Wednesday, December 25, 2019

Gossip, Lies and Writing Samples Essay in Ilts

Gossip, Lies and Writing Samples Essay in Ilts You maybe know you could buy flashcards from bookshops. Using flashcards is a typical approach to learn new words. The Writing Samples Essay in Ilts Stories From a personal standpoint, computers can help young folks to learn more concerning the world. Learners are getting to be ever more dependent on technology, like the world wide web and cellular devices. There are many websites where it is possible to discover people that are native English speakers and would like to help your learn English if you teach them your language. Task 2 Some people think that teaching children at home is ideal for a child's development even though others feel that it's essential for children to go to school. In the present modern world, computers are a critical part of normal life. To summarize, it's clear that computers are now part of our normal life. Utilizing a computer daily can have more negative than positive consequences on children. S tudents may also produce a spider gram to be a symbol of the borders of a particular nation. The students will finish a spider gram concerning the continents with countries. They can also write a short composition of a country based from the information contained in the graphic organizers. They can write a short paragraph about the boarders of a certain country. It is essential that the examiner can observe how good you're at unique varieties of writing. The examiner is just interested in the degree of your English. Finding the result you have to have in the IELTS writing test takes a lot of practice, and understanding the common pitfalls and mistakes many candidates make. The writing test is marked utilizing a 9-band scale, like the other areas of the test. Just take a sheet of paper and make one or more sentences for each word you merely learned. It's essential that you have some excellent examples so that you are able to compare your writing and see whether you're on t he right path. Topic sentences are usually located at the start of each paragraph. The sentences that you put in each individual paragraph will be dependent on which kind of question you become. The Little-Known Secrets to Writing Samples Essay in Ilts Lots of people know they need to increase their writing, but don't have any idea how to do that. You will need to write an answer to the question giving reasons and examples to back up your answer. If you attempt to answer a question that you don't understand, you will almost surely become incoherent. The question can help you with the structure of your talk. There are then more lessons on these pages for various kinds of essay and distinct questions, with a lot of suggestions and strategies for achieving a high score. In the second job, candidates are assessed on their capacity to create a crystal clear and logical argument on a particular topic. You may be amazed at how simple the questions are! You have to answer the questions you're asked. The Writing Samples Essay in Ilts Cover Up There are several ways to compose an essay. Therefore don't get intimidated if you believe you cannot write such essays. An essay has to be composed of an introduction, a body, and a conclusion. A well-structured essay has a fantastic introduction, body paragraphs that are simple to follow and connect with each other, and a great conclusion. Remember that each and every new idea must be written in a different paragraph. If you don't plan you are more inclined to get lost halfway through your essay and the outcome is normally an extremely confused bit of writing that is hard to read. Even if you believe you're a bad writer today, you can learn to take your simple essay and transform it into something considerably more effective. Narration is telling a story from a specific viewpoint, and there is normally a reason behind the telling. To finish off your IELTS task two essay, you must summarise your entire argument for a conclusion. You should compose a paper due to an inquiry. It is important that you fully understand the questions, particularly for task 2, the essay. Your final statement may be an upcoming prediction based on what you've shown in the essay. Writing Samples Essay in Ilts - Is it a Scam? To have a high score on your IELTS essay, you want to understand what a terrific essay is composed of. Looking at IELTS essay topics with answers is an excellent means that will help you to get ready for the test. You aren't prepared to acquire the IELTS Writing Task 2 score you have earned. Below you'll find all you want to accomplish a high score in IELTS Writing Task 2.

Tuesday, December 17, 2019

Underage Drinking And The Long Term Effect - 1557 Words

There has been a large amount of research regarding underage drinking and the long-term effect that it can have on a person’s body and their mental state. The public is often informed of phases and activities that underage students are partaking in that can be extremely harmful to themselves that they are not aware of. In the journal article â€Å"The Use of Caffeinated Alcoholic Beverages Among Underage Drinkers: Results of a National Survey† they examine the relationship between the tendencies underage drinkers who drink non-traditional caffeinated alcoholic beverages and traditionally caffeinated alcoholic beverages. The study defines non-traditional CABs as Pre-Mixed Sodas or Energy Drinks with Liquor added and defined traditional CABs as Liquor with soda, coffee, or tea added by the beverage consumer. Previous research in this field has led to the determination that the consumption of caffeinated alcoholic beverages leads to an increased level of high-risk behavior among adolescents and young adults. Some of these high-risk behaviors include driving while intoxicated, unprotected sexual activity, and illegal substance abuse. In addition, heavy binge drinking is widely accepted as contributing to â€Å"neurocognitive deficits† and increased â€Å"morbidity and mortality.† Much of the previous research has focused on college-aged young adults. This study hopes to greatly shed light on the age group from 13 to 17 years old (pre-collegiate adolescents). In addition, the study hopes toShow MoreRelatedThe Plague Of Underage Drinking1356 Words   |  6 PagesThe Plague of Underage Drinking â€Å"Every year in the U.S., roughly 5,000 people under the age of 21 die from an alcohol-related incident including car crashes, homicides, suicides, alcohol poisoning and other related injuries† ( â€Å"11 Facts About Alcohol Abuse†). That is 5,000 more teens or young adults that could be saved from this plague in this society (11 Facts About Alcohol Abuse). Underage drinking and alcoholism is a huge problem in the United States, and as a society need to make a change withRead MoreUnderage drinking1086 Words   |  5 Pages Underage Drinking It is five o clock on a Friday night and classes are over for the weekend. The options for this evening are the kegger down the street, drinking at the bonfire, or sneaking into a bar with a fake ID. This can be a normal weekend for an underage drinker. Underage alcohol consumption can be very common in the weekly routine for many students. There are many different types of drinkers and reasons for their drinking habits. Some people may drink for social reasons and othersRead MoreUnderage Drinking And The Central Nervous System1446 Words   |  6 PagesThere are so many people who have drank underage. Norah Piehl quotes, â€Å"According to a 1991 University of Michigan study 81% of students had had at least one alcoholic drink in their lives (13 Piehl).† Wow, that is scary. Imagine, 81 percent of students; that is to many people. What is alcohol anyway? Rob Nagel states, â€Å"Alcohol is a depressant that acts as a numbing agent on the central nervous system.† So d rinking alcohol can slow down the central nervous system and can impair a person’s judgementRead MoreUnderage Drinking1369 Words   |  6 PagesUnderage Drinking Introduction Underage drinking has long been, and continues to be, a serious public health concern. â€Å"Teen alcohol use kills more than 4700 people each year and high school students who use alcohol or other drugs are five times more likely to drop out of school† (MADD, 2014) than kids who do not. There have been years of underage drinking prevention programs to curtail the use of alcohol by those under 21 years of age and yet alcohol is the most widely used drug by adolescentsRead MoreThe Underage Drinking Crisis in America Essay1030 Words   |  5 Pagesfederal law, underage drinking is any person under 21 who are consuming alcohol. In 2011, Missouri had 258 total alcohol impaired fatalities. Forty-six, or thirty percent, of these fatalities were under the age of twenty-one (Century Council). Surely, it does not happen in small towns like Warrensburg. Yes, in fact, it does happen in Warrensburg, the reason being it is a college town, and Whiteman Air Force Base is just twenty mi nutes outside the town. Here are stories of underage drinking incidencesRead MoreUnderage Alcohol And Alcohol Abuse1597 Words   |  7 PagesSadly, in today’s society, there is a lot of issues concerning drug and alcohol abuse in schools whether its at the high school or college level. Not only does drug and alcohol consumption effect your overall health, it can effect your academic performance as well. In this paper I am going to be talking about the problems with drug and alcohol abuse, preventions, risks, costs and much more. We are going to dissect the problems with drug alcohol consumption amongst young adults, from high schoolRead MoreShould People Underage The 21 Drink? No942 Words   |  4 PagesShould people underage the 21 drink ? No,the effects on the body are horrible . www.Teenalcoholabuse.us/content/underage-drinking-consequernces.html, say that some long terms effects of underage drinking include brain damage psychologica, dependent on alcohol,memory an d learning problems . And besides that there s a law that says you have to be at least 21 to drink . First there are the horrible physical affects of alcohol.Ucdmc.ucdavis.edu/welcom.reatures/20090902-teen-drinking/inc â€Å"AlcoholRead MoreNegative Effects of Lowering the Minimum Legal Drinking Age in America1292 Words   |  6 PagesWhen looking at the drinking age in many nations, a trend of relatively young minimum legal drinking ages (MLDA) can be seen around the world. As it stands, all of America’s 50 states employ a MLDA of 21 making America one of only seven countries in the world to have a drinking age set at 21; the oldest age set as the minimum legal drinking age in the world. Where many of our friends in Europe are happily drinking away at 18, many here in America are left wondering why we don’t employ the same ageRead MoreSadly, In Today’S Society There Is A Lot Of Issues Concerning1294 Words   |  6 PagesSadly, in today’s society there is a lot of issues concerning drug and alcohol abuse in schools whether its at the high school or college level. Not only does drug and alcohol consumption effect your overall health, it can effect your academic perform ance as well. In this paper I am going to be talking about the problems with drug and alcohol abuse, preventions, risks, costs and much more. We are going to dissect the problems with drug alcohol consumption amongst young adults, and talk about waysRead MoreAlcohol Is The Drug Of Choice Among Youth1692 Words   |  7 Pagesit comes on drinking at early age. Alcohol often has a strong effect on people and throughout history, we have struggled to understand and manage the power of alcohol. However, we hardly think how much alcohol is too much for us, unless we get into any kind of trouble or shows some physical or mental effects on our health. People usually consume alcohol to celebrate, relax and socialize. It is also use as the celebrating drink during any functions or occasions. Drinking patterns often

Monday, December 9, 2019

Walmart Case Study free essay sample

Walmart is the largest retailer in the United States. Walmart is the discount superstore that is known for their low price guarantee. Walmart’s two main competitors are Target and Amazon. Amazon is the biggest online retailer, and Target is another huge discount super store. Walmart’s strategies set the company apart from their competition. The economy has been stagnant with little growth, after its downfall in the past years. With consumers having less money to spend, they often shop at extreme value or discount superstores such as Walmart. Walmarts target market is the working class. The working class citizen is looking for a great deal and central location for everything. The average Walmart customer makes around 30,000-60,000 a year, whereas Target their neighboring discount superstore caters to a customer that make 64,000 and more a year (Mersha, 2012, p. 1). Walmart is known for their low prices, Target is known for their private store brands and their quality of products. By consistently LISTENING Scott and his team discovered their critics don’t want Wal-Mart to stop conducting business, but they believed business practices needed to be changed. This meeting to understand the critics’ opinions became very informal and important because Wal-Mart is a leader in business and has experienced tremendous success like no other of its kind. This success has put Wal-Mart in a great position to make a big impact in societies all across the globe. Another crucial factor that made an impact on Scott was hurricane Katrina. Scott saw his company utilize their resources to make a major difference in the lives affected by Katrina. He saw Wal-Mart at its best during this trying time and responded immediately when asked for help by communities, government, and relief agencies. This made him begin to think, what if we could be at our best all the time? He began to think that the things Wal-Mart had been criticized for could potentially aid and help everyone around the world. Turning a once thought of and criticized weakness into a strength. Strategic Management As a result from Katrina and the year round meetings with critics, the priorities for Wal-Mart to improve on were discussed thoroughly during the process of strategic management. In the past Wal-Mart looked at these priorities with a defensive attitude or just overlooked them. Now, with the use of strategic management and SWOT analysis, Scott and his team realized that in order to build a better company for the future the priorities must be seen as a means to becoming the best and innovative company in the world. Strategic management provided them the opportunity to identify and describe strategies they can perform in order to achieve better performance and a competitive advantage for their organization. By conducting SWOT analysis they were able to identify and capitalize on strengths, minimize and approve upon weaknesses, make use of opportunities, and not ignore threats but face them as they come along. Strategy By taking all the information and insight from their critics, the formulation of strategies for Scott and his team to choose the best course of action to achieve Wal-Mart goals and objectives while staying within the vision were developed. The formulation of strategy basically involves seven main steps. The first step is in setting the organizations objectives. The key component to strategy is to set the organizations objectives. Once objectives and the factors influencing their selection have been made, it is easy to determine the strategic decisions. The second step is evaluating the Internal and External Environment of the organization. In this step the organization can identify its own strengths and weaknesses as well as their competitions. The third step involves establishing goals. This is done to evaluate the contribution that might be made by different departments or products. The fourth step is strategic planning. This is where contributions are made by everyone in the organization and planning is done. The fifth step is performance analysis. This includes discovering and analyzing the range between the planned and desired performance of the organization. The sixth step is the choice of strategy to be pursued. The best course of action is chosen after the consideration of organizational goals, strengths, potential and limitations along with external opportunities. The seventh step is implementing the strategy and evaluating its effectiveness. Environment The list of priorities developed through strategic management began with improving the environment. Initially, Scott thought Wal-Mart was being very responsible to the environment. However, after talking with their critics continued and through the use of strategic management, he began to think of ways to improve on their current actions. He concluded that environmental hazard does not only threaten our lives but the natural systems we rely on. He believes that â€Å"as one of the largest companies in the world, with an expanding global presence, environmental problems are OUR problems. The supply of natural products can only be sustained if the ecosystems that provide them are sustained and protected† (Wal-Mart: Twenty First Century Leadership, p. 4). Scott believes that being a good citizen to the environment and communities, along with being an efficient and profitable business are one in the same. During the strategic management process Scott and his team developed goals in which they can help the environment. Those goals are to be supplied one hundred percent by renewable energy, to create zero waste, and to sell products that sustain their resources and environment. In meeting these goals, Wal-Mart will not only be contributing to a healthier world, but will also receive a healthy bottom line. One plan to achieve these goals is to improve their fleet fuel mileage by just one mile per gallon. This will save Wal-Mart over Fifty Two million dollars a year and will help to clean the air for our children, establish new jobs, and help our country’s energy security. Another plan is to increase energy efficiency in order to reduce oil dependency, which will save money and avoid greenhouse gas emissions. Reducing the amount of waste is another plan to obtain the goals that have been established to help the environment. The main strategy to reduce waste is through packaging. Scott wants their packaging of goods to be the right size and the materials in the packaging to be made from renewable or recyclable materials that can be reused. With the slightest reduction in packaging this can generate a freight savings of more than two million dollars per year. Another plan is to change the fabric of its clothing. An example would be switching from cotton to organic cotton which will eliminate several toxins from being dumped into the environment. Environment Results These process of these strategies seem to be working as planned. Wal-Mart released its 2012 Global Responsibility Report that covers the sustainability issues covered in 2011. Two of their top ten achievements, one being there number one achievement from 2011, stand out the most. â€Å"An 80 percent reduction in waste. United States based Wal-Mart stores reduced their landfill waste by 80 percent. Wal-Mart is also working on reducing its landfill waste in other countries with both China and Brazil reporting a 52 percent waste diversion rate. Another highlight from the past year was Wal-Mart’s use of 1. 1. Billion kWh of renewable energy. Wal-Mart currently has 180 renewable energy projects in operation or in development† (http://www. forbes. com/sites/eco-nomics/2012/04/19/wal-mart-expands-sustainability-initiatives-in-new-report/). The ultimate plan is to meet one hundred percent of its energy needs through the use of renewable energy. Product Sourcing, Healthcare, Wages, Community, and Diversity The second priority established was product sourcing. Through product sourcing Wal-Mart is determined to increasing their involvement with supplier factory conditions and becoming more visible in this area. The third priority determined was healthcare. Wal-Mart will make healthcare more available to its associates and establish health care clinics in stores to make more convenient for its customers. The fourth priority is wages. Wal-Mart will bring better and more consistent standards to the pay rate review process at the local level. The fifth priority is in the community. To better understand the needs of the community, Wal-Mart will open local Corporate Affairs offices in metro markets. The sixth and final priority is diversity. One way to help with diversity is to increase the amount of business it does with minority companies. Wal-Mart is going to continue investing in the future. Again, Wal-Mart believes there is no distinction between being a responsible citizen and a successful business and they are one in the same. Health Cost and Benefits Strategy In order to improve the quality of healthcare that Wal-Mart provides, the board met at a retreat in 2005, to strategically plan and develop strategies to improve its healthcare structure. The current benefits provided by Wal-Mart were evaluated by cost trends, associate satisfaction, and public reputation. Strategies were then developed into nine limited risk initiatives and five bold steps. The first of the nine limited risk initiatives is to realign eligibility requirements for health insurance so that associates, both part and full time, along with their children can qualify after a determined number of hours. The second is to decrease cross-subsidization of spouses with the use of higher premiums and other charges. This would allow more money to be used towards associates and their children. The third is to give associates more information about the proper way to use healthcare and health insurance. Associates need more knowledge on the cost and quality of specific health services along with how to better utilize healthcare. The fourth is to lower the levels of company paid life insurance. Since associates are highly satisfied with this but have little importance for it, this presents an opportunity to lower the offering without affecting associate satisfaction. The fifth is to generate savings from current initiatives to improve labor productivity. This includes reducing the number of labor hours per store, increasing the percentage of part time associates in stores, and increasing the number of hours per associate while reflecting a major chance for cost savings. The sixth is to add a combination of best practice care management programs. This would improve the quality of care; produce cost savings by improving care coordination and compliance for extremely sick associates. The seventh is to further develop high performance provider networks. This will allow for the direction of associates to more efficient and effective healthcare providers. The eighth will offer associates bundles of other benefits to choose from. While every associate should have healthcare and retirement, this could allow for more effective spending of the remaining benefit money by allowing associates to choose from several packages of benefits. The ninth and final initiative is to continue to explore adding health clinics in store locations. These clinics could become an important of the overall healthcare strategy, especially as a substitute to emergency room visits. (Supplemental Benefits Documentation) These nine limited risk initiatives will not completely address the benefits-related obstacles Wal-Mart faces. To fully address these issues the board suggests Wal-Mart take five bold steps that will require tradeoffs between cost, associate satisfaction, and public reputation. The first step included moving associates to progressively designed consumer driven health plans to control cost trends and allowing associates to develop a health savings account. The idea behind the consumer driven health plans is to control costs in a more effective way. The second step is to restructure the retirement program to reduce costs and help associates save for retirement. This involves reducing the overall investment in profit sharing and 401k program. Since the retirement program is ranked as the best in the non-union hourly retail benchmark lowering it to be more in line with other retail offerings will allow more money for healthcare. The third step involves redesigning benefits and other aspects of the associates’ experience. With the restructuring of benefits there must be one of job design. In order to attract healthier associates for a consumer driven health plan the element of physical labor must be included in the job description. The fourth step is to select strategic investments in healthcare offering to better withstand external scrutiny. This involves investigating several ideas to identify if there are investments or plan modifications we could make to that would return an increased reputational benefit. The fifth and final step is to improve communication of benefits to get credit for what Wal-Mart provides while working to shape state and national outcomes on healthcare. This calls for Wal-Mart to be more proactive in the public arena. (Supplemental Benefits Documentation) The board hopes that the use of the limited risk initiatives and the five steps will bring a powerful advantage to Wal-Mart. The advantages include maintaining benefits spending at or below the level it is today, offering a more attractive benefit package for associates who are healthier and better position Wal-Mart to fight its critics. The key task involves implementing all the initiatives and steps, creating a clear way to analyze the success, to test run the ideas to see each ones effectiveness, and then establish the more successful ones everywhere. While it is hoped the advantages to the above plan will be mostly positive, there could be risk factors in cost, associate satisfaction and public reputation.

Sunday, December 1, 2019

Steps in the Medical Billing Process Essay Example

Steps in the Medical Billing Process Paper Steps in the Medical Billing Process Yolonda Hinojosa HCR/220 November 27, 2011 Deborah Ryan Steps in the Medical Billing Process The sequence of steps in the medical billing process, are as follows: The visit: There are four steps in this category. Step1. Preregister Patients; the patient is preregistered and basic information is taken from the patient. The appointment has to be scheduled or updated and the information that has to be taken is insurance and demographic. Returning and new patients are asked for the medical reason for their visit so the appropriate appointments can be scheduled. Step2. Establish financial responsibility for visits; this step is very important to determine financial responsibility for the visit. Insured patients will be asked questions about what services are covered under their plan, medical conditions that establish medical necessity for the services, what services are not covered, and how much of the bill is the patient responsible for. You must verify patients’ eligibility for their health plan in case it has expired or there has been changes made. Step3. Check in Patients; the new patient has to be checked in when they arrive at their appointment, this is when detailed information for demographic and insurance is collected at the front desk. When a returning patient checks in they are asked to review their information to make sure everything is still the same as the last time they visited. The clerk will also check to make sure that they do not have any past due bills that need to be taken care of. We will write a custom essay sample on Steps in the Medical Billing Process specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Steps in the Medical Billing Process specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Steps in the Medical Billing Process specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Step4. Check-out Patients; the patient will be checked out after their visit with the provider and the provider gives the findings to the check-out clerk so they can record the medical codes for the visit that will be billed to the health plan and the patient. The Claim: There are three steps in this category. Step5. Review coding compliance; the coding compliance must be reviewed in order to insure that they all satisfy official requirements. There are guidelines that must be followed when codes are assigned and checking for oding errors are vital to this review so that the payer will pay the proper charges. Step6. Check billing compliance; the billing compliance is checked for each charge, or fee for a visit, each procedure has a specific code. Separate fees are associated with each code, but not all codes are billable. Step7. Prepare and transmit claims; this step is a major one for the medical billing process in order to assure that the preparation of accurate and timely claims. If this step is skipped then the provider cannot be paid for services rendered. Post Claim: There are three steps in this category. Step8. Monitor payer adjudication; this should be done after claims have been sent to health plans because it is important to collect payment as soon as possible. These payments as well as those from patients are the practice’s accounts receivable and this money is used to run the practice. Step9. Generate Patient statements; the statements must be generated in order for the patient to know the amount they owe after their health plan and any other insurance has paid their portion of the bills. Step10. Follow up patient payments and handle collections; following up patient payments and handling collections is also an important part of the medical billing process, it assures that the patient accounts are paid in a timely manner in order to keep them from going to collections. Patient payments are analyzed regularly for over-due bills. Reference Valerius, J. , Bayes, N. L. , Newby, C. , Seggern, J. I. (2008). Medical Insurance an Integrated Claims Process Approach (3rd Ed. ). New York, NY: McGraw-Hill.