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Appendix B (b) Psychologists fee practices are consistent with law. (c) Psychologists do not misrepresent their fees. (d) If limitations to services can be anticipated because of limitations in financing, this is discussed with the recipient of services as early as is feasible. (See also Standards 10.09, Interruption of Services, and 10.10, Terminating Therapy.) (e) If the recipient of services does not pay for services as agreed, and if psychologists intend to use collection agencies or legal measures to collect the fees, psychologists first inform the person that such measures will be taken and provide that person an opportunity to make prompt payment. (See also Standards 4.05, Disclosures; 6.03, Withholding Records for Nonpayment; and 10.01, Informed Consent to Therapy.)



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logically be coded in different ways: for example, batteries could be coded as electrical devices or energy devices This leads to inconsistent coding or no coding; other and miscellaneous are the two codes most often used Similarly, supplier coding is also a challenge Large suppliers of multiple indirect items often have multiple shipping and billing addresses, resulting in multiple codes being assigned to the same supplier This masks the size of the total spend with the supplier and hinders the buying company from fully leveraging its spend with the supplier, the report observes To counter these problems, limit commodity codes to a few levels This makes it easier for the end user to properly identify commodities and to reduce the search time for the perfect code, the report offers One commodity team assigned to large suppliers Many challenges can occur when purchasing from large suppliers with diverse product offerings.





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the lesion and to exclude invasive carcinoma.11 Thus management should not be based upon colposcopic impression alone. If the colposcopy is unsatisfactory because the whole transformation zone cannot be visualized or if the entire lesion cannot be seen, then an endocervical curettage (ECC) is recommended. Also, if ablation is being considered for treatment (cryotherapy or CO2 laser) pending biopsy results, then an ECC should also be performed to rule out dysplasia that cannot be seen in the endocervical canal. Patients with an abnormal Pap smear of LSIL or greater should be evaluated with colposcopy, with the exception of two groups. In women age 20 or less, the ASCCP guidelines recommend following a patient with ASC-US (atypical squamous cells of undetermined signi cance) or LSIL with annual Pap smears for up to 2 years. This age group is the most likely to clear infection from HPV and should only be evaluated with colposcopy for persistent dysplasia that persists for more than 2 years or if her Pap smear returns as ASC-H, HGSIL, or AGC. It is also reasonable to defer colposcopy for low-grade changes in pregnancy until the patient is postpartum, although colposcopy is preferred in non-adolescents.

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These include commodity coding and standardizing prices, terms, and conditions One solution is to assign a specific commodity team to work with each large supplier When another buying team is considering using this supplier, a team member assigned to this supplier is brought in to assure that existing contracts with standardized prices, terms, and conditions are used by the buying team This approach helps the buying company counter the common divide-andconquer strategy used by large suppliers Outsourcing indirect sourcing Outsourcing can be controversial, but it can also bring big benefits One presenting company outsourced its nonstrategic indirect spend and realized several benefits, including an up-to-date e-catalog that was implemented in a matter of months; ironclad control of indirect spend, with real-time data; significant reduction in the cost of indirect goods and services; and reduced headcount.

The rst of the exculpating defences is that the child had been in uenced by suggestions (unconscious or deliberate) to believe she or he was abused when in fact she or he was not. Both nationalities appeared to regard suggestion as a serious issue, although the English were less reliant on it as a defence than the New Zealanders.

One notable concern of attendees about having a third party manage 25% of a company s total cost of goods sold was that the stellar service level might diminish if the partner took on significant new customers..

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