Raster to Vector (R2V) Conversion

The R2V conversion process starts with a high quality scan. When a paper drawing is scanned, the resulting digital file is a raster file. The large format scanner used to scan paper drawings for raster to vector conversion should be a scanner that is capable of providing a high quality image. Image quality is everything here. If two lines are muddied and appear as a single line in the scanned drawing it will be difficult, if not impossible, to know that they should be separated when the scanned raster image is converted to a vector image. Once you have the best scanned raster image possible, rectify the image to make sure it is aligned correctly, scaled correctly, and that it measures correctly on all axes points.

In order to work with a digital file in a CAD (Computer Aided Design) system, the scanned raster file needs to be converted to a vector file by a process called raster to vector conversion or, simply, vectorization. According to Wikipedia, “vectorization refers to the process of converting raster graphics into vector graphics.” In very simple terms, this means converting pixels, which are dots of color (raster) like this… into lines (vectors) like this __________. It’s important to note that when you enlarge a raster image, the dots or pixels begin to break apart, and you lose the clarity of the image. (Think about enlarging a photo taken with your digital camera). On the other hand, a vector image can be enlarged indefinitely without loss of integrity, because it is made of lines, arcs, polygons, etc.

But how exactly to convert from raster to vector? There are many different conversion methods. There are commercially available raster to vector conversion software packages from companies like GTX, Hitachi, I/Vector, and Softelec. Some conversion service companies have written their own raster to vector conversion routines. Unfortunately I have found that one raster to vector conversion product does not fit all. It is not uncommon with 100 drawings, that 30% are converted via one (1) method, the next 40% need to converted via a different method, and the remaining are hand redrawn.

Please do not be misled with raster to vector software vendors promising ‘automatic raster to vector conversion’. Simply put, it is not true. These products are tools – and only tools. They all can help in the conversion process, but they are not the cure-alls they claim to be.

Generally, I have found that the most reliable way to get “CAD Perfect” digital drawings is by using an experienced raster to vector conversion service. Make sure the firm has proven and verifiable capability to provide converted files that can be brought into your AutoCAD, Microstation, or other CAD program that you use. Make sure that the conversion service you choose is able to provide vector files that are easily editable in your PC CAD, CNC, GIS or other program. Finally, confirm that the raster to vector conversion service that you use provides quality control and a satisfaction guarantee. The work should be guaranteed to be 100% correct, 100% of the time. No exceptions. No excuses.

Dumped Into Adulthood, What Now?

College Grads: Are you better off than you were 4 years ago? Unfortunately for many, the answer is a resounding “no.” Hordes of college grads have not acquired any skills that will enable them to get a decent job. And if that weren’t bad enough, they’re saddled with a mountain of debt that will be an albatross around their neck for decades to come.

With no prospects for the future, is it any wonder that so many college grads feel lost. This isn’t the way it was supposed to be. Higher education was supposed to be the best investment one could make to guarantee a solid future. Any wonder that they feel cheated?

What now? Dumped into adulthood, with no job prospects, many decide to double down on their education. Go to grad school. Get an advanced degree. But will more education pay off? Or will it simply dig a deeper debt hole? No guarantee. Even many with graduate degrees are unemployed or underemployed.

The importance and value of a college education has been sacrosanct for many years. But things change. Remember when owning a home was the guaranteed path to building financial security? Paying rent was supposed to be throwing money down the drain. Then came the housing bubble. And we all know how that turned out for scores of homeowners.

Might it now be time to openly question the value of a college education? With the walloping non-stop increase in tuition costs, it sure seems like we’ve entered an education bubble that will leave many in mega debt with no prospect for even an ho-hum career. Latest reports indicate that 53% of recent college grads are either unemployed or working at a job that does not require a college degree. There are more than 100,000 janitors in the U.S. with college degrees and 16,000 parking lot attendants.

Many families would do well to consider other types of post-secondary education for their kids. Perhaps learning a marketable trade is the way to go. There will always be a need for auto mechanics, electricians, carpenters, beauticians, make-up artists, and workers with other hands-on skills. These jobs will not disappear and cannot be shipped overseas. Or, one might consider investing in a small business or franchise. Become an entrepreneur. Pursue your culinary skills. Follow your artistic dreams. Or, attend college not as a four year vacation with beer parties, drug parties, hooking up and easy courses as the main attraction. But pursue your degree with the primary goal of learning marketable skills.

But what about the idea of education for education’s sake? Isn’t that what college is supposed to be about – making you smarter, more savvy, more cosmopolitan? Ideally, yes. However, in today’s world, anyone who wishes to become smarter and savvier does not need to attend college. The Internet can provide you with an amazing low cost or free education.

Several companies, including Coursera and Khan Academy, offer lectures taught by world-class professors. You can learn at your own pace, test your knowledge, and reinforce concepts through interactive exercises. Or, go online to TED talks for free short lectures from some of the smartest people you’ll ever meet.

Even prestigious universities like Stanford, Yale and MIT offer free courses with the same professors that college students spend thousands of dollars to take. The catch? You don’t get college credit. But you will get an education. And you can use the money that would have been spent on getting a degree to launch your career and move out of your parents’ house before your 30th birthday.

There are choices to be made folks. Don’t automatically assume that going into debt for a college education is the only or best way to create a first-class future for your kids. There are many options out there. Consider them before making your investment.


Choosing The Right Screw For The Job

To the untrained eye, one screw is as good as another, but those with a little more awareness have a better chance of realising that choosing the right screw for a particular job can mean the difference between a project succeeding and failing.

The industrial and construction sectors have literally hundreds of different types of screws and fasteners to select from; each type suited for a particular usage e.g. lubricated timber decking screws for quicker driving into outdoor decking, self-drilling screws for the convenience of not having to drill pilot holes and even screws that work specifically with the mechanical properties of plastics.

Before you can choose the best screw for a job you should consider the characteristics you desire in a screw such as:

  • Does it need to be waterproof to avoid corrosion from moisture?
  • Does the screw head need to be flush with material once it’s screwed into place?
  • Does the screw need to be protected from vandalism or unauthorised removal?
  • Is the screw to be used in wood, metal or perhaps plastic?
  • What length of screw is required?

For different types of material there tends to be a different type of screw. Take the following as examples:

  • Wood screws – designed to perform best in all types of wood including hardwood, MDF and chipboard. Smaller screws have less chance of splitting wood, but if you’re using larger screws and/or working near the end of a piece of wood then it’s often safer to drill a pilot hole first.
  • Floor screws – these will cope with the issue of different expansion rates so are best used for securing timber or chipboard to steel supports. Made by a process that ensures a hard exterior whilst retaining a tough, flexible core.
  • Self-drilling screws – designed for convenience as only a screwdriver is required. These screws drill their own holes and form their own mating threads ensuring the best fit in a single attempt.
  • Timber decking screws – specially designed to deal with outdoor conditions with durable, protective coatings.
  • Frame anchor screws – designed for fixing window and door frames made from PVC-U, wood or aluminium directly to brickwork without the need for plugs or nylon anchors.

A general rule of thumb for determining an appropriate length of you should look for a screw length that will allow two-thirds of its length to be embedded into the material being fastened to. So, for example, if you’re fastening a 1-inch thick piece of timber to a wooden post then you should be looking at embedding 2-inches of the screw into the post. That means you would require a screw length of 3-inches.

All good screw suppliers will be able to advise on the appropriate screws for your task. The important thing is to appreciate that not all screws are the same and that using the right screw can mean a secure installation, whilst the wrong screw can mean in an accident waiting to happen.

His Most Famous Painting – Elegy to the Spanish Republic – Robert Motherwell

Robert Motherwell was a young American 'Abstract Expressionist' painter, printer, collage maker, and author. The creator of glorious series, "Elegy to the Spanish Republic," Motherwell was born in Aberdeen, Washington, 1915. He completed his Bachelor's degree in Philosophy from the Stanford University, California. For a short period, he also studied painting at the California School of Fine Arts, San Francisco. At the Raymond Duncan Gallery of Paris, Motherwell had his first solo exhibition. Later, Robert took up painting as his full time job, in Greenwich. Here, he met 'Abstract' artists Jackson Pollock and William Baziotes. Robert's creative experiences were not only limited to painting, but also extended to collages. He displayed his artwork at the Art of this Century Gallery and participated at the New York's Museum of Modern Art.

All said and done, his "Elegy to the Spanish Republic" series is his hugely, rather most known and expected works of all. The title is a collective name to include over 150 oil paintings and numerous sketches & drawings. The main theme of this series was the Spanish Civil War, which illuminated the lives of more than 7,00,000 people. "Elegy to the Spanish Republic" is a commemoration of human suffering in the three-year battle of the Spanish Civil War.

Motherwell's masterpiece first appeared in 1948 in a pen and ink drawing. Later, in 1949, Motherwell made a small painting "At five in the afternoon," indebted to Spanish playwright and poet Federico Garcia Lorca's poem with the same title. Lorca was killed in the Spanish War. Then in 1950, the artist titled his Milestone work as "Elegy to the Spanish Republic." The artist had explained the reason behind the title and said, 'Making an Elegy is like building a temple, an altar, a ritual place … Unlike the rest of my work, the Elegies are, for the most part, public statements. The Elegies reflect the internationalist in me, interested in the historical forces of the twenty century, with strong feelings about the conflicting forces in it. "

Robert Motherwell was also known to use turpentine with paint, which creates a shadow effect. He encompassed this 'Symbolism' in his most famous series, "Elegy to the Spanish Republic." Through his paintings, he endorsed black as a symbol of death and white as life. The monoliths were represented as mausoleum and ovals as living forms. Critics believe that Motherwell's Elegances were interesting, as it is earliest of the elegies to have used acrylic paint, Magma, which retains its intensity even when thinned.

Apart from painting, Motherwell was a lucid writer too. In 1958, he married Helen Frankenthaler. Over the next 30 years, he continued to develop his style and technical understanding, and created over 200 editions. Robert Motherwell died on July 16, 1991.

5 Top Luxury Hotels in New York

Artsy, driven, iconic and original, New York is a city to savor, and savor, and savor again. Every street here tingles with the weight of history and the thrust of the present; every corner heralds a new mix of people, places, and things to do.

When exploring this veritable Aladdin’s Cave of treasure, it’s important to have a well located and welcoming base to fall back on – life in New York, you see, can sometimes get too exciting. Here, then, are 5 great luxury New York hotels to retreat to once the day begins to draw to a close…

1. The Lowell: This ultra-swish hotel, located in the ever-salubrious Upper East Side of town, is just about as exclusive as they come. The Lowell’s taste is of the traditional kind – think gild-lined armchairs, marble bathrooms, roaring fireplaces and chandeliers. Its clientele is strictly the rich and frequently the famous.

2. Mandarin Oriental New York. The Oriental is often considered the jewel in the Mandarin chain’s crown. Sophisticated, urbane, high-rise, and very definitely high end, this Oriental-accented joint is impressive through and through. Particular praise goes to the service, which still manages to be outstanding in a city where luxury New York hotels fall over themselves to offer the best.

3. NU Hotel. One of the new boutique kids on the block, NU Hotel is proving an increasingly popular choice, especially among young and successful trendies, who enjoy its minimalist decor and its Brooklyn address. Each bedroom here is an all-modern wonder, featuring drop down TV’s and iPod docks. Some even offer hammocks (don’t worry: a double bed comes as standard).

4. Hotel on Rivington. Hotel on Rivington is all about the views. 21 storys high, this uber-cool designer hotel features floor to ceiling windows in each of its bedrooms, uniformly offering views over what feels like the entirety of New York. Its location in Lower East Side is either a positive or negative depending on how ‘urban-cool’ you like your suburbs. Still, with views like this, who cares what it’s like all the way down there on the ground?

5. New York Palace. This hotel does exactly what it says on the tin (or maybe that should be oil drum, since it’s owned by the Sultan of Brunei). A gated golden-and-marble palace in the heart of Manhattan, it treats you like royalty from the moment you step through the door.

Banoffee Pie – A Short History and Recipe

It is thought that banoffee pie was created by Ian Dowding and Nigel Mackenzie in 1972. Mackenzie owned a restaurant in East Sussex, England called The Hungry Monk and Dowding was the chef. Dowding apparently thought of the idea after seeing an American dish called “Blum’s Coffee Toffee Pie” which consisted of smooth toffee topped with coffee flavoured cream. According to Dowding though, this recipe rarely worked – it either didn’t set properly or dried “like concrete”.

Together they adapted the idea to toffee and bananas and made up the word “banoffi”, which has now turned into “banoffee” and is now part of the English language used to describe anything that tastes of banana and toffee. So they added the new Banoffee Pie to their menu and found it became so popular that diners would actually request table bookings only if this particular dessert was on the menu. In fact, it became so popular that they simply could not remove it from the menu.

After a couple of years or so Dowding says that other local restaurants began to add it to their menu, and then they began to hear rumours that the dessert was being sold in restaurants in Australia and America. It also became highly popular in India during the late 1970’s, probably because of young backpackers who enlightened the locals with this dish.

Over the years banoffee pie became more and more popular and is now served all over the world.

Below is a fantastic recipe for making your own


3 large bananas

300g biscuits (digestive biscuits are fine)

60g butter

350ml double cream

1 tbsp icing sugar

100g dark chocolate (to decorate)

397g tin of caramel

1. Melt the butter in a pan. Whilst the butter melts crush the oaty biscuits (using a blender would be perfect, otherwise a plastic bag and rolling pin would do the job nicely). Preheat the oven to 180C or gas mark 4. In a bowl mix the crushed biscuits with the butter.

2. Transfer the biscuit / butter mixture into a 20-25cm flat round tin and press into an even layer.

3. Place in the oven and allow to cook for 10 minutes. Check the mixture has lightly toasted, if it hasn’t give it a couple more minutes.When you are happy take the base out the oven and let it cool. Once cool, carefully transfer the base to a plate.

4. Once the base is cool, pour on the caramel evenly and place in the refrigerator for approximately 1 hour.

5. Once chilled, slice the bananas and arrange them over the caramel.

6. Put the chocolate in the microwave to melt, and while it’s melting whip the cream with the icing sugar until thick and spread over the bananas.

7. Finally, carefully pour the decorating chocolate over the dessert and serve.

Amazingly Easy Abs Workouts

In this article we will discuss some valuable abs workouts that will help you in attaining the body of your dreams. As you know that the first step to lose weight and gain muscles is by working out, eating wisely and maintaining a healthy active lifestyle.

Some of the abs workouts that we will be discussing today are: reverse crunch, vertical crunch, abs rocker and the final one will be push ups.


Ok, so let's start you guys off with reverse crunch! In reverse crunch you have to lie down on the floor or mat with your face facing upwards and place hands on the floor. Next bend the knees and bringing them towards your chest until the bend is equal to 90 degrees. Next contract the abs to curl the hips off the floor and towards the ceiling. Relax and repeat 12 times. Remember to use your abs to lift your hips; This is very important because it's a very small movement. This exercise from the abs workouts will help built rectus abdominis stronger and, leaner.


Lie on the floor and extend the legs towards the ceiling. Lightly cup your head with your hand and lift your shoulders slightly up. Create a "u shaped" torso at the same time by pressing your heel towards the ceiling because workouts, help in toning your abs.


This workout is pretty straight forward if you have the abs rocker just grab the bars in each hand, contract them and rock forward. Make sure the movement comes from abs and not the frictional momentum. Release and repeat for 10-12 times.


The plank exercise is the next in our abs workouts series and can be done by lying with your face towards the floor and palms flat on it. Then lifting yourself up and down and tilting your pelvis and contracting the abdominals as well.

The Benefits of Roasting Foods

Roasting is a very easy and basic cooking technique. Many cooks use this method to cook their meats around the holiday season. Food cooked in this way is attractive in appearance, tasty and healthy. Roasting does not use much grease or oil, which reduces the fat and calorie content of the food.

Roasting is similar to baking, but roasting is done at higher temperatures. Roasting uses an oven’s dry heat to cook the food, whether an open flame, oven or other heat source. For roasting, the food is placed on a rack, in a roasting pan or, to ensure even application of heat may be rotated on a spit or rotisserie. During oven roasting, all sides are cooked evenly, because hot air circulates around the meat.

Foods could be roasted by three methods. The first method is by cooking the food in a low temperature oven, 200 degree Fahrenheit to 325 degree Fahrenheit. This temperature is best when cooking with large cuts of meat, turkey and whole chickens. This is known as slow roasting. Secondly, cooking at high temperatures which is beneficial if the cut is small enough to be finished cooking before the juices escape. Thirdly, the combination method uses high heat at either the beginning or the end of the cooking process, with most of the cooking at a low temperature. This method gives the golden brown color, texture and crust also retaining more of the moisture than simply cooking at a high temperature. In either case, the meat is generally removed from heat before it is finished cooking and left to sit for a few minutes, while the inside cooks further from the residual heat. During roasting, meats and vegetables are frequently basted on the surface with butter, lard or oil, to reduce the loss of moisture by evaporation.

Roasting is a good cooking method for large, tender cuts of beef or lamb, poultry, fish, and most vegetables. One can also roast firm foods, like apples, pears and tomatoes.

Slot Machine Strategies

Slot machine strategies were most prevalent with older machines that used mechanical reels to display and determine results, and the standard three wheel slots were limited in the size of payouts they could offer because there were only 1,000 possible combinations. Over time, with more reliable machines being developed, the number of symbols on each reel could be increased, thus reducing the chances of the jackpot being won. It was not until the 1980s, however, that manufacturers incorporated electronics into their machines and certain symbols could be weighed because altering the true randomness of the slot machine.

Video slots machines have no moving parts and allow for a more interactive element to be introduced such as advanced graphics and bonus games. The increase from three to five reels also means that the odds rocket to 300 million to 1 against – making the huge jackpots you see on some progressive slots possible. The idea of ​​being able to bet on multiple lines also came about at this time and players could bet on as many as twenty lines in one spin. To offset the feeling that the players money did not last long, the bonus games were supervised to keep players hooked for longer.

The payouts on slot machines vary greatly, and this is one area that players should consider when choosing which machine to play. Some pay out only 80% whereas other go as high as 98% so one of the primary strategic decisions to make starts is simply this – look at the payout rates.

If you are playing online there are not only a whole host of casino slot sites to choose from but an endless variety of games within each one. The single best strategy is to start with a site that offers the best new player deposit bonus and then loyalty bonuses. These can really make a difference to whether you end up in profit or not. Look in the right places and you can find 100% deposit bonuses and free money to test a casinos slots. With regards to the actual gameplay, there are no magic solutions to unlocking the jackpot.

Unlike the original machines that you could work out patterns on, the online slots use detailed algorithms to determine the payout so just play them for a bit of fun, and slowly work off any casino bonuses you are aiming for. If you do manage to score a decent early win, leave that machine and play another one. Do not make the mistake of thinking the next payout will automatically be even higher.

The Challenge of Roof Repair

When your roof is damaged, lots of problems will rise up. We do not usually value roofs well enough. When a roof damage or issue occurs, the effects will surely manifest. Damaged roofs can lead to leaking ceilings and defective ventilation. The roof protects the contents of the building which means if it gets compromised, the same goes for everything that's inside it. We all know that the roof is protection from harsh weather conditions like heavy rains, snow and sun's rays. A house owner must make sure that the roof has no issues if he wants to protect everything inside the house be it material things or family members.

Roof Repairs are important if certain conditions cause damage to your roof. Roafers are the ones that provide service in relation to all of your issues with roofs. Roof Repairs should be done as soon as possible as we do not want things inside our house get compromised with the situation too. Finding a good roofer is the next logical step. A good roofer can make sure that whatever damage to your roof will be fixed in no time. Even if you want to install a new roof, roofers are the ones to trust. They are experts with how roofing systems work and they also excel at carpentry. Carpentry skill is a requirement for roofers, since repair and installation of good roofs will need minor to major carpentry work.

Roofers also need the heart for the job. Roofing is a profession that will demand passion and effort at the same time. Plus, it will never be easy climbing big houses with high roofs. There is no way for one individual with fear of heights to become a roofer. Doing the roofing procedures is a challenge in itself and it is increased to multiple as these are performed at critical locations.

Being a roofer is not an easy job. Roof Repairs are always a challenge to overcome for these commendable individuals who risk themselves just to repair and maintain clients' roofs. For many roofers, it is not just the pay that entices them to become roofers. Some do it for the sake of the profession too. There are a lot of roofers in every area and country, but in comparison to other occupations, they are often outnumbered. This shows that roofing is not for everyone. Repairing and fixing roofs is a job that will need your full dedication.

What Should Men Wear With Their Cargo Pants?

As one of the most common outdoor or work outfit type for men, cargo pants are characterized with quick-drying durable fabric and multiple-pocket design in the market for a long history. So they are namely a kind of very functional menswear in the men’s wardrobe. Moreover, most of them show a loose and casual feel for the men easily with street style flavor. And they are so versatile that can be a perfect match for nearly any men’s top types. You can pair them with T-shirts in summer or long-sleeve plaid shirts in spring and autumn. And even a jacket or coat in winter! I think that’s why these vigorous designs keep conquering the fashion circle. In this post, there will be some recommendations about what tops and shoes should the men choose to pair with their men’s cargo pants.

Camo cargo shorts or pants with the short sleeve T-shirts in summer.

This type of pants can have the most trending appearance since the designers of menswear always try to bring forth the new designs to the market, including those with camouflage printings. Since the cargo pants with camo printings are quite eye-catching already, pairing them with the simple tops like the solid color T-shirts is enough to bring cool looks to men. If you want to go for a printing T-shirt like a Hawaiian shirt, you will even look more casual and fashionable in a creative way.

Men’s cargo pants with a long sleeve loose shirt in spring and fall.

A confident and relaxed feel will be given to others if you look loose and casual in spring and fall. The long sleeve shirt is an appropriate fit for a little bit cool temperature, plus the loose and casual pants design, you are wearing one of the most classic street styles for men. The long black cargo shorts are appropriate to match with a sweater or hoodie too. You don’t have to hold the idea that cargo pants are only for certain tops.

Men’s cargo pants with coats and jackets in winter.

When the day is really cold, you can wear this type of pants too. No matter it is an overcoat, a trench jacket or a denim jacket you are going to wear, they will create warm and stylish looks without costing you much thinking. Besides the jacket’s pockets, folding cloth pockets of this kind of pants have a high-capacity, then you can wear this kind of fashion wear conveniently with the phone, wallet and other little stuff accompanied. As for the footwear, sneakers will look nice with sneakers, casual shoes or leather shoes as long as they have the coordinated colors.

The Importance of Heating and Air Conditioning Services

The home is one of the places where you are supposed to experience total comfort at all times. However, there are times when environmental conditions threaten to compromise this comfort. These environmental conditions include:

  • Extreme temperatures; when it is either too hot or too cold
  • Humidity
  • Dust particles and other allergens in the environment.

Good heating and air conditioning services do their best to regulate these conditions to make sure you are comfortable in the home. Here, are a few of the benefits that you will get when you invest in quality HVAC services.

To start with, installing heating systems in the house helps keep the house warm during the colder months. There is nothing that is more disorienting than going to bed in a cold house on a winter night. The most uncomfortable part is taking a bath with cold water in the colder months. Water and house heating systems help you keep warm and avoid infections that might result from the cold weather.

Secondly, AC is very beneficial when it comes to cooling down the temperatures during the summer months. Temperatures get quite high especially outside during summer. It feels good to step in the house and get refreshing cooler temperatures. A good air conditioning system in the house regulates the temperatures to what is suitable for all seasons.

Air conditioning systems have the ability to remove dust particles and all other types of allergens from the environment. There are people who are allergic to pollen, dust and other particles from the environment. Air conditioning services help purify the air and protect you from allergic reactions and illnesses such as asthma.

There are many more benefits that come with having heating and air conditioning systems in the home.

Tips in selecting the best HVAC systems

If you want to have a comfortable time in the house, you need to select quality heating and air conditioning system. The choices can be quite tricky especially with the many service providers and products in the market. However, the following tips should help you get top quality products and services.

1. When purchasing heaters and ac unit, always go for the brands that have been tested and proven to be leaders when it comes to air conditioning. The top brands usually cost more than the others. But by the end of the day, the service and durability you get is all worth the cost.

2. If for some reason your systems have stopped working, take time and select the most skilled heating and air conditioning services providers to repair the systems for you. DIYs are a good idea, but if it is an issue you are not sure about, avoid attempting to do it.

Those are some tips to have in mind when going for HVAC goods and services. Lastly, remember that the comfort of your home largely depends on the environmental conditions that surround it. Make your house a heaven by adding quality heating and air conditioning services. After all, if you are not comfortable in the home, where else will you be?

Stay Away From Denials With This Lowdown on Newborn CCI Bundles

The new Correct Coding Initiative (CCI) 16.1 has an edit that family coders should take note of – more so if the practice tends to newborn patients.

Know the latest CCI 16.1 edit and gear up to observe it with this expert breakdown.

Take a look at Column 1 on these Hospital E / Ms. As per the latest CCI edits , these codes are in column 1 of the mutually exclusive (ME) edits:

  • 99231 (Subsequent hospital care, per day, for the E / M of a patient, which needs at least two of these three key components: a problem focused interval history; a problem focused exam; medical decision making that's straightforward or of low complexity. ..)
  • 99232 (… an expanded problem centric interval history; an expanded problem focused examination; and medical decision making of moderate complexity …)
  • 99233 (… a comprehensive interval history; a detailed examination; and medical decision making of high complexity …).

Column 2 of these edits covers these codes:

  • 99460 (Initial hospital or birth center care, per day, for E / M of normal newborn infant)
  • 99461 (Initial care, per day, for E / M of normal newborn infant seen in other than hospital or birth center)
  • 99462 (Subsequent hospital care, per day. For E / M of normal newborn).

Translation: An FP may not report both normal newborn care and consequent hospital care for a newborn on the same DOS (date of service). If the FP carries out normal newborn services (99460-99462) on the same date and the newborn later becomes ill and gets a confidential hospital care (99231-99233), you should only go for a code from the 99231-99233 code set, according to Kent Moore, manager of health care financing and delivery systems for the American Academy of Family Physicians (AAFP) in Leawood, Kan.

The services are ME as the newborn care codes (99460-99463) are for "normal" newborns (for instance newborns without medical problems); while the specified hospital care codes (99231-99233) are for problem-oriented services, according to Moore.

As both sets of services are designated as "per day," medical coders must select between them for a given patient on a given date. "Consistent with the ME nature of these services, Correct Coding Initiative does not permit a modifier to override the edits," continues Moore.

Bottom line : You should never report 99460-99262 and 99231-99233 for the same patient on the same date of service.

The Most Efficient Ways To Do Your Laundry

While laundry may not be a favorite of many, you can actually learn to fall in love with the chore just by knowing how to do the task effectively. Most people still have an old mindset when it comes to washing clothes and that's what makes it difficult for them to finish fast. New methods have been developed over the years that you can actually apply to make laundry a bit more efficient.

You may not know it but a simple laundry room organization can actually make your job a lot easier. Instead of doing all the sorting during the washday itself, it would be ideal if you develop a system that allows you to separate different kinds of fabric without effort. You can do this by placing hampers or shorts in the laundry room so that when washday arrives, all you have to do is drop all the clothes into the washing machine.

Removing stains can take much of your time when doing the laundry. Traditionally, the stain is deal with by rubbing it with a stain-removing agent. This method actually fails 90 percent of the time. When dealing with stain, quick action is required. Do not wait for it to settle before you respond. As soon as you notice the stain, apply stain remover on the opposite side of the garment and wash it either with warm or cold water depending on the type of stain.

To use detergents more efficiently, do not just apply it to just any kind of load you have for the day. Some people use the same laundry detergent on all types of clothes regardless of the stain and the amount of the load. It's also important that you use the right kind of detergent for the right kind of appliance. Most washing machines nowdays require detergents that are specially formulated.

Do not just stick to one method of washing and drying your clothes. Depending on the load, adjust your washing machine so that it can do the work for you in a more efficient manner. Water temperature for example has a significant effect on different types of fabric and stains. By getting the most out of your washing machine, you can actually save time and energy.

It's okay to stick to some of you traditional laundry methods. However, if you wish to do laundry fast and efficient, it would be best if you learn the modern ways to get the job done. Aside from being a lot less difficult, they are also more cost-efficient.