Medical Coding History – From Paper to Medial Coding Software

If we define medical coding as the assignment of alphanumerical characters to diagnoses, diseases, and treatments, then medical coding has been traced back to the 1600s in England with the London Bills of Mortality. A more standardized system of coding was developed for classifying death at the tail end of the 19th century. In 1893, Jacque Bertillon, a statistician, created the Bertillon Classification of Causes of Death, a system which was eventually adopted by 26 countries at the beginning of the 20th century. Shortly after the Bertillon Classification system was implemented, people began discussing the possibility of expanding the system beyond mortality as a way of tracking diseases.

By the middle of the 20th century, the World Health Organization (WHO) adopted a goal of a single global classification system for disease and mortality, entitled the International Classification of Diseases, Injuries, and Causes of Death (ICD). This classification system is updated every 10 years. The latest revision, ICD-10, is scheduled for adoption in the United States in 2013.

What started out as a small set of medical codes has evolved into a complex system that was initially standardized by the American Medical Association back in 1966 with current procedure codes (CPT) codes that are updated annually.

In the late 1970s, the Healthcare Common Procedure Coding System (HCPCS) was developed based on CPT. HCPCS has three levels of codes: Level One is the original CPT system. Level Two codes are alphanumeric and include non-physician services such as ambulances and other transportation as well as patient devices such as prosthetic devices. Level Three codes were developed as local codes, and were discontinued in 2003 in order to keep all codes relevant worldwide.

Recently, medical coding systems have been expanded to include other medical specialties. For example, there are coding systems related to disabilities, the dental field, prescription drugs, and mental health.

As the coding systems have become more complex and diverse, the need for training of medical coders has grown exponentially. Private training schools and public colleges throughout the country have developed certification programs. In order to be awarded a certificate, students must obtain a two-year degree from an accredited medical coding school and pass an exam given by the AHIMA.

Over the past 20 years, many coding processes have shifted from a paper-based system to a computer-based system using medical coding software and medical billing software. Many companies sell complete medical software-based coding solutions and myriad of products for specific medical disciplines, such as products that are specifically tailored to skilled nursing facilities, physicians, hospitals, surgery, cardiology, and more.

As medical facilities and professionals begin preparing for the conversion to ICD-10 in 2013, the need for more sophisticated medical coding software solutions and qualified medical coders will continue to grow.

CPT is a registered trademark of the American Medical Association.

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Learn How to Fix “Runtime Error 53 File Not Found” Easily

Computer errors generally plague us a lot. They have to be removed immediately before they can cause any further problems. One such error is the run time error 53. It shows the message “runtime error 53 file not found”.

In this error, problem occurs when a software program that is installed on the PC shows this error because it is trying to reach a DLL file that has been removed from the windows registry. This registry contains all the files that are used by Windows for executing any kind of commands by human users. This DLL file might have never been installed on the computer itself.

To fix runtime error 53 from your system, some simple steps have to be followed. Such steps include clicking on the start menu and then landing at the control panel. After you reached the control panel, open the programs and features icon. Open up all the programs stored in the computer through it. Uninstall the program, which produced the run time error 53 message. A window will also open up telling the user that the program has been removed from the system.

To make sure that the DLL file is stored again on the computer, one has to remove the program and then put it back. The program can be reintroduced into the system through a hard disk or a CD. Instructions will appear on the screen as this program gets installed. After clicking on the install it now option, the user will see the option of terms and conditions on the screen. Click on the “I agree” choice to continue with the installation. The operating systems that generally display this error are Windows XP, Windows Vista and Windows 7.

Run the program to ensure that runtime error 53 is not displayed again. If the error is still being produced, then contact the company, which supplied you with the software.

It is also intelligent on your part if you find out about the compatibility of your software with the operating system of your computer or other software. You can find out about this compatibility through an online research. The website of the software developer can also yield you such details. Tell the software developer about the intricacies of your system to get an adequate response from him about the runtime error 53.

However, the last and most easy solution to fix “runtime error 53 file not found” error is using windows registry cleaner software. Registry cleaner software can always eradicate any registry errors produced by wrong entries, which cause a runtime error 53. It can delete all the useless entries in the registry that are causing such an error. Using such software can ensure that you get an error-free system.

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Best Windows 7 Optimizer That Can Stabilize and Improve Your Computer Performance

A system optimizer is a software designed to maintain the performance of your computer, fix software related problems and keep your computer stable and secure. The need of a system optimizer software in Microsoft Windows7 operating system is high. This is because Windows 7 itself is unable to maintain all the mentioned aspects without the help of third-party products.

We are going to learn what exactly Windows 7 optimizer software is.

The best Windows 7 optimizer software shall include all the following features:

1. Registry Cleaner to fix the registry related issues

2. System Cleaner to clean unnecessary stuff and free-up the disk space

3. Registry Defragmenter to defrag the system registry

4. Startup Manager to control the programs running when you turn on your computer

5. Backup & Restore feature to restore unfavourable registry changes

“Registry Cleaner” to Fix the Registry Related Issues

Windows Registry is a vital component in Microsoft Windows 7. It contains information stored by your operating system and installed software. For example, the default settings, changes you made to your computer, system information, runtime data, etc. are stored.

Registry Cleaner is a software that finds the junk entries in the registry, and repairs them as far as possible. Unfortunately, Windows 7 does not include a built-in registry cleaner. The registry cleaner software included in the best Windows 7 optimizer lets you scan the genuine registry problems and correct them. It thereby helps avoiding many runtime errors and problems, such as, File Not Found, etc.

“System Cleaner” to Clean Unnecessary Stuff and Free-Up the Disk Space

A System Cleaner software lets you find the files and stuff that have unnecessarily occupied the hard disk space.

The tasks, like installing a program, uninstalling, repairing or updating the existing programs, and even just running the installed programs many times create temporary files, log files that need not be kept after the corresponding operation is performed. Sadly, many programs do not itself delete such files and stuff and thus your hard disk space is used for such unproductive stuff. Using a system cleaner software included in best Windows 7 optimizer, you can easily and safely delete such temporary stuff.

“Registry Defragmenter” to Defrag the System Registry

You know the importance of the registry in Windows 7 operating system, as already discussed. The continuous access of a number of programs to the registry results in its fragmentation. It reduces the system performance and freezes your computer.

The best Windows 7 optimizer software includes a registry defragmenter that enables analyzing the registry fragmentation and afterwards defrags it. A reboot is required to perform this process and all other running programs and services must be terminated.

“Startup Manager” to Control the Programs when you Turn on your Computer

Running too many programs at the Windows startup, results in system freezing and slow performance. A Startup Manager, included in best Windows 7 optimizer, lets you monitor and control the programs that run each time your computer is started. It lets you disable or delete the unwanted program entries and enable only those who are necessary.

Backup & Restore Feature to Restore the Unfavourable Registry

While doing all the above steps, care must be taken that you have followed some precautionary measures first, so that any unfavourable registry change can be later restored and unwilling situations can be easily avoided. The best Windows 7 optimizer should include such a feature.

Best Windows 7 Optimizer Recommended by Worldwide Experts

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Creative Marketing Ideas For Hardware Stores

With large nationwide chains that dominate the market, small hardware stores sometimes have a difficult time being competitive. The key is to find a unique selling proposition for your business and to capitalize on it so customers see the value in choosing you over one of the larger stores. Here are some great ways to make your business stand out.

  1. Giveaways -When your store first opens (or even if you're just looking for an extra push), offer small giveaways to your customers with their purchase. These will be tools or products they can use that are branded with your store's information-hammers, tape measures, levels, etc. When a customer is using this product and runs out of something or determinates the need to visit a hardware store, they'll see your information and immediately head your way!
  2. In-Store Classes -Hardware stores often form a bit of a culture and social atmosphere, so find ways to play this up. One great choice is to sponsor training classes and educational seminars in your store. Work with your vendors to provide information that your customers will find valuable. Even your employees can instruct these classes-anything from minor home renovation products to full-scale remodeling. List the classes you're offering that month above your cash registers with a large, visible vinyl banner which clearly-informs customers of their opportunities to expand their skills.
  3. Charity Donations -Offer your products to charity groups and organizations in-town which build or repair homes for the less-fortunate. This is great PR for your business, it makes you look more-reliable, and in return you're often able to advertise at the home-site using a banner or yard sign. When customers see that you're giving back to your community, they are more-inclined to shop with you.
  4. Ladies Night -Most hardware stores predominately-market toward men. While the majority of your customers are probably male, do not neglect the ladies. Host a "Ladies Night" at your store that offers your educational classes and even a special discount on purchases made by women. Use removable window clings to give your store a slight feminine touch. There's a huge potential market here that is somewhat-untapped, and with the right approach, female customers can dramatically affect your business.
  5. Personal Shoppers -Some customers complain that hardware or home improvement stores are overwhelming. Counter this objection by providing customers with a personal shopping service. Your employees already help customers find products daily anyway, but creating a formal program provides a revenue opportunity. Customers can have one of your employees guide them around the store and help them find exactly what they need for their project, or for even-more convenience, your employee can preselect the products they need so that when the customer arrives, all they have to Do is check out.
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How To Spot a Fake Jimmy Choo Handbag

  • Label: The Jimmy Choo label is generally a lilac colored metal face fastened to a leather backing, and stitched to the interior of the handbag. Many fakes have the incorrect shade of lilac, either going to light or too dark in the purple spectrum. The label should read in either gold or silver. However, even if the colors are correct, the label may still not be in the clear. Because it often times the font details that are singular to authentic Jimmy Choo that many of fake handbags get wrong, and this is one of the best places to look when trying to identify a phony J. Choo.
  • Font: Always check out the "H" in Choo. On an authentic handbag, the horizontal cross-bar in the H should not be in the center of the letter, the way it is intended to be with regards to most standard fonts. Instead, the Jimmy Choo H should have the cross-bar closer to the top, about 75-80% of the way up the H, if measuring from the bottom of the letter. If the handbag has the correct H, move to the letters "O" in Choo. On an authentic handbag, the O will have a slightly bent look. This means that the "O" will appear as if someone snapped down on the top of the letter, giving the O an oval shape rather than a perfect circle. Spotting a fake Jimmy Choo handbag often times comes down to the subtleties in the font.
  • Hardware: Any screws located on handbag hardware will always be a flat head (-) screw. Jimmy Choo will never use any Philips head (+) screws in any of their handbags.
  • Dustbag: Fake Jimmy Choo handbags will often be accompanied by a dustbag that is an incorrect color or format. An authentic dustbag should have the logo: "JIMMY CHOO," with "LONDON" centered perfectly under the logo. The font should be an embossed gray, while the dustbag itself will be the famous lilac color. Many fakes will have incorrect font colors on the dustbag, as well as the incorrect dustbag color ie the wrong shades of purple etc. Good luck and safe shopping!
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Strengths and Weaknesses of Waterfall Approach for Software Development

One of the most famous and widely used approaches for software development is the waterfall model. Waterfall approach is an old technique that has been in use for quite some time, but in modern times agile approach is gaining prominence.

Waterfall approach, as is evident from the name, refers to a systematic approach where one step comes after the other. It cannot go the other way round. The process works like the waterfall effect that flows in one direction, which is from up to down.

In this process the life cycle of the development process is predetermined. All the steps are defined before the start of the project. The approach is predictive, where the team is well aware of the order of each step and therefore works accordingly. It starts from the requirement analysis, the design phase and then proceeds on to the implementation, testing and the maintenance phases.

The waterfall approach can be quite beneficial for those who are quite clear on their requirements. A planned approach works for them because they want fixed processes and budget. Where fixed processes are beneficial, at the same time they can be inconvenient at times. In cases where the client is not clear on the requirements and finds in the middle of the project that he/she wants to change course, this approach can prove to be quite problematic.

Another point of the waterfall approach is that the requirement analysis and design of architectural structure can consume a lot of time. Extensive research is done initially as the next phases depend completely on the planning strategy. However, the good thing is that everything is thoroughly worked out and each aspect is studied beforehand. The developers in such cases know what is expected of them.

A waterfall approach works in a systematic order, with one step following the other and the testing phase comes in the end. If there are any big problems encountered in the testing phase, it means a long process to make the amends. The process can consume extra time and money.

We cannot conclude that one approach is better than the other, as every method would have its own strengths and weaknesses. The determination of success for each method depends on how it is being used and whether the approach suits the scope of work being undertaken. While one approach may be suitable for a particular project, it might become totally useless under different circumstances. For example, some believe that agile methods are not well suited for offshore development, as they require a closer contact and communication that is not possible in an offshore project.

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What Is The Difference Between ERP And Enterprise System?

Enterprise system and Enterprise Resource Planning System terms are similar but there is difference between an enterprise system and an ERP system. An ES or enterprise system is a large scale system which includes packages like ERP and CRM. ERP is a subset of Enterprise System or it can be said that ES is a superset of ERP. It contains a variety of solutions. ES contains applications and packaged solutions which can be directly used in an enterprise. On the other hand ERP system is the automation of the business processes and the solutions are in the form of modules which are designed according to the client’s requirements.

The functions are customized according to the client’s business environment. Enterprise system does not include architecture of other solutions whereas an ERP implementation automates systems using technical aspects. ERP system includes architectures and databases and is client server architecture. The system is server based therefore the consultant needs to be aware of the technical aspect too.

Another difference between an ES and an ERP system is that the ERP is aimed at improving the functionalities of the organization whereas the ES helps to improve the overall maintenance and accuracy. It provides for better solutions and aids in decision making. ES is difficult to implement compared to Enterprise resource planning and even the timeframe needed for implementation maybe more. The overall impact is high but so are the risks involved. If the ES is not implemented in the right manner, it can cause business failure and if implemented properly it can increase the efficiency and profits of the business organization. It is normally required when there is a big drawback in the current procedures and methodologies in the organization and need to be corrected. The company going in for enterprise system needs to be careful while choosing the software and the vendors due to the risk of failure involved.

The difference between an enterprise system and an ERP system is that ERP is mostly used for medium scale companies to big companies and ES is restricted to the big companies. There are many complex functions involved in big companies which cannot be provided solutions for alone by ERP. The role of ERP is restricted when compared to enterprise system because it does not include customer relationship or vendor management.

These applications are needed when the business process is complex and on a big scale. Therefore bigger organizations need to go with ES instead of enterprise resource planning alone. ERP is also an important system to streamline the internal processes but it does not provide for taking care of the external processes. Enterprise system takes care of the end to end business process of organization since it involves other applications also like SCM and CRM. There is quite a lot of difference between an enterprise system and an ERP and it depends on the company whether it wants to go with an ES to streamline the entire process starting from supplying, production and customer or whether he wants to go with an ERP system to streamline the internal process.

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Advantages of Antispyware Programs

Much like the antivirus programs, now a days anti spyware programs also is a must if you are browsing the net. Most of the antivirus programs provide a good job by taking care of the computer viruses. However, many of them fail to detect the spyware which gets installed onto the PC when connected to the internet. This is where Anti spyware programs comes to help. They do a good job by protecting our computers by identifying the spyware and promptly remove them.

There are so many antispyware programs are available in the market. Both in the Online as well as near to your computer retail showroom. However, you have to ensure that you buy a good Anti spyware program which fulfills the requirements what it promises. Also, make sure to check that the software works on your Operating System. Most of them work on Windows Operating system; however, there is no harm in double checking the same.

Some of the characteristics of a good antispyware program is as below.

Real time scanning

Real time scanning is the heart of these type of programs. The program once installed should reside on your system tray and should be able to do a real time scan in the background. This way it should be able to identify all kinds of threats like Adware, spyware, Trojans and the harmful key loggers.

Automatic Updates

There is no point in having an Antispyware software program which does not update the spyware definitions automatically and at periodic intervals.

Customer Support

Most of the time you will not be require to call up their helpdesk as the software will work automatically provided if the operating system is compatible and all the installation prerequisites are met. However, if you run across any installation problems or some kind of bugs customer service comes in handy.

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Why Do We Need Software Engineering?

To understand the necessity for software engineering, we must pause briefly to look back at the recent history of computing. This history will help us to understand the problems that started to become obvious in the late sixties and early seventies, and the solutions that have led to the creation of the field of software engineering. These problems were referred to by some as “The software Crisis,” so named for the symptoms of the problem. The situation might also been called “The Complexity Barrier,” so named for the primary cause of the problems. Some refer to the software crisis in the past tense. The crisis is far from over, but thanks to the development of many new techniques that are now included under the title of software engineering, we have made and are continuing to make progress.

In the early days of computing the primary concern was with building or acquiring the hardware. Software was almost expected to take care of itself. The consensus held that “hardware” is “hard” to change, while “software” is “soft,” or easy to change. According, most people in the industry carefully planned hardware development but gave considerably less forethought to the software. If the software didn’t work, they believed, it would be easy enough to change it until it did work. In that case, why make the effort to plan?

The cost of software amounted to such a small fraction of the cost of the hardware that no one considered it very important to manage its development. Everyone, however, saw the importance of producing programs that were efficient and ran fast because this saved time on the expensive hardware. People time was assumed to save machine time. Making the people process efficient received little priority.

This approach proved satisfactory in the early days of computing, when the software was simple. However, as computing matured, programs became more complex and projects grew larger whereas programs had since been routinely specified, written, operated, and maintained all by the same person, programs began to be developed by teams of programmers to meet someone else’s expectations.

Individual effort gave way to team effort. Communication and coordination which once went on within the head of one person had to occur between the heads of many persons, making the whole process very much more complicated. As a result, communication, management, planning and documentation became critical.

Consider this analogy: a carpenter might work alone to build a simple house for himself or herself without more than a general concept of a plan. He or she could work things out or make adjustments as the work progressed. That’s how early programs were written. But if the home is more elaborate, or if it is built for someone else, the carpenter has to plan more carefully how the house is to be built. Plans need to be reviewed with the future owner before construction starts. And if the house is to be built by many carpenters, the whole project certainly has to be planned before work starts so that as one carpenter builds one part of the house, another is not building the other side of a different house. Scheduling becomes a key element so that cement contractors pour the basement walls before the carpenters start the framing. As the house becomes more complex and more people’s work has to be coordinated, blueprints and management plans are required.

As programs became more complex, the early methods used to make blueprints (flowcharts) were no longer satisfactory to represent this greater complexity. And thus it became difficult for one person who needed a program written to convey to another person, the programmer, just what was wanted, or for programmers to convey to each other what they were doing. In fact, without better methods of representation it became difficult for even one programmer to keep track of what he or she is doing.

The times required to write programs and their costs began to exceed to all estimates. It was not unusual for systems to cost more than twice what had been estimated and to take weeks, months or years longer than expected to complete. The systems turned over to the client frequently did not work correctly because the money or time had run out before the programs could be made to work as originally intended. Or the program was so complex that every attempt to fix a problem produced more problems than it fixed. As clients finally saw what they were getting, they often changed their minds about what they wanted. At least one very large military software systems project costing several hundred million dollars was abandoned because it could never be made to work properly.

The quality of programs also became a big concern. As computers and their programs were used for more vital tasks, like monitoring life support equipment, program quality took on new meaning. Since we had increased our dependency on computers and in many cases could no longer get along without them, we discovered how important it is that they work correctly.

Making a change within a complex program turned out to be very expensive. Often even to get the program to do something slightly different was so hard that it was easier to throw out the old program and start over. This, of course, was costly. Part of the evolution in the software engineering approach was learning to develop systems that are built well enough the first time so that simple changes can be made easily.

At the same time, hardware was growing ever less expensive. Tubes were replaced by transistors and transistors were replaced by integrated circuits until micro computers costing less than three thousand dollars have become several million dollars. As an indication of how fast change was occurring, the cost of a given amount of computing decreases by one half every two years. Given this realignment, the times and costs to develop the software were no longer so small, compared to the hardware, that they could be ignored.

As the cost of hardware plummeted, software continued to be written by humans, whose wages were rising. The savings from productivity improvements in software development from the use of assemblers, compilers, and data base management systems did not proceed as rapidly as the savings in hardware costs. Indeed, today software costs not only can no longer be ignored, they have become larger than the hardware costs. Some current developments, such as nonprocedural (fourth generation) languages and the use of artificial intelligence (fifth generation), show promise of increasing software development productivity, but we are only beginning to see their potential.

Another problem was that in the past programs were often before it was fully understood what the program needed to do. Once the program had been written, the client began to express dissatisfaction. And if the client is dissatisfied, ultimately the producer, too, was unhappy. As time went by software developers learned to lay out with paper and pencil exactly what they intended to do before starting. Then they could review the plans with the client to see if they met the client’s expectations. It is simpler and less expensive to make changes to this paper-and-pencil version than to make them after the system has been built. Using good planning makes it less likely that changes will have to be made once the program is finished.

Unfortunately, until several years ago no good method of representation existed to describe satisfactorily systems as complex as those that are being developed today. The only good representation of what the product will look like was the finished product itself. Developers could not show clients what they were planning. And clients could not see whether what the software was what they wanted until it was finally built. Then it was too expensive to change.

Again, consider the analogy of building construction. An architect can draw a floor plan. The client can usually gain some understanding of what the architect has planned and give feed back as to whether it is appropriate. Floor plans are reasonably easy for the layperson to understand because most people are familiar with the drawings representing geometrical objects. The architect and the client share common concepts about space and geometry. But the software engineer must represent for the client a system involving logic and information processing. Since they do not already have a language of common concepts, the software engineer must teach a new language to the client before they can communicate.

Moreover, it is important that this language be simple so it can be learned quickly.

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Effective Job Numbering And Cost Code Systems

Overview

Many companies have a sequential job numbering system, but have you considered the possibility of altering the numbering sequence so you can pull reports for a certain type of project or projects by year and the informational reports that could be generated?

And, are your cost codes sufficient to cover the details you need to see in your reports? Do you lump all site related travel and subsistence into one code, or do you have the details of hotels vs. Housing and meals vs. Subsistence?

Not all software programs are sophisticated enough to allow for customized job type numbering sequences; However, even the basic job cost software systems can be adapted to allow for an advanced numbering system.

Specific Job Numbering Sequences

Advanced reporting techniques can yield a wealth of information. How jobs are numbered so ease the reporting burden so projects of a certain type and / or year can be easily excluded from the software. Samples of numbering sequences could be based on the following criteria:

· Year project was awarded

· Public vs. Private works

· Commercial vs. Residential

· Construction vs. Service

· Division (s) of the Company

If your software allows, you may start the job number with the year awarded, followed by the job type and then a sequential number. Management may request a report for gross revenue on all the commercial contractor improvement projects in 2013. If you have a numbering sequence, this would be an easy report to pull, rather than go through all your 2013 projects and manually add the numbers to obtain the Results.

The job cost master file is another good source of information if all fields are completed and there is a common usage of custom fields that can be used to pull reports.

Cost Codes – Too few or Too Many?

Often we see cost code lists that spill onto multiple pages. Most job cost software programs allow for use of one cost code for multiple categories (Labor, Materials, Direct Job Expense, etc.).

A good source to use for establishing a cost code list is the bid recap and detail sheets used when bidding projects. This will yield the different stages of labor, types of materials to install associated with that labor, the different types of equipment to be rented, categories of subcontractors and the details of direct job costs to be incurred.

These activities can be "numbered" to establish a list of cost codes. If the software allows for use of one code across multiple categories, give thought to not duplicating descriptions, but arranging codes together by "type" of work being performed, rented equipment, direct job expenses, work typically contracted out, etc.

Keeping your cost codes consistent will then allow even more sophisticated reporting – management can now ask for all commercial contractor improvement projects in 2013 and the total cost of crane rentals for the year on those specific projects.

Why Go Through These Steps?

History is a great source of information when anticipating the future. Cost details can be analyzed for specific types of jobs when preparing to bid a similar project. Historical information can be analyzed for margins on certain types of projects or a division of the company to make decisions on whether or not a certain type of work is profitable.

If fields are available in the job cost master file, reports can be declined not only by type and year but by project manager as well to look at performance and estimate vs. Actual results.

Conclusion

When developing any numbering system, consistency is important in order to maximize the reporting results. Management should determine the information they wish to see and develop job numbers and cost codes that will allow for advanced reporting not only to themselves but provide useful information to estimating, project managers and accounting as well.

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