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18th January 2020

Can Egg Donation Help Women Over 40?

couple holding hands and carrying baby shoes -  egg donation IVF
Image by BRUNA BRUNA from Pixabay

Many people choose to not have children while they explore their careers and the world. However, by the time they’re ready to start a family — perhaps by 40 or above — they may find conceiving a child has become quite difficult without medical assistance.

Unfortunately, our biological clocks haven’t evolved in parallel with our “40 is the new 30” attitude in society. The fact is a woman’s eggs age with her body and severely decrease her ability to become pregnant naturally or with the assistance of traditional In Vitro Fertilization (IVF). If you’re experiencing egg quality concerns or issues, egg donation can help you build the family of your dreams.

To clarify, while a woman over 40 often produces lower quality eggs, her womb is still intact and quite capable of supporting a baby’s growth and development. To many women, the experience of growing their child within their own bodies is an extremely powerful experience. Further, important bonding developments occur between mother and child during pregnancy and birth, making donor egg IVF more appealing than adoption to those who wish to experience pregnancy and delivery.

pregnant woman

Infertility After 40

Infertility is difficult, plain and simple. It can become quite disheartening — and an emotional battle — to continually attempt conception, and not achieve it. Women are most fertile in their 20s, with fertility declining more rapidly in their 30s, particularly after age 35. By 40, women’s chances decrease to a low 5 percent and pregnancy success with their own eggs becomes highly unlikely.

Women continue to lose their eggs as time goes on. More specifically, their egg-containing follicles become less sensitive as they lose their ovarian reserve. However, the loss in quality of their remaining eggs is also important to consider. As women get older, many of these eggs may have too many — or too little — chromosomes. For example, the condition known as Down syndrome occurs when there’s an extra chromosome 21; however, most eggs with an imperfect number of chromosomes simply don’t develop into embryos.

The Donor Egg IVF Process

The donor egg IVF process is slightly different between fresh and frozen donor eggs. In general, your chosen egg donor undergoes an egg retrieval procedure and then the eggs are combined with male sperm, which may be provided by a male partner or sperm donor. This creates an embryo. Meanwhile, the recipient takes a regimen of hormones to prepare her uterus for one or two embryos to be transferred. Once an embryo is implanted, the journey to parenthood can begin. One of the main benefits of frozen donor egg IVF over fresh lies in the fact frozen donor egg IVF recipients don’t have to align their menstrual cycles with their donor’s. Rather, their egg lot of 5-8 eggs is immediately available for shipping since the eggs have already been retrieved. This saves both time and money.

Overcome Fear of Judgment

Many people hesitate to conceive after 40 with donor eggs because of societal misconceptions and an uncertainty of how to approach the situation. Awkward conversations are anticipated from strangers, friends, and family before and after their child is born.

However, there are many online – and perhaps a few local — resources to draw from for more support and a better education on your fertility treatment choice. You may also find it helpful to join a community of women who’ve already conceived using donor eggs, and with whom you can share similarly understood experiences.

Growing Your Family with Donor Eggs

child's hand holding a daisy, inside an adult's hand
Image by Blanka Šejdová from Pixabay

There’s no experience quite like feeling the miracle of life within your body. To feel kicks and a heartbeat, matched with a sonogram showing living proof of it, is simply not the same as using a gestational surrogate. With donor egg IVF, you’re the biological mother of your child; it’s your uterus and biology which will create your baby.

Just because you’ve decided to start your family later in life doesn’t mean you don’t deserve to have a child or children. Babies are born out of love. With donor egg IVF, your child will feel how loved they are thanks to the great lengths you took to create him or her. You’ll have a role in choosing your baby’s genetics and personality by carefully selecting their egg donor. All your time, effort and loving care will be reflected in your new family.

Choosing to use donor eggs isn’t always easy, but you won’t regret one step of the egg donation journey once your little one is snuggled in your arms!

This is a collaborative post

How does medical billing and coding maximize revenue for the healthcare industry?

healthcare industry - surgeon
Image by Free-Photos from Pixabay

The United States healthcare system is an ever-changing marketplace. There are a lot of changes that occurred in its standard policies and regulations that have created new challenges for healthcare providers and patients alike. Many reforms of the healthcare system, like the introduction of more-time consuming, value-based consumption models and the frequent alteration of medical billing and coding regulations and policies stated by the US government can cause revenue losses for the healthcare providers across the country.

Therefore, it is the mandatory duty of medical billing and coding professionals to stay up-to-date with the amendments in the law and monitor real-time medical codes information to impact the healthcare industry and ensure maximum reimbursement.

How to Help Your Practice Over the Hurdle

Many tactics can lead the medical billing and coding professionals to mitigate the complications of the diversifying nature of medical codes. By adopting smart strategies and equipment medical billing and coding professionals can handle financial issues and compliance risks. Thus, medical billing and coding professionals can adopt a productive approach to assist healthcare in driving maximum revenue by ensuring proper reimbursement of their practices performed. 

1 Establish a Clear Collections Process:

All healthcare providers need to adopt a collections process to ensure financial progress and empowerment. They may opt for the assistance of offshore medical billing and coding companies to improve their revenue cycle management and receive maximum reimbursements of their practices.

Financial support and backend data repository are the two critical aspects of every industrial domain. Medical billing and coding professionals can provide robust financial support to the healthcare industry by executing the claim submission process with the help of smart tools and equipment to verify and remove errors and ensure reimbursement.

2 Manage Claims Properly:

Almost 80% of all medical bills contain errors and due to strict policies of health insurance companies; they result in claim denials. It thrives down the financial growth of the healthcare facility by decelerating the cycle of submission, rejection, editing, and resubmission. It makes the healthcare providers wait for months before receiving the actual payment of their practices.

It is essential to primarily prepare accurate claims and complete the requisites of the medical bills. It requires information that is accurate and real-time, therefore updated information and double-checking for any possible errors are necessary aspects of the claim submission process.

3 Minimize Coding Errors:

The medical coders describe the performed procedures using standardized codes within a claim, to make the claims submission procedure easier to decipher and process. These standardized codes can use  ICD-10-CM, CPT and HCPCS Level II classification systems.

It provides a standard procedure of describing medical codes for the services or therapies provided by the physician, which can help to claim their service charges from health insurance companies. The most common errors that might occur in these procedures include;

  • Incorrect information
  • Mismatched data
  • Missing codes
  • Misconception by clearing house

Non-specific diagnosis codes:

ICD-10 requirements for diagnosis documentation are much more explained than the previous ICD-9 requirements. These strict requirements create more complications in the medical billing and coding environment. It enforces the medical billing and coding professionals to capture updated information and monitor real-time data, this can often be accomplished by improving the quality of initial data collected about the patient from the referring physician.

Incorrect modifiers:

The second most significant reason behind the loss in revenue is the incorrect modifiers. In these cases, the incorrect modifiers are added to a claim or a required modifier for the denied or rejected the claim. These modifiers usually depend upon the requirements of the payer.

Upcoding:

Upcoding is the problematic situation in the medical billing procedure in which adding or exchanging certain codes with the codes for more expensive procedures results in too many complications. It may happen as the result of miscommunication between the medical coder and the healthcare provider or it may happen unintentionally (which is illegal).

Under coding:

Under coding is the procedure of exchanging with a much less expensive code procedure. It may happen as a result of misconception during the communication between the medical coder and the healthcare provider, or it may happen due when a healthcare provider intentionally leaves out charges a procedure from a medical bill.

It is the best strategic move to double-check medical codes before submitting a claim. If a procedure code description is incorrect or ambiguous, then the front desk staff must concern contact with the medical billers and coders before assigning a code to avoid upcoding and under coding. If in doubt, cross-check with medical coding resources to ensure the accuracy of the medical code being used.

4 Regularly Handle Denied or Rejected Claims:

It is important to go through the significant difference between the denied claim and the rejected claim to better understand the collection management procedure.

Rejected claim:

A rejected claim is one that hasn’t been processed yet due to the existence of one or more errors. It prevents health insurance companies from paying the bills of the physician practices.

Denied claims:

It is a claim that the insurance company has processed and has deemed unplayable due to discovered violation of the payer-patient contract or some essential errors identified after processing. In both of these cases, the payer will return the claim to the medical biller with an explanation of the problem with the claim. A rejected claim can be corrected and resubmitted but denied claim must be appealed before resubmission, which is a much more expensive and time-consuming process.

It is important to identify and correct errors in a claim to minimize the occurrence of claim rejections and denials. Healthcare providers must keep up with the representative layer of health insurance companies. They can help to clarify problems with the original claim and provide real-time information for the claim submission procedure. All of this can assist to expedite the time consuming and difficult procedure of claim editing and minimize appeal and resubmission times. By following these guidelines, one can embed efficacy in collection management.

Baked Couscous with Vegetable Chunky Chilli Slimming World Recipe

Ella’s not a fan of anything chilli flavoured so we’ll have to make hers without the spices. Everyone else, however, loves chilli so we’ve all been looking forward to this baked couscous with vegetable chunky chilli 🙂

Baked Couscous with Vegetable Chunky Chilli

Serves 4
Syn free

Ingredients

  • 225g pre-cooked couscous
  • 4 medium eggs, beaten
  • 225g fat-free natural fromage frais
  • 2 tbsp freshly chopped chives
  • Salt and freshly ground black pepper
  • 1 large courgette
  • 2 baby aubergines
  • 150ml vegetable stock
  • 400g can chopped tomatoes with garlic
  • ½ – 1 tsp hot chilli powder
  • Fresh chives to garnish

Method

  1. Preheat the oven to 180°C/160°C Fan/Gas 4.
  2. Soak the couscous according to the directions on the packet, and then place in a mixing bowl.
  3. Stir in the eggs, fromage frais, chives and plenty of seasoning. Mix well and transfer to a small non-stick baking tin lined with baking parchment.
  4. Press down well and bake in the oven for 25-30 minutes until firm and lightly browned. Stand for 10 minutes.
  5. Meanwhile, make the sauce. Trim and roughly chop the courgette and aubergines and place in a saucepan with the stock.
  6. Bring to the boil, cover and simmer for 5 minutes.
  7. Stir in the tomatoes, chilli powder to taste and seasoning.
  8. Bring to the boil and simmer for a further 5 minutes until thick and tender.
  9. Cut the couscous into wedges and serve with the sauce, garnished with fresh chives and sprinkled with more ground black pepper if liked.

For more recipes, click here

Recipe from Slimming World