![]() They were not ready for how many soldiers would be injured, and this was one of the reasons why the hospitals were in such a bad state. When war broke out in the Crimea in 1854, the government expected it to last several months, it actually lasted 2 years. When she returned she became the superintendent of a hospital for gentlewomen in Harley Street, London. When Florence told her parents they were not happy as in their view, this was not a respectable profession.Įventually, her father gave his permission for her to go to Germany to train in 1844 in a hospital in Kaiserwerth, Germany. She came from a wealthy background was born in Italy and named after the city of her birth.Īs she grew up, she decided that she wanted to help the sick and injured, and wanted to become a nurse. Can you find the statues of Florence Nightingale Lord Sidney Herbert? The Crimea Memorial?įlorence Nightingale (1820-1910) was a British nurse, social reformer and statistician.Photograph of Waterloo Place, London, viewed from the East showing the Crimean War memorial, and statues of Florence Nightingale and Sidney Herbert of Lea © Wikimedia Commons What was the old name for The National Archives?.When could this document to be seen by the public for the first time?.Can you explain or find out how these three statues were connected?.What two other statues were to be placed nearby?.In what part of London was the statue of Florence Nightingale situated?.What does the code tell you about what this file might be about?.Can you spot the code ‘WORK’ on this document?.This file is from the government Ministry of Works which has information about the planning, building and up keep of royal buildings and parks, public buildings and deals with the protection and care of ancient monuments and statues. Use the sources in this lesson to explore why Florence Nightingale is considered a significant figure and the founder of modern nursing.įront cover of a file about a statue for Florence Nightingale, Catalogue ref: WORK 20/67 ![]() ![]() Florence Nightingale realised that if the doctors were going to let her nurses to work then they had to do a very good job. When she arrived at the hospital, army doctors there did not want the nurses helping. Often more men died from these diseases than from their injuries. These conditions meant that they often caught other diseases like typhus, cholera and dysentery. The army base hospital at Scutari in Constantinople was unclean, poorly supplied with bandages and soap and the patients did not have proper food or medicine.įlorence Nightingale found that wounded and dying men were sleeping in overcrowded, dirty rooms often without blankets. Britain was at war with Russia in a conflict called the Crimean War (1854-1856). On the 4 November 1854, Florence Nightingale arrived in Turkey with a group of 38 nurses from England. ![]()
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![]() ![]() Destiny 2 Wayfinder's Voyage week 5 quest steps.Destiny 2 Wayfinder's Voyage week 4 quest steps.Destiny 2 Wayfinder's Voyage week 3 quest steps.Destiny 2 Wayfinder's Voyage week 2 quest steps.Destiny 2 Wayfinder's Voyage week 1 quest steps.Destiny 2 Wayfinder's Voyage I quest steps.How does the Wayfinder's Voyage quest in Destiny 2 works.This page explains how Wayfinder's Voyage works as well as every Wayfinder's Voyage quest step as they're released on a weekly basis throughout the season. Similar to Path of the Splicer during Season of the Splicer, this introduces a long-term plan to the season's new activities and features, with each week tasking you with using the Wayfinder's Compass, collecting Parallax Trajectory, and more.įrom the first step onwards, this quest grants access to the Astral Alignment seasonal activity, as well as an entry to the Shattered Realm. ![]() You will want to solely stick to Public Events and Strikes if you intend to farm this new material.Destiny 2's Season of the Lost introduces a new seasonal quest called Wayfinder's Voyage, and here's all the quest steps in a weekly basis.ĭestiny 2's Wayfinder's Voyage is a questline running throughout Season of the Lost. I recommend avoiding Gambit, Wrathborn Hunts, Battlegrounds, and Crucible since these can take a bit more time. Strikes reward a solid amount and with a coordinated fireteam, this strike can be beaten in under 10 minutes consistently. That being said, if you are not in the mood to complete Public Events then just load up the Lake of Shadows strike and run that. Plus, if you don’t manage to trigger the Heroic modifier, you will still earn 75 Parallax Trajectories, which is a solid amount. While you can get a great sum of Parallax Trajectories by finishing Nightfalls or other playlist activities, this is the fastest method for amassing a lot of the currency. Given you can just complete these in quick succession, it’s far and away the best method for farming Parallax Trajectories. These award 88 Parallax Trajectories upon completion and take around 2-3 minutes to finish depending on how many people are participating. If you’re looking to farm Parallax Trajectories then your best method is actually completing Heroic Public Events. Plus, there is a Weekly Challenge tied to finding them that rewards XP and raises your Wayfinder’s Compass level. Picking one up will give you 30 Parallax Trajectories, so they definitely are worth looking for. Youtuber Esoterickk made a video detailing their locations if you want to hunt them all down. At the time of writing this, you can find 20 in the EDZ and 10 in the new Shattered Realm activity. You can also hunt down Ascendant Anchors, which appear weekly and are scattered all throughout patrol zones. However, the drop rate for this is pretty low which is odd given how expensive all of the upgrades are. Keep in mind, the Astral Alignment will not give you any Parallax Trajectories.Īdditionally, you will randomly earn 3 Parallax Trajectories whenever you kill an enemy. Given how you will be often playing these activities to obtain Pinnacle rewards, you should typically have a few hundred on you at any time. These will award a minimum of 100 Parallax Trajectories, but you can obtain more by purchasing the Astral Harvester upgrade from the Wayfinder’s Compass. The most common method is by completing playlist activities such as Crucible, Strikes, or Gambit. Thankfully, there are numerous ways you can obtain Parallax Trajectories throughout Destiny 2. Called “Parallax Trajectory,” this item will be raining down upon you as you play through various activities this season. Similar to previous seasons, you will need to acquire a new in-game currency that is used to upgrade your Wayfinder’s Compass, open chests at the end of the Astral Alignment, or decrypt Umbral Engrams. Along with a new seasonal activity, players can also obtain new armor, weapons, exotics, and in-game consumables. ![]() Acting as a prologue to The Witch Queen expansion, this season revolves around freeing Savathun from her worm god to save Osiris from her clutches. Destiny 2 Season of the Lost is here and we’re heading back to The Dreaming City. ![]() ![]() ![]() But if you don't see the icon, tap the three dots at the right to reveal the hidden icons. Sometimes you will see the clipboard icon right away in the menu alongside settings, GIF, and others. To get access to the clipboard functionality of Gboard, open a note app or any other app you want to type in. Click on Input Method and choose Gboard in the modal that pops up next. Next, you will be prompted to select Gboard as your default keyboard. Step 3: Set Gboard as your Default Keyboard If it doesn't (on very rare occasions), go to settings, tap System, click on "Languages & Input", tap "Virtual keyboard", then select Gboard. The first thing you need to do is select Gboard in your language and input settings. ![]() In my case, I have it installed already, and it looks like this:Īfter opening the application, you need to go through some basic configurations to get it up and running. How to Download and Setup Gboard Step 1: Download Gboardįirst of all, you need to download Gboard from the Google PlayStore by typing "Gboard" on the search bar and tapping the search icon. Google has banned third-party clipboard managers for Android 10 and above due to security reasons, so the guides in this tutorial will be based on using Gboard to access and clear the clipboard. The second is by using clipper, a third-party app that lets you manage copied items in a slightly more efficient way. You can get access to the clipboard in two ways: the first is through Gboard, a keyboard app by Google. How to Access the Clipboard on an Android Phone This is because Android smartphones save copied text to RAM (Random Access Memory), a short-term type of memory.īut there's a way to access the clipboard on your Android phone and see those copied items – and that's what this tutorial is all about. If you don't, you won't have access to it anymore.Īlso, if you copy text and turn your phone off before pasting, the text will disappear into thin air. Once you copy a snippet of text, you need to paste it before copying or cutting another. Orgīuilding the global movement for the protection of privacy.The copy and paste functionality on Android smartphones might seem to be a "one-time" thing. Tails - a live system that aims at preserving your privacy and anonymityĬonsider donating to one of the organizations that fight for your rights. Tor Browser, a pre-configured web browser intended to protect your anonymity when used with safe browsing practices. No one solution can guarantee your anonymity. Note this section has software that is under ongoing development. The Electronic Frontier Foundation’s, “Surveillance Self-Defense”ĮFF’s, “Digital Privacy at US Borders Guide”Ĭontinuing discussion about frustrating the efforts of organizations that spy on citizens and consumers. ![]() If you can't find the time, then this article should at least get you thinking about why privacy matters.Ĭory Doctorow “On the Upcoming Privacy Wars” Learn how to spot fake news so you can focus on the facts and protect yourself from fictions.īefore you use the "I have nothing to hide" argument please read this paper – all of it. ![]() It’s really appreciated, and makes us proud of all the work you and we’ve done! Ongoing We’ve since grown a bit larger, and we’d like to thank everyone who’s subscribed, before and after then. I think… I think we’re going to have 100,000 subscribers this week and that’s all kinds of awesome. u/blackhawk_12 Subreddit Rules and Wikiīefore posting in /r/privacy, read the Sidebar Rules.Įnjoy our Wiki! It has all sorts of nifty advice and explains most topics you’re interested in if you’re reading this. "I don't have anything to hide but I don't have anything I want to show you either" Dedicated to the intersection of technology, privacy, and freedom in the digital world. ![]() ![]() ![]() ATI counts about 40 different agencies as members. The Illinois tollway coordinates with E-ZPass so that I-PASSes work in other member states such as Ohio, Indiana, New York, New Jersey, Maine and Virginia. The tollway already belongs to the E-ZPass Group, a coalition ofnizations across 15 states. You can still pay previously unpaid tolls for up to 14 days, and you’ll be able to set an end date to ensure you’re not charged in the future for that same vehicle. There is no annual fee for the I-Pass.Ĭan I drive through Illinois tolls and pay later? The minimum balance is $20 and the account auto-replenishes 10% of the average monthly usage or a minimum of $10. A further amount of $20 is to be deposited towards prepaid tolls. The I-Pass costs $30 to obtain along with a refundable deposit of $10. US FLAG – NEW EZ Pass, IPass Tag Holder / Transponder Holder / Toll Pass Windshield Mount / 3M Velcro Strips Included / UV-Protective / Installs in Seconds. Can I get an Ipass from Jewel?Ĭustomers can visit any Jewel-Osco, Road Ranger or I-PASS Customer Service Center to pick up their I-PASS today! All transponders require activation, which can be done online or at any Illinois Tollway service location. The transponders cost $50, including a $10 refundable deposit and $40 in prepaid tolls. The tollway’s board of directors on Thursday gave Jewel permission to charge a $2.90 “convenience fee” to anyone who wants to buy a transponder at the chain’s 199 participating stores. If you would like to calculate your unpaid tolls to anticipate your charges, simply open the Trip Calculator, right click on the map where your trip started (within Illinois) and where it ended (within Illinois) and the calculator will chart your route and identify your tolls. FastToll allows motorists to drive through the open-road (I-Pass) tolls on Illinois Tollways without having to stop at tollbooths to pay the fare by cash. How do I avoid tolls in Illinois?įastToll, a free tracking mobile app, can make your travel through Illinois’ toll roads an easier experience. If you go through an E-ZPass only lane with no transponder, it may post to the rental agency’s E-ZPass account by the license plate and you may be assessed a fee plus the toll rate from the rental company. What happens if you go through Ipass without transponder? If a vehicle registered with I-Pass passes through a toll collection without the transponder, the vehicle will be considered in violation only if the vehicle’s license plate is not registered on an I-Pass account. I-Pass transponders can be used at all toll plazas, including those located on entrance and exit ramps. ![]() Be safe, and put a transponder in every vehicle. Sharing a transponder puts you at risk of forgetting to move the transponder. Transponders can be shared between cars and motorcycles registered to the same I-PASS account, but the transponder must be properly mounted in your vehicle whenever you drive on the Tollway. The Tollway’s Central Administration Building. Pick up an I-PASS at a Customer Service Center.To order online proceed to and click the “Create an Online Account” link. 12 What is the best state to get an EZ Pass?.10 Can I use Ipass on Florida Turnpike?.3 What happens if you go through Ipass without transponder?. ![]() ![]() ![]() Out of all these sets, I like this one the best. There are a couple of added sockets too, but fewer screwdriver bits. In addition to many of the same bits that come with the 34bit set, this set also comes with more general purpose drill bits, 2 spade drill bits, and an L-style double-ended ratcheting screwdriver. You also get a couple of sockets, a socket adapter, a bit holder, and an assortment of screwdriver bits.īuy Now(via Amazon) Bosch 41pc Set (MS4041) The smallest set comes with 34pc, including a countersink, brad point drill bits for use in wood materials, general purpose metal plastic drilling bits, and masonry drill bits. In any case, here’s a look at the 4 new drill and driver bit sets. Quality within reach? That’s how a bargain brand might advertise their entry-level bit sets. Is it just me, or do these look a lot more like Skil drill and driver bit sets than Bosch? I’ve got to say, the more I think about these sets, the more hesitant I become.Īnd then there’s this comment as part of the description of the 41pc set: The bits are manufactured to exacting Bosch standards for quality within reach. ![]() All of the professional brands I checked only offered hammer drill masonry bits and SDS rotary hammer bits. When I sought out such a bit style years ago, all I could find at Home Depot, Lowes, and Sears was a lone Black & Decker Firestorm set. Some of the sets come with masonry drill bits, but these are rotary masonry drill bits. Their configurations are just a little too all over the place for my needs and preferences, and I’m a little hesitant about the quality. But I don’t know if I’d touch these assortments. Bosch makes some top-quality drilling and driving accessories. I use a wide range of Bosch power tool accessories, including drill bits, screwdriver bits, impact-rated screwdriver bits, and I’ve even got a nice Bosch 6-fluted countersink. There’s another plus about these cases – the individual organizer bits are removable, meaning you can take just the bits you need to where you’re working. ![]() I do like the idea of the see-through windows, and the larger sets have comfortable-looking gripped handles. It’s hard to tell without first seeing them in person. These sets look to be packaged in ordinary blow molded cases, but the latches look like the might be good. I haven’t made up my mind yet.īosch makes some of the best drill bit and screwdriver bit accessory cases I’ve seen. These are either ingeniously configured drill bit and screwdriver bit accessory sets, or they’re designed to offer DIYers a little bit of everything. Thanks to the new eBike Flow app and the LED Remote control unit, your eBike is now fully networked – and therefore fit for the digital future.My “what the heck is this” meter is off the charts. The smart system also combines the motor, battery and display ensuring even more riding fun thanks to the perfect interaction of the components. The robust Purion, Intuvia, Kiox and Nyon displays show all important riding data at a glance, such as speed, battery level and range. A Bosch eBike display on the handlebar completes the drive system. The necessary power is supplied by powerful lithium-ion batteries featuring eye-catching design and remarkable efficiency. The start-up behaviour ranges from smooth and agile to sporty different riding modes from Eco to Turbo are available. At Bosch, the power comes from the centre, which is why we only offer eBike mid-drive motors. From cargo bikes in everyday life to mountain bikes on the trail, the power of the Bosch drive system can be harnessed to optimum effect, thanks to sophisticated sensor management. The motor, or 'drive unit' as we call it, is the electric drive that supports you while riding. ![]() ![]() This YouTube Video explains the details and provides many quotes from medical studies – Hypocapnia, Respiratory Alkalosis: Key Causes of Deaths in the Most Sick. It is common for those with numerous diseases, including cancer, cardiovascular disease, diabetes, HIV-AIDS, asthma, COPD, and many other conditions. Respiratory alkalosis, the result of heavy breathing in the sick, is the most common acid-base abnormality observed in patients who are critically ill. Separate web pages of this site have numerous studies that show that terminally sick patients with cancer, cystic fibrosis, HIV, and other conditions have up to 30-40 breaths per minute or more at rest. The majority of terminally sick people die in conditions of severe hypocapnia due to heavy and fast breathing. Severe hypocarbia: the most common cause/factor of mortality in the severely sick More information about symptoms of hypocapnia can be found here: symptoms of hyperventilation. These and other physiological effects associated with low CO2 and low oxygen levels in body cells, with numerous medical studies, are provided below (in CO2-related links). The key pathological effect of both, alveolar and arterial hypocapnia is reduced levels of oxygen in body cells (tissue hypoxia), This promotes virtually all chronic diseases. Among other common symptoms of hypocapnia are bronchospasm, cold extremities, mouth breathing, exacerbations of asthma, angina pain, and many others. They are very wide and range from chronic coughing and nasal congestion to constipation, coughing and muscle cramps. Since hypocapnia is based on chronic hyperventilation, its symptoms are the same as the symptoms of hyperventilation. Respiratory and other symptoms of hypocarbia In contrast, hypercapnic patients and even most normal subjects breathe over 10 L/min and have over 18 breaths/min for respiratory frequency.Īmong lifestyle factors that cause hyperventilation and hypocarbia are physical exercise with mouth breathing, meals (eating and especially overeating), stress, anxiety, overheating, attempts to breathe deeply, deep breathing exercises (except slow ones, like Pranayama), supine sleep and being in the horizontal position, poor posture and many other factors (see Causes of Hyperventilation web page). Normal breathing is imperceptible or unperceivable since it is small and light (10-12 breaths/min, 500 ml for tidal volume, and 6 L/min for minute ventilation at rest for a 70-kg person). Hypocarbia is caused by chronic hyperventilation (or an automatic deep breathing pattern) leading to alveolar hypocapnia (lack of CO2), and if there is no ventilation-perfusion mismatch, to arterial CO2 deficiency. Furthermore, this Table also identifies the cause of hypocapnia. ![]() ![]() Most of these patients (with heart disease, diabetes, cancer, and so forth) have arterial hypocarbia as well. (People with lung conditions often have arterial hypercapnia (elevated CO2) caused by alveolar hypocapnia since alveolar hypocapnia immediately causes bronchospasm.) These studies (see the Table below) show that alveolar hypocapnia is very common for many chronic diseases. ![]() Severe alveolar hypocapnia generally leads to arterial hypocapnia, which causes respiratory alkalosis. The arterial CO2 value for normal breathing at rest is 40 mm Hg (or about 5.3% CO2 partial pressure at sea level).Īnother term “alveolar hypocapnia” describes low CO2 levels in the alveoli of the lungs. Most medical sources define hypocapnia as less than 35 mm Hg for partial CO2 pressure in the arterial blood. Hypocapnia (hypocapnea, also known as hypocarbia) is defined as a deficiency of carbon dioxide in the arterial blood. Medically Reviewed by Naziliya Rakhimova, MD Definition of Low CO2 (hypocapnia) ![]() ![]() ![]() Starting with the front of bike:Mohawk front sand tire.Polish. ![]() Bikes like this are rarely ever for sale. all bad ass.One of the nicest 250R's you will have ever see. Price: 2. Complete PROFESSIONAL FRAME OFF custom build. all bad ass.One of the nicest 250R's you will have ever see. Please double click each picture to zoom in. Huge power, nothing better than the sound and the smell of a vintage 2 stroke, so. THE MIGHTY HONDA ATC 250R – THE FASTEST THREE-WHEELED DEATH MACHINE IN THE WESTFirst thing you need to do before considering this is that you have a big enough SAK to ride it. no image Wanted 1985 to 86 Honda Atc 250r or 350 X. 1985 Honda ATC 250R 3 Wheeler - $4,500 (Whidbey Island) Price: 5,250.00 86 Honda ATC 250R Original Plastics in excellent condition.ġ986 Honda atc250r New fork seals and oil new front wheel bearings and seals New swingarm pivot bolt and bearings and seals New clutch cable Bored 40 over wiseco piston and rings answer roost boost I have the original front gold wheel do not have the back 2 gold wheels Has a. $3,500 firm.Call or Text ONLY !!! Emails will not be answered !!!. I'm asking $3,800 or best offer Please just call if you're interested. It does have some aftermarket parts on it. Yes that's right it's a 1986 the last year made Honda 250R ATC. Description Sale Terms Inspection & Collection Consign Now WHS Description Honda ATC 250R (rare) 2 Stroke Engine DOM: 09/1983 18x9.5-8 Rear Tyres 23. 1986 Honda atc 250r - $3800 (Palm Springs)ġ986. List your Inventory Motorcycles for Sale Atc 250r 1986 Atc 250r 1986 Motorcycles for sale 1958 Allstate Made by Cushman 811.9426.Original Seat in excellent conditionHeadlight & tail light work great +4 Swingarm RawAftermarket Rear spring on shockHondaline Rubber foot pegsLED Intake w/K&N & Outerwear Aftermarket Ignition. 1986 Honda ATC 250R - $5250 (Jefferson)Ĩ6 Honda ATC 250ROriginal Plastics in excellent condition.Possible trades for 86-87 tecate 3, or banshee Price is $7000 and is cash only ☎️ 9/7/2/9/2/1/8/9/6/1 See less. ESR exhaust.Entire engine only has break in time. 1986 Honda ATC 250R - $7,000 (Midlothian)ġ986 Honda ATC 250RCompletely redone. ![]() ![]() Play that you mine Bitcoins, watch the surveillance camera, crack passwords, control a nuclear power plant, break into the Interpol database or find the best secret deals! Passive Windows Try to interact with these programs because most of them responds to your actions. The interactive programs can be opened with the icons on the right of your screen. If you were to lose your phone, without a pin-code or password, the person who finds it could have access to your accounts, passwords, and even payment information. Many people dislike the inconvenience of needing to enter a pin-code or password to use their smartphone. ![]() If you are not sure, contact the sender directly via phone to check it out. If an email sounds strange, there is a good chance it is malicious. Family members will rarely ask for money to be wired to an unknown location. Reputable companies will never ask you for a password via email. But if someone tries to access your account from another computer, a stolen password will not be enough for them to hack you. Most sites give you the option of “remembering” the computer you use every day. You then enter that code to access the site. When you enter your username and password, the website sends a code to your phone or email account. Many banks, email providers, and other websites allow you to enable this feature to keep unauthorized users out of your accounts. Two-Factor Authentication is an amazing new security feature that too many people ignore. If someone gains access to your password on one site, they could access your other accounts. Never use the same password on more than one site. Be sure to choose something no one could guess and include upper and lower case letters, numbers, and at least one symbol. People often use passwords that are quickly figured out or based on the name of a pet or loved one that is easily found online. Weak passwords make a hacker’s work easy. Use Strong Passwords and Change Them Regularly Also, set it to scan your computer regularly to search for any new malicious programs. Install anti-virus and anti-malware software from a reputable company, and again, be sure to keep it updated. You might think that you don’t need special software to keep your computer and information safe, but you do. Install Anti-Virus and Anti-Malware Software Be sure you are using the latest by accepting those invitations to update or turn on the auto-update feature when available. When software developers learn that hackers have learned how to get into their software, they issue a more secure update. Keep in mind that those updates are often security enhancements. ![]() Maybe you ignore those popups on your computer or phone telling you there is a new update available. ![]() You don’t need to be a computer expert to take some of these simple steps that could save you time, frustration, and maybe even money. There are some simple things you can do to keep from getting hacked. Drag the windows with your mouse to organize them on your desktop. Click the icons on the right to open the programs or press the numbers on your keyboard. Welcome to this interactive hacker simulator. ![]() ![]() ![]() ![]() ![]() US Open TennisusopenSon of immigrants from Sierra Leone. FREE version of AmpliTube with 42 models including 10 stompbox FX and 5 amps with matching cabs Mac/Win standalone and plug-in (AAX, VST and AU) with. Peso Pluma - VVS ( Edgardo Nunez x Los Dareyez De La Sierra). Tiafoe becomes first American man since Andy Roddick in 2006 to reach US Open semifinals. Andy OS is a powerful new Android toolkit that emulates many different hardware devices such as: HTC Evo, HTC Nexus S, Samsung Galaxy S and more. PO Box, Anguilla, Antigua and Barbuda, Aruba, Bahamas, Barbados, Belize, Benin, Bolivia, Botswana, British Virgin Islands, Burkina Faso, Burundi, Cameroon, Cape Verde Islands, Cayman Islands, Central African Republic, Chad, Colombia, Comoros, Costa Rica, Côte d'Ivoire (Ivory Coast), Democratic Republic of the Congo, Djibouti, Dominica, Dominican Republic, Ecuador, El Salvador, Equatorial Guinea, Eritrea, Ethiopia, Falkland Islands (Islas Malvinas), French Guiana, Gabon Republic, Gambia, Ghana, Grenada, Guadeloupe, Guatemala, Guinea, Guinea-Bissau, Guyana, Haiti, Honduras, Jamaica, Kenya, Lesotho, Liberia, Libya, Madagascar, Malawi, Mali, Martinique, Mauritania, Mauritius, Mayotte, Mexico, Montserrat, Mozambique, Namibia, Netherlands Antilles, Nicaragua, Niger, Nigeria, Panama, Paraguay, Peru, Republic of the Congo, Reunion, Russian Federation, Rwanda, Saint Helena, Saint Kitts-Nevis, Saint Lucia, Saint Vincent and the Grenadines, Senegal, Seychelles, Sierra Leone, Somalia, Suriname, Swaziland, Tanzania, Togo, Trinidad and Tobago, Turks and Caicos Islands, Uganda, Ukraine, Venezuela, Virgin Islands (U.S. Play Andy Rivera 8 on SoundCloud and discover followers on SoundCloud. ![]() ![]() ![]() ![]() 40-50 days for an Average performing Medical Billing Department.30 days or less for a High performing Medical Billing Department.We look at the following figures as benchmarks for medical billing and collections: Some HMOs pay claims at 45 days after receipt, the time allowed by law in some states. So is that good? Well, Medicare usually pays about 14 days after receiving a claim. ![]() It is taking an average of 45.5 days to collect your payments. Then, if your total accounts receivable is $70,000, the Accounts Receivable Days is 45.5. Total AR / average daily charges = days in ARįor instance, if you have charged $280,000 in the past six months, and if there were 182 days in those months, your average daily revenue is $1,538. Total charges for last 6mo / number of days in last 6mo = average daily charges The result is the Days in Accounts Receivable. Divide the total accounts receivable by the average daily charges.Compute the average daily charges for the past several months – add up the charges posted for the last six months and divide by the total number of days in those months.The first measure is the “days in accounts receivable” – the average number of days it takes to collect the payments due to the practice. Measuring Medical Accounts Receivable: “Days in AR” So, as a practice owner or manager, it’s critical to have a handle on your medical accounts receivable. It’s also part of the best practices in medical billing you need to implement, even if your cash flow seems adequate right now. In fact, it’s fairly easy to monitor the overall performance of your accounts receivable efforts, and looking at these measures each month can provide an early warning of potential collection problems – and the effect on cash flow. Medical Practice Revenue Cycle: a Best Practices Checklist No wonder physicians and other healthcare providers are skeptical and frustrated. So they fall back on generalities or dollar amounts with no context. One of the reasons straight answers are hard to come by is that many staff members responsible for managing the medical billing process don’t know the relevant benchmarks and metrics to use for measuring accounts receivable performance. When we ask questions about medical accounts receivable, we usually get answers like, “Oh, our AR is very low!” or, “Our AR is $XX”, with no way to tell if that’s good, bad, or ugly. And the corollary: “Why can’t I get a straight answer to that question from the office manager/administrator/billing supervisor?” One of the most common issues we confront when called to perform a physician billing department assessment, or a more broad-based medical practice analysis, is the lament: “Why aren’t we collecting more of our accounts receivable”. ![]() |