Monday, December 1, 2014

Medisoft software for medical billing

INDEX

Medisoft Medical Billing Software

Medisoft Advanced Patient Accounting is accounts receivable, insurance billing, and practice management software designed for all types of healthcare practices and billing services. Medisoft Advanced eases a healthcare practice's patient accounting chores and provides precise information to aid in more effectively managing any practice.

Medisoft is HIPAA Ready

Auto Log Off automatically logs off any user that has been idle. This limits unauthorized access to patient and provider information in Medisoft.

The Warn on Unapproved Codes feature displays a warning when a procedure or diagnosis code you have entered is not set up as HIPAA compliant.

HIPAA unique identifiers that may later be required have been added to data set up for functions that may require HIPAA protection. These identifiers include NPI, National Provider Identification, EIN, Employer Identification Number, Patient Identifier, and Health Plan.

Accounting is Simpler

Open item accounting makes it easy to match payments to individual charges. Know exactly what hasn't been paid. Patient ledgers show complete patient account activity including charges, payments, and account adjustments. Reviewing a patient account is faster with the on-screen ledger window. Medisoft Advanced and above also includes a new transaction window that is easier and quicker to use. Patient and insurance aging reports easily pinpoint past-due patient and insurance payments. Medical insurance billing software with electronic statement submission. Patient statements may be produced on attractive, standard business forms or custom-designed in just the right format with the report designer. Reduce patient account inquiries by holding patient statements until all of a patient's insurance has paid. It's automatic with patient remainder billing. With multiple fee schedules, up to twenty-six prices may be stored and recalled for each procedure. Payments automatically match charges using payment application.

Practice Management is More Effective

Charge, payment, and account adjustment information on the practice day sheet makes closing a day fast and accurate. The practice analysis report guides and informs with information on procedures performed, payments received, and accounts adjusted for any period including a day, month, or year. When a practice depends on referred patients, the patient referral report pinpoints these important sources of revenue. Scheduling appointments is a snap with Office Hours, the patient scheduling program included with Medisoft Advanced. Scheduling patient recall reminders for one visit or a series of visits needed for tasks like calendaring a child's immunization schedule is easy with the recall system. Patients can be informed of recall appointments with custom-designed post cards, or recall information may be exported for use in letters from your word processor. Billing information is secure in Medisoft Advanced Powerful security is built into the program to prevent unauthorized access to sensitive information. Office managers can easily review changed or deleted billing data on the audit report. An extra user-defined screen of patient information is available for tracking special information like immunizations, prescription medication or research data. Use it to define your own special data fields. Medisoft Network Professional adds the ability to design your own custom tab in the Case window to include custom case data entry fields. This information can be used to keep track of case-specific information not found in Medisoft by default. The customized fields can also be used in specialized reports and forms. Tracks each patient's last visit date to make contacting patients for periodic care easy and automatic. Design reports, write personalized form letters, and more with the report designer.

Insurance Billing Is Fast and Accurate

Stores information for billing virtually every type of health insurance including private commercial insurance, Medicare, Medicaid, CHAMPUS, Blue Cross and Blue Shield, worker's compensation, auto insurance for personal injury cases, and many others. Prints CMS1500 insurance claim forms. Custom claim forms are easily created with the report designer. Software updates to meet new insurance carrier requirements are readily available. The billing payment status report makes it easy to track down claims that have not been sent to insurance carriers. Insurance billing stays timely and accurate. Turn up your cash flow with electronic claim submission. Using a clearing house can prevent errors, reduce rejections and shorten payment times. Depending on the location of your practice, claims for Medicare, Medicaid, Blue Cross/Blue Shield, and commercial insurance may be submitted through a clearing house. Medisoft Advanced is compatible with Medisoft Electronic Claims Direct software to send electronic claims directly to selected insurance carriers. It also lets you receive your Medicare EOB electronically and automatically posts your Medicare payments, adjustments, and deductibles - SAVING YOU HOURS OF POSTING TIME!

Medisoft CMS 1500 02-12 (2014) Compliance

Did you know that starting with version 19 of Medisoft, that Medisoft is compliant with the new CMS 1500 02/12 (2014) claim form? This new form allows for up to 12 ICD-10 diagnosis codes.

Easy to Learn and Use

Search to quickly find patients, procedures, diagnoses, insurance carriers, or other information stored in the program. If you know the name, you can easily find the code. Pop-up code entry windows for setting up or correcting patients, procedures, diagnoses, insurance carriers, and more are available anywhere a code is needed. Pop-up help windows explain every screen in the program. Medisoft Advanced is its own computer expert.

Managed Care is Made Manageable

Medisoft Advanced tracks the number of visits allowed and the number of visits used in a treatment series. Visit information displays on the transaction entry screen and may be printed on insurance claims, statements and reports. Handles PPO patients with a fixed amount co-payment easily and efficiently.

Help is On the Line

Any software is only as good as the support it receives, and Medisoft's support is top-notch. The technical support staff is available to answer questions and solve problems for Medisoft.

Real Windows Software for Real Productivity

Multitasking features let you work on several things at once. Enter data, print reports, and schedule appointments without stopping what you're doing. Print reports, claims, and statements on any Windows compatible printer. Attractive, engaging shapes, fonts, and colors are all available on your reports. Share data with other programs because all your information is stored in a standard database format. Standard Windows menus and shortcut buttons give fast access to every function of the program. Medisoft Advanced works like your other Windows programs so it's easier to learn.

Procedure and Diagnosis Codes on Disk

With the optional Codes on Disk package you get all the ICD, CPT and HCPC codes for different healthcare specialties automatically installed in Medisoft. Have the most current code database for all specialties.

Grow Up With Medisoft

As your practice grows, so can your Medisoft software. When you own Medisoft Advanced. you can upgrade to another higher priced program and receive a full credit of your old program's retail price toward the purchase of a new one. Or you can purchase additional licenses to expand your Client\Server network.

Source

Stool softener

I have an issue that deals with the article you have written here. I do not suffer from constipation but expecailly hard stool. This makes going to the bathroom very painful at times. My only issue with what you have written is that I am concerned that some of these natural stool softeners may actually act more like natural laxatives. If that is the case it could become very painful for someone like me. I have also emailed you, I would appreciate it if you could get back to me.

Thanks in advance,

Jane

Hello Jane,

Just to clarify, I have also emailed you with further information. I would like to start off by saying Thank You for reading my post! These foods are natural stool softeners for a reason. They will soften your stool.

This happens because high fiber foods will push through your colon much faster than foods that are low in fiber. When the food is pushed through the colon, it looses less of moisture and will be much softer. This was all gone over in the post.

I hope this helped you more well understand how these types of foods will act as natural stool softeners. Again, thanks for reading.

Anonymous said.

I have read in several reliable sources that fiber does not speed up stool transit but rather REGULATES it. That is, it can also slow it down if it is too fast. Another purpose of fiber is to bulk up the stool.

I have also read that drinking a lot of water does not guarantee that it will be absorbed in the colon (only that you will have to urinate more) and also does not necessarily help. Please comment. JW

Anonymous said.

@JW

Firstly, you contradicted yourself. You stated that fiber will speed up your bowel movements if they are moving too slowly and slow them down if they are moving to fast. In short ",regulating your bowel movement",. So if you were constipated, wouldn',t it be safe to say that increasing your fiber intake will help to increase the amount that you go to the bathroom.

Secondly, If you are having a problem with your colon not absorbing enough liquid back into your body, water will rehydrate you and help you avoid dehydration.

JW, I suggest you think before you speak.

Webmaster, I suggest you check you comments more often and take part in your blog.

I have been taking 2 stool softeners every night for the last year and half. I am planning on getting pregnant and do not want to be depended on stool softeners anymore. What do you suggest I take every night to replace the stool softeners?

I am going to try it.My problem started a week ago when they changed my blood pressure med to Benicar.Could that be?

Anonymous said.

any suggestions for someone who eats only whole foods (and a variety of them -beans, nuts &, seeds everyday, fruits twice a day &, veg 3-5 times a day, grains 3 times a day, &, only water. no soda, very little meat (less than 2 times a month). i',m not over weight, and i exercise regularly? still i have a terrible problem w/ hard stools. any advice would be appreciated greatly!

Anonymous said.

www.fatfreekitchen.com/soluble-fiber-foods-list.html

Anonymous said.

Help. I eat the major amount of the items listed (I eat very healthy), drink at least 192oz of water a day or more. I have two 32 oz of water before I leave for work each day. The fruits cause painful gas to the point I have passed out. I have hard stools 99% of the time and sometimes very painful to pass. I work out 3 times a day, 30 min yoga in the AM, walk 30 min, then do a variety of lean muscle work and run in the evenings for 40 minutes to an hour 5 to 6 times a day. Had a colonoscopy and all the tests done, all came out fine. I have been to a specialist and I take probiotics. The doctors just said, well you are going to have to figure out something. I am at wits end. I have tried fiber supplements. As you can see I am very frusterated.

Anonymous said.

I would suggest some sort of fiber powder like Metamucil for someone who is planning on getting pregnant. I don',t blame you for wanting to steer clear of meds. If you are unsure, you should either talk to your doctor or gyno.

Anonymous said.

What if you took 2 pills of laxative- then one pill of stool softener? for instance, i am constipated from eating too many ',hard', food. so at 8am i took a laxative. at 3pm i took another laxative. at 9pm [current time] i had just taken a stool softner. mind you, yesterday morning i took a stool softner. i have been constipated since yesterday morning. the laxatives are doing about nothing for my issue [my bowels are working perfect, its that big piece of ",crap", thats near the end that is hard as a rock haha. so my thought was that if the laxatives will move it, and i kept myself hydrated all day perfect [which i have] that it will work combined? or will i wake up dead tomorrow? haha.

Anonymous said.

Hi, I am a Registered Nurse and ya Hello, I should know this but I don',t. I have a vitamin D deficiency and I am taking Cod liver oil pills with Magnesium as Vit D alone was constipating me so badly that I ended up with several serious fissures. I normally have IBS with very loose stools this is not like me. What can I do?

Anonymous said.

I am the same as anonymous poster - Nov 17@6:35pm:

I am a vegetarian- I eat loads of fruits and vegetables, many different kinds of whole grains, beans, nuts, seeds, etc. I have a great diet, but I still have hard, sharp stools. I am drinking more water, but I would like to know what else I can do to soften my stool and prevent fissures.

Anonymous said.

I have been taking milk of magnesia (about a spoonful) for some time now that IS really helping me with my bowel movements (I am about 50 by the way and menopausal). Been wondering though if this is safe to take for long periods of time (I also do take lots of fiber and my diet is quite healthy).

All bran, twice the recommended amount, works for me as far as keeping me regular but as soon as I take calcium supplements, I get constipated again even though I eat so much all bran. Any suggestions?

Anonymous said.

I am 29year female. I had a serious fissure back in february this year. its been 2 months now and i am still going through this pain on &, off. My doctor advised me on Livoluk Fibre(lactulose + fibre supplement) and I am having it on for 2 months and somehow i feel that i need to get rid of medicines and try natural stool softeners/laxative. I have already been on a roughage diet that includes atleast 4-5litres of water, green salads and plenty of fruits. Oats is majorly my food these days. I dont prefer a surgey to get rid of the fissures. but i believe that the fissures cure on its own by god',s grace. As i dont prefer a surgery at this point. Please advise what can i do to keep the CONSTIPATION at BAY

Anonymous said.

Hi,

I just had a bad case of the flu, now it seems as though some fecal matter near my rectum is pretty stuck in there. Some things seem to move past it, but really it makes me feel like I have to go to the bathroom every hour or so, and my body won',t stay asleep because of it.

When I go to the bathroom, I make very little progress and un-fortunatly have quite a large 10min painful struggle. I have been Trying to improve the situation with every small movement, however all the movements are just very small and don',t seem to help the problem. I need to get rid of this larger solid chunk that feels VERY in the way and un-comfortable! I will celebrate the moment it leaves my system as I can',t handle many more of these bowel battles!

Is a stool softner going to help my situation? Please help, I',m in a lot of troubles!

Anonymous said.

After a weightlifting injury, I developed an anal fissure. Hard stools kept the fissure from healing. I made some major changes in my diet this week that have really softened my stools and kept the fissure from re-tearing. Here',s what I added to my diet:

-I eliminated soda and am drinking at least 48 oz. of water a day.

-Lots of nuts - at least a half of a can of almonds, cashews, and macadamia nuts per day.

-I eat a fruit salad eat night at dinner, and I',ve added a heaping tablespoon of shredded coconut to that salad.

-For breakfast, and organic oat bran oatmeal. Once it',s cooked, I add a heaping tablespoon of wheat bran.

-I eliminated cheese from my diet (which was painful!)

I don',t know which element of the diet is working the best to really soften the stool (I think the hard amount of nuts is helping the most) but combined, I',m not having any issues with the fissure re-tearing.

I also take one hot sitz bath each night, 2-3 stool softeners, and use some natural healing oil meant to treat fissures. (These three things alone weren',t helping without the diet changes.)

I hope someone else can make these changes and see some benefits.

Anonymous said.

I',ve recently had a hemarroidhectomy surgery (5 days ago) and I am currently taking a stool softener (Lacson syrup - only available in South Africa).

I was told by my dietician to only eat low fibre foods in conunction with the stoll softener so as not to pass normal bowel movements until the surgery heals completely.

I would like to know if you can consume this stool softener without eating food as I seemed to have lost my appetite. Am i doing harm to my body by not eating and using the stool softener? Please reply.

Thank you.

Anonymous said.

",I would like to know if you can consume this stool softener without eating food as I seemed to have lost my appetite", Read the label or talk to your doctor.

Anonymous said.

I have never suffered from this problem but I',ve heard Ginger is a good pain reliever and also rich in fiber. Make a warm Ginger bath and soak in it. Also make some tea and drink it. The tea will not contain fiber but if you can chew on some, it may help introduce both fiber and pain reducing properties. If someone tries this and it works, please share it with others.

my stool is like rock hard and it won',t come out.sometimes it gets stuck.i am having horrible experience.can you help.

thank you

Make a smoothie blended with soy milk, mixed berries, banana and peanut butter. Guaranteed relief and tastes great too!

Anonymous said.

I have hemorroids and the daily pain sometines is very awful. Do you think that with fiber, and stool softners I will be able to shrink them and live a normal life? Thanks

Docusates are surfactants, a fancy word for soap - their soapy effect makes the stool soft and pliable. They are not laxatives, i.e. do not make you want to go to the toilet. Since docusates are dissolved in your bloodstream they are metabolized by the liver and gallbladder, which could be a significant increase in load if you take them daily for decades. On the other Sodium or Calcium enters the bloodstream and circulates to all organs. YOu get 20 mg of Calcium from 240 mg Calcium Docusate and 4 mg of Sodium from 100 mg of Sodium Docusate. On that basis, Ca docusate may be preferable to Na.

I have the same problem with some of you - I am almost a vegetarian and take lots of fruits, vegetables, and very little meat yet recently my stools were hard and big and painful to come out!

Going to try drinking lots of water and eating bananas and maybe apples. Maybe more soluble fibre would help.

Anonymous said.

I find that no matter how much fiber you ingest, if you eat allot of foods that bind as well, you are still in for it. Maybe limit cheese for one.

Anonymous said.

i suffer really bad with consitpation and i drink warm water with a tbl spoonful of honey first ting in the morning keey it up for a week or two and you will go every day as normal as everyone else a chinese man gave me this tip. the only thing keep it up but i get lazy and end up back at square one.

Anonymous said.

HELP ME SOME ONE PLEASE

I AM ON CONSTANT PAIN MED',S AND THEY HAVE MADE MY STOOL HARD AS A ROCK AND AT TIMES CONSTIPATED. I GO FROM DIAREAH TO CONSTIPATED. I CAN',T STAND IT. I THINK I ALSO HAVE IBS. I HAVE TRIED MIRALX, STOOL SOFTENERS, PRUNES METMUCIL, FIBER, AND IT TAKES 2-3 DAYS TO WORK FOR ME. SOMETIMES I GO FROM ONE TO ANOTHER BUT I CANNOT GET A REGULAR PATTERN IT IS DRIVING ME CRAZY. THIS MORNING I ALMOST HAD TO DIG IT OUT.

Johnna said.

After 25 years packed with lots of trial and error with IBS, complicated by a large hernia and 4 prolapses that were misdiagnosed for just as long, I have learned a great deal about nutrition, food combining, the chemistry of digestion, how the organs work together and what they need, malnutrition and constipation. When we speak of ",fiber",, there must be a greater understanding of the kinds of fiber. There is ",soluble", and ",insoluble",. Insoluble fiber does not absorb and retain moisture in the stool, but acts as a broom-sweeping the colon clean. What is needed to maintain adequate moisture in stool is ",soluble", fiber. It acts as a sponge. High fiber foods like nuts and beans, are high is insoluble fiber. Too much broom- if not balanced with soluble fiber. Foods like fruits that are high in soluble fiber will act more like a laxitive if you eat more of them. You can find out the fiber content of specific foods and make your diet fit your needs and adjust your foods as needed to regulate your transit time in the colon.

All of you need to eat 4+ fruits and 5+ vegetables per day and drink 1/2 of your weight in water in ounces per day. You will all feel much better if you do.

Did Anonymous who posted on July 6 swallow a medical book? Nice info, how about in English please i.e. what foods/suppliments provide this?

You do sound very intelligent though!

Anonymous said.

I don',t have constipation,but I have a hard stool.I drink a lot of water(10-8oz glass)a day.I eat a multigrain cereal with raisins and I eat nothing but veggies.(no meat)I walk 5 miles a day.I try to eat fruit when I can.I seem to be doing the right thing to soften the stool,but It just doesn',t happen.

Jeff Parish said.

I am quite astonished at the fact that there are so many people like myself suffering from constipation or severe constipation and no real answers, especially for those who seem to be doing everything right and still stuck up ha ha, like myself. I would think there would be a physician or dietician that would help.

There is something I eat that does help a little, I have been eating a bunch of raisins, they help break things up atleast a little, it',s not a cure all.

I will try to check back to see if a professional can or will answer, why those who are supposedly eating well are having problems also. I really am curious.

I do know with winter coming up that yams can really help with constipation, I',ve never tried canned yams, hey maybe I can give that a try. )

I think I',ll try the warm water and honey and see how it goes. Good luck to everyone and God Bless.

Anonymous said.

An excess of iron can cause constipation, as well as hardness of stool, as does calcium, i.e. from dairy products. How much is too much?

Anonymous said.

We are all lost in here, I feel the same way as u do..this is not life, I read that emo that emotions(i.e. anxiety and depression) affect our digestive system as well..so for those who seem to do all the healthy diet and water intake that may be the answer..I have tried so many things that I feel like an slave of my digestive systwm constantly thinking if what I am eating may give me problems later

Anonymous said.

Has no one here ever thought of taking enemas and the occasional colonic? Enemas can be a big help, as they put warm water directly into the colon. If you can hold the water for awile, it will soften even the hard matter. I know they',re a drag to do, but if you',re really hurting, they can be a blessing. Google the internet to see the right way to do them. Good luck, everyone!

Anonymous said.

Wow, unbelieveable how so many people can suffer from the same thing and there are so many people out there that have studied the human body and look, we',re all looking for answers and no one has them. I recently turned vegan and I find myself more uncomfortable ",doing my business", than ever before. I',ve always suffered from hard, large and hard to pass stools and now it still seems the case no matter how much fruit &, vegs (all organic) I eat. When everyone finds out I turned vegan, they all make silly remarks ",oh bet you get good results in the potty now, huh?", really? I wish. I',ve read many things on here tonight and I will try most of them. Good luck to all you also. LM

Anonymous said.

A high fiber diet is pretty safe advice, but it won',t always soften the stool. It will increase the volume of the stool and the frequency. A very high fiber diet can sometimes cause overly hard stool, especially compared to low vegetable, high meat diets. In a case where you are already eating plenty of fiber, you should reduce fiber and eat more of the things that are typically associated with watery stool or diarrhea: citrus fruits, juice and of course more water.

Anonymous said.

If you try eliminating dairy AND wheat from your diets, many would see improvements in about a week or so. Wheat products(gluten) can cause severe constipation and hard stools.

Anonymous said.

Wow what a mess we all are! Maybe this will help some. I am having all kinds of hard stools since coming off all my supplements when I started having this upper stomach pain every 3 months almost a year ago. I am being tested for parasites and have a colonoscopy scheduled for later this month. So far like a lot of you nothing no help nada. The over the counter stool softeners laxatives help but who the heck wants to live like this? I have last weight started back to the gym and walk a mile or two everyday. If nothing gets resolved I am going to a nutritional expert. If the can',t fix me I am going to fix this myself. Western medicine is a bunch of ninnies running scared, though I don',t blame them. Obama care, if not repealed, screws all of us so get ready if he gets re-elected. We all need to keep our spirits high and stay healthy, keeping away from stress and family nonsense, agreed? I only attend family stuff that I deem important and I don',t care what others think of me. Good luck all, the answer is out there, just keep looking.

Anonymous said.

mid 30s male. i was diagnosed 3.5 yrs ago with fissures. was told to take benefiber, miralax and colace. i did it for the past 3+ yrs and never improved! recently i saw a Harvard grad specialist who reported that i have multiple fissures and have a short rectum, so surgery is out of the question. he said all i need is 25-30 grams of fiber, tons of water and excersice. i',ve done all but excersice. i feel better but still dont go everyday, sometimes as little as every 3 days. will excersing, even just walking help me go daily? i',m not overweight, 185 pounds, 6 foot. Thank you thank you thank you for any help.

Anonymous said.

my hemmorhoid is inflamed and find it hard to pass on can stool softener helps in any way to lessen the pain everytime i go to the bathroom. i have read about aloe vera but the spicie given is really very hard to find here in the philippines. what we have is the local variety. is aloe vera plant not poisonous to be taken fresh wether the gel or flesh withoput the peel of the plant. thanks and best regards

Anonymous said.

I have noticed that eating flax seed, just whole in a crunchy salad, gave me fantastically soft poo. Another thing to eat last thing at night is a portion of porridge oats, uncooked, just soaked for a few hours in fruit juice and/or water. I dont have constipation but often get a tiny crack in my anus, following tearing during childbirth. Even the tiniest crack here is excruciatingly painful, and poo that wouldn',t be a problem normally feels like it is made of broken glass!

I think the guy who told JW to think before he speaks on October 18 should eat his bowel movement.

I found myself nodding in agreement with the last(Oct 4)contributor. We all have read about the foods that are supposed to help, we all know that we need to drink lots of water. and then more water. But it surprised me how many here said that they ',had tried everything', and still the problems persisted.

It struck me that maybe there',s more to it than just eating ',the right foods',. We all know that what',s right for one person isn',t for another. Makes me think that each person has to find what foods do what to them--there',s no one size fits all approach that will work. And maybe, too, it',s ',when', we eat, how much we eat, how completely we chew things like nuts, and how much stress we carry. The body surely wasn',t designed to be constipated or bound. It',s just going to take more attentive and aware investigation, trial and error. Guess I',d better get busy.

Anonymous said.

PAPAYA is the best.

Anonymous said.

Sometimes the cause of constipation is a lack of adequate bile production. In such situations what is needed are foods and/or herbs that promote the flow of bile. Bile stimulates the wave-like motions called peristalsis that moves the food through the intestines.

Foods and herbs that promote bile flow are known as cholagogues. Examples of cholagogue herbs are dandelion, oregon grape root, gentian, cascara sagrada. Olive oil, beets and prunes are examples of foods that are cholagogues.

If poor bile production is the source of your constipation, try adding a tablespoon or two of olive oil to about 4-6 ounces of grapefruit juice and drink with 2-3 capsules of dandelion. You might also want to take lecithin to aid in digesting the oil.

Magnesium helps to hold moisture in the colon. Nuts, seeds and greens are foods with high magnesium content, but due to soil depletion and farming methods, the supply of minerals in the soil is thought by many experts to be inadequate. To offset this, you might try a magnesium product such as Calm Magnesium, starting with 1/4 teaspoon and building up the dosage over several days until the stool becomes moist. You can take the magnesium in the morning and the olive oil/grapefruit drink/cholagogue at night (or vice versa). Of course, it might serve well to try one or the other method to isolate the underlying cause of your constipation.

For more info google cholagogue herbs. Also go here (I am in no way affiliated with the site):

www.peak-health-now.com/constipation.html

Hope this helps!

Anonymous said.

My best suggestion if you need a short term relief is to make a very strong batch of caffetier coffee, the good Colombian or Guatamala blends that pack a punch and drink about a 4 cups or a litre as you have your meal.

Works wonders, just don',t eat too much or the speed of movement could be painful but I find this is a good way of having a few pieces of naughty food in the morning without overdoing calorie intake and encouraging a very soft stool.

Ive no doubt this may be discouraged by a fitness freak, but im in my twenties.

Anonymous said.

You need to get rid of the gas so the bowel can pass through.Some say Beano helps but avoiding gas producing foods or eating small amounts at a time may help avoid a lot of gas. Cold drinks as opposed to warmer ones produces more gas sometimes. Keep trying different natural remedies out.Add nothing that can create other side effects on top of the problem you already have.

Knowledge is power! Keep searching.More fruit for moisture, more beans and such for bulk to move it, move it. They work together as another post mentioned too. Keep trying things and note what works for you. Write it down. and improve on it, as you can. Remember, gas traps bowels from moving, keeping it in your systems and creating toxins that build up over time. Strive towards a healthy bowel to maintain a healthy you.They say disease starts in the colon. many times.

I will pray you get the answer you need.

Anonymous said.

i have occasional hard stool that caused blood drops not bleeding. i research on line n youtube for info always staying updated. i found that using Vaseline using a disposable glove inserted about 1 to 1.5 of an inch gently down there gently and very slow..before and after you go..this will create an instant easier passage for things to go out and reduce pain also speed up healing time.

Second and now we get to the core of the cause of hard stool..it',s what you eat and how your body reacts to it.

That being said, what worked for me is ", Psyllium Hydrophilic Mucilloid ",. You will find it labled ", Fiber Therapy ", it',s a natural fiber powder u mix it with water or any thing else..then i added in simple language ", Probiotics ", the one i used is a ", Schiff ", Brand..both i got them from Walmart for less than $10.

You gotta balance foods n eat right..i stopped dairy products..no fryed foods..no red meets..more fruits and vegetables. at least 3 quarts of water a day..no soda..no refined or processed foods nothing in a rapper that contains sugar or sweetener of any kind..im experimenting with Stevia when available.

I hope this help

I feel your pain..i was there.

Anonymous said.

Holy Crap - god help us all

Anonymous said.

Too much fiber can either soften your stool or it can make you constipated. We were always taught in nursing school to ALWAYS increase your water intake, that is if someone isn',t on fluid restriction. Yes you',ll urinate more, but also there will be water absorbed into the colon around the feces making it more motile.

OMG I dranked a 20oz. glass of prune juice and ate a banana. The only thing that passed was the gass.

Anonymous said.

I heard that constipation may be caused by a thyroid isssue, might want to get that checked too.

Anonymous said.

TRY YOGURT.

I have had a problem with constipation on and off my whole life. I am 57 years old. I have been a vegan, a vegatarian and a meat eater in the past.

Drinking extra water and taking herbal teas like cascara sagrada always worked UNTIL I stopped eating dairy products and was eating more nuts and beans!

I am grateful to the person here who explained the difference between soluble and insoluble fiber. The insoluble fiber in beans, grains and nuts does not absorb water like the soluble fiber in fruits and vegetbles! I knew that nuts were constipating but I thought that beans were the opposite. Not true! I am now eating less beans.

I have also just figured out that for me the problem a stool is so long in the colon (which causes it to dry out and become hard) is that the bacteria which easily breaks down the food was missing from my diet.

TRY YOGURT! Yogurt supplies the necessary bacteria needed to speedily finish the job for me. You can also buy these bacteria, sometimes called probiotics, in the refrigerated section of a natural grocery store. For strict vegans, possibly high enzyme fruits like papaya will do the trick.

Anonymous said.

I have severe constipation. I will go like a week without going then i',ll go like once or twice then go another week without going. I',ve seen the doctors who have put me on medicine which didn',t even help. I take stool softeners and they don',t help. I just don',t get what in the world is goin on and its so frustrating. and painful. My tummy bloats and increases in size and my pants get tight. This has been going on since I was in my teens and i',m now 29. When they did a colonoscopy about 2 years ago they didn',t see anything. Any ideas? if you can please e-mail me because I',ll probably not be able to find this site again. Thank you. snowtiger30@yahoo.com

Anonymous said.

The above posts are helpful..thank you.

In my research I found something good to know on the Restoralax website. thought I would share:

How Do I Pick the Right Laxative?

A laxative, along with simple diet and exercise solutions, can help relieve your constipation.

A wide range of laxatives are available without a prescription, including:

Osmotic laxatives like RestoraLAX®, (PEG 3350) cause fluids to flow in a special way

through the colon to encourage a bowel movement.

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Levolor Blinds & Shades

POPULAR WINDOW TYPES

Skylights

French Doors

Large Windows

Bathroom

Children's Room

MORE WINDOW TYPES

POPULAR PRODUCT FEATURES

Cordless Blinds

Energy Efficient

Blackout/Darkening

Child Safe

Top-Down/Bottom-Up

MORE FEATURES

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Billy the Exterminator

About Billy the Exterminator

The snakes are bigger, the gators are meaner, and the bees sting harder than ever — and Billy's back for more!

In the new season of Billy the Exterminator, Billy is back in the Bayou to battle a new batch of beasts. From a house full of deadly snakes to one of the largest gators ever seen on the series, it's up to Billy, brother Ricky and the rest of the Vexcon crew to make Louisiana safe for it's citizens. And the crazy quotient only increases as they get calls for everything from a stow away Gila Monster, to a wild donkey gone rogue. plus a call from one family convinced they have monsters living in their walls!

Armed with his spikes, his shades and his wits, Billy is on the job, and ready to save the people of Louisiana from its various vexations!

Billy runs Vexcon, one of Louisiana's busiest pest removal companies, with the help of his brother Ricky, whom he describes as "just as crazy as me," his father Bill Sr. and his sassy mom Donnie who runs the office.

Billy is a former US Air Force Sergeant with nearly two decades of experience in pest management.

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Hcahps

Quick links:

Background The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. While many hospitals have collected information on patient satisfaction, prior to HCAHPS there was no national standard for collecting or publicly reporting patients' perspectives of care information that would enable valid comparisons to be made across all hospitals. In order to make "apples to apples" comparisons to support consumer choice, it was necessary to introduce a standard measurement approach: the HCAHPS survey, which is also known as the CAHPS® Hospital Survey, or Hospital CAHPS. HCAHPS is a core set of questions that can be combined with a broader, customized set of hospital-specific items. HCAHPS survey items complement the data hospitals currently collect to support improvements in internal customer services and quality related activities.

Three broad goals have shaped the HCAHPS survey. First, the survey is designed to produce comparable data on the patient's perspective on care that allows objective and meaningful comparisons between hospitals on domains that are important to consumers. Second, public reporting of the survey results is designed to create incentives for hospitals to improve their quality of care. Third, public reporting will serve to enhance public accountability in health care by increasing the transparency of the quality of hospital care provided in return for the public investment. With these goals in mind, the HCAHPS project has taken substantial steps to assure that the survey is credible, useful, and practical. This methodology and the information it generates are available to the public.

In May 2005, the National Quality Forum (NQF), an organization established to standardize health care quality measurement and reporting, formally endorsed the CAHPS® Hospital Survey. The NQF endorsement represents the consensus of many health care providers, consumer groups, professional associations, purchasers, federal agencies, and research and quality organizations.

About the Survey The HCAHPS survey contains 21 patient perspectives on care and patient rating items that encompass nine key topics: communication with doctors, communication with nurses, responsiveness of hospital staff, pain management, communication about medicines, discharge information, cleanliness of the hospital environment, quietness of the hospital environment, and transition of care. The survey also includes four screener questions and seven demographic items, which are used for adjusting the mix of patients across hospitals and for analytical purposes. The survey is 32 questions in length.

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only, 2) Telephone Only, 3) Mixed (mail followed by telephone), and 4) Active Interactive Voice Response (IVR).

HCAHPS Publications by the HCAHPS Project Team CMS and the HCAHPS Project Team continually analyze HCAHPS data. To make locating our HCAHPS research easier, we have added a bibliography of publications from the HCAHPS Project Team.

Participation (revised 02/25/2014) To participate in HCAHPS Data Collection and Public Reporting, all hospitals self-ministering the survey, hospitals administering the survey for multiple sites, and survey vendors must meet certain Program Requirements and must be in compliance with the requirements in the HCAHPS Quality Assurance Guidelines, V9.0. In addition, hospitals/survey vendors must submit a Participation Form to the HCAHPS Project Team for approval prior to the administration of the HCAHPS Survey.

Please note: At a minimum, the hospital's/survey vendor's Project Manager is required to participate in the HCAHPS Training. Hospitals that have contracted with a survey vendor to collect HCAHPS survey data are not required to attend training. CMS strongly recommends that hospitals newly joining HCAHPS participate in a dry run, if feasible, prior to beginning to collect HCAHPS data on an ongoing basis to meet the Hospital Inpatient Quality Reporting (formerly RHQDAPU) program requirements.

For More Information To learn more about the HCAHPS survey, please see the HCAHPS Fact Sheet found at the "Facts " button on this website.

The FY 2015 IPPS final rule establishing the Inpatient Prospective Payment Systems is now available on the Federal Register.

To view the rule and related tables, please click on the link below: https://www.federalregister.gov/articles/2014/08/22/2014-18545/hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the-long-term-care.

To Provide Comments or Ask Questions
  • For information and technical assistance, contact the HCAHPS Project Team: hcahps@HCQIS.org or 1-888-884-4007
  • To communicate with CMS staff: Hospitalcahps@cms.hhs.gov

Internet Citation Please use the following citation when referencing material on this website.

www.hcahpsonline.org. Centers for Medicare &, Medicaid Services, Baltimore, MD. Month, Date, Year the page was accessed.

Helpful Link

For information about the availability of auxiliary aids and services, please visit:

Note: Some of the files on this page are available only in Adobe Acrobat - Portable Document Format (PDF).

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