I Love Touring Italy - Cinque Terre, Liguria

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If you are looking for a European tourist destination, consider the Liguria region of northern Italy, commonly known as the Italian Riviera. This thin strip of land lies on the Ligurian Sea, not far from Monaco and the French Riviera. While Liguria is by no means undiscovered, its crowds are much smaller than those next door. There are many little towns or villages, and one international port city almost smack dab in the center of the coast. This article explores Cinque Terre, five little seaside villages that just might steal your heart. Be sure to read the other articles in this series: eastern Liguria, western Liguria, and Genoa, the capital and largest city of Liguria.

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How is I Love Touring Italy - Cinque Terre, Liguria

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As its name indicates, Cinque Terre are five coastal villages located in eastern Liguria. Collectively they form a UNESCO World Heritage site. Going from west to east their names are Monterosso al Mare, Vernazza, Corniglia, Manarola, and Riomaggiore. If you are going to hike across all five villages you probably should work your way in the opposite order because the easiest paths are in the west. You can always take the train from one village to another. Don't be a hero and spoil your trip.

There are several trails, some of which evolved from mule paths. The most popular one is Sentiero Azzuro (Blue Trail) that runs along the water. It's about 8 miles (13 kilometers) long and is said to take about five hours to complete. Don't worry if it takes you longer. I said it before, and I'll say it again; don't be a hero and spoil your trip.

Monterosso al Mare, population about 1500, is the largest and busiest of these five villages. Stone steps take you from the village center to the port and seaside promenade. Monterosso al Mare is surrounded by hills bedecked in vineyards and olive groves. Thursday is market day and the market brims with local arts and crafts as well as food and wine. The Aurora bell tower separates the ancient and modern parts of the village. It is the only remaining tower of the thirteen that surrounded the village in the Sixteenth Century.

Be sure to see the Twelfth Century Chiesa di San Francesco (Church of St. Francis). This church was built in the Ligurian Gothic style and like so many others includes black and white marble. The church proudly displays a painting of the Crucifixion attributed to the English painter Van Dyck who lived for six years in Ligura. The village is home to festivals celebrating Lemons (Saturday just before Ascension Sunday), Flowers (second Sunday after Pentecost), and even Salted Anchovies and Olive Oil (second weekend of September).

Vernazza is the only natural port of the five villages and became wealthier than its neighbors. Consequently its architecture is more elaborate. Vernazza was a Roman installation and was strategically quite important during the age of the Maritime Republics in Genoa. It was also famous for its carpenters. Make sure to see the Castle of the Doria, the watchtowers, and the Romanesque sanctuary of Nostra Signora di Reggio (Our Lady of Reggio).

Corniglia, a farming village, is the most remote of the Cinque Terre villages and the only one not directly on the sea. There are plans to build an elevator from the railway; until this happens to get there you must conquer 337 steps in 33 flights of stairs. Once you're there make sure to see the Fourteenth Century Church of San Pietro (St. Peter) built in the Gothic-Ligurian style. Corniglia was mentioned in Giovanni Boccaccio's Decameron. While a local castle was mentioned way back in the late Thirteenth Century no one has found any such ruins. You're welcome to look.

Manarola is the center of the local wine and olive oil industry. What a color feast: the houses are pastel, the water is turquoise, and the rock on which the town sits is black. Make sure to see theVia dell'Amore (Love Road) that joins Manarola with Riomaggiore, said to provide some of the most thrilling scenery in the world. This mile (one and a half kilometer) long path was cut from rock overlooking the sea. That's what they call a labor of love.

Riomaggiore is the most accessible and therefore the least charming of the five villages. According to tradition this village dates back to the Eighth Century, when it was founded by group of Greek refugees who escaped the religious persecution of the Byzantine Emperor. The Fourteenth Century parish church of San Giovanni Battista (Saint John the Baptist) overlooks the village. Be sure to see the ruins of a Fifteenth-Sixteenth Century castle.

What about food? Liguria is most famous for its pesto, claimed to be the best in the world. It's simple to make, take a mortar and pestle and combine basil, Ligurian basil, olive oil, pine nuts, garlic, and Parmesan cheese. Don't break a true Ligurian heart; don't make it in a blender. Serve with fresh pasta. And don't forget the Ligurian wine.

Let's suggest a sample menu, one of many. Start with Ciuppin (Fish Soup). Then try Coniglio Arrosto alla Ligure (Roast Rabbit) For dessert indulge yourself with Baci di Dami, literally Ladies' Kisses (Almond and Dark Chocolate Cookies.) Be sure to increase your dining pleasure by including local wines with your meal.

We'll conclude with a quick look at Liguria wine. Liguria doesn't have a lot of room for wine grapes. It ranks 19th among the 20 Italian regions in acreage devoted to wine grapes and total annual wine production. About 34% of its wine is red or rosé, leaving 66% white. The region produces eight DOC wines. DOC stands for Denominazione di Origine Controllata, which may be translated as Denomination of Controlled Origin, presumably a high-quality wine. About 14% of Ligurian wine carries the DOC designation.

Cinque Terre/Cinque Terre Sciacchetrà (DOC) is the only DOC wine in the Cinque Terre area. It is a white, dry or sweet wine made from a variety of local grapes. The wines themselves are not nearly as spectacular as the vineyards carved out of rock thousands of years ago. You have to go to Liguria or perhaps neighboring regions of Italy to taste any of them. To tell the truth, there are many better reasons for visiting this lovely area.

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healing Billing Terms and healing Coding Terminology

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Health Plans - healing Billing Terms and healing Coding Terminology

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Those in healing billing and coding careers have a terminology of unique terms and abbreviations. Below are some of the more frequently used healing Billing terms and acronyms. Also included is some healing coding terminology.

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Aging - Refers to the unpaid guarnatee claims or inpatient balances that are due past 30 days. Most healing billing software's have the potential to originate a detach record for guarnatee aging and inpatient aging. These reports typically list balances by 30, 60, 90, and 120 day increments.

Appeal - When an guarnatee plan does not pay for treatment, an appeal (either by the provider or patient) is the process of formally objecting this judgment. The insurer may need added documentation.

Applied to Deductible - Typically seen on the inpatient statement. This is the amount of the charges, carefully by the patients guarnatee plan, the inpatient owes the provider. Many plans have a maximum each year deductible that once met is then covered by the guarnatee provider.

Assignment of Benefits - guarnatee payments that are paid to the physician or hospital for a patients treatment.

Beneficiary  - someone or persons covered by the health guarnatee plan.

Clearinghouse - This is a aid that transmits claims to guarnatee carriers. Prior to submitting claims the clearinghouse scrubs claims and checks for errors. This minimizes the amount of rejected claims as most errors can be beyond doubt corrected. Clearinghouses electronically send claim data that is compliant with the precise Hippa standards (this is one of the healing billing terms we see a lot more of lately).

Cms - Centers for Medicaid and Medicare Services. Federal group which administers Medicare, Medicaid, Hippa, and other health programs. Once known as the Hcfa (Health Care Financing Administration). You'll consideration that Cms it the source of a lot of healing billing terms.

Cms 1500 - healing claim form established by Cms to submit paper claims to Medicare and Medicaid. Most commercial guarnatee carriers also need paper claims be submitted on Cms-1500's. The form is grand by it's red ink.

Coding -Medical Billing Coding involves taking the doctors notes from a inpatient visit and translating them into the allowable Icd-9 code for determination and Cpt codes for treatment.

Co-Insurance - division or amount defined in the guarnatee plan for which the inpatient is responsible. Most plans have a ratio of 90/10 or 80/20, 70/30, etc. For example the guarnatee carrier pays 80% and the inpatient pays 20%.

Co-Pay - amount paid by inpatient at each visit as defined by the insured plan.

Cpt Code - Current Procedural Terminology. This is a 5 digit code assigned for reporting a course performed by the physician. The Cpt has a corresponding Icd-9 determination code. Established by the American healing Association. This is one of the healing billing terms we use a lot.

Date of aid (Dos) - Date that health care services were provided.

Day Sheet - summary of daily inpatient treatments, charges, and payments received.

Deductible - amount inpatient must pay before guarnatee coverage begins. For example, a inpatient could have a 00 deductible per year before their health guarnatee will begin paying. This could take several doctor's visits or prescriptions to reach the deductible.

Demographics - corporeal characteristics of a inpatient such as age, sex, address, etc. Primary for filing a claim.

Dme - Durable healing tool - healing supplies such as wheelchairs, oxygen, catheter, glucose monitors, crutches, walkers, etc.

Dob - Abbreviation for Date of Birth

Dx - Abbreviation for determination code (Icd-9-Cm).

Electronic Claim - Claim data is sent electronically from the billing software to the clearinghouse or directly to the guarnatee carrier. The claim file must be in a proper electronic format as defined by the receiver.

E/M - evaluation and administration section of the Cpt codes. These are the Cpt codes 99201 thru 99499 most used by physicians to way (or evaluate) a patients rehabilitation needs.

Emr - Electronic healing Records. healing records in digital format of a patients hospital or provider treatment.

Eob - Explanation of Benefits. One of the healing billing terms for the statement that comes with the guarnatee enterprise payment to the provider explaining payment details, covered charges, write offs, and inpatient responsibilities and deductibles.

Era - Electronic Remittance Advice. This is an electronic version of an guarnatee Eob that provides details of guarnatee claim payments. These are formatted in agreeing to the Hipaa X12N 835 standard.

Fee program - Cost linked with each rehabilitation Cpt healing billing codes.

Fraud - When a provider receives payment or a inpatient obtains services by deliberate, dishonest, or misleading means.

Guarantor - A responsible party and/or insured party who is not a patient.

Hcpcs - health Care Financing administration base course Coding System. (pronounced "hick-picks"). This is a three level ideas of codes. Cpt is Level I. A standardized healing coding ideas used to report definite items or services provided when delivering health services. May also be referred to as a course code in the healing billing glossary.

The three Hcpcs levels are:

Level I - American healing Associations Current Procedural Terminology (Cpt) codes.

Level Ii - The alphanumeric codes which consist of mostly non-physician items or services such as healing supplies, ambulatory services, prosthesis, etc. These are items and services not covered by Cpt (Level I) procedures.

Level Iii - Local codes used by state Medicaid organizations, Medicare contractors, and hidden insurers for definite areas or programs.

Hipaa - health guarnatee Portability and accountability Act. several federal regulations intended to enhance the efficiency and effectiveness of health care. Hipaa has introduced a lot of new healing billing terms into our vocabulary lately.

Hmo - health Maintenance Organization. A type of health care plan that places restrictions on treatments.

Icd-9 Code - Also know as Icd-9-Cm. International Classification of Diseases classification ideas used to assign codes to inpatient diagnosis. This is a 3 to 5 digit number.

Icd 10 Code - 10th revising of the International Classification of Diseases. Uses 3 to 7 digit. Includes added digits to allow more ready codes. The U.S. group of health and Human Services has set an implementation deadline of October, 2013 for Icd-10.

Inpatient - Hospital stay longer than one day (24 hours).

Maximum Out of Pocket - The maximum amount the insured is responsible for paying for eligible health plan expenses. When this maximum limit is reached, the guarnatee typically then pays 100% of eligible expenses.

Medical Assistant - Performs administrative and clinical duties to sustain a health care provider such as a physician, physicians assistant, nurse, or nurse practitioner.

Medical Coder - Analyzes inpatient charts and assigns the precise Icd-9 determination codes (soon to be Icd-10) and corresponding Cpt rehabilitation codes and any linked Cpt modifiers.

Medical Billing expert - The someone who processes guarnatee claims and inpatient payments of services performed by a physician or other health care provider and vital to the financial doing of a practice. Makes sure healing billing codes and guarnatee data are entered correctly and submitted to guarnatee payer. Enters guarnatee payment data and processes inpatient statements and payments.

Medical Necessity - healing aid or course performed for rehabilitation of an illness or injury not carefully investigational, cosmetic, or experimental.

Medical Transcription - The conversion of voice recorded or hand written healing data dictated by health care professionals (such as physicians) into text format records. These records can be whether electronic or paper.

Medicare - guarnatee provided by federal government for habitancy over 65 or habitancy under 65 with obvious restrictions. Medicare has 2 parts; Medicare Part A for hospital coverage and Part B for doctors office or inpatient care.

Medicare Donut Hole - The gap or difference between the first limits of guarnatee and the catastrophic Medicare Part D coverage limits for prescription drugs.

Medicaid - guarnatee coverage for low earnings patients. Funded by Federal and state government and administered by states.

Modifier - Modifier to a Cpt rehabilitation code that furnish added data to guarnatee payers for procedures or services that have been altered or "modified" in some way. Modifiers are leading to illustrate added procedures and derive reimbursement for them.

Network provider - health care provider who is contracted with an guarnatee provider to furnish care at a negotiated cost.

Npi amount - National provider Identifier. A unique 10 digit identification amount required by Hipaa and assigned through the National Plan and provider Enumeration ideas (Nppes).

Out-of Network (or Non-Participating) - A provider that does not have a contract with the guarnatee carrier. Patients normally responsible for a greater part of the charges or may have to pay all the charges for using an out-of network provider.

Out-Of-Pocket Maximum - The maximum amount the inpatient is responsible to pay under their insurance. Charges above this limit are the guarnatee associates obligation. These Out-of-pocket maximums can apply to all coverage or to a definite benefit kind such as prescriptions.

Outpatient - Typically rehabilitation in a physicians office, clinic, or day surgical operation facility chronic less than one day.

Patient accountability - The amount a inpatient is responsible for paying that is not covered by the guarnatee plan.

Pcp - primary Care physician - normally the physician who provides first care and coordinates added care if necessary.

Ppo - preferred provider Organization. guarnatee plan that allows the inpatient to elect a physician or hospital within the network. Similar to an Hmo.

Practice administration Software - software used for the daily operations of a providers office. Typically includes appointment scheduling and billing functions.

Preauthorization - Requirement of guarnatee plan for primary care physician to forewarn the inpatient guarnatee carrier of obvious healing procedures (such as inpatient surgery) for those procedures to be carefully a covered expense.

Premium - The amount the insured or their owner pays (usually monthly) to the health guarnatee enterprise for coverage.

Provider - physician or healing care facility (hospital) that provides health care services.

Referral - When a provider (typically the primary Care Physician) refers a inpatient to another provider (usually a specialist).

Self Pay - payment made at the time of aid by the patient.

Secondary guarnatee Claim - guarnatee claim for coverage paid after primary guarnatee makes payment. Typically intended to cover gaps in guarnatee coverage.

Sof - Signature on File.

Superbill - One of the healing billing terms for the form the provider uses to document the rehabilitation and determination for a inpatient visit. Typically includes several ordinarily used Icd-9 determination and Cpt procedural codes. One of the most frequently used healing billing terms.

Supplemental guarnatee - added guarnatee course that covers claims fro deductibles and coinsurance. frequently used to cover these expenses not covered by Medicare.

Taxonomy Code - Code for the provider specialty sometimes required to process a claim.

Tertiary guarnatee - guarnatee paid in addition to primary and secondary insurance. Tertiary guarnatee covers costs the primary and secondary guarnatee may not cover.

Tin - Tax Identification Number. Also known as owner Identification amount (Ein).

Tos - Type of Service. record of the kind of aid performed.

Ub04 - Claim form for hospitals, clinics, or any provider billing for facility fees similar to Cms 1500. Replaces the Ub92 form.

Unbundling - Submitting more than one Cpt rehabilitation code when only one is appropriate.

Upin - Unique physician Identification Number. 6 digit physician identification amount created by Cms. Discontinued in 2007 and replaced by Npi number.

Write-off (W/O) - The difference between what the provider charges for a course or rehabilitation and what the guarnatee plan allows. The inpatient is not responsible for the write off amount. May also be referred to as "not covered" in some glossary of billing terms.

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