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Emdeon
Emdeon Pharmacy Services
A leading provider of electronic solutions to the pharmacy industry, Emdeon provides comprehensive and innovative services for claims management and analysis, electronic prescribing and specialized processing, such as Medicare/Medicaid DME billing. Our expansive offerings provide pharmacy customers with the tools needed to become more competitive, improve patient care and combat inefficiencies and errors that lead to low reimbursement rates.
Specialized Processing Solutions
Emdeon offers a comprehensive suite of services that will allow your pharmacy to submit Medicare Part B and most state Medicaid claims electronically using your existing pharmacy management system. Emdeon Medicare DME™ and Emdeon Medicaid DME™ subject claims to numerous policy, format and eligibility edits before being accepted into our system. These real-time edits and eligibility checks can significantly reduce claim denials, and, as a result, maximize reimbursements.
Submit flu, pneumonia and H1N1 vaccination claims electronically to Medicare Part B and commercial payers* using your existing pharmacy management system. As with our Medicare/Medicaid DME billing solutions, Emdeon Flu™ and Emdeon H1N1™ eligibility edits check patient coverage in real time at the point of sale.
Solve back-end Medicare/Medicaid claims management challenges with Emdeon Recovery,™ a denial management service that features dedicated recovery agents to work underpaid and denied claims through to final determination.
Emdeon Adjudicate™ provides assistance in managing patient loyalty offerings, employee plans and discount generic drug programs, as well as other pharmacy programs that require specialty adjudication and/or processing. Services available in this product suite include Emdeon Patient Loyalty™ solutions and Emdeon Cash™ pricing and rebate management.
Electronic Prescribing
Emdeon’s eRx Network® ePrescribing enables the direct exchange of ePrescribing transactions between pharmacies and physicians through their ePrescribing application. By automating new prescriptions and refill requests/ responses, eRx Network ePrescribing improves the prescription process’ overall efficiency and, as a result, the quality of patient care. Utilizing its Intelligent Routing™ to determine the most efficient electronic route between pharmacy and physician, eRx Network is able to provide a single route for all refill requests (fax or electronic), regardless of the prescriber’s participation in ePrescribing.
eRx Network ePrescribing is further set apart by a variety of value-added, online self-help and troubleshooting tools. Our real-time script-viewing application allows pharmacy users to view all transmitted refill requests and new prescriptions.
*Contact an Emdeon sales representative to find out which services are available for certain commercial payers.
Claims Management & Analysis Solutions
Emdeon Connect™ claims switching service provides full access to all third-party processors in the United States via a high-speed, next generation network. Exclusive online tools like Emdeon ScriptView™ make real-time claim research and processor troubleshooting easier.
Emdeon Edit™ is an advanced, real-time edit engine designed to increase your pharmacy’s overall profitability by reducing submission errors and optimizing third-party reimbursements. A series of pre/post edits is automatically performed, providing financial, administrative and legal compliance reviews on prescriptions prior to being sent to and received from the processor.
Emdeon CardFinder™ is an industry-leading, real-time eligibility service that can help your pharmacy save valuable personnel time and, as a result, provide enhanced customer service. A single transaction quickly returns commercial coverage information for more than 220 million covered lives and Medicare Part D coverage information for patients 65 years of age or older.
Emdeon offers two solutions to monitor and track payments of third-party prescriptions. Emdeon Reconciliation Elite™ and Emdeon Reconciliation Essential™ easily balance sales and remittance with check information, reporting discrepancies via a user-friendly web interface. Elite includes pursuit of outstanding unpaid claims.
Emdeon Payer Compliance™ resubmission service is designed to maximize third-party claim reimbursements by helping your pharmacy easily identify, reverse and resubmit claims that have been paid based upon outdated average wholesale pricing (AWP). This automated solution is a value-added service available to customers who utilize Emdeon Connect or Emdeon Edit.
Through Emdeon’s pharmaceutical brand programs, pharmaceutical manufacturers are able to target patient persistency and compliance by delivering to pharmacies real-time, point-of-sale messaging and electronic co-pay offset vouchers. Our revenue-generating programs include Emdeon Voucher on Demand,™ Emdeon Inform,™ Emdeon Redeem™ and Emdeon Print-to-Pharmacy.™
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E prescribing software for pharmacists and physician offices. Certification for electronic prescription prescribing by sure scripts, Emdeon, sureScripts, implementation guide, competitors, All scripts and AllSCripts. Regulations for eprescribing for medicare and Medicaid and controlled substances. Paperless CPOE E-prescribing pads, Eprescribing by RXnt, and AARA and CCHIT certified ePrescribing companies. electronic transmission of prescription information.
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RelayHealth
RelayHealth is an intelligent network that improves clinical communication, accelerates care delivery and drives cash collections by connecting patients, physicians, hospitals, payers, and pharmacies.
Our pharmacy solutions save time, increase productivity, and minimize claim submission errors built on the foundation of RelayHealth’s Intelligent Network, our state-of-the-art claims processing network offering instant access to payers with efficient and reliable real-time processing.
Value-added services include:
- RxSafety Advisor®
- Electronic Prescription Services
- Pre and Post Editing
- B-ClaimsRx™
- and others which offer editing and reconciliation capabilities that maximize claim reimbursement while supporting patient safety.
Stop erosion of retail market share, enhance competitiveness, and ensure medication compliance with our patent-pending Patient AssistanceRx™, Preferred PatientRx™, and eVoucherRx™ programs.
Enhance decision-making capabilities with AWP Resubmission Services*, Prescriber Data Management Services, and our analytic reporting. These solutions provide actionable business intelligence and tools to improve profit margins and tackle the most prominent issues facing pharmacies today.
Other solutions include Easy340b™, EasyFSA™ , and IntegrateRx™.
For more information about RelayHealth solutions or to contact us, use the link provided below.
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formulary inventory control medication processing fulfillment web-based HIPAA compliant pharmacist integrated network reporting total store software for hospitals IT long term care windows based dos browser based prescription records storage JCAHO compliant retail community independent JAHCO compliance patient companies suppliers clinical communication Prescriber Data Management Services
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At AdvanceNet Health Solutions (ANSHealth), we're dedicated to being the world's premier ePharmacy technology company. Our ePostRx product enables pharmacies to facilitate higher fulfillment volumes, enhance patient care and increase profitably by supporting multiple business models, including Electronic Scripts, Retail, Chain Retail, Mail-Order and Central Fill. Now ePostRx is the healthcare industry's first and only open source, enterprise pharmacy solution licensed under GNU General Public License (GPL). So if your business requires:
- Prescription Fulfillment/Management Software
- ePrescribing Translation/Management Software
- Pharmacy Operations & Technology Consulting
- Open source technology consulting and Project Development.
Then contact ANSHealth and get involved with the ePostRx community today!
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specialty integrated ADT, automation, POS, IVR mouse accounts receivable work flow QS1, AmerisourceBergen, OpusISM, Panacea, RMS, SRS, SpeedScript, RS Software, AdvanceNet, Etreby, Relay Health, PharmTrak, RX Link, McKesson, HBS SXC, RX Home, HCC, Jascorp ePostRx patient care Electronic Scripts Mail-Order
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AdvanceNet Health Solutions
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An overview on Electronic Prescribing from CMS
E-Prescribing - a prescriber's ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point-of-care - is an important element in improving the quality of patient care. The inclusion of electronic prescribing in the Medicare Modernization Act (MMA) of 2003 gave momentum to the movement, and the July 2006 Institute of Medicine report on the role of e-prescribing in reducing medication errors received widespread publicity, helping to build awareness of e-prescribing's role in enhancing patient safety. Adopting the standards to facilitate e-prescribing is one of the key action items in the governments plan to expedite the adoption of electronic medical records and build a national electronic health information infrastructure in the United States.
The MMA created a new voluntary prescription drug benefit under Medicare Part D. Although e-prescribing will be optional for physicians and pharmacies, Medicare Part D will require drug plans participating in the new prescription benefit to support electronic prescribing.
Standards Timeline
- On November 7, 2005, CMS published the first set of adopted standards known as the foundation standards. The foundation standards became effective on January 1, 2006. These standards apply to all electronic prescribing done under Part D of the MMA.
- MMA required CMS to implement pilot projects to test additional standards. These additional standards were pilot tested in 2006.
- On June 23, 2006 CMS published an interim final rule with comment to adopt NCPDP SCRIPT Standard version 8.1 on a voluntary basis to be used for e-prescribing.
- The results of the pilot test were announced in a report to Congress in April 2007 and were the basis for an NPRM proposing additional standards that was published on November 16, 2007.
- The final e-prescribing rule was published at the Federal Register on April 7, 2008. In this final rule CMS adopted 3 additional standards for use in e-prescribing under part D.
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Cerner PowerWorks® ePrescribe
PowerWorks® ePrescribe is our easy to use, standalone e-prescribing solution that automates the prescription writing process for physicians. With multiple state and national incentives encouraging e-prescribing, PowerWorks ePrescribe can help you increase your reimbursement, decrease time and effort processing prescriptions, and ensure patient safety. |
Emdeon ePrescribing
Emdeon's eRx Network® is a leading electronic prescribing (ePrescribing) network owned and operated by Emdeon. By connecting to eRx Network, pharmacies and physicians may exchange ePrescribing transactions conveniently and cost-effectively through their pharmacy system or ePrescribing application.
By automating new prescriptions and refill requests/responses, Emdeon eRx Network ePrescribing improves the prescription process' overall efficiency and, as a result, the quality of patient care. Utilizing its Intelligent RoutingTM network to determine the most efficient electronic route between the pharmacy and the physician, eRx Network is able to provide a single route from pharmacies to physicians for all refill requests (fax or electronic), regardless of the prescriber's participation in ePrescribing. |
Blog on e-prescribing / DoseSpot
A blog dedicated to eprescribing that contains many posts by DoseSpot |
CMS - Overview on E-Prescribing
E-Prescribing - a prescriber's ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point-of-care - is an important element in improving the quality of patient care. The inclusion of electronic prescribing in the Medicare Modernization Act (MMA) of 2003 gave momentum to the movement, and the July 2006 Institute of Medicine report on the role of e-prescribing in reducing medication errors received widespread publicity, helping to build awareness of e-prescribing's role in enhancing patient safety. Adopting the standards to facilitate e-prescribing is one of the key action items in the governments plan to expedite the adoption of electronic medical records and build a national electronic health information infrastructure in the United States. |
DoseSpot - The sure way to e-Prescribing
Time is critical, so why create an e-Prescribing module yourself? That's where DoseSpot can help. We integrate our e-Prescribing module with your medical software through our certified connection to the Surescripts® network for Prescription Routing services. |
Surescripts
Surescripts operates the nation's largest e-prescription network and supports a rapidly expanding ecosystem of health care organizations nationwide. Surescripts certifies software used by prescribers, pharmacies and payers/PBMs for access to three core services: Prescription Benefit, Medication History and Prescription Routing. In addition to e-prescribing, we also have Clinical Messaging services. Surescripts is helping to make the electronic exchange of healthcare information more accurate, secure, efficient and convenient. |
WikiPedia - Electronic Prescribing / ePrescribing Information
In 2000, the Institute of Medicine identified medication errors as the most common type of medical error in health care, estimating that this leads to several thousand deaths each year.[2] Causes of medication errors include mistakes by the pharmacist incorrectly interpreting illegible handwriting or ambiguous nomenclature, and lapses in the prescriber's knowledge of desired dosage of a drug or undesired interactions between multiple drugs. Electronic prescribing has the potential to eliminate most of these types of errors. The computer can ensure that clear and unambiguous instructions are encoded in a structured message to the pharmacist, and decision support systems can flag lethal dosages and lethal combinations of drugs. |
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Aging, Systemic Disease and Oral Health: Implications for Women Worldwide (Part I)
Provided by: Academy of General Dentistry
This continuing education course is intended for general dentists, hygienists, and dental assistants. This course will review global prevalence and risk factors of three common health conditions among aging women: cardiovascular disease, diabetes, and osteoporosis. It explores prevention and treatment approaches, connections to oral health, and spe... |
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MRI of Knee Ligaments as Supporting Structures Central Lateral
Provided by: PROSCAN Imaging Education Foundation
The ProScan Imaging Education Foundation's all-new Professional MRI Series provides a comprehensive educational program that encompasses a broad survey of up-to-date radiological knowledge in the neurological and musculoskeletal realms. Lectures address in-depth discussions of neuroradiology of the brain, spine, head and neck, and pediatric imaging... |
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BDX2 Technique of Auscultation and Valve Closure Sounds
Provided by: CMElectures
Michael S. Feldman, MD, is Clinical Professor of Medicine at the University of Pennsylvania School of Medicine, and chairman of Graduate Education Foundation. Bernard Segal, MD, is professor of medicine at Thomas Jefferson University Hospital, and director of the Jefferson Heart Institute. Here, they discuss auscultation technique and valve closure... |
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Dispelling Myths and Misdiagnoses in Pediatric Dermatology
Provided by: Vindico Medical Education
This issue of Pediatric Annals features reviews of topics in pediatric dermatology to dispel myths and update the practicing pediatrician.... |
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Opiate Abuse and Dependence
Provided by: NetCE
Morphine and heroin were first synthesized and used medicinally in the nineteenth century, and recreational and illicit use followed. Historically, heroin dependence has been difficult to treat successfully, with poor outcome being attributed to patient characteristics, environmental factors, and the powerful reinforcing effects of the drug. Agonis... |
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Hip MRI -Part III Anatomic Correlates, Tendons, Muscles, Sports Hernia, and Others
Provided by: PROSCAN Imaging Education Foundation
The Master's Series features Dr. Stephen J. Pomeranz's most advanced lectures on diagnostic imaging to date. These intense and detailed presentations will focus on the topics of orthopaedic, neurologic, and body imaging. Each title in the series will examine subjects such as subtle interpretative techniques, anatomic detail, mastery of key technica... |
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Diagnostic & Interventional Musculoskeletal Ultrasound of the Upper Extremity
Provided by: American Academy of Physical Medicine And Rehabilitation
After completing this self-directed study, the participant should be able to:
1. Demonstrate how to optimize an ultrasound image by selecting the appropriate transducer and adjusting the gain.
2. Modify current practice techniques to utilize ultrasound imaging in the evaluation and treatment of musculoskeletal disorders of the upper extre... |
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MRI of the Spine, Part III Radiologic/Clinical
Provided by: PROSCAN Imaging Education Foundation
The ProScan Imaging Education Foundation's all-new Professional MRI Series provides a comprehensive educational program that encompasses a broad survey of up-to-date radiological knowledge in the neurological and musculoskeletal realms. Lectures address in-depth discussions of neuroradiology of the brain, spine, head and neck, and pediatric imaging... |
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Cardiac CTA: Setting Up Practice
Provided by: American Roentgen Ray Society
ARRS Web lecture series brings presentations by the best educators in the field to your desktop, available for viewing at home or office and on your schedule. This Web Lecture includes three lectures with an estimated time to complete the activity of 1.5 hours.
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Relapsed/Refractory Myeloma: Addressing the Challenge in 2011
Sergio A. Giralt, MD
Provided by: MediCom Worldwide, Inc.
Program Overview
Multiple myeloma is a malignant neoplasm of plasma cells that accumulate in bone marrow, leading to destruction of bone as well as marrow failure. The introduction of novel agents like bortezomib, lenalidomide, and thalidomide have increased life expectancy and quality of life for patients; however, multiple myeloma is currently a... |
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The Complete Denture Prosthesis: Clinical and Laboratory Applications -Insertion, Patient Adaptation, and Post-Insertion Care
Provided by: Academy of General Dentistry
The fifth of a multi-part series, this course will review the steps that must be accomplished before the patient is dismissed with the new dentures, the essential elements of appropriate patient education about the new prostheses, and guidelines for diagnosing and addressing post-insertion problems that are most likely to be encountered.... |
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Practice Based Rounds: A Focus on Chronic Pain
Provided by: ASiM
The goals of our intervention are to give the primary care provider a better understanding of the physiology of chronic pain; the skills and tools to better screen patients for pain and complications of mismanaged pain and when properly identified, know how to safely and effectively treat their pain.
Enjoy in a unique opportunity to round with a p... |
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Diagnosing and Managing Headaches
Provided by: NetCE
Headaches are considered one of the most common types of pain and one of the most frequent causes of presentation to physician offices and clinics. Nearly 50 million adults seek treatment from physicians each year related to headache pain. As a result, headaches represent a significant cause of morbidity. It has been estimated that headaches result... |
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Transport Methods for the Critically Ill Patient
Provided by: NetCE
Healthcare professionals are an integral part of the transport system, stabilizing patients prior to transport, providing care in transport and ensuring the safety of the patient throughout the transport process. This course will provide information on the types of transport available, transport physiology (those stressors that impact the patient i... |
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Acute Myocardial Infarction: What Every Nurse Should Know
Provided by: National Center of Continuing Education
Heart disease statistics have ascended to heart stopping heights. The goal of this course is to assist healthcare professionals to recognize signs and symptoms of acute MI, and begin interventions immediately. You will also learn cardiac pathophysiology, and complications associated with acute MI.
Course objectives include:
Describe the cardi... |
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Anemia Is not a Normal Consequence of Aging: Determing the Etiologic Cause and Optimal Treatment of Geriatric Anemia
Provided by: Primary Issues
Program Overview
Anemia is often considered a normal consequence of aging, but is neither normal nor harmless and may have far-reaching effects. While two-thirds of geriatric anemia cases are caused by nutritional deficiency or by chronic disease, the cause is unidentified in up to one-third of cases. Unidentified anemia may be the result of an oc... |
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HIV the Basics: Pathogenesis of HIV Infection
Provided by: American Academy of CME & ACTHIV
EDUCATIONAL OBJECTIVES
At the conclusion of the activity, learners should be better able to:
• Appraise where antiretroviral drugs work and how the mechanism of action translates into drug efficacy and drug resistance
• Assess how pathogenesis concepts impact HIV policy, including the National AIDS Strategy
TARGET AUDIENCE
• Physician... |
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The Need to Individualize Pain Therapy: You Are Not Me! - Unwanted Effects of Opioids
Provided by: MediCom Worldwide, Inc.
The use of opioids for the treatment of chronic pain has increased dramatically over the past decade. These drugs have provided considerable benefits in terms of pain reduction and improved function, however, a number of issues with opioid therapy have presented practical challenges in the clinical setting. Concerns regarding side effects, toleranc... |
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Beyond Informed Consent (US)
Provided by: Medical Interactive Community
Patients have more choices than ever before about new procedures and treatments. The proliferation of medical news in the popular media fuels unrealistic expectations for a perfect outcome, making a truly Informed Consent more important than ever. However, Informed Consent continues to be a source of medical error and medical malpractice claims. ... |
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Imaging of Emphysematous Pyelonephritis: Self-Assessment Module
Provided by: American Roentgen Ray Society
Peer-reviewed articles from AJR Integrative Imaging. This activity offers 1.5 AMA PRA Category 1 Credit(s)(TM) following completion of an online test.
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The Complete Denture Prosthesis: Clinical and Laboratory Applications -The Patient Analog, Part 2: Intermaxillary Relations Records
Provided by: Academy of General Dentistry
The third of a multi-part series, this course will describe: designing and fabricating baseplates and occlusion rims; determining the location and orientation of the occlusal plane and the occlusal vertical dimension; accurately recording centric relation; and transferring this record to an articulator.... |
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Abdomen & Pelvis -Cases 88-100
Provided by: SNM Advancing Molecular Imaging and Therapy
Abdomen & Pelvis -Cases 88-100... |
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Stimulation Disorders of the Diaphragm
Provided by: American College of Chest Physicians
Objectives
1. Define a classification system for stimulation disorders involving the diaphragm.
2. Elucidate the underlying mechanisms for these disorders.
3. Develop an approach to the diagnosis of diaphragm stimulation disorders.
4. Describe the different therapeutic modalities and their limitations.
5. Review the results of... |
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Shaping Your PhaRxmacy Future
Provided by: The Collaborative Education Institute
Activity Description:
Where is your practice today and more importantly, where will it be tomorrow? There have been many changes in health-care over the last several years and many more are sure to come. All of which are making pharmacy a more competitive business than ever. How is your practice stacking up? Are you maximizing your business' oppor... |
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Focus On: Noninvasive Positive Pressure Ventilation In the Emergency Department
Provided by: American College of Emergency Physicians
After reading this article, the physician should be able to:
* List the indications for and contraindications to noninvasive positive pressure ventilation (NIPPV) in the emergency department.
* List several disease processes for which NIPPV use is recommended.
* Describe steps to increase patient comfort while using NIPPV.
... |
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End the Epidemic of Childhood Obesity...One Family at a Time
Provided by: ANA Continuing Online Education
The number of overweight American children keeps growing at a rate that's hard to swallow. And so does the number of American children at risk for becoming overweight. Unless we stop the spread of this problem now, the long-term debilitating effects on today's children -and ultimately, on their children-will exhaust our healthcare resources.
**... |
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Delivering Culturally Competent Care: Managing Type 2 Diabetes in Diverse Populations
Provided by: Virtual Lecture Hall
* Earn 1 to 9 AMA PRA Category 1 CreditsTM
* Improve your cross-cultural management skills and understand important terms, such as race, ethnicity, and culture.
* Meet your ethical obligations to provide open, respectful patient communication
* Reduce the risks and problems of miscommunication.
* Recognize patterns of health care disparitie... |
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The Impact of New-Onset Postoperative Atrial Fibrillation on Mortality After Coronary Artery Bypass Grafting
Provided by: American Association for Thoracic Surgery
Learning Objectives
After reading this article, the learner should be able to:
* understand the impact of new-onset postoperative atrial fibrillation on early, late, and overall mortality after CABG surgery
* differentiate independent predictors of early, late, and overall mortality after CABG surgery
* appreciate the impact of posto... |
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Diabetes, Type 1
Provided by: Wild Iris Medical Education
Upon completion of this course, you will be able to:
* Differentiate type 1 from type 2 diabetes
* Describe the epidemiology of type 1 diabetes
* Explain the pathogenesis of type 1 diabetes
* State the criteria and methods used to diagnose type 1 diabetes
* Discuss the management of type 1 diabetes
* Identify important complications of type... |
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Abdomen & Pelvis -Cases 51-62
Provided by: SNM Advancing Molecular Imaging and Therapy
Abdomen & Pelvis -Cases 51-62... |
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