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Understanding Medical Claim Modifiers – The Modifier -25, -24, -51, -57, -59, -26

I am writing this article again as a suggestion from many of my readers on my blog. This article is more comprehensive in a way that scenarios were cited to have a bigger look on the proper use of some of these important modifiers.

In this article, I will be describing the medical claims modifiers – Modifier -25, -24, -51, -57, -59, -26.

Modifier -25, 25: Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service:

This modifier must be appended with an E/M service. This is the modifier you will need to use with the evaluation and management service done on the same day with other procedure done by the same physician. It has to be above and beyond the usual preoperative and postoperative encounter with the procedure. In fact, by using this modifier, it doesn’t have to have a different diagnosis reported. The most important thing is that, the E/M level should meet its key components or if it is selected based on time with the patient (counseling and coordination). You have to be careful in using this modifier. It must meet medical necessity. As you know, there are procedures that already includes all other care and management.

Let’s describe this modifier 25:

A patient came in for her monthly follow up for her chronic back pain. At the same time, patient was complaining with severe headache. The pain doctor performed bilateral occipital block on the patient at the time of service. You will append modifier 25 for the E/M code to indicate that both services were rendered on the same day.

You don’t use modifier 25 with E/M encounter that resulted to Decision for Surgery (we have another modifier for this!)

Modifier -24, 24: Unrelated evaluation and management service by the same physician during postoperative period.

As the modifier indicates, this is another modifier that you can only append with an E/M counter. It indicates that the E/M encounter is not related during the global period.

Let’s describe this modifier 24:

A pain specialist performed facet nerve destruction for the patient. During the normal, postoperative global period, the patient came in to the office with severe knee pain due to fall on ice as evidenced by the patient’s subjective information. The pain specialist will then report that E/M encounter with the patient by appending modifier 24 to indicate that encounter is not related during the postoperative global period.

This modifier, like modifier 25 has no restriction as with the level of E/M code as long as it meets medical necessity, all its components or are time-based.

Modifier -57, 57: Decision for Surgery:

An Evaluation and Management service resulted in the initial decision to perform surgery during the E/M encounter.

Let’s describe this modifier:

An OB/GYN sees a patient who complains with severe abdominal pain. It turned out (through ultra sound, radiology and all other diagnostic testing and documentations), the patient is having an ectopic pregrancy. The OB/GYN performs the laparoscopic surgery on the same day. The E/M encounter will then be reported with modifier 57 which resulted to decision for surgery. The laparoscopic surgery should also be reported as performed on the same day without a modifier.

Modifier -50, 50: Bilateral Procedure

You will append modifier 50 for procedures that are obviously billable as bilateral (or two sides, both sides), performed on the same day, the same operative session, on identical anatomical sites, organs (arms, legs, spine).

A Facet Nerve block is unilateral (can be billed as bilateral). When using a modifier 50, make sure you only bill for one unit on the claim form since there is only 1 procedure is performed bilaterally. Though guidelines from other payers may differ. They may require you to list it twice (line 1 and line 2 on the claim form). You have to be responsible to clarify this with your payors.

You use this modifier with add-on codes too! Do not use this modifier with procedures which are already described as bilateral procedures.

Modifier -51, 51: Multiple Procedures

This modifier is used when reporting multiple procedures performed by the same physician on the same day. Do not use this modifier for “add-on” codes (see appendix D of the CPT Code book). Do not use this modifier for codes with “modifier -51 exempt” symbol (see appendix E of the CPT Code book). Do not use this modifier with an E/M code. This modifier can only be used by the same physician on the same day who performed the procedure.

Coding tip: List the highest reimbursable code (after the main procedure code) based on the fee schedule.

Modifier -59, 59: Distinct Procedural Service

Description of Modifier -59: Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on the same day.

Modifier 59 is used to identify procedures/services that are not normally reported together, but are appropriate under the circumstances. This may represent a different session or patient encounter, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same physician. However, when another already established modifier is appropriate, it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used.

Use this modifier only if the other procedure is a separately identifiable procedure code. Procedure that is distinct and can be described as independent procedure, on separate anatomical site, lesion, injury site, different organ system, and different session. Do not use this modifier for E/M code.

Modifier -26, 26: Professional Component

This modifier is used only for the professional component (physician) of a service or a procedure. Certain procedures are a combination of both professional and technical component. By using modifier 26, it indicates that procedure being reported as professional component only.

Professional Component versus the Technical Component. By illustration, procedures rendered at a facility such as outpatient hospital or ASC, these equipments are facility-owned. The facility will then report the technical component for such service while the physician will report the professional component for the that procedure. One very good example, the physician performs Paravertebral Facet Block under Fluoroscopic guidance using CPT code 77003. The physician will report the fluoro with modifier 26 for his/her professional component. While the facility will report the same procedure with modifier -TC for the technical component.

Modifier -LT or -RT are used to indicate a Left or Right side or anatomical site. So if the pain specialist performed Left Cervical Facet Block, you will append a modifier -LT to report this procedure.The above modifiers are used to describe your claims for the services performed on the patient for appropriate payment. Always consult your local careers and third party payors for local determination, policies and guidelines on these modifiers. Looking at the edits is also very important!

Source by Pinky Maniri

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Online Shopping – Advantages and Disadvantages

The advent of technology brought many benefits along with it, but the dark aspects are also not hidden. Activities that used to take a great deal of time are now cut down to a few clicks you perform online though the internet. When it comes to shopping, the online mode of it has brought about ease and comfort to a great extent. Shopping online looks like the easiest thing you can do when you are in a rush to get things. There you shopped and here you receive your items shipped to you in less then 24 hours time.

If you are thinking this is all what online shopping has brought about, then you certainly have ignored the other part of the story. Here are some advantages and disadvantages of online shopping.

Advantages of online shopping:

Online shopping is accessible round the clock. You can buy whatever you want even at 3 a.m. in the morning. You can choose from a wider variety of things available for you to shop which may not be available in the local brick and mortar stores. You also have the benefit to do all from the comfort of your own home. When you buy from online store you have the comfort to take your time while checking for the things of your choice, this will lead you to a simple and quick way to perform price comparison unlike the dissatisfied and hurried shopping you do in the local stores.

In addition, unlike local stores, you can avail discount coupons and get a thing at a lower rate when shopping online. Besides, when shopping online you can also avoid long lines to wait in and the unnecessary contact with cranky people. If you feel uncomfortable dragging your kids for shopping, online shopping is the best way to counter that. Most of us are sometimes concerned with private shopping; online shopping offers you a great platform to do so with comfort. Also, when you are buying gifts, online mode is the perfect way to send your distant friends or relatives the gift you wanted to send.

When it comes to payment, you can use anyone’s credit card when shopping online. A lot of us are concerned about the identity theft when hear about online shopping. Identity theft cases take place in reality in brick and mortar store itself and not online. Websites are secure these days with powerful encryption procedures that keep your identity safe and secure. Although there are a few where your information may not be secure, you can take a peaceful breathe when dealing with the vast majority of online shopping website. Consider websites that offer free shipping and this is definitely the way to go. As the price of gas is increasing, shipping and handling might be cheaper anyway.

Disadvantages of online shopping:

Although online shopping is 24/7 available, you cannot feel or touch items rather can just see what is present on a webpage whereas in brick and mortar stores you can see many things at a glance and buy after you feel or touch the product. As the term suggests, online shopping is only possible through the internet, therefore, the connection speed matter a lot here. Unlike conventional stores which don’t close unexpectedly, online stores incurs frequent malfunction.

The most common grumble people have with online stores is regarding warranties and some sort of guarantees, which they fail to offer in most cases. Apparently, these would mean nothing if the online store went bankrupt. Similarly returns are also very much difficult on online stores than in local stores.

It very normal that many online stores don’t accept cash or checks, although some sites do, you still have to use the credit cards. When purchasing online, billing errors are the common things you may encounter whereas in local stores these errors are nearly impossible.

The very big disadvantage an online website may have is the credit card security issue, despite the fact that how secure the website claims to be, you can not always trust them. There have been many cases where people realized that their credit card number has been stolen and has been used by others.

The bottom line is, online shopping is the ultimate solution people are finding today, but conventional stores are still here to stay.

Source by Ismail Ahmed Alhashmi

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Painting on Fabric With Acrylic Fabric Paints – A Beginner's Guide

Painting on fabric is easy and inexpensive, and it opens up exciting new creative horizons for sewers and quilters, fine arts painters, scrapbookers, and mixed-media artists..

If you’ve never tried painting on fabric before, you may have questions about how to get started. Here are the answers to some frequently asked questions about fabric painting.

What kinds of paint can I use to paint on fabric?

Oil paints and acrylic paints can both be used for fabric painting, but acrylic fabric paints are much easier for a beginner to use than oils. They are inexpensive, they don’t require any chemical solvents for cleanup (unlike oil paints), and they are easy to find at art stores, large craft stores, or even quilt shops.

What’s in an acrylic fabric paint?

Acrylic paints consist of colors mixed into an acrylic fluid that is designed for use on fabric. Some acrylic paints are stiff enough to create 3-D brush stroke effects on the fabric. Others are thin and have a watery consistency, like watercolor paints. Acrylic paints can be thinned with water, but that makes the color paler. You can also thin or thicken your paint without changing its color by mixing it with a fluid called fabric medium or gel medium.

What types of fabric can I paint?

Really, you can paint just about any woven, knitted, or nonwoven fabric. The list includes cotton, linen, rayon, wool, silk, most synthetics, terry cloth, and velvet or velveteen. You can also paint with fabric paints on many interfacings, quilt batting, leather, or suede. When in doubt, test the surface before you start a full-scale project.

Can I wash painted fabric? How long will it last?

As long as you follow the paint manufacturer’s instructions for drying and curing the paint, most painted fabrics can be washed. The paints will typically last as long as the fabric does. The more gently you wash (hand washing and drip drying instead of machine washing, for instance) the better the paint should wear. For most fabrics, the paint can be machine washed or dry cleaned. To iron acrylic painted fabrics, use a low heat setting.

Do I need other equipment or supplies to paint on fabric?

A set of good acrylic paint brushes, a sponge or two, and whatever stamps, stencils, and other applicators you have around the house (Q-tips, pens, scrunched-up plastic wrap, you name it!) will come in handy. If you want to blend colors, a painter’s palette might be useful, although you can also use a china plate for that. You really don’t need anything more to get started.

How should I get the fabric ready for painting?

If the fabric is new, always prewash it to remove any sizing, which can keep the paint from adhering properly to the fabric. You may also want to protect your work surface with newspaper or cardboard to keep paint from getting on things you don’t want to paint.

What’s a good first project for me to try?

How about adding some pizzazz to a pair of canvas sneakers, a silk scarf (you may want to try a paint specially formulated for use on silk,) a t-shirt or sweatshirt, a canvas tote bag, a baseball cap, or a small wall quilt? The possibilities are endless. Start with something small and inexpensive, so you can experiment without fear.

Source by Christine Mann

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How to Make Money From Things Found in the Woods

by sinnga kilam 0 Comments

There are numerous ways to make money from things you can find in the woods or even fields. Most people think of logging timber or cutting firewood, but I’m going to list some different options that involve less physically demanding work, less equipment, and less environmental impact. The majority of them will not affect the ecosystem if done moderately. Here are eight ideas to get you started.

Morel mushrooms, also known as dryland fish, can be found in the woods in the springtime across most of the entire Eastern half of the United States and a few places in the Northwest. Morels can sell for $20 or more per pound.

Pine cones come in a variety of shapes and sizes. They can be turned into crafts which can then be sold. You can also soak them in certain chemicals which will in turn cause them to burn different colors when put in a fireplace. These treated pine cones sell for around $15 for a 3 pound bag.

You can dig ginseng and other herbal roots such as goldenseal, black cohosh, and wild hydrangea. A pound of wild ginseng usually brings anywhere from $300 to $800 a pound depending on the market that year.

Arrowheads, flint tools, and other Indian rocks and artifacts can be found in fields and woods across the country. Just one nice artifact could be worth anywhere between $10 and $1000.

Keep an eye out for twisted, small trees or branches. You can make really nice walking canes out of these fairly easily. Just try to use trees or branches that have a unique, distinctive quality. This makes the cane a one of a kind item with character.

You can find giant cane, also known as river cane, in 23 states. It is often found in floodplains with sparse tree cover overhead. You can take a few of the larger ones and make fishing poles (cane poles) out of them and sell them.

You can find and sell antler sheds from deer, elk and moose. Many sell for several dollars a pound, but if you find a trophy-sized shed it could bring much more.

You might need to exercise some caution on this one. Most people wait until after the fall frost. It is gathering hornet nests. They generally bring around $20-30 apiece from people who want them as a type of rustic decoration or just collect them. Plus, hornets do not use an old nest, they build a new one each year.

Hopefully, you have gotten at least a few ideas from this article and maybe you have most of these things in your area. Just please be responsible when taking advantage of nature’s available resources and always check your local laws and regulations before proceeding.

Source by Jonathan L Moss

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Proven Risk Youth Vs At-Risk & High-Risk Youth

In the fields of juvenile justice policy and programming, there are certain terms that are used to describe target populations. In terms of youth who are prone to illegal and illicit acts, the two terms that are most commonly used are at-risk youth and high-risk youth. The former term is generally associated with youth who come from lower-income, urban, single-mother backgrounds. High-risk youth is a label used to categorize and describe youth who share the following characteristics:

* are from poor families and communities;

* are (usually) high school dropouts, homeless or young parents;

* are unemployed or underemployed; and

* are involved with or transitioning from the child welfare or juvenile justice systems.

Youth from minority groups are disproportionately represented in these categories.1

The problem with this definition is that it tends not to disaggregate the range of crimes that lead the youth into the juvenile justice system. There are insufficient distinctions made with respect to the types of youth that fall within them. The category high-risk youth includes the young person who has engaged in serious criminal and violent behavior as well as those who have engaged in lower-level offenses that may not necessarily include violence.

What is at stake with such categorizations? Incorrect sorting of these populations has implications for policy and programming. Those interventions that work well for certain types of youth who have been labeled as at-risk or high-risk are not as effective for the more violent youth who are incorrectly placed in these two categories. Poor sorting has a direct affect on these youth who are in desperate need of properly designed interventions.

What I propose is that another category be created that better sorts the youth who are classified as high-risk. The term proven risk encompasses the most violent youth who have been placed in the high-risk category. There are specific criteria that define proven-risk youth. They share the same characteristics as youth who are in the at-risk and high-risk categories. What distinguishes proven-risk youth from these other two types is that: they are gang-involved; frequently use drugs; have an incarcerated sibling and/or parent; and have been incarcerated before. Moreover, they have been convicted in court for having committed the following crimes:

* gun possession;

* armed robbery;

* aggravated rape;

* murder;

* attempted murder;

* armed home invasion;

* serious assault against staff and/or another inmate while incarcerated; and/or

* escape or attempted escape involving a serious assault on staff.

By better defining the types of youth who require intervention, policymakers, foundations, and youth-oriented non-profit organizations can better deploy their resources in ways that will be more likely to make a positive difference in the lives of youth who fall into the proven-risk youth category.

“Serving High-Risk Youth: Lessons from Research and Programming,” Public/Private Ventures, September 2002, p. 2.

Source by Andre Norman

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Three Techniques for Creating Funny Characters and Funny Skits

When writing a three to six-minute comedy skit to perform at church, school or some other organization, you need to move quickly into your plot and the theme of your skit. There’s little time for developing funny characters.

But if your audience doesn’t have some level understanding of your funny characters, your comedy skits will be dull and lifeless one-liners with no depth or the emotion that creates conflict and drives it meaningfully forward.

Therefore, your audience needs some idea of where a funny character is coming from to understand the motivation behind what they say and do. So use these three techniques to create funny characters your audience relates to and comedy skits they’ll enjoy.

Use Stereotypes to Create Funny Characters

The most obvious character that everyone already knows and understands in a comedy skit is the stereotype. The vain, female Diva, the dumb jock, the shifty guy who lurks in the shadows, the nerdy geek, the miserly accountant. And now that I’ve started you off with a few for your comedy skit, I’m sure you can create an extensive list.

Stereotypes make funny characters because your audience understands the character right away. The already know something of the character’s motivation and reasons behind what they say and do.

Exaggerate to the Max

Now to make that stereotype character really funny and increase the laughs, exaggerate them. The female Diva is not just vain. She’s so vain anytime her reflection presents itself, she stops to primp. The dumb jock is so clueless he doesn’t realize the football helmet he misplaced is on his head. And nerdy geek is so socially awkward he talks to computers like they’re people.

People laugh at stereotypes because the funny characters in your comedy skit are so exaggerated, they can’t possibly represent anyone in the audience. Even though everyone can probably think of someone in the audience that is very well represented in that funny character.

In one comedy skit I wrote and directed for a church worship service entitled, Focused on Priority three out of shape suburban ladies sign up for a fitness class thinking it will be a relaxing time of easy exercise. Instead, their personal trainer resembles an in your face, military drill sergeant that pushes them way beyond their expectations and comfort zone.

Add Contrast to Funny Characters and Situations

In comedy skits, opposites don’t attract, they create conflict. And conflict creates humorous energy in your skit. People in real life are never one-dimensional. And your funny characters shouldn’t be either. Even your stereotypical characters can surprise your audience and take your comedy skit to a deeper level.

The easiest way to accomplish this is by thinking opposites.

So your stuck-up Diva volunteers at a homeless shelter. The dumb jock is good at chess. The nerdy geek skateboards while listening to hard rock music. The stingy accountant feeds premium dog food to a stray dog that lives behind his office building.

You can also match-up opposite characters. This is the whole premise behind the odd couple. One guy is exceptionally clean and orderly and the other guy a complete slob.

When you drop your exaggerated, stereotyped characters into a situation together, you create instant conflict and the potential for great comedy skits.

What happens when a liberal atheist and conservative evangelical work together for a common cause? A church moves next door to a strip club? A crusty, negative old man adopts his innocent, faith-filled, eight year old grandchild who just lost both of his parents?

By creating exaggerated, stereotypical characters, adding contrast and combining them with opposite characters into various situations, you will create funny characters with depth and comedy skits your audience appreciates and enjoys.

Source by Chip Tudor

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Power of Positive Thinking & Affirmations for Controlling Chronic Fatigue Syndrome & Fibromyalgia

If you’re someone that is currently battling Chronic Fatigue Syndrome or Fibromyalgia then it is absolutely paramount that you practice positive thinking and affirmations on a daily basis. You see, our thoughts are innately connected to our bodies and health so if you constantly think negative thoughts about yourself and your illness then you’ll experience a surge of negative symptoms and your condition will not improve. However, if you practice positive thinking then you can influence your healing and take control of your medical condition once and for all.

If you’re still not convinced about the importance of positive thinking, let’s discuss two Chronic Fatigue Syndrome and Fibromyalgia patients that I know. Mary has been suffering from Chronic Fatigue Syndrome for over 5 years. Every single day, Mary moans and complains about her illness. She tells everyone she knows about her unrelenting fatigue, headaches and body aches. In her opinion, Mary is unable to control or handle her Chronic Fatigue symptoms and for her life is unbearable. As such, the quality of Mary’s life is significantly impaired and she doesn’t feel better or experience any symptom free days. Although Mary has many friends and family who care about her, many people stay away from her, because they don’t want to hear such negativity. On the other hand, let’s talk about Jane. Like Mary, Jane has been battling with Chronic Fatigue Syndrome for over 5 years too. She too experiences unrelenting fatigue, headaches, muscle aches and other symptoms. However, Jane does not discuss her symptoms or illness with anyone except her spouse and her physician. And, when she discusses her condition, she only speaks of it in a positive manner. In fact, no one even knows that Jane has chronic Fatigue Syndrome because she does not dwell upon her symptoms.

In addition, Jane practices daily affirmations every single day and refuses to allow her illness to control her but controls it instead. As such, Jane has seen some true and remarkable progress over the past five years. For instance, at the beginning of Jane’s illness, she was unable to get out of bed and was tempted to alienate herself from the world. However, she quickly changed her perspective. Now, Jane experiences many symptom free days and feels in control of her condition. Basically, Jane refused to accept her diagnosis as a lifelong sentence and remains committed and optimistic about her complete healing.

So, if you are a sufferer from Chronic Fatigue Syndrome or Fibromyalgia who truly wants to experience remarkable progress then you should be more like Jane. By maintaining a positive attitude and utilizing affirmations on a daily basis you too will experience the miracle of healing.

Here are some affirmations you can begin using right now:

1. I take complete control over my illness and am getting better every day.

2. I respect myself and take care of my body.

3. I accept my condition and know that healing is taking place within me.

4. I creatively handle any problems without stress and maintain a positive attitude at all times.

5. I release my symptoms and welcome healing and am confident that I am getting stronger every single day.

6. I refuse to give power to this condition and maintain control.

7. I seek out and receive support for handling this condition.

8. I treat myself lovingly and give myself special attention when needed.

9. I focus on healing and trust that a miracle is happening within me.

10. I am in complete control of this condition and give thanks for a complete recovery.

In conclusion, you can experience remarkable healing just like Jane. You simply have to be willing to put forth the necessary effort, practice affirmations and positive thinking and be open and receptive to receiving healing.

Source by Kristi Patrice Carter

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TIG Welding Certification Tests – Tips For Passing the Weld Test

by sinnga kilam 0 Comments

What do Boilermakers, Pipefitters, and Aerospace welders have in common?

Passing a TIG welding certification test is usually required in order to be considered a qualified welder or to even be hired for the job in the first place.

For boilermakers and pipefitters a pipe or tube welding test is usually required and can be anywhere from 3/8″ to 12 inches in diameter and depending on the job, the material welded is usually carbon steel or stainless steel, or carbon steel welded with ER309 filler metal. (occasionally other alloys are welded but carbon and stainless make up the bulk of welding tests given)

Aerospace welders on the other hand might be required to weld practically any metal:

  • carbon steel / low alloy steel – 4130, 4140, 4340, 8630
  • stainless steel – 321, 347, 13-8, 15-7, 17-7, a286
  • nickel alloys – hastelloy x, inconel 718
  • aluminum – A355,356,357 castings, 6061, 2219
  • magnesium – az31b,
  • titanium – 6AL4V, CP
  • cobalt – L605, haynes 188
  • refractory alloys like columbium

Aerospace tig welding certifications tests are generally straightforward groove welds or fillet welds unless the special application provision of the American Welding Society D17.1 is used. Sometimes a simple groove or fillet weld test does not accurately represent the scope of welding performed.

In that case there is a provision for the welder to be certified using a scrap part, live part, or mock up test that represents the weld done in production. It is a more limited certification but it helps to certify a welder on tasks that adequately test the skill set required to do the job.

For Boilermakers and pipefitters, a tig welding certification test on tube or pipe pretty much represents the same joint done in the field.

Tips for passing any tig welding test:

  • purge…give lots of attention to getting a perfect purge by making sure ends are taped neatly and securely with a vent hole at the top for gas to escape.
  • Clean the metal…Whether welding a pipe joint or sheet metal butt weld, if you don’t clean the metal right, you will probably fail. Metals like aluminum and titanium are prone to porosity and filing the edge removes crud that will cause porosity…Some test inspectors will fail you on the spot just for not cleaning the metal.
  • For aerospace tig welding tests, make sure to file the sheared edge of the metal
  • Degrease with acetone or other approved solvent…give the rod a wipe too.
  • Follow instructions…Whether written or from you test supervisor, pay attention, read, and follow instructions.

Source by Jody Collier

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Irresistible Carp Pellets For Maximum Fishing Success!

by sinnga kilam 0 Comments

You probably use pellet baits. But there is far more to using, adapting, boosting and even making pellets than most anglers ever realised! You can have far more success exploiting pellets when you know far more about them and what to do to vastly improve any pellet bait! Better still you can make your own homemade pellets and give your fish maximum reasons to feed using incredibly potent ingredients and especially powerful components; so read on now!

There was a time when the majority of carp anglers used trout pellets in one way or another and the choice of pellets was quite limited compared to today. Pellets were usually ground up and made into boilies and paste baits. Pellets were also used as free baits but most often simply introduced with no additional treatments or adaptations to make them far more effective at making fish feed.

The thing to think about is that pellets such as trout pellets, salmon pellets and halibut pellets are designed to put weight on farmed fish for maximum profit. They are not optimised to make fish feed most of all. They are optimised to ensure the most feed gets efficiently biologically converted so the farmer has healthy fast growing fish to profit most from. Feed triggering efficiency is not the main aim at all! This point is a massive one to remember every time you use any pellets not designed specifically for carp fishing! This point means that you must treat pellets to maximise their feed triggering impacts!

You might well assume that for instance that halibut pellets are ideal for carp however they are certainly not ideal for health and certainly not optimised for maximum numbers of bites. These pellets are designed for fish with a higher protein requirement and a higher energy requirement which additionally means that such sea fish and salmonids such as salmon and trout have a higher oil content than carp require as carp metabolism is lower over all that these other fish.

Halibut pellets are high oil and used in volumes by numbers of anglers all the time on lakes is bad new for carp as this imbalances their ability to generate energy and burn off stored fats and glycogen in and around the major organs, and affects blood triglycerides and cholesterol in the body detrimentally. High oil impacts produce vitamin E deficiency and as this is a very potent antioxidant this reduces the immune system and other roles and functions in carp.

Fatty liver is just one symptom of excessive salmonids and halibut pellet use by the herds of anglers using these in spod and PVA product mixes and as other forms of free baits. It is insane how many carp have enlarged livers that form a bulge in their side which so many anglers simply ignore not realising they are harming fish health by using such pellets! The impacts all add up and in fact slow down the fishing especially in the later autumn, the winter and spring because the excessive and ignorant use of pellets by the masses simply means so much oil is converted and stored for vital energy, that very little feeding is required outside of optimum water temperatures for carp feeding!

I used to be a fan of oily fish meal baits and oily pellets, but not any longer now I know what harm they do. In the early day of using halibut pellets before the herd jumped on the bandwagon I used three grades of them each having a different rate of breakdown do to different levels of components. This made for great fishing for a short time as I could exploit this staggered breakdown to make it very difficult for fish to detect which bait was the hook bait. In fact after much initial success it only took the fish in my local lake 5 weeks to begin to go off halibut pellets and start to pick them up with great caution, to the point where numbers of bites were aborted, and a noticeable drop in bigger fish was noticed compared to initial use.

I altered my approach by cutting the large pellets I was using into fragments, and shortening my hook links. Again this approach worked for a while, but the main problem was that the bait was not new any longer and the fish knew they were dangerous even though they at them.

There are so many options you can use to overcome fish caution using your own creativity. Of course you can use buoyant fake pellets on the rigs. You can disguise your hook and rig with pellet paste. You can make pellet boilies in alternative shapes, textures, with different flavours and colours and so on. There are many ready made pellet paste and pellet boilies on the market including pop up baits and neutral buoyancy type wafter baits that negate the weight of the hook. This is a very vital point to fool the warier fish.

Preferably you will take full advantage of the new generation of specifically designed carp pellets available today. But some are far better than others. Again you need to bear in mind that fish become wary of familiar products pretty quickly, and anyway there is no need to cut your chances of success when you can be the very first to introduce a new bait to a water. To guarantee this massive advantage making your own homemade pellets can be the most powerful edge as I know from experience.

You need to think about why pellets are very successful. Originally baits used in carp fishing were predominantly water soluble and this was why such baits worked so very well as their components could react with water and as solution impact upon fish receptors very effectively. Paste baits and small particle baits with a high water content and trout pellets were among the main baits used for carp fishing before the advent of readymade baits.

You can do almost all the things in pellet form as you can with boiled baits using the same massive range of ingredients and liquids but personally I prefer paste and pellet bait formats and avoid heated baits for a huge list of reasons! Boiled baits are a bait format that can be less effective than many other bait formats. This is because carp have associated danger with hard round or barrel shaped baits containing egg for decades and the conventional sizes shapes, surface textures, ingredients and liquids and general characteristics mean boilies are very easy to associate with danger from previously being hooked on them.

You can of course apply all bait theory and ingredients and additives and so on to pellets to make highly water soluble baits. But of course you can also make homemade baits that are not round, that have rough textures and completely alternative nutritional profiles and totally alternative ingredients and additives etc compared to well over 90 percent of ready made baits. Such unique homemade baits can be made in any alternative shape as they do not have to be made by machine rolling pressing or extruding or heating!

Making homemade pellets means you can tailor your recipes extremely precisely for cold winter temperatures and also for the hottest summer temperatures so you exploit the practical function and chemical and physiological aspects etc of carp in the bigger scheme of things all year round.

I have been an obsessive fan of homemade bait making for decades since I noticed that the new readymade baits from the bait companies could easily be out-fished. In fact the more ready made baits that are round or barrel shaped and smooth surfaced are used by the masses on a particular water, the easier such baits are to out-fish using ready made baits. The reason for this is very simply that you can systematically remove out of your own bait formats and bait recipes any commonly used substance, and you can create baits so different in function and characteristics that you have removed virtually all reasons for carp to be cautious of them. Of course carp are wary of baits they have been hooked on before and this means for me that ready made baits are only a compromise for anglers either without the time or the vision to utilise superior solutions.

Even if you are formulating a bait recipe and having it rolled by a bait company the fact is that you have just lost a major potential advantage over carp d
efensive instincts and that is that almost inevitably the surface, shape and density of the baits will in some way be almost certainly similar to most other ready made baits! Not many anglers appear to have figured the profound implications of using smooth and rounded familiar baits. Only when you have experienced using baits that have as little resemblance of ready made baits as possible and used them in testing directly against standard rolled ready made baits can you experience the drastic improvement in catches. The difference in catch rates can be simply unbelievable and I am not alone in experiencing this phenomenon, many of my eBook readers now know all about this too! Perhaps you can see why I am so passionate about making homemade baits now!

I expect you want some instant tips on pellet uses. I will not give anything really potent here. If you have been using pellets straight out of a bag, then I suggest that you might try getting some of the potently bioactive citrus oil on a high PC lecithin base type flavour from Phil at CW Baits on request. This example of a unique flavour was deliberately custom designed to harness the powerful biological potency of special citrus oils and components and is really something unique. If you have not done this yet I suggest that next time you use a pellet or a mixture of them, mix them with CC Moore Marine amino Compound mixed with their unique liquid Red Venom which is a great alternative when you wish to avoid the ever so over-used Robin red. Robin red is now becoming a danger signal as it has been used in ready made baits for decades. I have avoided using this additive for years and benefited big-time!

Just one example of an additive to really improve the quality of water soluble protein in your baits while avoiding milk and egg proteins is CC Moore hemp protein powder. Teamed with the pure hydrolysed krill extract liquid this company offers you can easily begin to adapt ready made baits of all formats or even just exploit these two products to make completely unique baits. Making a coarse pellet based on hemp powder, crushed and whole hemp and crushed nuts bound not with carbohydrate binders but with high protein binders only plus boosted concentration liquid foods is merely a functional idea for a starting point for a range of possible homemade baits.

My head is spinning with so many ideas I could offer that have caught me outstanding catches of big fish but you need to develop your own thought process to creatively invent your own unique fishing edges with bait and bait applications.

I could list 500 additives and liquids you could use in your alternative pellet mixes for any fishing purpose. The trick is in knowing which substances are specifically so potent that you get excited just thinking about using one of them or a unique combination of them, knowing which ratios and levels will produce maximum feed triggering impacts in the short and long term. You need to consider the fact that it is extremely prohibitive for bait manufacturers to use very high levels of quality protein and extremely potent extracts and other very costly substances in making their baits, because their main aim is to make a profit.

This is why it is so easy for you to beat ready made boilies and pellets by making the stimulatory levels of incredibly stimulating components in your homemade baits massively higher because your aim is to get as many bites as possible, and not to make a profit! So if your wish to make milk protein based pellets or corn steep liquor or enzyme treated liver or pure bloodworm extract pellets for example then you can literally make them as potent as you can with no restraints!

Part of this choice is how to improve the palatability of baits so fish repeatedly eat more and more of your bait the more they eat. Obviously this is a fantastically vital part of improving baits because this means maximum numbers of chances of fish picking up your hook baits again and again until they get hooked! These effects can be built into baits so they act in cumulatively habit-forming and even addictive ways. The term addictive is no joke because the fact is that teleost fish are the ancient ancestors of us and we share so many physiological similarities. When you take a much deeper look at the food groups and things such as the most biologically active components of flavours you soon discover substances when used in the most appropriate dosage, concentration and in unique combinations that can be harnessed to catch far more fish and I have spent years researching and testing this whole subject!

We get addicted to very many substances and the food industry exploits this to manipulate your food buying choices and patterns. Homemade bait making and improving ready made baits is just the same; you have power to make your baits as potently biologically active, as enzyme active, as palatable, and as internally stimulating and addictive as you desire.

You do not know what you are missing until you actually experience the incredible satisfaction of catching new personal best fish after new personal best fish on baits that you have very specially adapted or have actually designed and made yourself! It is your choice! I regard the best value bait as the kind of bait no fish has ever experienced before and which catches me the most big fish possible in as short a period of time as possible.

If your mentality is still merely the price of a deal on popular ready made baits then you are not truly getting it about true value for money and instead are missing the whole point about bait! I would always much prefer to fish exploiting just 1 kilogram of the most potent homemade baits a lake ever saw than with 50 kilograms of a popular ready made bait, even if the cost of my 1 kilogram was the same as the 50 kilograms of bait. I hope you get my point about potency here.

Using more bait is not a guarantee you will catch the fish you aim for particularly if others have hooked that fish on the same or a similar ready made bait you are using! However when you present fish with a totally new experience, well as they say, carp do not have hands with which to test baits do they? What do you think they are going to do with a uniquely potent uniquely alternative profile bait, and how would you feel if you were the only person who knew the recipe of such a bait when it catches the biggest fish in your lake? Revealed in my unique readymade bait and homemade bait carp and catfish bait secrets ebooks is far more powerful information look up my unique website (Baitbigfish) and see my biography below for details of my ebooks deals right now!

By Tim Richardson.

Source by Tim F. Richardson

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4 Common Mistakes When Phrasing Blues Solos – 12 Bar Blues Guitar Progression

When playing blues guitar, as with anything, you always start with the basics and gradually you advance to where you get to riffs, style, and that thing they call phrasing.

Phrasing is how you take all the techniques and all the details that go with it and make it yours. In other words, phrasing is the way you have made all the technical stuff that you’ve learned sound the way you feel.

In any kind of music, it’s the phrasing that makes the piece unique, because you’ve learned how to express yourself through all the techniques and mechanical aspects of the music. Phrasing is your way of playing and singing and your ability to create an emotional impact with all you’ve learned. However, with everything, there are pitfalls, and here is a short guideline.

It is easy, when playing to get lost in the notes themselves. What distinguishes your style from others is rhythm – pacing, or timing. Doing a solo without this crucial element will only run everything together, and eventually it will all sound the same. It is the timing and knowing of when to add something new or let the effect of what you are doing linger.

The second thing to watch for is to avoid doing the same interval all the time. Good players always mix and match for effect, it breaks up the same pattern into interesting pieces and shows your versatility at the same time.

The third pitfall is to try to do too much. Don’t try to cram in as many notes as you can. The idea is to keep it simple which means refrain from getting it bogged down. Remember, that it is layered simplicity that, when put all together, sounds like a very complex piece that has depth and peaks interest.

The last pitfall concerns too much technique. Players who are too technical are boring because they don’t have the “fire” that makes an emotional impact. The idea is to have sufficient technique that is adequate, in and of itself to make an emotional impact, and that goes for any form of communication, be it painting, writing, photography, or music.

Really, what these pitfalls are all about is your common sense. It is easy to get so involved with your playing that you concentrate on how technically good you are. Nobody cares about the technical way you did that last riff, they only care about it makes them feel.

To summarize then, be sure that once you are technically proficient, you don’t forget the emotion behind it. It is the emotion that an audience wants, and if you are just technique then you don’t convey an emotional impact, and you will turn off your audience by boring them to death. If you are wondering about the emotion part, just remember what got you into this in the first place – it was the passion, and that is what drives everyone who has any life in them at all.

Source by Zack Roberts

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