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    Medical Billing - DX Tables
    Medical billing is hard enough with it having to be cryptic besides. Unfortunately, there is nothing more cryptic than DX, or diagnosis code tables when it comes to DME billing. In this installment, we're going to try to make some sense of DX tables and give you some basic information that you'll need to know in order to understand how to use them when submitting a bill using your DME software.DX tables, or diagnosis code tables, are tables of data that pertains to a diagnosis of a patient's illness. This has nothing to do with the type of equipment they are getting or their insurance or anything else. It is simply a designation of what it is that the patient is suffering from. Now, this might sound pretty basic, but the problem is that there are more diagnosis codes than New York City has people. As a matter of fact, diagnosis code tables are so massive that updating them regularly is a big business in the medical billing industry. But that's a topic for another article.Th
    vel of access to give to the PBX.
  • The hardware should proactively monitor the PBX looking for the first signs of fraudulent activity.
  • Secure Access Modems
    Secure access modems tend to be hardware based. One modem is connected to the PBX, while one or more modems are deployed in the field. The modems use an encrypted secret key and a unique ID to provide a challenge/response to incoming calls. Consequently only a modem with a matching encrypted secret key, using an ID that is allowed by the PBX modem will be able to connect.

    This provides a more flexible alternative to calling from a single phone number. The modem is self contained and does not require any special software. It is unlikely that a random hacker using a standard modem will be able to breach this initial barrier.

    Hardware Acting As An Intermediary
    If you use a hardware appliance, it can act as a gateway between the PBX and the user. It could log all login attempts. It could be configured to send out an alert (as an email for example) when it detects multiple login failures. This type of behaviour would occur if a hacker was using a brute force attack to try and discover the password.

    Different combinations of usernames

    Business Coaching Delivers Improved Performance and Has the Numbers to Prove It
    Business coaching is all about improving performance in real time. Unlike the traditional training and development in business, coaching is a proven strategy to increase business results. No wonder this exploding industry has estimated annual expenditures over $1 billion.Here are some of the few numbers (Source: Manchester Survey): 570% return on investment for 100 coached professionals 53% productivity improvement 48% quality improvement 77% work relationships A 2001 survey conducted by Metrix Global in 2001 supports these numbers. This survey indicated that coaching generated a 529% return on investment.These numbers have resulted in the projected growth rate of 40% for the coaching industry. Increases in franchises such as The Growth Coach from 6 in 2003 to 131 in 2006 support these projections. The Australian Institute of Management revealed that coaches are hired by 70% of its member companies.If busines
    What steps would you take to protect your business from a burglar coming in after office hours and stealing ?40,000? I suspect that you would make sure that all the doors have very good locks. You would install a burglar alarm and maybe even have CCTV surveillance. That should protect your business. Wrong! The burglar did not break into your office; they broke into your internal phone exchange (PBX). Unseen by human or electronic eyes, thousands of pounds are being spent on international telephone calls and your business will pay the bill.

    How Does It Work?
    Dial through fraud is not a new problem, it just has limited publicity. It exploits a PBX feature that allows employees to ring in to the switchboard and by keying certain dialling codes, make national and international calls for which the company will pay the bill.

    Many businesses will take an "It will never happen to me" approach to dial through fraud, even though most business PBXs are setup to be maintained remotely. This is to allow engineers from a maintenance company to make changes to the configuration without needing to make a site visit but it exposes the PBX. The administration port on the PBX will be connected to a modem that in turn is connected to an extension on the PBX.

    Using trial and error, hackers will identify the number that this modem is on. The default passwords like "admin", "0000" or "1234" will be tried first. Even if the password has been changed, there are plenty of free utilities on the Internet that will use brute force to try every number and letter combination until the right password is found. It has been known for 16 character passcodes to be cracked in this way.

    Once the hacker has gained administrative access to your PBX, they will identify unused extension numbers and set them up to allow dial through using the company PSTN lines. For the cost of a local phone call, the hacker can be making calls to the Middle East, Far East, Africa, Australasia, etc. Some of these calls could be costing the business up to ?3 a minute.

    To compound the problem, the hacker will usually set up a disguised PBX that routes its calls through the company PBX. The hacker will then operate a "Call Sell"; selling international calls to customers at cheap rates. Alternatively they could make calls to their own premium rate revenue share services. It is possible that during the 15 hours when your office is closed, up to 10 simultaneous calls could be occurring. And that is just for one day! The problem is likely to go unnoticed and unresolved until the phone bill arrives at the end of the month.

    It Will Never Happen To Me
    A recent report in the Guardian highlighted the plight of one UK Company that suffered from a fraud attack. The company had secured its PBX with a 16 character password but it was still compromised. The discovery of the fraud was by pure chance when the MD of the company came into the office early one day to find the lights on the telephone switchboard lit up like a Christmas tree, even though he was the only one in the office.

    The report showed that recovering the losses was not easy. Although the company's Telco admitted that the calls were fraudulent, it was not their responsibility to secure the customer's equipment from attack. Therefore the customer was liable for any calls made through the PBX. It was also discovered that the company's insurance policy had a standard clause exempting it from any "electronic losses".

    A Matter For The Police
    Surely if a fraud has been perpetrated, then the police should investigate the matter? This is true. The Regulation of Investigatory Powers Act 2000 (Ripa) gives police the power to request "intercept data" from the Telco that would identify the origin of the inbound calls into the PBX. Under the act, a Telco is allowed to charge up to ?1,500 to cover their costs of retrieving the data asked for by the police. This means that in every case, the police must decide whether the financial losses involved in the fraud justifies the cost of the "intercept data". For big losses, the answer is likely to be yes every time. However, in small cases involving just a few hundred or few thousand pounds, the answer may not be so clear cut.

    How Can It Be Prevented
    The most obvious way is not to allow remote access to the administration facilities of the PBX. However this may not be practical and could lead to increased charges from the maintenance company. The second method is to use a very random password on the PBX, up to the maximum number of characters and to lock the modem so that it will only answer calls from a single phone number. This solution is very inflexible and after a while could be turned off if it becomes impractical.

    Ideally, you would want a solution that could offer the following benefits:

    1. Use a modem that employs authenticated encryption to prevent hackers with standard modems from being able to connect.
    2. Some hardware to act as an intermediary between the connection and the PBX. The hardware could then determine through a username/password what level of access to give to the PBX.
    3. The hardware should proactively monitor the PBX looking for the first signs of fraudulent activity.

    Secure Access Modems
    Secure access modems tend to be hardware based. One modem is connected to the PBX, while one or more modems are deployed in the field. The modems use an encrypted secret key and a unique ID to provide a challenge/response to incoming calls. Consequently only a modem with a matching encrypted secret key, using an ID that is allowed by the PBX modem will be able to connect.

    This provides a more flexible alternative to calling from a single phone number. The modem is self contained and does not require any special software. It is unlikely that a random hacker using a standard modem will be able to breach this initial barrier.

    Hardware Acting As An Intermediary
    If you use a hardware appliance, it can act as a gateway between the PBX and the user. It could log all login attempts. It could be configured to send out an alert (as an email for example) when it detects multiple login failures. This type of behaviour would occur if a hacker was using a brute force attack to try and discover the password.

    Different combinations of usernames

    One Product - Service - Client Does NOT Make A Business
    Recently a new client came to me in total frustration. She had been working with another coach who had insisted she focus on offering, and aggressively marketing, only one service. Now she was out of energy, out of money, and couldn't understand why she was failing. A great salesperson in her previous work, she was struggling to sell enough of this one service to support herself.This talented and skilled professional was on a slippery slope to a failed business. She was using one of the most enticing and dangerous models for the direction of her business: Offering just one service to just one market.One service, one big client, one product, does not make a one-person business that can thrive. And, it can get you in hot water if your one client with your one product or service is corporate: you start to look too much like an employee to keep the IRS happy.So, what's the answer? For this new client, my first question was "Have you done the numbers?"Her blank look was
    l identify the number that this modem is on. The default passwords like "admin", "0000" or "1234" will be tried first. Even if the password has been changed, there are plenty of free utilities on the Internet that will use brute force to try every number and letter combination until the right password is found. It has been known for 16 character passcodes to be cracked in this way.

    Once the hacker has gained administrative access to your PBX, they will identify unused extension numbers and set them up to allow dial through using the company PSTN lines. For the cost of a local phone call, the hacker can be making calls to the Middle East, Far East, Africa, Australasia, etc. Some of these calls could be costing the business up to ?3 a minute.

    To compound the problem, the hacker will usually set up a disguised PBX that routes its calls through the company PBX. The hacker will then operate a "Call Sell"; selling international calls to customers at cheap rates. Alternatively they could make calls to their own premium rate revenue share services. It is possible that during the 15 hours when your office is closed, up to 10 simultaneous calls could be occurring. And that is just for one day! The problem is likely to go unnoticed and unresolved until the phone bill arrives at the end of the month.

    It Will Never Happen To Me
    A recent report in the Guardian highlighted the plight of one UK Company that suffered from a fraud attack. The company had secured its PBX with a 16 character password but it was still compromised. The discovery of the fraud was by pure chance when the MD of the company came into the office early one day to find the lights on the telephone switchboard lit up like a Christmas tree, even though he was the only one in the office.

    The report showed that recovering the losses was not easy. Although the company's Telco admitted that the calls were fraudulent, it was not their responsibility to secure the customer's equipment from attack. Therefore the customer was liable for any calls made through the PBX. It was also discovered that the company's insurance policy had a standard clause exempting it from any "electronic losses".

    A Matter For The Police
    Surely if a fraud has been perpetrated, then the police should investigate the matter? This is true. The Regulation of Investigatory Powers Act 2000 (Ripa) gives police the power to request "intercept data" from the Telco that would identify the origin of the inbound calls into the PBX. Under the act, a Telco is allowed to charge up to ?1,500 to cover their costs of retrieving the data asked for by the police. This means that in every case, the police must decide whether the financial losses involved in the fraud justifies the cost of the "intercept data". For big losses, the answer is likely to be yes every time. However, in small cases involving just a few hundred or few thousand pounds, the answer may not be so clear cut.

    How Can It Be Prevented
    The most obvious way is not to allow remote access to the administration facilities of the PBX. However this may not be practical and could lead to increased charges from the maintenance company. The second method is to use a very random password on the PBX, up to the maximum number of characters and to lock the modem so that it will only answer calls from a single phone number. This solution is very inflexible and after a while could be turned off if it becomes impractical.

    Ideally, you would want a solution that could offer the following benefits:

    1. Use a modem that employs authenticated encryption to prevent hackers with standard modems from being able to connect.
    2. Some hardware to act as an intermediary between the connection and the PBX. The hardware could then determine through a username/password what level of access to give to the PBX.
    3. The hardware should proactively monitor the PBX looking for the first signs of fraudulent activity.

    Secure Access Modems
    Secure access modems tend to be hardware based. One modem is connected to the PBX, while one or more modems are deployed in the field. The modems use an encrypted secret key and a unique ID to provide a challenge/response to incoming calls. Consequently only a modem with a matching encrypted secret key, using an ID that is allowed by the PBX modem will be able to connect.

    This provides a more flexible alternative to calling from a single phone number. The modem is self contained and does not require any special software. It is unlikely that a random hacker using a standard modem will be able to breach this initial barrier.

    Hardware Acting As An Intermediary
    If you use a hardware appliance, it can act as a gateway between the PBX and the user. It could log all login attempts. It could be configured to send out an alert (as an email for example) when it detects multiple login failures. This type of behaviour would occur if a hacker was using a brute force attack to try and discover the password.

    Different combinations of usernames

    A Serious Warning to Business Owners
    Over the past 19 years, I have worked with thousands of business owners in Africa, Canada and the United States. I foresee serious financial adversity looming for many entrepreneurs in the coming years, and perhaps a lot sooner than we may think. And before you conclude that this is mere speculation, let me share some reasons for my concern, and then allow me to offer you a solution.On a macro level, we all know that the dollar’s purchasing power has declined. The “world’s reserve currency” is in trouble. America slips further into debt. Since the end of the gold standard in 1971, this has escalated. With cheap labor increasingly available in India and China and a huge influx of new immigrants into the US and Canada, with the Canadian economy heavily dependant on the US, plus the massive housing bubble, the future is scary for thinking people. Peoples’ savings are worth less and less. It is said that the average American retires with under $30,000 in net worth. Baby Boomer entrepreneurs
    It Will Never Happen To Me
    A recent report in the Guardian highlighted the plight of one UK Company that suffered from a fraud attack. The company had secured its PBX with a 16 character password but it was still compromised. The discovery of the fraud was by pure chance when the MD of the company came into the office early one day to find the lights on the telephone switchboard lit up like a Christmas tree, even though he was the only one in the office.

    The report showed that recovering the losses was not easy. Although the company's Telco admitted that the calls were fraudulent, it was not their responsibility to secure the customer's equipment from attack. Therefore the customer was liable for any calls made through the PBX. It was also discovered that the company's insurance policy had a standard clause exempting it from any "electronic losses".

    A Matter For The Police
    Surely if a fraud has been perpetrated, then the police should investigate the matter? This is true. The Regulation of Investigatory Powers Act 2000 (Ripa) gives police the power to request "intercept data" from the Telco that would identify the origin of the inbound calls into the PBX. Under the act, a Telco is allowed to charge up to ?1,500 to cover their costs of retrieving the data asked for by the police. This means that in every case, the police must decide whether the financial losses involved in the fraud justifies the cost of the "intercept data". For big losses, the answer is likely to be yes every time. However, in small cases involving just a few hundred or few thousand pounds, the answer may not be so clear cut.

    How Can It Be Prevented
    The most obvious way is not to allow remote access to the administration facilities of the PBX. However this may not be practical and could lead to increased charges from the maintenance company. The second method is to use a very random password on the PBX, up to the maximum number of characters and to lock the modem so that it will only answer calls from a single phone number. This solution is very inflexible and after a while could be turned off if it becomes impractical.

    Ideally, you would want a solution that could offer the following benefits:

    1. Use a modem that employs authenticated encryption to prevent hackers with standard modems from being able to connect.
    2. Some hardware to act as an intermediary between the connection and the PBX. The hardware could then determine through a username/password what level of access to give to the PBX.
    3. The hardware should proactively monitor the PBX looking for the first signs of fraudulent activity.

    Secure Access Modems
    Secure access modems tend to be hardware based. One modem is connected to the PBX, while one or more modems are deployed in the field. The modems use an encrypted secret key and a unique ID to provide a challenge/response to incoming calls. Consequently only a modem with a matching encrypted secret key, using an ID that is allowed by the PBX modem will be able to connect.

    This provides a more flexible alternative to calling from a single phone number. The modem is self contained and does not require any special software. It is unlikely that a random hacker using a standard modem will be able to breach this initial barrier.

    Hardware Acting As An Intermediary
    If you use a hardware appliance, it can act as a gateway between the PBX and the user. It could log all login attempts. It could be configured to send out an alert (as an email for example) when it detects multiple login failures. This type of behaviour would occur if a hacker was using a brute force attack to try and discover the password.

    Different combinations of usernames

    Effective Communications In Our Digital World
    According to a Pitney Bowes study, the average corporate executive receives upwards of 375 calls, voicemails, e-mails, faxes and letters each day. With such a deluge of information, is it any surprise that survey after survey indicates the time available to capture anyone’s attention is only a few seconds?Let’s face it, who has time to listen to a five minute rambling voicemail full of umms and ahhs or scroll through a six page e-mail? Along with annoying the recipient, long winded messages that are not deleted are usually flagged for review at a later time, slowing the process and in some instances removing the productivity of digital communications altogether.So how do you effectively use the digital communication tools of today? Here’s a few tips I’ve learned during my five years of working virtually:• Slow Down. Just because you can shoot off an e-mail within seconds of having a thought or leave a voicemail immediately following a question entering consciousness,
    Telco is allowed to charge up to ?1,500 to cover their costs of retrieving the data asked for by the police. This means that in every case, the police must decide whether the financial losses involved in the fraud justifies the cost of the "intercept data". For big losses, the answer is likely to be yes every time. However, in small cases involving just a few hundred or few thousand pounds, the answer may not be so clear cut.

    How Can It Be Prevented
    The most obvious way is not to allow remote access to the administration facilities of the PBX. However this may not be practical and could lead to increased charges from the maintenance company. The second method is to use a very random password on the PBX, up to the maximum number of characters and to lock the modem so that it will only answer calls from a single phone number. This solution is very inflexible and after a while could be turned off if it becomes impractical.

    Ideally, you would want a solution that could offer the following benefits:

    1. Use a modem that employs authenticated encryption to prevent hackers with standard modems from being able to connect.
    2. Some hardware to act as an intermediary between the connection and the PBX. The hardware could then determine through a username/password what level of access to give to the PBX.
    3. The hardware should proactively monitor the PBX looking for the first signs of fraudulent activity.

    Secure Access Modems
    Secure access modems tend to be hardware based. One modem is connected to the PBX, while one or more modems are deployed in the field. The modems use an encrypted secret key and a unique ID to provide a challenge/response to incoming calls. Consequently only a modem with a matching encrypted secret key, using an ID that is allowed by the PBX modem will be able to connect.

    This provides a more flexible alternative to calling from a single phone number. The modem is self contained and does not require any special software. It is unlikely that a random hacker using a standard modem will be able to breach this initial barrier.

    Hardware Acting As An Intermediary
    If you use a hardware appliance, it can act as a gateway between the PBX and the user. It could log all login attempts. It could be configured to send out an alert (as an email for example) when it detects multiple login failures. This type of behaviour would occur if a hacker was using a brute force attack to try and discover the password.

    Different combinations of usernames

    Toss the Corporation Before It Tosses You
    The days of 40-hour work weeks with benefit packages and retirement shares are quickly going the way of dinosaurs, phonograph records and VCR’s… and remember 8-track tapes? You see it at Home Depot, libraries, and grocery stores – self checkout lanes, and no help to be found in the aisles when you’re looking for a particular size dress, or for the guy to cut your PVC plumbing pipe.Corporate America is changing, and the savvy are getting ready now to find their own way, whether on the books with their own business, or with one of the more off-the-book individual entrepreneurial responses to an over-taxed, under-personalized culture.The resume mindset always asks what you can do, how much, how many, how long, and what titles you had while you were doing these things. Corporations are seldom interested in the individual, giving only lip service in the tiny box provided at the end for “hobbies and interests.” Truthfully, you know that corporations are not looking for creative indiv
    vel of access to give to the PBX.
  • The hardware should proactively monitor the PBX looking for the first signs of fraudulent activity.
  • Secure Access Modems
    Secure access modems tend to be hardware based. One modem is connected to the PBX, while one or more modems are deployed in the field. The modems use an encrypted secret key and a unique ID to provide a challenge/response to incoming calls. Consequently only a modem with a matching encrypted secret key, using an ID that is allowed by the PBX modem will be able to connect.

    This provides a more flexible alternative to calling from a single phone number. The modem is self contained and does not require any special software. It is unlikely that a random hacker using a standard modem will be able to breach this initial barrier.

    Hardware Acting As An Intermediary
    If you use a hardware appliance, it can act as a gateway between the PBX and the user. It could log all login attempts. It could be configured to send out an alert (as an email for example) when it detects multiple login failures. This type of behaviour would occur if a hacker was using a brute force attack to try and discover the password.

    Different combinations of usernames and passwords could be given different levels of access to the PBX. Users can therefore be restricted to performing only certain actions from a limited menu choice. This prevents the hacker from gaining full unrestricted access to all of the administration functionality.

    Proactively Monitoring For Dial Through Fraud
    A dial through fraud solution can proactively monitor the call output from the PBX. It can be set to look for suspicious call activity. In the case of the company featured in the Guardian article, this would use a "ruleset" to look for any call that occurred outside of office hours. When suspicious activity is detected, an alert would be sent out containing the details. This allows an appropriate response to be taken, reducing the potential losses caused by the fraud.

    Dial through fraud can very quickly and silently cause thousands of pounds worth of losses to a business. The standard security precautions in place to prevent it are weak, especially compared to those used on IT networks. Trying to recover any loss is as difficult as detecting the fraud in the first instance. Data Track can offer a range of Tracker Solutions that will not only add extra security to your PBX but also provide a means of detecting losses before they progress too far.

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