Since 1992, the Centers for Medicare & Medicaid Services (CMS) has used the resource-based relative value scale (RBRVS) to pay physicians and other health care practitioners for their professional services. Under RBRVS, payment for a specific service is broken into three components— physician work, practice expense, and malpractice expense— with each component being assigned a value (in “relati...

Value Stream Mapping (VSM) is a functional approach to reorganizing production system in line with lean vision. It has been applied in many sectors to improve performance. However, there are several factors that need to be considered while implementing VSM in practice. This paper presents a literature review of the Critical Success Factors (CSFs) in the implementation of VSM across five differe...

objective: for investigation of intercropping of maize and faba bean, an experiment was conducted in research station of agriculture faculty of tabriz university during growing season of 2013. methods: experimental design was randomized complete block design with three replications and seven treatment. treatments included one row intercropping (1:1), 4 strip intercropping pattern with ratios of...

T committee advising Congress on Medicare payments has called for reimbursement increases for physicians and hospitals next year, but is proposing to slow the growth rate for hospital payments. In its March report, the Medicare Payment Advisory Commission (MedPAC) called for a 2.8% increase in payments to doctors, instead of the 4.6% cut required by law next year. Doctors narrowly dodged a simi...

We propose a biologically plausible learning scheme which enables a system to classify patterns based on the presentation of one single example. During a learning mode, the system recognizes whether a category for a presented pattern has been instantiated before, or whether it must be classiied as unknown. In this case a new category is created autonomously. The proposed \one-shot" learning rul...