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Medical volunteer Anthony Loeff is writing about digital tools for people suffering from blindness

July 3rd, 2008

The latter developed in part by Knopper who has a visual impairment.

The Macintosh OS also comes with a built-in screen reader, called VoiceOver. Comming year volunteer Anthony Loeff is writing about screen readers for visually impaired people This interpretation is then represented to the user with text-to-speech, sound icons, or a braille output. Later versions of Microsoft Windows include an Accessibility Wizard and Magnifier for those with partial vision, and Microsoft Narrator, a simple screen reader. However, using a screen reader is, according to some users, considerably more difficult than using a GUI and many applications have specific problems resulting from the nature of the application. The console-based Oralux Linux distribution ships with three screen-reading environments: Emacspeak, Yasr and Speakup. Screen readers can be assumed to be able to access all display content that is not intrinsically inaccessible.

More and more, screen readers are being bundled with operating system distributions. The primary audience for such applications is those who have difficulty reading because of learning disabilities or language barriers. The movement towards greater web accessibility is opening a far wider number of websites to adaptive technology, making the web a more inviting place for visually impaired surfers. Web browsers, word processors, icons and windows and email programs are just some of the applications used successfully by screen reader users. There are also open source screen readers, such as the Linux Screen Reader for GNOME and NonVisual Desktop Access for Windows.

Approximately 10 percent of those deemed legally blind, by any measure, have no vision.

Screen reader choice is contentious: differing priorities and strong preferences are common. Recent versions of Microsoft Windows come with the rather basic Narrator. The open source GNOME desktop environment long included Gnopernicus and now includes Orca. The rest have some vision, from light perception alone to relatively good acuity. A screen reader is a software application that attempts to identify and interpret what is being displayed on the screen. Nevertheless functionality remains limited compared to equivalent desktop applications, the major benefit is to increase the accessibility of said websites. Most legally blind people 82 percent do not use computers. Only a small fraction of this population, when compared to the sighted community, have Internet access.

Screen readers are a form of assistive technology potentially useful to people who are blind, visually impaired, or learning disabled, often in combination with other AT such as screen magnifiers. A persons choice of screen reader is dictated by many factors, including platform and the role of organizations like charities, schools, and employers.

Experimental approaches in sensory substitution are beginning to provide access to arbitrary live views from a camera.

Access technology such as screen readers and Screen magnifiers enable the blind to use mainstream computer applications. Linux distributions for the blind include Oralux and Adriane Knoppix. While Apple Mac OS X includes VoiceOver, a more feature-rich screen reader.

QuarkXpress Tips: How to Move Content Between Print and Web Layouts

March 28th, 2008

Since its release in 1987, QuarkXpress had made an immediate impact to computer enthusiasts. QuarkXPress introduced precision typography, layout and color control to the desktop computer, and delivered those features to designers at a fraction of the cost of proprietary typesetting systems. Quark software programs had been widely utilized to create, design and manage their documents such as books, catalogs, brochures, packaging, newspapers, magazines and online materials.

At present, Quark maintains its industry leadership with a product line that ties together traditional print publishing with enterprise content management, personalization and tools for creating collaborative, cross-media workflows. Regarding enterprise content management, I have here a brief description about moving or copying content between print and web layouts. Here are the ways to achieve this.

First, change the layout medium type in the Layout Properties dialog box (Layout > Layout Properties). Next, drag items between projects. Then, copy items from one layout and paste them into the other. Drag items into a library, and then from the library into a layout. It is important to note that if you convert a box from one type of layout to another, some of that box’s attributes may no longer apply. However, they are saved with the box. Say, a text box in a web layout is set to export in JPEG format. If you convert the layout to a print layout, the “export as JPEG” setting is ignored. But if you drag that box into a different web layout, it will still remember the “export as JPEG” setting.

When you transfer content from a print to a web layout, several cganges occur. The Convert to Graphic on Export check box is checked for all text boxes. This ensures that text in the print layout is displayed, whether or not the text styles can be formatted in an HTML text box. Linked text boxes on facing pages are displayed as separate text boxes on the same page in a Web layout. The first box of a spread of linked text boxes can be moved to a Web layout and it will contain the content from all the linked boxes in the spread. Tabs are displayed as spaces in a Web layout. Remember also that style sheet attributes that are not supported in HTML text boxes are marked with an asterisk in the Edit Style Sheets dialog box (Edit > Style Sheets).

There you have it, folks! You can now apply this simple tutorial in your next project using Quark Xpress. Enjoy what you’re doing.

For Comments and Questions about the article and for additional info’s about creative designs log - on to http://www.ucreative.com

How To How To Show Kilograms and Millilitres Symbols In A Microsoft Excel Cell?

March 24th, 2008

Ever been frustrated with Microsoft Excel when you have been working with a cell but you want to show the units of the cell such as 5 Kgs, 5 Bags or 4 Punnets but Microsoft Excel keeps turning the cell into text. Well, there is in fact a way of creating a custom format in Microsoft Excel that lets you show the units of the value whilst still keeping the value being treated as a number.

So, how do we do it…

Well, first off we need to get into the Format Cells dialog box in Microsoft Excel as this is the dialog box that allows you to create a custom format but before you do that make sure that you have selected the cell that you want to apply the format to.

Lets do this as an example …

First click on cell D4, in a new worksheet and the use the shortcut keystroke [Ctrl] + [1] to bring up the Format Cells dialog box and then choose the Number tab. In the categories list box, choose the last option which says Custom. Okay so what we want to do is to create a custom entry. Now when we are creating a custom format the format must be entered as follows -

Positive Format; Negative Format; Zero Format

What you will notice in the example above is that each format is separated by a semi-colon. Okay so lets say in our cell we want to show the unit of kilograms with each value you enter. In the Type text box you would write the following -

#,##0.00 “kg”; -#,##0.00 “kg”; 0.00 “kg”

In the example you will notice that our units are in double quotes. The double quotes are there to identify that they are in fact text elements. The # symbol simply says if there is a number it will be shown or if there is not a number nothing be shown. The 0 symbol says that if there is a number, show the number but if there is no number in that position place a zero in its place. The minus symbol in the negative format means that even if you type the number in with brackets around the value, the application will convert the brackets to a negative symbol at the start of the cell.

So, let us try this custom format by typing in the sample shown above. Once you have done this simply press the OK button at the bottom of the Format Cells dialog box. Now the Custom format has been applied enter a value of 5 into the cell and press the [Enter] key. You will see at this point that the value is shown as -

5.00 kg

If you now type the value of minus 10 into the cell and press enter, you should see the value shown as -

-10.00 kg

Why not try this same process for creating other different unit types. You could use this technique for any unit value that you require. One thing to note though, if you are going to be using this technique in a template for other users, make sure that you train your users not to type the Unit Values in, they in fact need to let Microsoft Excel put the units into the cells for them.

Creating Custom Formats in Microsoft Excel gives you a greater amount of power to customise your templates and spreadsheets to suit your own business environment and it also gives a much greater air of professionalism when you can see the custom format like kilograms next to the value instead of in a corresponding cell.

Chris Le Roy is a Microsoft Office Specialist Master Instructor and has available a cheat sheet which contains common commands and Microsoft Excel Shortcuts to help you with Microsoft Excel. He also offers a correspondence course where you can earn yourself Microsoft Excel Certificates issued by his company without even leaving your home - Microsoft Excel Spreadsheet Training . A daily mailing list on Microsoft Excel is available called - Tips on Microsoft Excel

How To Avoid Getting Hooked By Pfishing

March 2nd, 2008

“Pfishing”, sometimes spelled “Phishing”, is a word that’s used to describe a
method of identity theft where con men use fake e-mail that looks like it comes
from legitimate sources. This e-mail is designed to hoodwink you into giving
out personal and financial information. Once the scammers receive your
information they use it to either clone your identity or to empty out your bank
accounts and run up your charge cards. Here are some tips on how to avoid
becoming the next victim.

1. Never respond to an e-mail that looks like it came from your bank or any of
your credit card issuers no matter how official it appears. Phishing scam
e-mails will tell you that there is some problem with your account and that you
have to click on an embedded link to correct that problem. They may threaten to
close your account, or report you to the credit bureau, if you do not respond.
DON’T DO IT. Don’t call the telephone number that appears in the email either.
Get out one of your old bank or credit card statements and call the number that
appears there. Explain what the email says and follow the directions that you
receive from the actual employee. Chances are they’ll tell you its a scam.

2. Never give your bank account information, credit card numbers, Social
Security number, passwords, personal identification numbers (PIN), or Date of
Birth to anyone who asks you for that information by email. No legitimate
company will expect you to reveal sensitive information via email. Also, no
company that issues you a PIN will ever ask you to reveal that PIN to any of
their employees.

3. Never respond to any offer to buy anything by clicking on the link in the
e-mail. Even if the e-mail looks like it comes from your favorite department
store it might be a scam. To avoid being hooked by Pfishing, type in the URL to
the department store by yourself. Go to Google.com to look it up if you don’t
already know it.

4. Forward copies of any Pfishing email to the actual company or bank that is
being imitated by the scammers. You can usually send any email to postmaster@
and then the bank or company name.

5. If a Pfishing e-mail seems particularly threatening or worrisome to you,
report it to the Internet Crime Complaint Center (www.ifccfbi.gov), a
partnership between the FBI and the National White Collar Crime Center.

6. If it’s too late and you already provided any of your personal information,
account numbers, or PINs then you should immediately contact your banks and
credit card companies to make arrangements with them to protect your financial
interests. These companies and institutions are familiar with these scams and
they know what needs to be done.

7. If you receive evidence of identity theft, such as unauthorized charges on
your credit card bills, or unexplained transactions in your bank account,
contact the police and file a report. Be sure to get a copy of the report for
your own records and to send to the companies that are involved in the
transactions. You also need to contact all three major credit bureaus (Equifax
at 800-525-6285, Experian at 888-397-3742 and TransUnion at 800-680-7289) and
tell them that you need a fraud alert placed on your credit file.

8. You can get information on ID theft and Pfishing at the Federal Trade
Commission Web site at www.ftc.gov or calling toll-free 877-382-4357.

Copyright © 2004 Cavyl Stewart. Discover 52 Ways To Do More With Software by signing up for my exclusive Free ecourse. Get resources, tips, reviews and recommendations you can use right now to help you achieve more, easier, and cheaper! 100% Original content. Visit: http://www.find-small-business-software.com/52ways.html

Microsoft CRM Integration & Customization: SharePoint Document Gateway

December 24th, 2007

MS CRM is very close to document workflow automation, including Microsoft Office documents: Words, Excel, etc. The document workflow was perfectly automated about 10 years ago in Lotus Notes Domino. In this small article we describe the solution based on MS CRM integration with MS SharePoint.

Microsoft CRM is new player on CRM applications market and it is gaining its market share. Having different paradigm in its design (it stakes on Microsoft OS and technologies and completely disregards alternative platform, such as UNIX, Linux, Oracle, etc. based). Microsoft CRM market is very diversified: from small (5 users) to large (several hundred MS CRM User licenses) and it serves variety of industries: Transportation, Logistics, Lawyers, Pension Funds, High-Tech, and many others. Deploying technologies, like Windows Active Directory, Microsoft Exchange 2003/2000, SQL Server, Crystal Reports Enterprise, Biztalk, Microsoft Outlook, Internet Explorer, Microsoft Great Plains and Navision in close future - makes CRM a beloved system for Microsoft oriented IT departments.

Let’s go right to the topic.

Major issue with storing documents in MS CRM in the form of attachments to Activity is inability to work on these attached files in cooperation with other colleagues, who do not have to use CRM. When several service people serve requests from the same client this is required. Currently you can use alternative way when you store office documents in the folders of your file system and when modifying document, you save it and reattach to CRM. This is inconvenient, because first it requires all your editing users to have CRM licenses, which delays CRM implementation.

We seem increasing popularity of document storage systems, like Microsoft SharePoint, Oracle Files, etc. Such systems, being implemented gives you time savings, related to documents revisions and versioning, approval cycles and workflows, web access through web-portals systems and the like.

The target of our product is Microsoft SharePoint integration with MS CRM for document storage. Let’s take a look at the high level technical realization details:

•Main modification from the MS CRM side is standard system behavior change when you open attachment in Activity. Standard unmodified CRM suggests you to store documents in the file system. Modified version sores document in SharePoint Document Library (the required library is subject for setup by MS CRM system administrator) or keep it in MS CRM as is (for documents of minor importance). From the moment of saving the document in SharePoint Document Library it is not stored in MS CRM - CRM will now store only the link/reference to the document. Also you are given the ability to open and modify the document at the place of opening, which speeds up MS CRM user performance substantially.

•Table, storing the links to the documents sits in separate database and doesn’t deal with MS CRM tables (you know that you are banned to do structure changes in MS CRM db)

•Document saving into MS SharePoint process occurs in MS CRM and with its assistance - SharePoint bridge, which does addition and update for the existing document into destination Document Library with MS SharePoint Web Services calls

•Upon the addition into Document Library, MS CRM - SharePoint bridge registers the document in the special table for the future data extraction or notification mechanism registration

•Then, interested users can work with the documents just using MS Office 2003 or other programs/editing tools, assuming these tools have access to MS SharePoint

•Feedback is provided by MS SharePoint Event Handler component. This is special handler, inspecting document change status, transferred from MS CRM to document storage (SharePoint), and report Activity owner on the changes with home page notifications (User home page in MS CRM). User in turn can review the history of the document editing - who, when and where is the change

•Opening Activity, where document is “attached”, and in fact placed into MS SharePoint Document Library, and pressing opening button, MS CRM user gets live version of the data

•This approach allows you seamless work with MS CRM document in the whole informational space of your company

•Additional enhancements to this product might be document library management directly from MS CRM (web interface - meaning remotely), administrative interface for MS Sharepoint documents revision, ability to create reports on the document storage status, rights/access management (Author, Reader, Contributor etc) from MS CRM, portal pages integration into MS CRM to name a few.

Happy programming, implementation, customization and modification! If you want us to do the job - call use 1-630-961-5918, 1-866-528-0577! help@albaspectrum.com

Boris Makushkin is Lead Software Developer in Alba Spectrum Technologies - USA nationwide Oracle, Navision, Microsoft CRM, Microsoft Great Plains customization company, serving Chicago, California, Arizona, Colorado, Texas, Georgia, Florida, New York, Canada, Australia, UK, Russia, Europe and internationally ( http://www.albaspectrum.com ), he is Oracle, Unix, Microsoft CRM SDK, Navision, C#, VB.Net, SQL developer.

Easy Editing Using Microsoft Image Suite 10

December 20th, 2007

Are you fond of digital photography? Are you looking for a new tool that will let you organize, edit, enhance, share and archive your digital image? Read on.

Microsoft’s Digital Image Suite 10 is a package that offers you the advantages of both Digital Image Library 10 and Digital Image Pro 10. This upgraded image editing software is ideal for digital photos. With added features from Digital Image Library 10, you will be able to organize your photo collection. It helps you upload your photo easily. You can even rate images or flag them for future use. Library also allows you to add captions on your images and categorize them using some keywords. You can classify your images according to date, size, favorites, ratings and more. It has an automatic back-up reminder to safeguard your photos in the right places.

This software will enable you to edit images with ease. Just launch the Digital Image Pro 10. It logically arranges your tools and enables you to make changes using the Auto Fix commands. Although, it offers fewer options and requires complex commands, it will provide you with excellent results.

Digital Image Suite 10 allows you to create a movie out of your photos. It’s a sort of a stop motion animation that’s commonly used in cartoon movies and clay animation. A stop motion animation is a process in which pictures are arranged and shown in such a way that it looks as if the motion is continuous.

Also, it features an easy-to-follow wizard that lets you to create a video out of your photos. Not only that, you can also add background music, narration and title pages.

It contains flags that will remind you of the next steps, such as which photos need to be printed or sent. With Auto Fixes, your camera phone images can now be adjusted. This feature helps you edit the color, exposure or any ‘imperfection’ automatically. You can also use the Color and Exposure toolsets to balance brightness, washed-out colors, and the like.

This program also allows you to adjust curves including red, green, blue, saturation and luminosity. Also, you can eliminate noise, red eye effect, and faded or bright color pixels.

Another remarkable feature is the Smart Erase tool was added so that you can remove unwanted images or backgrounds. Its Panoramic Stitching feature enables you to put together vertical and horizontal photos to show the whole story in one single scene. It also allows you to burn images to CDs or DVDs.

Microsoft’s Digital Image Suite 10 is your complete tool for editing images, as well as adding life to your photos. One drawback is that it only allows you to edit images one at a time, which means that you cannot have two or more copies of an image when editing.

About The Author
Blur Loterina
You may wonder why I write articles. Besides from the fact that it’s my job, I used to write short stories when I was younger. I think it would be helpful if I said I’m a big fan of Zach de la Rocha and Rage Against the Machine. This would explain my own views about a lot of things. Their songs were about national issues, politics and human rights. They support the American Indian Movement and Che Guevara, the face you see on t-shirts. Not that it concerns me. I only like their music and idealism.
I’m not an artist, I’m not a poet. I just love writing anything I want. I wasn’t born a genius, I just want to know and understand something I don’t. I like to find the difference between similar things. It’s like counting birthmarks on each identical twin.
For additional information and comments about the article you may log on to http://www.printingquotesonline.com

Spyware & Adware, the only way to really stop it, and it’s free!

October 13th, 2007

The net is full of software packages to prevent, clean and remove Spyware & Adware from you PC. Most of these packages cost a substantial amount of money to purchase and keep up to date. If you’re anything like me, the last thing you need is another monthly subscription to pay.

So what to do then? Top sources all agree that Spyware & Adware are some of the leading causes of computer problems today, and they are right. An infected computer can become almost useless. Often times it is near impossible to remove all traces of the infection short of reinstalling your operating system again.

Subscription services and software packages are only one layer of defense against Spyware & Adware. These remedies are not always up to the task of providing complete protection, so there needs to be multiple layers, the first and most important one being an informed user.

Most Spyware & Adware infections can be prevented by having an understanding of the nature of these attacks, and staying up to date with new methods of exploitation. Keeping informed is not as difficult as you might think. Finding an up to date website that is easy to read and understand is key. Armed with the knowledge of what actions can lead to infections, your risk decreases exponentially.

So get informed and stay that way. You might be surprised how easy it is and the positive effect it will have on the overall security of your computer.

-Dave

D. David Dugan is the president of DD&C ( www.dugancom.com ), an IT Consulting and Solution Providing Organization, and is personally involved in updating spyware.dugancom.com.

Anti-Spyware Protection – Holes in the Shining Armor

September 6th, 2007

Looking at all the ads which promise to get rid of all spy
programs, one may wonder why there is still plenty of them
everywhere and the situation is by no means getting better.
So let me spoil the advertisers’ mood and show some of the
“holes” in the majority of software products we expect to
protect our data.

Speaking about drawbacks of anti-spyware, let’s take the
word “spyware” in the narrow sense for a change and call
“spyware” only software products that really spy, i.e. steal
valuable information you want to keep private. Let’s leave
aside adware — this motley crew of advertising stuff;
information that some of them “steal” isn’t valuable enough.
It is keylogging programs that we should associate with the
term “spyware” first of all. This breed is exceptionally
dangerous — such threats as flourishing online bank fraud
and the recent outbreak of keylogger-containing Trojans
prove this.

Generally speaking, most anti-spyware works like that… Don’t
stop reading, please. Don’t skip over the paragraph. Do you
think that if you are not a tech person, it is none of your
business? You don’t write this software, you just use it —
so what? You haven’t made the car you are driving, either
(well, there may be some exceptions…). But you do know (at
least in general) what makes it move — and you won’t forget
to fill up its tank or have it serviced from time to time.
You know what will happen if you don’t. For the same reason
you’d better know a bit about anti-spy software installed on
any PC you use.

We all should know it to realize what exactly to expect from
all these anti-spy products with cool names. Their creators
and sellers promise you that these software products will
“kill all spyware on your PC” (or something like that).
First, is absolute protection possible? Second, what should
we expect from a typical anti-spy program and what it is
simply unable to do? To answer these questions, we should
understand how it works.

Generally speaking, most anti-spyware works like that: it
scans the operating system in search for suspicious bits of
code. Should the program find any, it compares these
suspicious pieces with bits of code (they are called
signatures), which belong to already detected and “caught”
spy programs. Signatures are kept in so-called signature
base — the inseparable part of any anti-spy program. The
more signatures it contains, the more spyware such program
will detect, so your PC will be protected more effectively.
As long as you update your anti-spy software regularly and
the system doesn’t come across some unknown spyware product,
everything is going to be all right.

As for me, this pattern looks pretty like police records and
works like them, too. But…the problem is just like the one
with police records – the fact that all included there are
criminals doesn’t at all mean that all the criminals are
included into the records.

Well, what about the criminals (spy programs) that are not
included into the records (signature bases)? There are lots
of such programs — more than that — some of them will
never be in any signature base. Just like with criminals —
some of them haven’t been caught yet, and some will never be
caught – because of their “right of inviolability”. Anti-
spy products based on signature base analysis will never be
able to protect against these spies. Don’t expect them to.

Let’s take a quick look on these elusive spy programs.

Group 1. Those which hasn’t been caught yet, because they
are:

1. brand-new ones. They are being constantly written,
released, used (for a very short time), detected and,
finally, included into signature bases. Anti-spyware
developers are now in the vicious circle of endless “spy
hunt”, trying to include as many spyware signatures (pieces
of code) into the bases as possible - and fast! Faster, to
outrun the competitors; faster, for new spyware - which is
being written and released all the time – not to spread like
a wildfire. That’s the way a signature base grows.

2. written to be used only once.

These “tailor-made”, or should we say, “custom-made”,
keyloggers are extremely unlikely to be ever detected. As
soon as they have done their jobs (stealing data, of course
–often from the particular computer) they simply disappear,
never to be seen again. Here belong keyloggers made mostly
for such tasks as espionage.

The main problem: keylogging software is relatively simple
and not too difficult to compile. Even an average computer
programmer can write a simple keylogger in a couple of days.
More sophisticated one will take longer to make, of course,
but not too long. Hackers often compile source code of
several keyloggers (it’s easy to find them in the Web–for
those who know where to look for) — and get a brand-new one
with an unknown signature even faster. If a keylogger can be
installed remotely without the victim’s knowledge, it gives
the hacker great possibility to steal any information he
pleases. If there is an opportunity, there always will be
one to use it. The period of time when a new spy already
exists, but the updates have not been released yet, is the
very time when hackers make their biggest profits. Trying to
catch them all is a hopeless idea; it looks too similar to
catching fleas one by one.

Group 2. “Sacred cows”.

No signature base will ever have their signatures. Here
belong mostly monitoring programs, which can be used for
spying as well. First, the ones created by (or for)
government agencies – such as the famous Magic Lantern (the
brainchild of the Cyber Knight project). No product which
uses a signature base will protect against it; an ordinary
anti-spy will never detect such a program. The same
situation with other monitoring software, which certain
agencies utilize. These monitoring products simply “don’t
exist” for signature-base-using anti-spyware (though they
can well exist on any PC–yours included)

If you think I’m painting it too black let’s recall what
happened when code of D.I.R.T. (a covert spying tool
developed by Codex Data Systems) leaked out couple of years
ago and was found in the Web (merely by accident, by the
way). Once a top-secret project, it did become an open
secret — but the signature of this powerful monitoring
software hasn’t been included in any signature bases. That’s
what worries me the most; after this information leak nobody
knows for sure WHO can be using it –and WHAT FOR. What if
some other government monitoring program trickles into the
Internet, too?

Monitoring programs for parental control or workplace
surveillance are very common and easily available from the
Web. However, they can be used not only for those absolutely
legitimate purposes. Any monitoring program is actually a
double-edged sword because it almost always contains a
keylogging module. It is up to an end user to utilize
them–perhaps for spying. Legitimate monitoring programs are
sometimes not included into signature bases, so one can use
an anti-spy program and be spied on anyway.

Now the last (but not the least) threat — spy modules
incorporated into viruses and Trojan horse programs.
Unfortunately, all malware, including viruses, Trojan
horses, worms and other fauna, “evolves” (due to their
malicious creators). There already are so many hybrids
between one another that it’s hard to find, say, a “pure”
virus like ones used only several years ago. Lots of this
fauna can contain a keylogger — like MyDoom (sure you
remember this virus). They multiply and evolve, becoming
more and more malicious.

So, what conclusions could we draw out of this entire story
(sorry if it turned to be too pessimistic)?

Is absolute anti-spy protection possible? With existing
anti-spy software which uses signature bases - no.

However, there is a relatively new trend in software
development — not to use signature base analysis at all.
This approach is rather promising; it means that such
software–it already exists–can counteract even brand-new
and custom-made spies. You may read more about it if you
follow the link in my signature.

What should we expect from an average anti-monitoring or
anti-spy program? It does protect from spy software which it
“knows”. If it has the particular signature in its base, it
protects your PC from this particular program. If
anti-spyware uses a signature base, it will never “kill all
spies on your PC–”whatever the salesperson promises you.
Don’t expect complete security– there is no such thing
anymore.

The only hope is for entirely new technologies. If
developers can’t succeed in fighting spyware, they should
try something else.

Alexandra Gamanenko currently works at the Raytown Corporation, LLC — an independent software developing company.
Visit its website
http://www.anti-keyloggers.com

Medical Billing - Solving the Problems Part I - Coding Errors

September 3rd, 2007

Medical billing in the United States is fraught with many challenges and problems. The primary goal of medical billing is to receive fair compensation for the work that was performed in a timely manner. However, this is rarely the case. This series will explain those challenges and suggest possible solutions to these problems.

Coding Errors

A large percentage of denied claims are due to simple coding errors. Insurance companies process claims through huge computer systems designed to make sure every piece of information is correct. It is in the insurance company’s best interest to deny a claim and force a resubmission for payment. This helps their cash flow and significantly impacts yours.

One study estimates that 90 percent of all claim denials are preventable. Healthcare Informatics website states that, “Of 15 billion U.S. healthcare claims, 25 percent to 40 percent are rejected or denied at some stages in the administrative process. Only half of those are followed up and resubmitted.” Newer medical billing systems can drastically help solve this type of problem.

Potential Solutions

Some electronic medical billing systems will now employ sophisticated Rules Engines that will check your claim before it is sent. Examples of some of the messages that you could see are:

  • Diagnosis Code Requires Onset Date
  • CPT: G0001 is invalid for the specified insurance company
  • Procedure Requires Referring Physician UPIN

These types of checks and hundreds more, can ensure that the most common errors will be caught before a claim is sent to the insurance company for payment. Reducing the amount of denials helps your practice in two ways. First, cash flow is increased due to faster payments. Second, the time required to look at a denied claim, research the problem, correct it, and resubmit it can be 5 times as long as the original submission time.

To ensure a smooth running billing operation by reducing the number of coding errors, insist on a claim scrubbing rules engine in your practice management system. Bottom line, clean claims get paid faster.

Lori Anderson is an independent consultant with LAtech working with AntekHealthware on their DAQbilling Medical Billing Software and LabDAQ Laboratory Information System projects.

Endoscope Repairs: Deciding On Endoscope Repair Service Center - What is Your Prime Consideration

September 1st, 2007

If you are the unit manager or finance controller or unit nurse in charge of the endoscopy centre, and your endoscope has been identified with damages,what are your alternatives for repairing it? Where do you send it to for repairs?What is your most important consideration in undertaking repairs to your endoscopic equipment?

The endoscopist spends his time on the technical work involving the endoscopy and its various areas of work, while the finance controller of a health center or hospital holds the purse strings in allocating funds to repair equipment. It is very important that both the endoscopist and the financial controller take correlated action to get the endoscope repaired and functioning in excellent condition at all times in the interest of patient and clinician safety, and of establishing optimal efficiency, and in the savings of costs.

What then are the centers of repair and maintenance available for endoscopes?

Endoscopes can be repaired by sending them back to the Original Equipment Manufacturers (OEM) who provide repairs on all their original equipment. For endoscopes, the market in America has been dominated by at least three big OEMs, namely Olympus America Inc., Pentax Precision Instrument Corp and Fujinon Inc. For many years, OEMs consider themselves to be the only authorized entity to perform repair and refurbishment of their endoscopes, using specific proprietary parts, adhesives, lubricants, specifications, and repair manuals.

OEMs must comply with the FDA’s Quality System Regulations (QSR).The repair and refurbishment process is subject to regular FDA audits and must comply with Medical Device Reporting (MDR) requirements.

In recent years, there have been newer Third Party Repair companies called Independent Service Organisations(ISO).

Some ISO’s do not work independently by themselves but are aligned to the original OEMs’ and so become authorized ISO service partners.

Some of these OEMs’, notably Pentax and Fujinon provide their authorized ISO service partners with access to proprietary parts, adhesives, training, and repair manuals. In contrast, independent ISO’s develop their spares and parts through reverse engineering to make them compatible to the original equipment.

The complexity of the repair will determine the cost of repair of the endoscope. So the first step in locating a repair service center is to know whether your repair work is a minor repair or a major repair.

Negotiated financial arrangements with repair service centers may be set around fee-for-service, cost-per-procedure and capitated service contracts, with the ISOs competing on cost and convenience, with some providing on-site endoscope replacement during repair.

Irrespective of whether you decide to have the endoscope repaired by the OEM, or a OEM authorized-ISO or a third party ISO, patient safety is of prime consideration and must never be compromised. This is your main factor to consider in sending your endoscopic equipment for repair.

Peter Lim is the webmaster of the website “Online Guide To Endoscopes” . To learn more about endoscope repairs,endoscope storage and endoscope selection, visit his website http://endoscopes.best-online-guides.info

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