Signs That You May Need Mold Removal Service

Mold is a danger that can appear in just about any home regardless of age or environment. However, mold grows due to moisture trapped in walls, ceilings, and floors. Therefore, homes in humid environments and rainy climates are more susceptible to the infestation. As the substance spreads through the walls of your house, it releases spores. People and pets living in the house then breathe in the spores and are at risk of becoming sick. This sickness is particularly difficult to identify because the symptoms often look like other illnesses.

Early Stages

In the beginning, the illnesses look much like a cold, influenza, or allergies. In small doses, the spores act as irritants. They irritate the nose, lungs, throat, and eyes. Sneezing, runny nose, clogged sinuses, itchy or runny eyes, and coughing are all symptoms. As you can see, these are fairly non-specific symptoms. In addition to these, you might suffer from a headache, dizziness, or nausea.

Next Stages

If your exposure continues for longer periods of time, you might suffer from more pronounced symptoms. These symptoms are persistent headaches or dizziness. Also, you might experience weight loss and hair loss. Usually this is because of diarrhea, coughing up blood, vomiting, and fatigue, which make it difficult to absorb nutrients. You might also experience sexual dysfunction, skin rashes, memory loss, and sores. At this point, mold removal is a requirement because your house has become a serious health hazard.

Late Stages

After a long period of time in an infested house without employing a mold removal service, you will experience very serious effects. Some of these effects might be incurable. Prolonged exposure can cause blindness, bleeding lungs, cognitive impairments, brain damage, long-term memory loss, and cancer. In certain, very rare cases, death can even result.

Solutions

The process of mold removal is typically known as remediation. It is called remediation because spores exist pretty much everywhere, and most of them are benign or they are in low enough quantities to be harmless. Therefore, they cannot all be completely removed. However, remediation refers to the process of reducing the number of spores to a safe level.

Professionals will come into your home and inspect it to determine the severity of your infestation. If the problem has not spread beyond one room of the house, they will section off that part of the house. They will physically remove mold. Isolating the affected room of the house prevents spores from spreading to other parts of the building.

After physically removing affected areas, they will kill it in hard-to-reach areas using chemical agents such as bleach, ammonia, borax, and vinegar. Some porous materials such as clothes, upholstery, and drywall might not be salvageable. Non-porous materials such as glass, metal, and plastic should be reusable after a thorough cleaning.

The professionals will then use a high-efficiency particulate arrestance (HEPA) filtered vacuum to clean up the spores and dry the air in the room. A dry environment will help prevent spores from returning.

Depending on the severity of the problem, they might have to move from room to room repeating the process.

Is Your Medical Biller Using Modifier 25?

To understand modifier 25, let’s define what it is. Modifier 25 is Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.

This modifier can only be used with an Evaluation and Management service. It has to be above and beyond the usual preoperative and postoperative encounter with the procedure. Using this modifier does not require you to use another diagnosis to bill. It is most important that the Evaluation and Management level should meet its key components. Make sure that when using this modifier that it meets medical necessity. Below is an example of when this modifier would be used.

A patient comes in for a follow up for chronic neck pain, and then the patient then complains of having severe allergies. A pain management procedure was administered at the same time of service. This would call for the modifier 25 being used for the Evaluation and Management code to indicate that both services were rendered on the same day.

It is important that a medical insurance biller use this code when appropriate. Otherwise you will receive many claims that will have unpaid codes that could have been paid for. Keeping up to date on changes with this modifier is important to ensure efficiency when billing.

An example of not using modifier 25 is when an ear nose and throat physician has seen a patient with Medicare, for a routine office visit and the physician decides that the patient needs a hearing test which can be done in their office by a certified Audiologist. The physician determines that the patient has hearing loss from the results of the hearing test. The physician now can bill for an office visit, most likely a 99213 or 99214 and a hearing test, which is a procedure using CPT code 92557. Now if the modifier 25 was not attached to the Evaluation and Management code, the hearing test 92557 would not receive payment. So if the E/M code has the modifier 25 billed along with it and then the procedure code for the hearing test 92557 both will be paid.

So many physicians have missed out on payment of minor procedures or testing performed in the office because of the fact that the biller did not attach the modifier 25 to the Evaluation and Management code. What a costly mistake for the physician. Some insurance companies may allow you to re-bill a corrected claim to re-submit for payment on claims that did not have the modifier attached. It would serve the physician well to investigate if this is being done.

The Essentials of Restaurant Customer Service

Whether you are just starting out in the restaurant business or have been running one for years, restaurant customer service should be paramount in the daily operations of the business. A restaurant’s successes and failures are almost always centered on service, from the moment a customer enters your establishment to the time they leave it.

Restaurant customer service that excels beyond customer expectations leads to repeat customers and positive word of mouth for attracting new customers. It also sets the tone for your restaurant and the dining experience to come. After all, first impressions are everything for a restaurant.

Servers who are friendly, smiling and striving to please customers set a welcoming environment. To go beyond the basics, have the owner or manager open the door and greet each customer as they enter, chat with customers at the table during service, and thank them for their patronage as they leave. Excellent service means small, special touches, like presenting a mint with the bill, providing a complimentary drink or cake for a special celebration, and asking customers about their dining experience before they leave.

Some restaurant customer service tips that are often overlooked are answering the phone within two rings, providing diners with the servers name, establishing a rapport by asking customers open ended questions, inquiring about any food allergies and knowing area information for out-of-town guests.

Some restaurants take customer service to a whole new level with creative ideas, like offering a chefs table, presenting roses to female guests, providing a tour of the restaurants kitchen or wine cellar, having sweaters on hand for customers who might be chilly, printing commonly requested recipes on recipe cards, or providing guests with a little bag of cookies or chocolates as a remembrance.

Providing restaurant customer service that stands out from all the rest takes creativity and initiative among all employees. It might mean simply enhancing an already existing practice. For example, in addition to singing and presenting a cake to guests celebrating a birthday, have the entire staff sign a birthday card that includes your restaurants gift certificate. Or if reservations are being made to celebrate a special occasion at your restaurant, offer to supply balloons and disposable cameras.

In order for a restaurant to excel in customer service, management needs to express to all employees its definition of service and then empower them to do what needs to be done to exceed the needs of customers. It could be something as simple as providing an umbrella if it starts to rain as they are leaving for their cars, or having at the ready recommendations for an after dinner show or entertainment.

Restaurant customer service needs to exude from the front of the house to the kitchen. Greeters and wait staff can present the best in service, but if food presentation or attention to detail is lacking, all the efforts are for naught. All employees, regardless of the extent of their involvement with the customer, should be aware of how their performance will impact customer service.

Restaurant Service Training – Teach the Host How to Greet the Customers Properly

A moment of truth is an opportunity whereby a customer forms either a good impression or a bad impression about the restaurant service quality. Millions upon millions of “moments of truth” occur out there in the restaurant customer service world, but the successful businesses register the highest percentage rate of good impressions. It means everything to their image and reputation. This concept must be taught in every restaurant service training program.

The host is such an important part of the “dining room service experience” as he or she is the first person the customer sees and the last person the customer says goodbye. Great first impressions are great lasting impressions.Therefore, the host must dress nicely being neat and clean. The host must always be upbeat, friendly, and helpful to customers. The true purpose of guest seating is to make “every table seem like the best table in the restaurant!”

More concepts that must be taught in every restaurant service training program are as follows:

The telephone must be courteously answered stating the restaurant’s name and asking, “May I help you?” Whenever taking a dining reservation, one must politely ask for the name and the number of people in the party, date and time of the reservation, and the contact telephone number. Also, special requests should be noted, such as birthday guests, high chairs, customer food allergies, or the need to be seated at a specific table or location in the restaurant (for example, far from the window on a cold night; close to the window on a beautiful day). This information must then be recorded in a Reservation Journal that eventually will be transferred onto the Daily Reservation Sheet.

During busy hours, the customers waiting for an open table in the lobby or sitting at the bar can be offered menus to pass the time. In some restaurants, hors d’oeuvres are served to customers who have been waiting a long time for an open table. All ways and means must be exhausted to prevent customers from leaving to dine at another establishment-even if it means offering some complimentary items.

If the host is not busy seating customers, they can purvey the dining room for customers in need of service and relay such information to the waitstaff. This is up to the discretion of the host, for they should never stray too far from the Front Door.

So you see, the host who does the greeting at the front door is extremely important as the reputation and the bottom line are affected by the host’s restaurant customer service performance.

Understanding the Top 8 Food Allergies

Food allergies have become an important topic in recent years for a multitude of reasons. Their incidence has been on the rise, affecting 30% of adults and 40% of children. People can be allergic to just about anything but there are 8 allergens which are most common.

What is an allergy?

When your body is exposed to an irritant (known as an allergen), such as pollen, it launches an attack against it. Most of the time when this happens, we don’t even notice it. Sometimes, if there’s an overabundance of the allergen or your body is especially sensitive to it, this immune response shifts into overdrive. Your eyes water, your nosy gets stuffy, or you break out in an itchy rash. Some allergens cause life-threatening reactions, such as anaphylaxis, which leads to a sudden drop in blood pressure and a narrowing of breathing airways.

Foods can also act as allergens. When someone is allergic to a food, they can’t eat it at all. Some allergies are so severe that people can’t even be near the irritant, as breathing it in or touching it could cause anaphylaxis. An allergy is different than a food sensitivity or intolerance. Intolerances, such as the inability to digest milk (lactose intolerance) are not typically life-threatening, although they will cause discomfort, such as bloating and diarrhea, if ingested.

The Big 8

The Big 8 are the cause of 90% of recorded allergies and labeling is required by the FDA to warn consumers of their presence or possible presence in foods.

1. Peanuts: Peanuts are actually legumes, which as a group are responsible for a large number of allergic reactions. People allergic to peanuts are not likely to be allergic to other legumes, such as lentils. Children are more likely to develop a peanut allergy if they already have an egg allergy.

2. Shellfish: Shellfish can also cause severe allergic reactions. Crustaceans (shrimp, lobster, crabs) are the most common, although some allergic reaction may occur with mollusks (clams, mussels, oysters). Shrimp is considered the most allergenic.

3. Fish: Pollock, salmon, cod, tuna, mackerel, and snapper are among the fish which commonly trigger fish allergies. The allergen in this group is the fish muscle protein parvalbumin. These allergies are often developed during adulthood and are less likely to be outgrown.

4. Milk: Milk allergy is the most common allergy in infants and young children. A milk allergy causes an immune response to the proteins in milk. All milks, including those from cows, goats, and sheep can pose a problem. Most children outgrow their milk allergy.

5. Eggs: Also common in children, both the yolk and the whites of eggs can trigger a reaction, but in some cases the egg yolk is less allergenic. Eggs are not only used in foods, but also in skincare products and cosmetics which contain eggs. Most children will outgrow their egg allergy.

6. Soy: Also in the legume family, soy is an allergy that kids are likely to outgrow. Here in the United States, soy is most often found in processed foods, either as soybean oil or soy protein isolate. People with soy allergies may be able to have soy lecithin without issue.

7. Wheat: Wheat allergies are fairly common and typically resolve during childhood. A wheat allergy is different than Celiac disease, where gluten causes the inflammatory reaction. Celiac disease launches a different immune response than other allergens. Actual wheat allergies are uncommon in adults.

8. Tree nuts: One of the most potent and common allergens, tree nut allergies affect 1.1% of the world’s population. Those affected by the tree nut allergy should avoid macadamia nuts, Brazil nuts, cashews, almonds, walnuts, pecans, pistachios, chestnuts, hazelnuts, and pine nuts. The reactions associated with tree nuts are often severe, with walnuts and cashews causing the most reactions. At least 90% of children that have a tree nut allergy will not outgrow it.

In Conclusion

Accuracy in food labeling is critical for people with allergies, but it’s not as easy to be sure when dining out. Don’t be afraid to ask your server or the chef what’s in the dishes, including any allergens the foods may have come in contact with. It’s in your best interest to enjoy your meal safely!

Chiropractic Services and Alternative Medicine

Chiropractors are trained professionals who help patients predominantly in treating the musculoskeletal system. Treatment is applied without the use of medication, and often sought out to relieve back pain caused by an injury or trauma occurring over a long period of time. Patients typically experience their chiropractic treatment delivered with expert knowledge, carefulness, and high level of personal attention. Each treatment session builds on the one before.

Chiropractic Practitioners are well-known for the hands-on technique they practice adjusting discrepancies in the patient’s skeletal system, particularly the spine. Chiropractors work with patients to ascertain and treat problems with the spine, nervous, muscular, and skeletal systems to help other body systems function properly. A chiropractic adjustment will most often restore the balance to your nervous system, and restore the flow of energy and information throughout the body.

Patients can seek out the services of a Chiropractor for anything from allergies, neck and shoulder pain, back pain, sports injuries, nutrition disorders, candida, chronic fatigue, digestive disorders, and fibromyalgia. Nerve issues, such as sciatica, are often treatable conditions for a Chiropractor.

A chiropractic adjustment is the art of recommending a specific force in a precise direction, applied to a vertebra that is subluxated or out of alignment. The Chiropractor identifies the source of the subluxation, determines the exact direction, and the best way to restore the dysfunction. Chiropractic adjustments affect more than just the physical well-being. Many patients claim a feeling of deepening peace and relaxation after their adjustment.

Spinal manipulation has documented use as far back as Hippocrates and the ancient Egyptians. The techniques were most often passed down from generation to generation by families of health practitioners. Spinal manipulation is completed to restore joint play at dysfunctional joints and ultimately provide balance in the muscular skeletal system. Once the restrictions are removed there is more coordinated mobility in the spine. This healing treatment is known to be safe and effective. In fact, spinal manipulation is among the most studied health care interventions, and research consistently indicate that it is remarkably safe.

A Chiropractor has a holistic approach to healing and treatment, believing that problems within these particular body systems lower a persons resistance to illness and affects how the rest of the body works. The term “Holistic” means to treat the body as a whole. A symptom of lower back pain can be the result of many types of dysfunction in the body. Treating the body as a whole often leads to long-term health benefits.

For example, Nutrition Response Testing is a non-invasive holistic treatment that will show and correct your specific nutritional imbalances. Incorporating personalized Holistic Nutrition Programs into your lifestyle, can greatly help to improve your body’s immune system and get you feeling “healthy” quickly and painlessly.

Chiropractic treatment is usually associated with the term alternative medicine, which is defined as any health practice that takes the place of, or is incompatible with, conventional medicine. Often, patients see Chiropractors as an alternative to risky or costly surgery that may not correct the original symptoms. Treatments range from taking medications by way of herbal treatments, spinal manipulations, aromatherapy, relaxing massage therapy, and stretching forms of exercise. Alternative medicine is classified into five major groups of study. These groups are mind-body medicine, energy medicine, biologically based practices, manipulative practices, and whole medical systems.

The concept behind alternative medicine is that the energy of the body needs to be in harmony with the mind and soul. Alternative medicine is a broad group of healing and spirituality that takes into consideration some of the fundamental teachings of Eastern medicine and combines it with clinical research and Western health care. Herbology, Chinese medicine, massage therapy, yoga, physical therapy, meditation, naturopathy, and Reiki healing contain some of the most popular areas of study and practice.

Chiropractors have the same educational demands as other doctors and each state has a designated Board of Chiropractic Examiners, who are obligated for testing and licensing them to practice on the state level. Chiropractors cannot perform surgery.

Cheesecake Wedding Cakes

Cheesecake may automatically make us think about the Golden Girls or The Cheesecake Factory, but soon it may bring weddings to mind instead. Cheesecake wedding cakes have taken receptions by storm for a few reasons: allergies, fun and originality. Let’s look at each of these.

Food Allergies and Sensitivities

The first and maybe most important reason that many bridal couples are choosing cheesecakes is that food allergies and sensitivities are on the rise. Many people are now realizing that they are sensitive to gluten and sugar. Offering cheesecake at the wedding may help guests enjoy have their desert and eat it, too.

Gluten allergies and sensitivities are being diagnosed a lot more often than in the past. What does this mean to those wedding attendees who cannot eat gluten? Simply, those sensitive to or allergic to gluten should not or cannot eat wheat. Which means they cannot eat flour or cakes made with flour. Thankfully, cheesecakes can often be made without flour, and they can become the perfect solution to the cake conundrum at the wedding reception.

Due to the high fat content of cheesecake, the cake may be a great option for those sensitive to sugar. Hyperactive children, diabetics, and others may appreciate the cheesecake option, depending on their own dietary needs.

Fun and Originality

The other two reasons that cheesecake wedding cakes may be appealing to the bridal couple is that a cheesecake is fun and original. Who will forget the wedding where cheesecake is served? The fun and quirky choice will surely be memorable.

Another fun part of cheesecake comes when it is time for the bride and groom to feed each other cake. Smashing frosting cake in one another’s faces is fun. But smashing cheesecake into your husband’s face may be even more fun.

Although cheesecakes are fun and original, though, if you are seeking a cheesy alternative to the cake desert, the cheese “cake” may be a great option. This cake is simply a tier of cheeses. For those worried about allergies or those who desire a more original desert, a tiered cheese “cake” may be a better option.

Overall, cheesecake wedding cakes can be a fun, original choice that can help you and your guests enjoy the reception in a memorable way. When every guest can eat cake, the party may be better than ever. So book that cheesecake or cheese “cake” for your wedding reception.

Janitorial Cleaning Services – Dusting an Office

Many times when people dust they do it quickly without thinking of the right way to do the job. It is an essential task that a janitorial cleaning service needs to do when they are cleaning an office. Dust is not just the particles that you can see but also the ones that you cannot see. These small substances become airborne very easily and when they settle down it lands on desks, window sills, chairs, or any surface that can hold onto dust. Two common dust particles are soil and sand but in an office it can also include hair, mites, plant material, fabric fibers, and dead skin. The visible dust can create a work space that is unsightly and often times can cause employees to become sick. It is also improves the environmental safety of an office because dust can irritate your skin, eyes, and lungs. For people with allergies it can be an unsafe place to work. When it is left to build up it can spread infections, cause damage to electronic equipment, soil hands and paper items.

Depending on how dusty the surfaces are the employees of the janitorial cleaning service should dust at least once a week on all horizontal surfaces, more often if the offices are really dusty. To make your dusting more effective and faster you should:

• Dust first the high surfaces and work your way down starting at one end of the room and move in a clockwise direction

• Make sure that you move all objects like the phone, pictures, etc and dust under them. You should never remove any piles of papers, but just dust around them.

• Do not wave around your dust cloth or static duster carelessly as you dust because it will not capture the dust but only spread it around to other places.

• Use a damp microfiber cloth to wipe any smudges or spots on the desks, or walls. Make sure it only use plain water and rinse it as it becomes dirty.

• When you clean the television screens or computer monitors be sure to use a microfiber cloth that is dry but never use tissue paper, window cleaner, or paper towels as they can cause screen damage. Make sure that you wipe lightly. If you see any smudges or finger prints on the screens use antistatic wipes that are designed for this type of equipment.

• Dust any wood desks or tables along the grain and dust the chairs from top to bottom. Do not use furniture polish unless the client asks you to.

• Make sure that you are dusting all areas where dust can accumulate like air vents, window sills, clocks, picture frames, door frames, cabinet tops, fire extinguishers, etc.

Pet Allergy – Diagnosis and Medications

Just as a human can develop allergies, domesticated animals can display adverse health symptoms from exposure to fleas, environmental and dietary allergens. Allergens can be inhaled, ingested or come in contact with a pet’s skin, resulting in a variety of digestive, respiratory or dermic symptoms. Thankfully, there are reliable testing methods available to accurately diagnose and treat allergies in pets. Potential solutions include pet medications and hypoallergenic diets.

Diagnosing Pet Allergies

Allergens and the reactions they cause may differ from animal to animal. Reactions to dietary allergens are uncommon, affecting less than 10% of dogs or cats. Environmental allergens include those that are found indoors, like dust mites and mold spores, and outdoors, like pollen spores and grass. Animals may also be exceptionally sensitive to bites from fleas. Even a small amount of flea saliva can cause widespread irritations on the animal.

Pets can display a number of symptoms that may be indicative of an allergic reaction, including:

• Vomiting

• Diarrhea

• Sneezing, coughing or wheezing

• Snoring caused by an inflamed throat

• Swollen paws or paw chewing

• Itchy ears or ear infections

• Itchy back or base of the tail

Some of these symptoms, though common allergic reactions, can also be indicative of other health issues. Before a pet is tested for allergies, they should be evaluated by a licensed veterinarian. After the vet has determined that the animal is suffering from allergen exposure, they can administer a sufficient allergy test.

Allergy Medications for Pets

Human medications, such as over-the-counter antihistamines, should never be given to a pet unless specifically prescribed by a licensed veterinarian. These drugs could cause adverse effect animals if they are taken alone or mixed with another medication. Extreme drowsiness, seizures or other symptoms may occur.

Pet medications will be prescribed based on individual symptoms, symptom severity and any preexisting conditions the animal may have. Regarding food allergies, the animal may be placed on a special diet that either limits or removes the reactive ingredient. Medications, like antihistamines, corticosteroids or allergy shots, may be prescribed to manage other allergies. For dermic reactions, topical medications such as shampoos or creams may also be prescribed.

Unfortunately, as of now, there is no cure for pet allergies. However, treatment methods, including pet medications, are available that can successfully manage symptoms and allow the animal to enjoy a better quality of life. A licensed veterinarian can accurately diagnose and appropriately treat pet allergies.

Air Duct Cleaning Services – Improve Your Health With an Air Duct Cleaning Company

If anyone in your home is suffering with allergies or asthma some other diseases, then the main reason for this is improper cleaning of air duct. According to one survey, most of the people are suffering with these diseases due to unhealthy indoor air. Especially, the dust mites is causing for so many diseases. This dust mite is tiny, microscopic creatures, and they are living in bedding, carpet and on furniture, feed off human skin and pet dander. Even though they are small, they are creating so many leading diseases like allergies, second to pollen. In most of the times, the waste matter of these dust mites is causing for allergies.

And now a question raised in your mind that how to get rid of these dust mites.

Most of the people irrespective of age group are suffering with these air ducts. To resolve, this issue, you need to hire a professional air duct clear out services in your area. However, there are so many organizations are offering these services o their valuable clients. You need to consider so many things before selecting an air dust cleaning company. With these services, you are able to decrease the number of mites your home. Most of these cleaning companies are providing an air purifier, air cleaning service, vent cleaning, and sometimes they are offering excellent carpet cleaning services also. They are using excellent processes to eliminate these dust mites from your home. Get your home professionally handled by a qualified, expert cleaning company. Some of the air ducts cleaning Maryland, air dust cleaning Virginia are offering excellent services to their valuable customers.

When working with a cleaning company, make sure they are professionals. If you decide to get your ducts cleaned, it will pay to have a professional do them as they have the equipment to pull out a considerable amount of dust and debris. Those that use smaller models may not have the highest quality product. Before hiring a professional cleaning company, call on several companies. Since there are a number of different ways to price duct cleaning, you will want to compare what each of them has to offer to you. Look for the one that offers a quality service at the best possible price available.

To find out how effective and trustworthy a company is when it comes to ducting cleaning; simply visit the online website of the Better Business Bureau. There, you will find a number of benefits including the ability to see if there are any complaints against the company that you plan to work with.