and has now transferred onto another woman in their life. But usually they don’t realize the first seed of hatred towards women, and desperate neediness of them, started with their mother.

    These men don’t trust women, like women, respect women or admire women – they hate them. Many of these men are victims of verbal and sexual abuse as children. They have mothers who made their lives miserable, and now they will let out their anger and resentment on you.

    When you first meet a commitment phobic man, he will have certain behavior traits that creep into his facade of adulation towards you. It’s important to see these traits as red flags that signal how potentially disastrous dating a man like this can be. These initial behavior traits may seem innocent enough, but they are telltale signs of bigger problems to come. I call them 1st Stage Behavior Traits because this is the behavior you can detect when first meeting or dating a commitment phobic.

    1st Stage Behavior Traits of Commitment Phobic Men:

    Behavior Trait #1: He will single out insecure women who need attention and compliments to feel good about their life. Then he will say something to a woman that is slightly inappropriate about how sexually alluring she looks. This helps them find the woman who will put up with their problems because her self worth is tied up in someone else’s opinion of her. This is the kind of woman they can control. The woman who doesn’t walk away in disgust is their next victim.

    Behavior Trait #2 He will keep the truth about his past life, his finances, his past relationships, his relationship with his mother, and how he truly feels about commitment from you. The real him will be well hidden from your outer view. Most commitment phobic men have deep feelings of shame about themselves and their life and they will hide that shame by doing things to cover up the truth about their life.

    One commitment phobic guy I dated didn’t have a decent car, so he used his mother’s car to impress me, but never told me he was using her car until a month of dating him. Another guy I dated took me out to an expensive restaurant on a first blind date and constantly tipped the waiters with large bills. Then I realized on the 2nd date he really couldn’t afford to be so extravagant when I saw his “down and out” apartment lifestyle. He had to give me a false impression about having lots of money, as if that one night would cloud my ability to see his dismal apartment.

    There is nothing wrong with a guy wanting to impress you on a date by taking you to a nice restaurant or driving his parent’s car. But there is something wrong with a guy deliberately presenting himself as someone he isn’t just to keep you from knowing the real him. If he has to keep facts about his life from you, he isn’t honest, regardless of the reason he’s doing it. Unfortunately many women who first date commitment phobic men catch a deception, and then they make excuses for why he did it. They don’t realize that once you accept any deception, you will be dealing with bigger lies and secrets to come.

    Behavior trait #3: You can never have a conversation with him about what his relationship goals are. He’ll act uncomfortable, and sometimes visibly annoyed. If you sense he isn’t open to a future that includes the kind of commitment you are looking for from a man, don’t consider dating him. Men who won’t commit in relationships will show you by their facial expression and behavior, when you bring up the subject of commitment that it’s one subject they don’t care to discuss. You must realize he has commitment issues when he freezes up when you talk about what you are looking for in a long term relationship. And if he tells you he never wants to get married, he’s doing you a big favor. Believe him and don’t think you can change him, regardless of how much he tells you “you’re the woman of his dreams”. Don’t even consider being the one who’ll be that loving wife he never found. Remember this: with commitment phobic men, it’s not only what they say that matters; it’s their attitude about certain subjects and what you sense they are keeping from you. It’s that unsettling feeling in your gut that this guy isn’t being totally honest with you.

    If you do continue to date a guy like this, you’ve accepted behavior that already sets the tone for how he’ll continue to treat you, which will be all about what matters to him. Many women feel it isn’t their right to talk about their relationship needs when they first meet a guy. They feel they will scare the guy away because he’ll immediately think they want to marry him. Wrong! This is the time you must talk about what you want in life. If you don’t tell a guy you want to get married and have kids one day, you will give up your right to expect to get it down the road as far as he’s concerned. Commitment phobic men don’t waste their time with women who declare confidently that they want to get married and have kids. It’s the surest way to watch them disappear.

    Behavior trait#4: Another surefire sign that a guy is a commitment phobic is when he will never do anything on time and will always change the time and day of your date or be late for your date. He will also never agree with your suggestion about the date. If you make a decision about the movie you want to see or the restaurant you want to go to, he will want to try a different one. If you accept this behavior, he will continue to act controlling with you, by never focusing on pleasing YOU in the relationship. Of course, you may not notice these first signs when he keeps telling you how beautiful you are and how he can’t wait to make love to you. You won’t be annoyed that he’s always late when he flatters you all the time, right? He is setting up control in the relationship; one that gives him the right to dictate to you what the terms of the relationship will be. And those terms will not include committing to you.

    Behavior trait #5: He will make you feel like the most beautiful woman on the planet. He will shower you with his desire for you and give you compliments to an extreme. He will tell you that you are the only woman who understands him, makes him feel such intense attraction, and that he knows he will fall in love with you because you are the woman of his dreams (if he isn’t in love with you already). This is all to distract you from getting to know the real person behind those compliments, seeing all those deceptions and false pretenses.

    Behavior trait #6: He will have a dependent personality which means he will need you to take care of him and he will only appreciate you when you do things for him. He will paint himself as a victim of life with bad luck and bad, cruel women. “Thank god he’s finally found you” will be his motto. That is, until he gets bored with you and moves on to someone else. And even if he doesn’t, he’ll never commit to you or fulfill you emotionally. He will lump you in the pile of all those other cruel women who never understand him or care about him. And all you will feel when he moves on is how much you were used and unappreciated.

    It’s easy to spot a commitment phobic man when you notice these behavior traits. Usually the first behavior trait is hard to detect until you’ve dated him for awhile and realize the real truth about his life and his past. But the other behavior traits show up immediately: his constant barrage of compliments and making you feel like you are the woman of his dreams; his first comment to you being inappropriate about your physical appearance (or inappropriate touching); his victim mentality about past relationships; his reluctant, almost angry attitude about talking about commitment in a relationship, his constant control of how you both spend your time together by always being late and wanting to change plans and never letting you decide what to do on a date.

    These behavior traits may seem harmless and insignificant, but they are red flag signs of serious trouble to come.

    See the signs, and when you do, close the door on his opportunity to date you. You deserve a man who offers you so much more.

    Source by Beth Cofone

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    A Guide to Managing Fallen Arches

    If you have recently visited a podiatrist or chiropractor who has diagnosed you with fallen arches, you may be interested in learning about healthy lifestyle changes. The best way to prevent the pain from fallen arches or flat feet is to understand how balance and harmony between bones and muscles can be improved. When the body suffers from diminished arch support this causes stress and pressure to be placed in other parts of the foot, ankle, and leg which cannot support the weight. This causes friction between bones, tendons, and ligaments which impairs the overall balance of the whole body. There are different steps one can take to prevent chronic conditions from forming due to the presence of fallen arches.

    The best way to prevent the common problems associated with fallen arches is through balancing your lower extremities and vertebral canal. When you offer your body extra support you are able to move pain free. Inflammation is a biological process which is stimulated when bones and muscles interfere with each other and tissue damage occurs. This is one reason why those who suffer from reduced arch support are prone to ankle, leg, hip and back pain. Tissues are more easily damaged, the area becomes inflamed, and inflammation means pain. Fallen arches and flat feet may be worsened with age and the onset of arthritis.

    The Best Therapeutic Care for Your Fallen Arches

    Collapsed foot arches can be corrected through several therapeutic means such as orthotic insoles and even acupuncture therapy, as well as customizing your shoes. The key is to balance the bones, muscles and tendons so that the joints do not suffer from an abnormal amount of weight being placed on them. This is one of the primary reasons for the inflammation of joints in the lower extremities. When inflammation and swelling occurs near a joint such as the ankle or the knee, it can damage surrounding structures and can potentially lead to infection.

    In order to make healthy lifestyle changes to accompany healing of the foot arches and to avoid complications with your fallen arches, you may need to make adjustments to your daily activities. Depending on the severity of your symptoms, you may need rest and avoid strenuous activities from time to time, especially if you have a very fast paced and physical lifestyle. This will also help to avoid straining or tearing muscles that are involved in foot motion. Preventing excessive weight and pressure to be placed on parts of the foot such as the heel or ankle can reduce likelihood of inflammation and foot pain.

    Improving foot biomechanics to absorb shock and pressure on joints is absolutely essential to relieving inflammation and swelling of joints caused by problematic arches. Fallen arches can lead to other foot problems such as inflammation of tendons and the stiffness of the ankle which inhibits normal walking capabilities. Physical therapy, acupuncture and even chiropractic care may be recommended if treating your condition independently does not prove to be effective. These healing arts offer the body the ability to grow and enhance strength so that imbalances do not occur through the skeletal or muscular systems. They can be a real help to people with fallen arches.

    Source by Michael Scott-Marshall

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    The Wrinkle Cleanse – 4 Simple Steps to Softer, Younger Looking Skin

    Oh that mythical fountain of youth! We've longed to find it since the sixteenth century when Juan Ponce de Leon sought the mysterious waters that would cure aging. Though we joke about that magical fountain, the truth is that the "waters of youth" can actually be viewed as the fluids within our own bodies that carry nutrients to our cells, feeding them and flushing away cellular waste. If those fluids contain even small amounts of toxins, cells can not excrete waste or take in nutrients efficiently.

    In 1912 French physician and biologist Dr. Alex Carrel of the Rockefeller Institute won a Nobel Prize in medicine for his work on the immortality of the cell. Dr. Carrel experimented with various tissues and organs, keeping them alive in laboratory experiments with pure nutrients and continuously cleansing away wastes. His research indicated that aging takes place because minute amounts of toxic substances build up in the blood and other fluids throughout the body. This led Dr. Carrel to conclude: "The cell is immortal. It is merely the fluids in which it floats that degenerates. Renew this fluid at proper intervals, and give the cells nourishment upon which to feed, and so far as we know, the pulsation of life He may go on forever. "

    Wrinkled sagging skin begins with the plasma membrane. This membrane is where most damage occurs. As this membrane ages, it stiffens and loses its fluidity. When it hardens, water can not pass through the cell wall with nutrients or remove waste properly. Waste products build up and cause inflammation, which is one of the primary contributing factors in aging, along with sun damage, stress, and sleep disturbances. Cleanse the body and the cells have the best chance to remain supple and young.

    Would you like to stay young and healthy for as long as possible? Many people believe that there is no way to halt the inevitable aging process-at least not without expensive drugs, surgery, or high-tech interventions. But what most people do not realize is that they do have the power to look younger and feel healthier-beginning with their next meal. A diet rich in raw foods, vegetable juices, pure water, whole grains, and lean protein can begin to gently cleanse the body and protect it from inflammation and free radical damage that causes wrinkles and other symptoms of aging. Add to a healthy, whole foods diet periodic cleanses, and you could literally watch the years roll off your face.

    The four-step plan of the Wrinkle Cleanse is designed to flush toxins from the body, carrying away toxins and poisons. It outlines a detailed, easy-to-follow program to help you rejuvenate your cells and transform your health:

    STEP 1: The Quick Cleanses. These begin with an All-Day Vegetable Juice Fast or a Two Day Raw-Food Rejuvenator, both of which will enliven the body and help repair damaged cells virtually overnight. These are an excellent "kick-start" to the Wrinkle Cleanse program or a "quick-fix" to prepare for a special weekend or event.

    STEP 2: The 14-Day Day Diet. This portion of the program introduces a diet that includes raw vegetables, fruit, sprouts, vegetable juices, pure water, whole grains, legumes, leans proteins and other nutrient-rich foods. It eliminates the substances that increase inflammation and contribute to wrinkles such as simple and refined carbs, caffeine, alcohol, and junk food, resulting in firmer skin and improved muscle tone.

    STEP 3: The Cleansing Boost. These cleanses give the body an opportunity to experience deep cleansing in the organs of the body, such as the intestinal tract, liver, gallbladder, and kidneys. These unique cleansing programs help to flush away toxins that congest organs and promote aging. The Cleansing Boost can totally transform your face and overall health. You begin with a colon cleanse then go to the 7-Day Liver Cleanse, the 7-Day Gallbladder Cleanse and the Kidney Cleanse.

    STEP 4: Energy-Boosting Supplement Program. This aspect of the cleanse program outlines the vitamins and minerals that help renew skin and increase vitality. Antioxidants such as alpha- and beta-carotene, vitamin E, glutathione, selenium, and alpha lipoic acid bind to free radicals and keep them from damaging your cells.

    You may think this sounds too simple. How could such an inexpensive dietary program make a person look younger? I can tell you firsthand it works. Several years ago I was traveling more than I was home. My eyelids and skin began looking considerably older with creases, wrinkles, and folds. My husband even commented that maybe I should get an eyelift. I knew that if I was looking older at an accelerated pace, aging was also taking place internally-perhaps even setting me up for major disease. I took action! I started a cleansing program with a diet of raw foods and a three-day vegetable juice fast. After the first week, I continued to juice vegetables every day. I cut out most carbs, even though I'm a mashed potato lover. It paid off. In a few months, I noticed my skin tightened, the creases and droopy eyelids were gone. My eyes look larger again. Even my chin line toned up. Someone asked me if I'd had an eyelift. Best of all, I felt really good. Alive! And you can too. Give the Wrinkle Cleanse a try. After all-you have nothing to lose but wrinkles. (C) Cherie Calbom

    Source by Cherie Calbom

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