Month: December 2019


Whether you are just starting a home healthcare agency or have been in business for years, there are several features to keep in mind when evaluating home healthcare software. Below are the top ten features to look for in a HHC software:

1. Intake Management. Look for software that is able to quickly admit and process new patients as well as keep a running history of past patient episodes.

2. Billing. It is not necessary to hire a billing consultant when you choose a home healthcare software with a built-in billing module. Make sure the software supports Medicare, Medicaid, Wellcare and private payers.

3. Scheduling. Most software packages include scheduling but not all of them automatically schedule caretakers according to their availability. Your chosen software should automatically account for travel time, vacation days and sick leave.

4. Customized Payroll System. Look for a software package that offers a customized payroll system so you can easily change pay rates, payroll methods (i.e. pay per visit, per hour or per unit), location rates and third party providers.

5. Point of Care. Some software vendors offer this POC feature and others don’t. It is a very useful feature that allows your caregivers to enter visit notes via a web-browser and send them to your office. The Point of Care feature should work on all portable devices and communicate with the main software.

6. POC 485 Forms. The software needs to be able to print your 485 forms on a standard printer.

7. OASIS Management. Corrections and inactivations should be supported in this module, as well as OASIS validation and electronic submitting capabilities.

8. Outlier Management. With this tool you can proactively manage and control the impact of outlier cases. Most outlier modules offer a PPS calculator.

9. Reports. When you are evaluating the reporting feature on your prospective software, ask how many reports are available. Also find out if the reports, especially those for your patients, are translated in different languages.

10. Narrative Builder. This feature is not offered in most software packages but is extremely convenient. The reason is that instead of having to type standard answers, you can choose answers from a library. Look for a builder with a search function and one that allows you to create your own answers.

In addition to the features above, you are going to want a user-friendly Admissions module that allows you to easily process the in-take and discharge of patients.

When you are evaluating the technology behind the software, make sure it does not require a digital certificate, modem or VPN to submit claims to Medicare. Also, choose a software that is web-based.

Ask the software company if they provide free training and technical support. Also ask how much installation fees are. Lastly, ask for a demonstration so you can see all of the features in action.


Source by Luciano Lapaz


Are you wondering how to increase height after 22? Trying to grow taller after 22 is not an easy thing since you are probably way past puberty.

Although you are not too happy with your lack of height, there is no need to give up hope. This is because there are still a lot of things you can do to boost your height naturally. The only thing you need to understand is this. Teenagers will obviously have a lot more options than adults who are 22 years or older.

With that said, don’t worry about your current age. As mentioned above, there are still a lot of things you can do to boost your height even if you are already way past puberty.

If you want to know how to grow taller after 22, let’s look at 2 important areas you should never neglect.

First, your diet is very important. No doubt about that. Although this seems to be common sense, I realized that there are some people who do not have the discipline to stick to a healthy diet even though they are trying to increase their height.

This is especially true for teenagers who are still growing and wants to maximize their growth. Even adults who want to grow taller must not neglect their diet.

This is because your bone health is critical to your height. If you don’t adhere to a balance and healthy diet, your bone health may be affected. This can cause people to ‘lose height’.

Always make sure you are eating foods rich in protein, amino acids, calcium and calories. Your body need nutritious food as a source of fuel to grow as well as to renew itself.

If you are wondering how to increase height after 22, the next important area you need to take note of is exercise.

When it comes to exercising to increase height, you really have to be careful. Not all exercises are created equal. If you ask me, I will agree that all exercises are good for health as long as you do them properly.

However, not all exercises are useful for height gain. You can do the wrong sets of exercises for months and still stay at the same height. Only certain exercises can help you grow taller.

So how can you tell which exercises do not work?

Well, a simple guideline is this. If someone tells you that you can stretch your bones by exercising, don’t believe the claim.

Why? The reason is because once you stop growing, your bones will stop growing as well.


Source by Giberson Ling


We’re off and running now, so far into the school year already that, in a month or so, most school districts will close the books on the second marking period. And all along the way, parents and kids alike have been dealing with homework, often unhappily, and so I asked for a few opinions. Here’s a sampling of what I was told:

Explained one 8th grader’s mom, “Every day it’s WWIII in my house, with me insisting and then begging and him delaying, sometimes lying, and occasionally giving up altogether.”

A 4th grader’s dad put it this way, “It’s a battle every day in our house. We’re all stressed by it, and she’s only in elementary school. What’s gonna happen when she’s older, and they really pile on the work?”

Then there was this: “Actually, homework isn’t a problem for us anymore. No more scenes, no more yelling. I simply gave up. If he doesn’t do it, he doesn’t do it. His choice. He hates it and so do I.

Little has changed over the years.

Indeed, back in 1900, as editor of the Ladies Home Journal, Edward Bok published an article called, “A National Crime at the Feet of Parents.” In it, not only did he posit that homework destroys childhood, he asked, “When are parents going to open their eyes to this fearful evil? Are they as blind as bats that they do not see what is being wrought by this crowning folly of night study?” For him, it interfered with play and physical and mental health, too, while also denying parents any say in after school activities.

Needless to say, sparks have been flying ever since. In fact, in the 1930s, the American Child Health Association went so far as to call homework (along with child labor) a killer of kids with TB and heart disease.

Now fast-forward to October, 2012 when French President Francois Hollande vowed to end homework as part of his education reform agenda. And though roundly ridiculed on both sides of the Atlantic, his proposal made headlines and further fueled the debate.

Here’s a sampling of negative homework articles written recently on this side of the pond:

  • “Kids Have Three Times Too Much Homework, Study Finds: What’s the Cost?” (CNN/Kelly Wallace)
  • “Homework: It Fails Our Students and Undermines American Education,” (Mark Barnes/
  • “Should Schools Be Done with Homework?” (Edward Graham/neaToday)
  • “Too Much Homework May Hurt Teens’ Test Scores,” (Robert Preidt/U.S. News & World Report)

As for kids’ take on the matter, a Time for Kids poll found that 58% said they have “too much” and 34% apparently have “just enough,” but only 8% complained about “too little.”

As for those in the “too much” sample, they have an ally in none other than renowned writer and speaker Alfie Kohn. This expert on human behavior, education, and parenting has penned countless articles and 14 books, yes, 14. Among his best known, The Homework Myth, is described as “a compelling exposeÌ of homework-how it fails our children, why it is so widely accepted, and what we can do about it.”

He goes on to add, “Death and taxes come later; what seems inevitable for children is the idea that, after spending the day at school, they must then complete more academic assignments at home. The predictable results: stress and conflict, frustration and exhaustion. Parents respond by reassuring themselves that at least the benefits outweigh the costs. But what if they don’t?”

What an indictment! You can all but hear like-minded parents nodding in agreement. One survey found that a whopping 40% of them believe that “some or a great deal of homework is busy work.”

Meanwhile, back in 2006, education guru Harris Cooper set the standard with “The 10-Minute Rule,” which advises:

  • 10 to 20 minutes per night for first graders
  • 20 minutes for second graders
  • An additional 10 minutes per grade level, up to 120 minutes for seniors.

Consistent with those guidelines, the National Education Association found that, “Homework overload is the exception rather than the norm.” With a similar take on the subject, a research analysis by the Brookings Institution and Rand Corporation concluded that most …


I recently interviewed two, very fit, former paratroopers, who still train and work hard and enjoy dating younger women and fatherhood. Find out how three 60 year old, former paratroopers, stay strong, overcome injuries, date and even have children. Listen to the attached audio clip and/or read the summary:

AS = Andy Slusarenko

DB= Doug Burgis

DS= Interviewer


AS- Ate peanut butter sandwiches, hiked, swam and played soccer in the rural areas on Vancouver Island. Age 12, jumped and beaten by six guys. AS trained in judo and other martial arts. Was only “white guy” in judo classes.

DB- Born in small town. Loved freedom of outdoors. Moved to Vancouver and experienced culture shock, such as never seeing a black or gay man before. Lied about his age to join army cadets and enjoyed camping and individual sports.

DS-Born on Airforce base. Enjoyed outdoors and individual sports.


AS- Joined army. Was fittest guy in battalion. Joined CAR.

DB- Joined army, infantry and CAR (Canadian Airborne Regiment). At CAR, you were judged by your physical abilities. You never wanted to fall behind.

DS- After too many beatings, joined army reserves, then regular army and trained in martial arts.


AS- Gift to self was workout challenge at local gym.

DB- Gave self “Birthday Workout.” Bench press was better than my 20’s. Reverse pullups: 6 sets of 8.

DS- Run up Grouse Mountain, take girlfriend out dancing.


AS- Pain is different as a kid. Had to work around a shoulder injury since I was 13 years old. Still went onto become a paratrooper and aikido black belt.

DB- Always work around the injury. Older means better patience with injuries. Have the wisdom to know I can “work around” the injury and get back in shape. Always keep training. If I cannot run, I skip, etc.

DS- If I injure my knee, I work on flexibility and upper body. The same with other body parts. Always keep moving.


AS- It is what YOU want out of training. It is NOT what other people think. Take on challenges. You need a reason to get up in the morning. If you get hurt, just suck it up and get it done. During my Airborne reunion, so many guys were unfit and overweight. Take fitness challenges.

DB- You need to do something that boosts adrenaline and testosterone. Life will give you what you need. Look for challenges. Leave some mystery in it. I am going motorcycling in the Baja, Mexico and don’t have my logistics together yet. I’d like to see more guys fitter. Usually, when I train, there are only about four of us over 50 during kettle bell seminars. It should not be that way. There should be more over 50 year olds exercising. During my PPCLI infantry reunion many ex-soldiers looked bad. They should still be fit enough to play soccer.

DS- You have to have some kind of excitement, some kind of risk to give you that boost.


AS- Get a boat and see friends all over the world. Wind is not taxed and water is free.

DB- Finish home renovations. I will do my adventure while retired, while my younger partner keeps working


Source by Doug Setter


Think you can’t find affordable health insurance if you’re self-employed, or your employer doesn’t provide it? While it is true that health insurance has become expensive, there are a few options for cheap health insurance. Here are two forms of cheap health insurance.

Cheap Individual and Family Health Insurance Plans

Managed care plans such as an HMO offer rates lower than traditional health insurance. By using a network of care providers, insurance companies can provide quality health insurance at a lower price. There are many different types of HMO insurance plans with various types of coverage. Basic plans can be surprisingly cheap.

Another type of plan that is gaining popularity fast is the (HDHP) High Deductible Health Insurance Plan. This plan also uses a network of care providers to help reduce costs. The other way it reduces costs is with a high deductible amount. You still get complete coverage for accidents and illness, but with a higher deductible. Deductibles for this type of plan range from $1000 up to $10,000.

Researching the different insurance companies and plans, will help you find the cheapest health insurance. Everyone needs health insurance and new types of low cost plans are being developed by major insurance companies to provide coverage for everyone.

Cheap Health Insurance Quotes

Because almost all major insurance companies have made their medical plans available online, you can go shopping for health insurance any time, night or day, and find cheap individual and family health insurance quotes in a matter of minutes.


Source by Jim Westin


Exercising and staying fit doesn’t have to mean hard work. Simply being active will help you get or stay in good shape. So with that said, here are some enjoyable activities that can help with your fitness goals too.


When you ask many adults when the last time they rode a bike is, they cannot answer. Although bicycling is a favorite pastime, many adults do not take advantage of this great option for exercise. Not only does bike riding exercise the body and build a stronger cardiovascular system, it allows you to get out and enjoy nature, fresh air, and see new sites.

Jogging or Walking

Both jogging and walking are GREAT ways to get fit. Not only do they tone the muscles, relieve stress, create a healthier heart, and improve lung capability, they make you look wonderful, which in turns helps you get excited about doing other exercise for fitness activities.


Swimming is an excellent way to get into and stay in shape. If you do not own a pool, many high schools have aquatic centers, or there is always the YWCA or YMCA, or your local gym. Many offer water aerobic classes that will help you tighten your body, lose weight, and get a good overall workout.

Tennis Anyone?

Tennis is not only a fun sport, but also a great way to exercise. You do not have to be a Venice Williams to play; in fact, you do not even have to be good. Just running after the ball alone will help get you into shape. This is a great way to strengthen your cardiovascular system and lose weight. You can find tennis courts in just about every city and if you would like to play but have no idea how, lessons are reasonable.

Tip: Raquetball is sort of a “one person tennis”. If you don’t have someone to play tennis with, or you aren’t feeling sociable, try raquetball instead.


Dancing is so much fun and whether you enjoy a slow, Ballroom dance or a nightclub packed with people all moving to heart-pumping techno, as long as you are moving, it really does not matter what type of dance or music. The whole idea is to move your body. Dancing has long been recommended as an avenue to fitness.

Tip: Belly Dancing is an excellent workout for your stomach, waist and hips ladies!


If you have a VCR or DVD, rather than just using it for your favorite comedy or action-packed movie, try sticking in some good workout tapes. Even taking 15 minutes every day to work out will get you started. Try that for two weeks and you will be surprised at the results. Once you see that 15 minutes a day makes a difference, you will be encouraged to increase the time spent.

And one of my personal favorites… Yardwork!

Whether you’re pulling weeds, planting flowers, mowing the grass or chopping wood: All of these activities can help you get into better shape. Don’t cheat yourself though. Using a riding mower to cut the grass won’t help you use the muscles or get your blood pumping 😉

So go out and get active, have fun, and work on getting or staying fit too!


Source by Kathy Burns-Millyard


Health has always been one of the major factors determining the growth magnitudes of the economy of any country. The margin between a developing and a developed country is often drawn based on the progress in the fields of healthcare. A strong healthcare sector refers to a lower death rate and a higher level of life expectancy, which largely influences the growth and development of any economy. Hence, it is critical that a country takes good care of its healthcare sector to cater to its populace in an effective manner and to contribute to the country’s growth index in a positive way.

As far as India is concerned, it has one of the largest and most diverse population frame comprising of individuals belonging to different social and economic conditions. To cater to the multiple needs arising out of the diverse living conditions in India, we have a healthcare sector that upholds a bunch of services ensuring good health and effective prevention. Though if we segregate the sector based on its functioning, you will find a lot of distinct sectors attached to the main industry. However, if we take a brief insight into the broad categories that serve as the backbone to the industry, we would have four major domains as described in the article below.

Hospital Services and Facilities

Hospitals are the primary lifeline of the health sector and the core of the health industry. Comprising of general medical hospitals, surgical hospitals, substance abuse and psychiatric hospitals, specialty hospitals, hospices and palliative care centers, family planning and abortion clinics, emergency and other outpatient care centers, dental laboratories, blood and organ banks, sleep disorder clinics, and more, hospitals form a long chain that binds the entire landscape together in terms of serving health to the people. There are residential and nursing care facilities available as well. Nursing, supervisory, residential care are some of the services that are available through this vertical. The other facilities extended through the hospital services are Urgent Care Centers, In-Home Senior Care, Mental Health and Residential Developmental Handicap Facilities, Community Care for the elderly, and so on. Besides, since it is critical that patients receive ambulance services in time, there are direct and indirect services available for ambulatory patients as well. The outpatient care centers, diagnostic centers, hospitals, and some private players in the field also provide this facility to guarantee uninterrupted health service.

Healthcare Equipment and Diagnostic Tools

The present-day advancement in science and technology has rendered the healthcare industry with some of the most innovative and effective equipment and processes to diagnose and treat the ailments as critical as cellular malignancy. There are multiple companies who cater to the rising demand of this equipment. In-Vitro diagnostic substances, ophthalmic goods, surgical appliances and supplies, Mammography Machine, Robotic Surgery Equipment, Venous Access Device, and Glucose Meter are some of the examples that help the healthcare professionals in treating and detecting the diseases in a streamlined manner. To manufacture and supply these, there is a huge industry involved that ensures smooth operations and timely delivery of the equipment and tools.

Medical/Health Insurance

Apart from the direct health care industry, there are services attached to it that render value to its being. Medical insurance and other organizations that back up the entire process of operations for the healthcare industry have a major impact on the existence and growth of this industry. With active participation and spontaneous service, medical insurance has become primary support for the majority of the treatments that involve considerable expenses. With facilities like TPA and cashless treatments, the patients can now enjoy a hassle-free treatment at best-facilitated hospitals.

Pharmaceuticals Sector

The pharmaceutical industry manufactures, markets, and innovates licensed drugs that are effective and integral for better healthcare facilities. This is a huge sector employing a large percentage of population to cater to the market requirements. From drug wholesalers to over the counter stores, the pharmaceutical industry is a major player in this domain. With the rise in the health consciousness in the general public, nutritional supplements have also taken a major share of the healthcare industry, which are again the products of the pharmaceutical sector only.

As the days have walked into modern times, the …


Whenever you look into fitness equipment, especially online, it is easy to become skeptical from all of the hucksters and charlatans around. Americans especially are notorious for buying anything with the words “New and Improved!” appended to the description. This Yowza Captiva review takes a look at one such product: the Yowza Fitness Captiva VME, or “Variable Motion Ellipticals.”

Before you nod off and turn on some Hulu or download a Netflix to catch a re-run of Little House on the Prairie or something equally “more exciting” than yet another elliptical trainer review, there are some unique features of the Captiva that stand out above the milieu of endless and tired crosstrainers. For one thing, the history of the elliptical company itself, Yowza Fitness.

The team at Yowza consists of two individuals in particular that lend the company some serious street cred: Allen Ting and Joe Alter. Allen Ting is the executive VP of the United States company, Yowza Fitness, as well as Greenmaster. (Greenmaster is the name by which Yowza is known in Germany and other markets.)

Most notably, Mr. Ting has been developing various fitness products since the ealy 1990’s. Globally, his endeavors include establishing Reebok’s brand of fitness equipment, as well as Diadora and others. He is no slouch in other words, when it comes to elliptical trainers.

Then there is Joe Alter, who is the CEO as well as the President of the U.S.-based Yowza Fitness company. Joe is notable for having driven the marketing efforts of now competitor Smooth Fitness, one of the most well-known and established e-commerce brands of home fitness.

Enough about the street cred, onto the Yowza Captiva review. One very conspicuous aspect about the company that needs to be highlighted: Joe wants the company to grow in a fashion that is environmentally friendly. (How is that for unique?)

Here are the key benefits and features to the Captiva:

  • Multi-Stage, Electro-Magnet Rear Drive
  • Variable Motion
  • Cardio Core, Counter Rotational Motion

Multi-Stage, Electro-Magnet Rear Drive

Have you heard of a flywheel? It has nothing to do with fishing. Without delving into the mechanics of it, a flywheel is to an elliptical trainer what a key is to your alarm clock. Unless you actually wind up your alarm clock, you do not need the antiquated key. The flywheel had to do with creating an elliptical motion, and provided a counterweight to the front-drive ellipticals, which were low on inertia as a design flaw. The heavy flywheels are no longer needed.

The industry moved to using weighted magnets that were fixed in place. This is now obsolete in many high-end ellipticals, and the Captiva is one of the advanced models to employ a newer, multi-staged, electromagnet designs for a rear-driven, smooth ride. This innovation alone makes this one of the smoothest ellipticals in the industry.

Variable Motion

This patented design allows the user to approach various muscles in the legs during the workout. The foot pedals can adjust to introduce muscle confusion, and allow you the benefit of years of enjoyment. It would be very difficult to out-grow the Captiva VME, and this motion is one of the reasons that Yowza has made a name for themselves.

Cardio Core, Counter Rotational Motion

The cardio core motion, particularly in the Captiva and Sanibel models of Yowza’s line of ellipticals, is another patent that will not be found elsewhere. The handles are a Tee-bar that offers a standing crunch, with the rotational motion addressing the obliques and entire midsection of abdominals. The workout itself is altogether low-impact, so the abs are not exhausted, but are sustainably addressed.

It must be noted that no other elliptical offers this patented technology. From the user reviews, it is easy to gather that this motion is particularly effective, without being exhausting.

There are other benefits, such as a 60-day money-back guarantee, lifetime warranty for the braking system and frame, iPod docking station, cooling fans, programmed workouts, incline settings, stride adjustments from eighteen to thirty-two inches and heart monitoring. The variable motion and cardio core, counter-rotational patents are two of the most notable, as they cannot be replicated elsewhere.

Tie all of this up in an environmentally-safe, durable and stable elliptical …


For those interested in HHA training but without the financial resources to enroll in HHA courses at fancy schools, there is another option: Free Home Health Aide Training. There is no shame in taking these free courses and in fact, despite what colleges may market at you, some free courses are even better than their pricey university counter parts.

The first step to taking free home health aide training is making sure you meet the requirements. First of all, a potential course seeker will need to be over the age of 18. Next off, the student will need to be able to read and write English at at least a 6th grade reading level. While not required to take courses, having a clean legal record will be an important step in making sure the health aide will be able to qualify for a job after the free home health aide training is finished. Finally, a potential job seeker should be able to lift somewhere in the are of 45-65 pounds. If you can meet these requirements, you will be all set to pursue a career and education in the home health aide field.

The best way to proceed with free health aide training is to reach out to a local HHA agency and see if any courses are available. Home health aid agencies are monitored at the state and federal level by the health service department of record. This ensures that the proper and in demand skills are being taught and that the student will learn to do their job the legal and proper way. The other reason for this oversight is to ensure that the trained HHA is able to receive payments from medicare or medicaid (which requires state sanctioned training).

Contacting an Agency for Free Home Health Aide Training

Free Home Health Aide Training

When contacting the HHA agency, you should be straightforward and ask specifically if there is a free HHA training available. If there is, go ahead and ask about the requirements and time frame of these classes. Agencies often times require that you work with them for a certain amount of time after receiving free health aide training but this can be viewed more like a paid internship than anything else. The standard time period is 1 year. When applying for free training make sure to ask about this part of the deal.

Another way to search for free HHA training is to ask your local state Department of Labor. They should have information about what, if any, free HHA training is available. Some states may provide free training directly with no expectation that the student work for the state. These courses are often time aligned with unemployment training.

The other chief method of finding free home health aide courses is to go online. There is a plethora of free HHA training available. To find these courses the first step is to head to your favorite search engine like Google and just do a simple search for “free HHA training” and see what comes up. Keep in mind that online coursework is often times harder than in person course work due to the lack of accountability so this option may not be best suited for everyone. Also be aware that there are many organizations that will claim to be accredited HHA agencies or education institutes but are not. It is recommended that you all up your state health services department to find out more about the free online courses you come across.


Source by EM August


With the ability to dramatically lift our mood, reduce stress and improve our self-confidence, we all know that regular exercise should be an important part of our daily lives. But between juggling family, friends and long hours at work, it can be difficult to find something that motivates us enough to take time out of our everyday demands to keep doing it. If you fall into this category then there is a good chance that you haven’t discovered ‘that’ exercise routine or sport that captivates you so much you naturally make time to take part in it and hone your skills to maximise your performance. For many, stand-up padding has become ‘that’ sport.

Stand up paddle (SUP) surfing is one of the fastest growing water sports in the word. Not only is it a relaxing and rehabilitative exercise, it is also one of the best forms of cross-training. With the ability to deliver a cardio, balance and strength workout all at once, SUP is a great low impact sport which concentrates on your core, legs and upper body.


Health and fitness experts along with ocean enthusiasts are embracing the incredible cross-training benefits of surfing’s hot trend. And why wouldn’t you? It’s so much easier than surfing and it comes with its share of rewards – not only will you have more defined legs, back, feets, arms, shoulders and core, you the opportunity to enjoy the great outdoors.


Originating in the 1950s, SUP definitely isn’t new but it is currently experiencing a major rebirth thanks to a new generation of budding enthusiasts. Sports and water enthusiasts everywhere are grabbing paddle boards and are giving it a go… even movie stars like Cameron Diaz and Jennifer Aniston are huge fans.


If we’ve already managed to convince you to give it a try, there are some things you should know and do before you venture out into the deep blue.


1. Slip, slop slap – extremely important for any outdoor activity

2. Get your hands on a good quality paddle board – one that is appropriate for you

3. Ask someone to show you the ropes – if you aren’t lucky enough to have a friend who is already skilled in this area, take advantage of the specialised courses being offered by skilled SUP surfers and fitness trainers. They will be able to teach you the basics and show you how to maximise your workout.

4. Start on flat water – build your confidence and begin with small challenges.

5. Convince a friend – let’s face it, most things are more enjoyable if a friend is involved and being a social sport, SUP is no exception.

6. Pick an amazing location which you can explore – SUP is kind to the mind, body and soul so pick a location that relaxes but fascinates you.


Now grab your togs and your paddle board and get out there – you’re really missing out on an amazing opportunity…and one that your fitness will thank you for.


Source by Frank Giacomo

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