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Fax Electronic signature Document Safe. Discover the most consumer-warm and friendly knowledge about airSlate SignNow. Control your entire record finalizing and revealing program electronically. Change from handheld, paper-dependent and erroneous workflows to automated, electronic digital and faultless. It is simple to generate, produce and sign any papers on any product everywhere. Be sure that your essential business situations don't move overboard.
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FAQs
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What are electronic signatures used for?
The ETA does not contain a prescribed definition of what would be an ‘electronic signature’. Therefore, an electronic signature may take the form of an image of an individual’s handwritten signature, a typed name or a digital signature. There may be other forms as well. For example, the courts have held that a name appearing at the bottom of an email in normal typeface is a valid electronic signature.Section 9 of the ETA sets out three requirements for an electronic signature, being identification, reliability and consent:Identification is a question of fact, as the recipient must be able to identify the person signing (however, no formal verification of identity is required), and confirm that the person signing intends to be bound by the information communicated.Reliability is objectively determined by considering all the relevant circumstances and the purpose for which the electronic signature is required.Consent requires the counterparty to the document being electronically signed to agree to the signing party signing the document electronically. The case law demonstrates that this requirement is unlikely to require anything more than the counterparty using the chosen electronic mechanism, or engaging with the electronic execution process.To know more about Electronic signature visit at Digital Signature Devices, Software, Electronic Pads
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What industries must use electronic signature software?
Any industry involving a large amount of paperwork make use electronic signatures. In other words, all industries make use of electronic signatures because all of them have piles of paperwork to handle. Some examples of such industries include financial, life science, healthcare and pharmaceutical industries.Industries such as the pharmaceutical industry, have a number of licenses and other paperwork that they have to handle and keep track of. It can be a tedious task to perform such cumbersome paper processes. Therefore, e-signatures can facilitate an organisation in keeping a track of all this paperwork, by signing electronically.Healthcare industries usually involve time-sensitive documents, which need to be urgently completed. But, it can take days in case of the traditional wet ink paper signatures for the documents to signNow the signer and back, if the parties are geographically scattered. But with electronic signatures, that is not the case. Geographical barriers do not play a role. Documents which earlier needed days to be completed, can now be signed and sent back within minutes, in the click of a button. Furthermore, it takes a long time to bring assets under management. The time taken by the signing process, if wet ink paper signatures are used, may even further delay the process. But by using electronic signatures, the whole process can speed up.Apart from these, there are many paper prone industries which require huge amount of paperwork and with the use of electronic signatures they can make their everyday processes smoother and more efficient.
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What are the precise tasks a pharmacist must do when preparing a prescription for medication? It seems to take longer than it sh
Ooof! Let’s see if I can articulate this process.Step 1. Let’s call this “receiving the prescription.” This can be via electronic means, by telephone or a piece of paper. First, I have to determine if the prescription is a legitimate one. Did it originate with a valid prescriber or their authorized agent? ( I do a quick bit of mental math to verify that the DEA number of the prescriber is legitimate.)Does the prescription meet the legal requirements for a valid order in my state? In Oregon, this means the name & birthdate of the patient, the date the prescription was written, the drug name & amount to be dispensed, directions for use (“the sig”) and number of refills authorized, plus the signature of the authorized prescriber. Can I read the darn thing? It’s amazing to me that a society as technically advanced as ours permits atrocious handwriting on a scrap of paper as the basis for a prescription. I once filled a prescription written on a potato.If the prescription is for a controlled substance, we have to have the address & phone number of the patient & prescriber. If these elements are not present, prescriptions for controlled substances have to be taken back to the author to have changes made.2. Getting to know the patient. I can’t speak for all pharmacies here, but at this point, I like to know a bit about the person I’m giving medication to, if I don’t know you already. I’ll ask about allergies & reactions, known medical conditions & additional meds you may already be on. I’m also eyeballing you as we speak, getting some basic knowledge such as sex, approximate age & physical condition. If the prescription seems “off” to me or I think there may be an attempt to obtain controlled substances illegally, I’m going to be asking a lot more questions & assessing whether or not you are going to present a threat to me & my staff.3. Establishing how this prescription is going to be paid for. If you haven’t been to my pharmacy before & I don’t have your current insurance information on file, I will ask for proof of insurance. If you are paying cash or have a discount coupon, this is the time to let me know.4. Entering the patient information & prescription into our computer system. Some people are surprised to find that not all pharmacies & doctor’s offices are electronically linked together. Everyone has different software & information sharing is difficult, due to privacy concerns.5. Drug product selection. Also known as going to find stuff on the shelves. Some pharmacies have wonderful inventory systems that uses a flashing light to indicate where the correct drug is located. Most just have to physically locate the drug on the shelves somewhere in the pharmacy. That accounts for the warren of shelves that we seem to disappear into when looking for your medicine. Yes, we do take the opportunity when we are out of sight for a quick scratch.6. This is the part I call “counting, pouring, licking & sticking.” Verifying that the product selected matches the original prescription. Locating the appropriate dispensing container (this is regulated by law, believe it or not.) Physically counting out the medication & sometimes having a second person count it again. There are also dispensing robots that do this part in some pharmacies. Affixing the prescription label (& again assuring that all the information it contains meets the legal requirements of a prescription in your area of practice. ) This is also the point where controlled substances have to be inventoried dose by dose & the remainder returned to the safe, usually under the watchful gaze of a security camera.)7. Matching up the prescription, the medication guide & the receipt. Check receipt to make sure the appropriate insurance claim was submitted. Check co-pay; if it seems high or inappropriate, you have to break the news to the patient diplomatically. Checking that all prescriptions ordered by the patient for this dispensing are present.8. Calling the patient to pick up their order. Offer mandatory counseling & document the performance of counseling or patient refusal. Verify ID if dispensing a controlled substance. Confirm copay & insurance. If patient thinks insurance claim is not correct, attempt to call insurance company on their behalf. Be forced thru a phone tree that would try the patience of Job. Be informed by representative that the patient themselves needs to contact the insurer & that nothing can be done at point of sale. Put on lead suit & convey that information to the patient as diplomatically as possible. Listen patiently to verbal abuse, threats to call your manager & demands for gift cards as compensation for having to wait. While all this is going on, the phone is ringing, the fax is spitting papers on the floor & an elderly, hard-of-hearing person is asking my opinion of the various supplements available for sale.Easy peasy, lemon squeezy…..Nothing to it! How long does it take to count out a few pills & slap a label on?
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What is it about being a primary care physician that medical students are avoiding the field?
In the shortest explanation, money & respect.The role of a primary care physician is so vital. They are the gatekeepers, the coordinators of all our care, but they're generalists. They diagnose, treat illnesses, & refer patients out to specialists as needed. They often have nurse practitioners &/or physicians’ assistants for routine care, & they mentor them in the care of chronic & acute conditions. They keep the costs of healthcare lower than it would otherwise be. Yet for this, they get little respect & less money.Everyone knows about college debt, but let's take a closer look at the primary care physician & physicians in general. First of all, they can't be easily grossed out & do what they do, & they have to be smart. Next, they have 4 years of pre-med, usually majoring in biology, biochemistry, & other scientific & medical fields. That's 4 years of debt right there. Next is 4 years of medical school, considered post graduate work & thus much more expensive than a baccalaureate degree. They need lab coats, a good stethoscope, & it never hurts to have an otoscope (to look in the ears) & an ophthalmoscope (to check out the eyes), plus a good calculator & a good flashlight, a good pen & mechanical pencil, & references that they can carry in a pocket (I still remember docs with medical references, lab references, notepads, wiring implements, in lab coat pockets bulging & weighted down & tearing apart…now, they can put all that in their smartphones...but the references still cost a LOT). They start rounding on inpatient units & o serving outpatient areas in their 3rd & 4th years of medical school so they can observe patient care & they're also used a lot for scutwork. If they're particularly brilliant, they can become sub-interns, able to write orders which cant be filled until they're cosigned by the attending, the last semester of med school. All those bills pile up, they graduate, then have to take medical board exams, which cost a LOT, then pay as much as $2K a year (depending on the area, it's cheaper in some areas than in others) just to get a license to practice medicine. If they live in, say, the Washington, D.C. area, where people come from MD, VA, WV, DE, & D.C., in order for their prescriptions to be filled at their local pharmacies by patients from all those areas, they have to buy a license in every one of those states. D.C. is very expensive for any type of licensure, so is VA. MD, DE, & WV aren't quite as bad but it can still end up at least $6K a year in total doctors' licensing fees for multiple state licenses.Interns are paid a salary, usually the same as a brand new nurse or even less. Finding a place to live, a reliable vehicle, & paying off student loans is a tall order, & even when they work on call 96° straight, they don't get overtime. They have to go through not just an internship (or a first year residency, something they're calling interns now to differentiate them from other types of interns)…they then have 2-3 years of residency for a total of 4 years at low pay levels…plus they have to start looking at finding a practice their last 2 years especially. Buying into a practice is REALLY expensive. Because of HIPAA (which keeps your information safely from you & your family but allows medical device & drug companies to advertise to you unless you tell the medical records department, in writing, to seal your records away from greedy corporate goons), most healthcare facilities & doctors' offices outsource patient record keeping to specialized companies that promise to eat the cost of HIPAA bsignNowes in data security, & they charge a fortune. Practices also have to be near ophthalmologists, radiology facilities, lab facilities, physical rehab facilities, MRI facilities, because patients like one stop shopping…many are also near medical supply companies, drugstores, even alternative medicine facilities. Since all doctors are supposedly rich (according to the general populace), landlords charge a fortune to these doctors & other healthcare places nearby. Many medical offices hire phlebotomists (blood drawers) to draw labs, RNs to assist the doctors & act as chaperones, plus receptionists to coordinate appointments & of course, the full contingent of people to bill health insurance, including documentation specialists to make sure the physicians' notes support the claims for care rendered, medical coders who use the documentation to input diagnostic & procedural codes to help ensure payment, claims specialists who know how to submit claims for primary, secondary, gap, & public insurance plans (e.g., Medicaid), & reimbursement specialists who deal with payment denials by the appeals process, & must know whether or not coding or the notes or the submission process are likely at fault for denied claims. There are also IT & database personnel who keep the computer system running & secure. Office furniture has to be replaced periodically. Outside companies are hired for CPR & ACLS/PALS advanced life support training for renewals & updates, plus maintaining AEDs (most physicians' offices don't have “crash carts,” but use automated external defibrillators that staff are trained to use during CPR certification/renewal). Then there is the physical security system, e-faxing software, printers, computers, the network they're on, plus copy machines & sometimes even actual fax machines…the costs of paper, ink, toner, electronic signature, etc. Since it costs so much to set up & maintain a practice, & there is always the malpractice insurance & the legal firm on retainer for lawsuits & risk management as well, buying into a practice & sharing the cost of maintaining it is very high. Due to the concerns for risk management, larger practices really scrutinize how young doctors have interacted with staff & patients during their training, so it takes a long time & a lot of nerve-wracking interviews before a doctor can buy into a practice. It is not uncommon for a young doctor to be in debt for several hundred thousand dollars y the time they are in a practice.And that's just primary care. If you want to be a specialist, you have to apply for & be accepted to a program & spend 3-4 years as a fellow (often called a post doc). Anyone who plans to go into public health also usually has at least a masters degree in public health if not a PhD, which means more student loans to pay off. Researchers usually get a masters or even a PhD in some science like neueopsychiatry, biochemistry, chemistry, biology, etc. More loans. Once a fellow has been awarded recognition in their specialty, they have even more bills to pay…& dues to professional organizations, higher malpractice costs, higher licensure costs…even more debt than the primary care physician.But the PCP gets less respect & can charge less than a specialist. In many coastal big cities, a visit to your PCP runs you ~$45-60, but a specialist will run you at least $400 a visit. They also get more respect. Since they train more, their learning should be respected…but the crucial role of the PCP deserves respect for undertaking the difficult job of triaging medical issues, getting to the root causes, trying to help the patient live healthier lifestyle, deal with restrictions due to chronic conditions, & coordinating care of the patient by everyone from a physical therapist to a diabetes educator to a dietitian & others, & in some cases, alternative medical practitioners like acupuncturists, naturopaths, herbalists, chiropractors, even dentists, pain specialists, addictions specialists. optometrists/ophthalmologists, & more, as the patient needs & their conditions require.It's well past time for tort reform. I once reviewed charts for a risk manager & one lawsuit was by a woman who claimed her chest pain was ignored in the ER-a very serious charge. However, there was no evidence of angina, coronary artery blockages, heart attacks (which show up by EKG patterns), heart failure, lung disease, or anything cardiac even on independent medical consultation by the legal firms' referral to cardiologists. If you have heart issues, you are not given food or drink in case there is a need for an emergency procedure, plus if you're having chest pain, eating stresses the heart. This woman had come to various ERs in the area (all of whom she was suing) 8 times on 3 days with the same complaint, raised hell when they wouldn't feed her anything she wanted, & walked out when food wasn't forthcoming. Not only that, but she had tried to hit nurses, doctors, even maintenance people. She cursed, broke things, attacked other patients…I'm sorry, but those lawsuits were frivolous. Had the judges for each case not thrown them out, an expensive trial would have ensued. IMNSHO people who do things like that should have to serve time or do a lot of volunteer work or at least be psychiatric admissions for 30 days to get them some kind of help. There should be consequences for that sort of baloney. It would greatly reduce the cost of malpractice insurance. Let the lawsuits be for those actually wronged.IMO insurance companies should be forbidden from paying bonuses to employees for denying payment. I would bet the cost of the bonuses & the appeals cost more than the care does in most cases. This is especially true when the person denying care is a high school graduate with a list of things to deny automatically pre-admission, someone who has about as much medical training as an elm tree. When they put a RN in that position, they not only give a bonus for denials, but punish them for approving too much, even when their training shows a much more in depth understanding of the medical necessity of a procedure. If they document their reasons for approval & an independent panel concludes they're right, there should be a bonus for avoiding lawsuits instead of a punishment for not finding some other entity at fault to pay what the insurer owes or denying a legitimate claim. I can't count the times I have had to have care for my arthritic knees & have had my insurer's employees, a different one every time, ask if I injured my knees in a car accident so they can make my car insurance pay. They are always ticked off when I tell them I fell at home in 1978, on a wet floor, dislocated my knee, & that it has been repeatedly injured since because it is a “trick knee" which makes me fall on it, reinjuring it, & that the stress put on the other knee compensating for the bad one has made it almost as bad as the injured knee. I have even been accused of lying to keep the “right person" from paying! That should be outlawed. I have several times had to go without needed treatment for months while the health insurer paid a fortune for someone to investigate my medical history to try to pin the injury, & payment, on another company. I have had my car & property insurers call me to ask why I said they were supposed to pay for the bad knees, & had risk management at my employer ask why I told the health insurer I fell at work so workmen's comp would pay, when I have done no such thing. I tell them they should know insurers well enough to know by now that they will pay 10 times the cost of care to find someone else to blame, even though I tell them it's an old injury from a fall on a wet floor at my apartment, that this is what I told them, that they have arranged me repeatedly & accused me of lying about how I was hurt, so is it any surprise that when I insisted it was a freak accident, they still insisted on trying to blame some other company! I have nearly lost my job several times over health insurers lying & spending a fortune to avoid paying out. This should not be allowed. Get injured in a car accident & your car insurance will sometines try to find someone else to pay…this from a friend who was rammed while stopped at a light, in his compact car, by a drunk in a huge pickup truck who was going 60 in a 35 zone, ran a red light & served into the oncoming traffic lane, causing my friend's entire back & neck, his head, & one shoulder to be severely damaged, along with both knees. There were tons of witnesses who saw it. The drunk was, of course, not insured since he obviously needed the money for booze (insert eye roll)…& “no fault" insurance is suppose to mean they pay you for injuries occurring from an accident involving your car, & the other person's insurance is supposed to pay them, regardless of who's at fault…but that only happens in a very few states of the many who CLAIM to have no fault insurance laws.Making those shenanigans illegal would help cut medical costs, which would allow doctors to take care of patients without such high costs. It would acknowledge the invaluable & irreplaceable PCP, allow lower fees for all stripes of physicians, & lower overall care costs.BTW, private insurers get their ideas for avoiding insurance payouts from Medicare, so Medicare for All will only make things worse. And Medicare disses the PCP more than any other entity & is one of many reasons for physician attrition rates, esp. PCPs.
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What is a registered exporter system (REX)?
In Simple Words REX is Compliance system initiated by European union for Certification of Origin.If one wants to export goods value exceeds 6000 EUR to Europe then has to attach this certificate with consignment.In Official Frame of words:Subject: – Certification of Origin of Goods for European Union Generalised System of Preferences (EU-GSP) – Modification of the system as of 1 January 2017.In exercise of powers conferred under paragraph 2.04 of the Foreign Trade Policy, 2015-2020, the Director General of Foreign Trade hereby inserts a new sub para (c) under Para 2.104 Generalised System o...
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