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Grand Theft Auto GTA 5 Cheats And Console Commands For PC and Xbox.

Grand Theft Auto GTA 5 Cheats And Console Commands For PC and Xbox.

Game Introduction:

GTA or Grand Theft Auto is a series of open world action-adventure video games that was initially developed by David Jones and Mike Dailly. The name refers to the term used colloquially in the USA for relating to automobile theft.

1997 marked the release of The first game of the series and almost 15 years later, after rolling out several more editions of the game, the latest instalment of the game- Grand Theft Auto 5 or GTA 5 was released in 2013.

This game is the fifteenth instalment of the series and has been primarily designed by Rockstar North, a company which was formerly called DMA Designs.

The game was initially launched only on the PlayStation 3 and Xbox 360 platforms in September 2013 but was followed by an update to the PlayStation 4 and Xbox One on 18 November 2014. The PC version of the game came nearly two years from its original release on 14 April 2015.

History Of GTA 5 Gaming:

GTA 5: Most video games fanatics and even the people who have never played video games knows the name of the GTA series.

This is an action-adventure video game that was developed by Rockstar North and was published by Rockstar gamesfor Microsoft Windows, PlayStation 3 & 4 and Xbox 360 & One.

The game is set in the fictional state of San Andreas (Just like previous versions, but better) which is roughly based on Southern part of California.

It is a single player story type game and it follows three criminals and their tremendous efforts to perform various heists and robberies while under pressure from a government agency.

The best part about GTA is that it’s open world design allows players to roam around its open countryside. And the hypothetical city of Los Santos, which could be safely assumed that it’s based in Los Angeles.

Here the players can do literally whatever they desire.

Grand Theft Auto GTA 5 Features:

  • The visuals of GTA 5 has been highly praised since its release on PS4 and Xbox 360. But the PC version graphics are seemingly even better with the right hardware capable of running the game at 1080p resolution with more than 60fps and 4K resolution.
  • One of the main reasons for the massive size of the game is the huge maps that come along with it. Hence it is not a surprise that the maps of GTA5 are bigger than the combined maps of GTA4 and Red Dead Redemption. The map has been estimated to be 27.5 square miles/71.2 km2.
  • The inclusion of features like Video editing and the Director Mode allows players to make their videos while playing the game. Along with recording and editing the videos with various camera effects and sound options, the players can also share them online.
  • Players have greater freedom in completing the missions as per their choice which includes making their plans unlike other open world games (and GTA4) where the player is restricted to ensure adherence to the game plot.
  • The music in the PC version of the game is also more improved as it includes an additional radio station and players can make their soundtracks too.
  • There are three main protagonists to the game plot and players can choose any of them as their playing character.

Different Categories In GTA 5 Cheats:

  • Player effects (like invincibility, drunk mode, explosive ammo and super jump);
  • Items cheat (like giving weapons and parachute);
  • World effects (like change weather, moon gravity and slow motion); and
  • Spawn vehicles (like the Duke O’Death, Buzzard and other cars and motorcycles).

Therefore, if you’re looking for Grand Theft Auto 5 cheats you’ve definitely come to the right place.

Cheats are a very prominent part of the GTA series and if anyone claims that he’s never played the game with cheats, they’re simply lying.

To generalize the cheat codes, there are basically two types of cheat codes.

      1. Cell phone cheats.

      2. Button cheats.

Cell Phone Cheats were introduced in the GTA series since GTA IV and since then have been a favourite among the gamers.

This feature allows the players to enter cheats by typing in certain numbers on their cell phone just like we do in real life. (Except that we don’t have cheats in real life. Such deep. Much wow.)

The button cheats are available on all the platforms. And in order to access that, you will have to enter the GTA 5 cheats codes on the gamepad just like we used to do in our classic GTA games.

How To Use GTA 5 Cheats?

These codes must be executed fairly quickly. A tiny indication will appear above the map which will ensure you that your cheat has successfully been activated.

It is noteworthy that entering these cheat codes shall disable your Achievements and Trophies. But fortunately only for the current session that you are playingAll you gotta do to get back your achievements and trophies is that to reset your game.

Cheat codes are offered by the developers from GTA 5 cheats for people.

Who has got nothing to do, are a bit bored and crave to cause maximum destruction and nuisance on the streets, and also for those of us who are just way too lazy to play the game properly. Cause having the patience to get through the game is too mainstream.

GTA 5 Cheats were actually intended for testing and development purposes.

But I would be lying if I claim that they don’t make the game easier to play.

For example:

  • First, by getting back our main characters Michael/Trevor/Franklin’s health.
  • Second, by increasing ammunition (even unlimited).
  • Third, by evading the police wanted levels.

However, many of these cheats have quite fascinating or strange effects, and such cheats are purposely added so that the players could get a comic relief, or make the gameplay more exciting.

It is also to be remembered that these cheats can be deactivated by re-entering the code.

Complete List Of GTA 5 Cheats:

Player Effects Cheats:

Cheat Code Description
Drunk Mode:
Challenging the concept of cheats giving players an advantage, Drunk Mode will muddy your screen and prevent you from walking in a straight line.
Drunk mode allows you to toggle the visual effect of the blurred screen, and your character will sway when idle and stumble when walking. The same effect is achieved by drinking too much..!
Explosive Ammo Rounds:
Because the damage caused by the stopping power of a bullet just isn’t enough sometimes.
Causes all shots from all weapons to cause an explosion, dealing a higher amount of damage. It also causes certain objects and characters to be set on fire, and pushed away from the blast.
Explosive Melee Attacks:
Your punches and kicks are literally explosive!
All melee attacks cause explosions which don’t harm your character, but have the same effects as Explosive Ammo otherwise. Opponents will the tossed away and set alight.
Fast Run:
Increases your maximum sprint speed
Your character will sprint significantly quicker with this cheat. It only becomes active when you’re actually sprinting, not during simple movement.
Fast Swim:
Increases your maximum swimming speed
Pretty self explanatory. You swim quicker both on the surface and underwater
Flaming Bullets:
Your bullets will set things on fire upon impact
Like the Explosive Ammo cheat, this will affect all weapons and all shots fired. Instead of causing an explosion, this will simply set objects and PEDs alight.
Works for 5 minutes before you need to re-enter the code
While this cheat is active, the player character will not take any damage. Applies to being shot, hit, run-over, falling from high altitudes, remaining under water after breath runs out and stubbing toe on furniture. Stepping on Legos still hurts, though.
Lower Wanted Level:
Takes one star off of your wanted level
If the police are giving you too much trouble, use this cheat to instantly lower your wanted level. If you’ve got several stars, you’ll need to use it multiple times.
Max Health & Armor:
Increases your health and armor back to full
Refills your health and armor bars instantly. It doesn’t keep it that way though, so if you’re nearing death again, you’ll need to re-use the cheat.
Raise Wanted Level:
Add one star to your wanted level
In case you’re too lazy to, I don’t know, hit a pedestrian or something, this cheat will add a wanted star. You can use it as many times as you want, but the wanted stars are capped at 5.
Recharge Ability:
Recharges the special ability of your character
Instantly recharges the special ability bar of the player character. Can be used as many times as you wish.
Spawns you mid-air for a skydiving free fall and no way to use a parachute! The only way to possibly survive is to press forward on the left analog stick and hit a wall or the ground head on
Using this cheat will instantly teleport you to a high altitude location exactly above where you were when you used it. Just a warning though – parachutes are disabled by the cheat.
Slow Motion Aim:
Gives you a lot more time to aim. Enter 4x for increased effect, fifth time disables cheat
Slows down time a bit while aiming down sights, allowing for greater precision. Stacks up to four times, at which point time is slowed to a crawl.
Bigfoot (Sasquatch) Mode
Yes, you can transform into Bigfoot!
Re-skins the player character model as Bigfoot by eating a special peyote. Warning: high effort!
Gaming Facts to Put You in Control:
Super Jump:
Leap tall buildings in a single bound
Significantly increases jump height and distance. Holding jump will further amplify the effect.

Items Cheats:

Cheats Code Description
Gives you a parachute
Instantly adds a parachute to your inventory. No payment required.
Gives you all the weapons along with ammo!
Adds all weapons in game to your inventory, with full ammo. Again, no payment required.

World Effects Cheats:

Cheats Code Description
Change Weather:
Rotates through sunny, clear, cloudy, smoggy, overcast, rainy, thundery, clearing and snowing
Using this cheat will allow you to cycle through all of the available weather settings in the game. Essential for Chiliad clue hunting.
Director Mode:
Enables you to select and play the game as any character or NPC
Pretty much god-mode. Technically, this is meant for making videos, but what the hell.
Moon Gravity:
Enter a vehicle after activating this cheat to experience less gravity
This lowers the gravity value in the game, allowing you to jump higher and to float a bit.
Slippery Cars:
Also known as drifting and/or slidey cars
Spreads jam on all surfaces and wrecks the handling of all cars. Use to make your drift montage look better than your skills would allow.
Slow Motion:
Enables you to slow down gameplay. Enter 3x for increased effect, fourth time disables cheat
Like slow-mo aiming, but this is active all the time. Stacks three times instead of four.

Vehicle Cheats:

Cheats Code Description
Spawn BMX:
Spawns you a good old BMX bicycle
In case you really want to break one of your bones. No damage, random color.
Spawn Buzzard:
Spawns the Buzzard small attack helicopter (with weapons)
Small copter, big bang. Some missions benefit greatly from this vehicle.
Spawn Caddy:
Spawns you the “Caddy” golf cart
If you want to look rich, lazy and decadent, go for this ride. It will probably lower your life expectancy though.
Spawn Comet:
Spawns the Comet, a two door sports car
You either have no sense of practicality, or are having a midlife crisis. Both work.
Spawn Duster:
Spawns the crop duster plane
Chemtrails, man. Chemtrails.
Spawn Limo:
Spawns your very own stretch limousine
Because screw everyone else on the road. That said, everyone will think you rented it.
Spawn PCJ-600:
Spawns the PCJ-600 sports motorbike
If you’re not wearing a helmet, you’ll die horribly. If you are, you’ll just die.
Spawn Rapid GT:
Spawns you the Rapid GT, another two door sports car
It may be quick, it may look good, but it’s practically made of paper. Good luck with insurance.
Spawn Sanchez:
Spawns the Sanchez, which is a dual-sport (dirt) bike
No one will care what you do with this unless you record it and post it on YouTube. GoPro not included.
Spawn Stunt Plane:
Spawns a fixed-wing stunt plane
Do you want to crash? Because this is how you crash.
Spawn Trashmaster:
Spawns the Trashmaster garbage truck
Well, you have an… odd hobby. At least it’s pretty damn durable.

Special Vehicles Cheats:

Cheats Code Description
Spawn Duke O’Death:
Unlock by completing the “Duel” random event
This is our most popular cheat. Why? Because the car is black, has a cool name and rams stuff.
Spawn Kraken Sub:
Unlock by completing the “Wildlife Photography Challenge” (snap pictures of all 20 animals in the game)
The most comfortable way to explore the seabed around Los Santos.
Spawn Dodo Airplane:
Unlock by completing the “Sea Plane” random event
Because naming your vehicle after an extinct race is totally a good omen. Technically it can land on water, but that depends on you too.


GTA 5 broke all sales records in the industry by grossing 800 million USD on its first day of sales and over 1 billion USD over the initial three days of sales.

Critics consider it as one of the best seventh generation games, and it has featured extensively in the “Top 100 games” of all time list published by several highly regarded gaming publications.

The GTA series has undoubtedly been one of the most popular games over the last two decades. And it’s the latest edition lived up to all the hype as evidenced by the record-breaking 80 million copies sold to date since its release.

ARK: Survival Evolved Admin Commands

ARK: Survival Evolved Admin Commands


Ark: Survival Evolved is an action-adventure-survival First Person/Third Person Perspective video game developed by Studio Wildcard in collaboration with Instinct Games, Efecto Studios, and Virtual Basement. The game’s world is called ARK.

In the game, players must survive being stranded on an island filled with roaming dinosaurs and other prehistoric animals, natural hazards, and potentially hostile human players.

Some Important Features of ARK Survival Evolved:

Campaign Mode:

The offline campaign mode of the game is well developed with a gradually decent Difficulty Curve. There is a great storyline alongside which will immerse you greatly into the game. The progress in the Campaign will eventually lead you to unveil various secrets and purpose of the ARK which will surely boost your excitement.

As you progress in the game, the difficulty level increases exponentially, and it becomes challenging to survive but exciting at the same time. Exploring numerous caves will make your encounter with Dangerous bosses such as Flame throwing Dragons and Mega Spideys.

There are sixty species of Dinosaurs in the Game. You can Tame various species by feeding food when they are Rendered unconscious or by using kibble. After a species is tamed, you utilize its various abilities and statistics such as speed, health, and damage.

Building Your Base:

After playing the Game for some time, you will be required to build a base for safety, resource building and storage and technological advancements.

As you will progress in the game, you will acquire more and more resources for building components such as pillars, foundations, flfoors, doors, windows, etc. and hence, your base becomes more and more advanced as you move ahead in the game.

Positioning and protecting the base from various creatures requires a bit of strategic thinking, the smarter you execute, the easier will be your way further.

You also have control over the material which can be used to build your base. Using Metal to build structures is a most durable option as there are least options to damage this structure. A full-fledged steel fortress would comprise of various advanced components such as electric lighting, Blast Furnace, and Gas Generators.

Multiplayer Mode:

Multiplayer gameplay is available in both PvE (where players cannot kill each other) and PvP (where players can kill each other) servers.

The tribal mode of play is more favourable where players can come together and form tribes so that they can divide the labour and progress collectively.

Hence, you don’t have to do everything yourself and difficulty level won’t cross the roof.

The element of Fear:

The feeling of real fear in the game is fun, fear of failure, fear of loss, fear of dying always keeps you triggered. Escaping that fear can be dramatic, and the tragedy of almost getting away can be unforgettable.

The number of creatures and their thrilled appearances always adds up to the fear, and the AI is impressive and will always please you visually making the experience immersive and exciting.

Admin Commands for ARK: Survival Evolved

If you desire to use an ARK: Survival Evolved console commands, you’ll first need to open the console (obviously). This can be done by pressing the TAB key. And if that doesn’t work, you’ll gotta to make a quick adjustment in the game’s .ini file. If you need ARK: Survival Evolved admin commands on Xbox One then you can check out this also.

In order to do that, go to:


and open the .ini in any text editor like Wordpad or similar. Scroll down to the bottom of the document and look for the line +ConsoleKeys=TabIn front of the line, you should observe a semicolon (;). All you need to do is, delete it, save the .ini file, and the ARK admin commands should now work in-game (If you followed the instructions properly).

Admin Login:

Now you have to type

enablecheats <password> 
example = enablecheats pass123 

From here you can enter commands.

A lot of ARK commands will require the ‘Enable Cheats‘ command to be used before going further, as well as the ‘Enable Cheats for Player‘ command. It is an absolute must to use this before using to any other command.

The next thing you need to know is, how do you whitelist yourself as an admin. That will enable you to use ARK: Survival Evolved console commands without needing to log in as Admin.

Admin Whitelisting:

Firstly, create a file in the directory

\ShooterGame\Saved\called AllowedCheaterSteamIDs.txt

It should look like this


Note 1: On our control panel this is located in the ‘Configuration Files’ icon.

After doing that, list on each line the Steam64 ID’s you wish to authorise for cheat commands, the users named will be able to cheat without logging in as Admin.

Note 2: Please use”< >” instead of “( )” in the Console Commands.

E.g. “enablecheats (password)” is used as “enablecheats <password>

ARK: Survival Evolved Admin Commands List:

Console Commands Description
ShowMyAdminManager This will enable the Admin UI
enablecheats (password) It will log you in as the administrator
requestspectator (password) It will allow anyone with the password to
login as a Spectator
cheat enablespectator This will destroy your character
and also puts you into Spectator mode
(Used for Whitelisted Admins)
stopspectating Cancels spectating
setcheatplayer true/false Enables/Disables the cheat menu
cheat AllowPlayerToJoinNoCheck (Steam64ID) Whitelists the persons Steam ID
cheat DisallowPlayerToJoinNoCheck (Steam64ID) Removes the persons whitelist
cheat SetMessageOfTheDay (message) Sets a message of the day that appears
when people join the server
cheat broadcast (message) Broadcasts a message to everyone on the server,
and forces their chat window to open
cheat ServerChatToPlayer (“PlayerName”) Sends a private message to the player associated with that name
cheat ServerChatTo (“Steam64ID”) Sends a private message to the player associated with that ID
cheat god Enables godmode, you can not die except you can still drown
cheat fly Provides you with the ability to fly
cheat walk Deactivates flying and allows you to walk again
cheat teleporttoplayer (id) Teleports to the specified player,
use showmyadminmanager to get the 9 digit number
to fill in the (id) field
cheat slomo 5 Changes the speed on the server
such as player movement,
use slo-mo 1 to revert to normal speed
cheat playersonly Freezes absolutely everything except players,
this even includes crafting
cheat ghost Turns on noclip
you are able to walk through walls and objects
cheat forcetame Instantly tames a dinosaur,
you can even ride it without a saddle
cheat forceplayertojointargettribe (id) Forces the player to join the targeted tribe,
get the 9 digit id of the player
by looking at the connected players in the showmyadminmanager list.
cheat forceplayertojointargettribe (id) Forces the player to join the targeted tribe,
get the 9 digit id of the player
by looking at the connected players in the showmyadminmanager list.
cheat forceplayertojointribe (id) (tribeid) Forces the player to join the tribe,
use showmyadminmanager for the required information
cheat giveexptoplayer (id) (how much) (tribeshared)(preventsharing) Gives experience to another player,
use showmyadminmanager for the required information.
Unable to test currently.
cheat addexperience 1000 0 0 Gives you 1000xp, you can change the value,
and if you change the second 0 to a 1
it will share the xp among your tribe
cheat giveresources Add 50 units of each resource in the game
to the every player’s inventory
cheat infinitestats Gives the player character infinite food, water, stamina, carrying capacity.
Repeat the command to disable its effects
cheat listplayers Shows a list of all players on the server with their SteamID
cheat kickplayer (Steam64ID) Kicks the person from the server
banplayer (Steam64ID) Bans the user from the server
unbanplayer (Steam64ID) Unbans the user from the server
cheat destroyallenemies Destroys all enemies, they respawn eventually.
*WARNING* This includes tamed dinos too.
cheat hurtme (amount) Deals x amount of damage to yourself
togglegun Toggles the visibility of your currently equipped weapon/tool
cheat settimeofday (timestring) Changes the time of day, for example, cheat settimeofday 12:00
cheat setplayerpos 0 0 0 Moves your character to the specified coordinates position instantly.
Coordinate Generator
cheat saveworld Saves the current worldstate
cheat quit Exits the current world, use after saving for a safe shutdown
cheat execsetsleeping true/false Puts your character to sleep/wakes them up
cheat enemyinvisible true/false Makes all creatures ignore you even if you attack them
cheat destroyall (classname) Destroys all objects/dinosaurs of a classname,
refer to the dinosaur or item lists for specific classnames,
also works with structures.
Structure List, Dino List *WARNING*
This includes tamed dinos and all instances of structures
cheat killplayer (id) Immediately kills the player,
get the id for the player by opening showmyadminmanager
and looking at the 9 digit number next to their name
in the connected players list
cheat summon (classname) Summons specified object/dinosaur at your location.
This command can also be used to summon structures.
Structures will be rotated depending on the players direction.
cheat giveitemnum (ItemID) (QTY) (Quality) (True/False) Gives you an item, the list of items with their ID’s can be found here:
Item-ID List:
Example: giveitemnum 1 1 0 false – gives you a primitive simple pistol.
cheat givetome Makes any structure/dino you are currently looking at yours
stat fps Shows your fps, usable by anyone.
commands do not need to be enabled for this
stat unit Shows your GPU and CPU stats, usable by anyone.
Commands do not need to be enabled for this
cheat MakeTribeAdmin Allows you to force yourself as an Admin within a tribe
cheat MakeTribeFounder Allows you to force yourself to be the tribe founder
cheat RemoveTribeAdmin Allows you to remove admin from the tribe
cheat giveitem (ItemName) (QTY) (Quality) (True/False) Gives you an item of specified
(ItemName) (QTY) (Quality) (True/False).
giveitem “Blueprint’/Game/PrimalEarth/CoreBlueprints/Weapons
1 0 false gives you a primitive simple pistol.
A list of (code)(ItemNames)(/code) can be found here:
Item Class Name List
cheat giveitemnumtoplayer (PlayerID) (ItemID) (QTY) (Quality) (True/False) Gives (PlayerID) an item of specified (ItemID) (QTY) (Quality) (True/False).
giveitemnumtoplayer 399414114 1 1 0 false gives (PlayerID) a primitive simple pistol.
A list of (ItemIDs) can be found in List/Ark_Item_List.pdf.
(PlayerIDs) can be found using ShowMyAdminManager.
cheat giveitemtoplayer (PlayerID) (ItemName) (QTY) (Quality) (True/False) Gives (PlayerID) an item of specified
(ItemName) (QTY) (Quality) (True/False).
giveitemtoplayer 399414114 “Blueprint’/Game/PrimalEarth/CoreBlueprints/Weapons
1 0 false gives (PlayerID) a primitive simple pistol.
A list of (ItemNames) can be found here: Item Class Name List.
(PlayerIDs) can be found using ShowMyAdminManager.
cheat ClearPlayerInventory (PlayerID) (bClearInventory) (bClearSlotItems) (bClearEquippedItems) Allows you to clear inventories of Players by ID,
find the (PlayerID) using ShowMyAdminManager.
Example:ClearPlayerInventory PlayerID 0 0 0. 0=False, 1=True.
cheat GiveAllStructure Gives every structure that’s connected to the current chain to you.
cheat SetTargetPlayerBodyVal int (0-30), float (0-1) Changes a character’s body scaling for that region.
Example: cheat SetTargetPlayerBodyVal 0 0.
cheat SetTargetPlayerColorVal int (0-2), float (0-1) Changes a character’s body color for that region.
Example: cheat SetTargetPlayerColorVal 0 0.
cheat destroymytarget Destroys the object / dinosaur you are looking at.
cheat SetTargetDinoColor (ColorRegion[int32]) (ColorID[int32]) Sets the dino you target to specified color/s.
Example: cheat SetTargetDinoColor 0 0.
Use printcolors command to see what colours there are.
Alternative: Dino Color Generator Site
printcolors Shows the colours available to use with Set Color commands.
cheat destroywilddinos Destroys all Wild Dinos on the map. They respawn.
givecolors (amount) Will give you every dye in the amount specified.
cheat SpawnDino (blueprintPath) (spawnDistance) (spawn-Y-offset) (Z-offset) (DinoLevel) Allows you to spawn a Dino at a certain coordinate
and at a specified level.
Dino Blueprint List
cheat destroytribestructures Destroys all instances of the structures of
the tribe you are currently looking at
cheat destroytribedinos Destroys all instances of the dinosaurs of
the tribe you are currently looking at
cheat destroytribeplayers Destroys all instances of the players of
the tribe you are currently looking at


All in all, ARK: Survival Evolved has a great open world environment, and the struggle for survival is immersive, and one will enjoy the learning curve and the aesthetically wonderful aspects of the game.

Also, if you have crazy Jurassic Park fantasies, you can always fulfil some by riding dinosaur creatures and shooting pterosaurs out of the air with a rifle.

You will also enjoy the PvP and PvE modes because competing and play with real-time players is always more exciting than single-player gameplay.

Even after hours of Menial Grinding, losing and collecting resources, again and again, dying to some Deadly Creatures, you will always get magnetized back to playing it because of its impressive gameplay mechanics and amazing plot.


Starcraft SOR 4.5.2 (Fixed Reupload) file

Starcraft SOR 4.5.2 (Fixed Reupload) file

4.5.2 Take care of Improve Log (12/27)

Edition 4.5 had some unstable difficulties. I have solved many difficulties through ample screening. And I adjusted the balance a bit. i recommend download it once again.

Ransomware focus limits healthcare IT progress in 2017 Mike Souheil

“Cyber” came into its own in 2017. As hackers hit healthcare and other industries with ransomware attacks that crippled some companies for weeks, the term has been on the tip of every executive’s tongue.

Now, companies are putting their energy and money into cybersecurity as they try to protect themselves from digital threats.

But that focus reflects more than the growing landscape of cyber threats; it also reflects the relative lack of focus—or at least broad progress—on other health IT topics in 2017. Interoperability continues to elude the industry, delays in electronic health record requirements mean old technology can stick around for a bit longer, and general uncertainty stymies confidence in what comes next.

If there was a bright spot in healthcare’s technological progress in 2017, it was telemedicine. The majority of providers now offer telehealth services. In May, Texas became the final state to allow telemedicine visits without in-the-flesh preliminary meetings, symbolizing the acceptance of the practice across the country.

There were important shifts—a new head of the Office of the National Coordinator for Health Information Technology, for instance, and an electronic health record deal between Cerner and the VA—that point to a 2018 in which health IT buzzwords, like interoperability and “meaningful,” will continue to evolve, as the industry insists upon technology that doesn’t just sound good but actually makes good on its patient-care promises.


In the most high-profile attack of the year, hackers unleashed the WannaCry ransomware into hundreds of thousands of computers —including those at the U.K.’s NHS—around the world in May. The software took over, encrypted files, and required ransom in return for decryption.

Soon after WannaCry wreaked havoc on information systems, hackers let loose another piece of malware, dubbed NotPetya. That malware took down several healthcare organizations in the U.S., including Merck and Nuance. It took Nuance weeks to come back online after the attack.

“There was a huge switch this year in the threat world,” said Mac McMillan, CEO and co-founder of privacy and cybersecurity consulting firm Cynergistek. “Now, threat actors have decided it’s ok to disrupt a hospital and affect patient care so they can extort money,” he said. “That’s a big deal. It basically points to the concept that they will risk patient safety to commit a crime.”

As attacks have increased, so has vigilance. But McMillan worried that people still aren’t going to really take action until someone gets injured because of a cyberattack.

Nevertheless, the Health Care Industry Cybersecurity Task Force took a proactive step in June, releasing recommendations for new security frameworks and amendments to anti-kickback laws.

Meanwhile, most healthcare organizations have implemented cybersecurity training programs. Some even send out fake phishing attacks to teach employees how to recognize malicious emails.

The focus on email makes sense, since it’s the most common entry point, followed by network servers, according to the Office for Civil Rights Breach Portal. Overall, by the end of November, HHS received 314 breach reports since the beginning of the year, affecting 4.7 million people.

Along with email, the industry has also recognized another potential point of entry: internet-connected medical devices. A hacker could break into a health system’s entire network through an internet-enabled pacemaker. Or the hacker could make the pacemaker malfunction. That concern led to the recall of 465,000 Abbott pacemakers in August.

Theoretically, if a medical device were on the same network as a hospital’s EHR, hackers could also break into the EHR through the device, using it as a point of entry to all the data in the network just as they might break into a home network through a connected device like an Amazon Echo or Google Home.

Certified EHRs and regulatory relief

The very technology that hackers take advantage of to compromise data is the same technology that providers take advantage of to improve patient care. While electronic health records help providers reduce unnecessary tests and treatments, they’re also a bane for physicians who spend about half of each day working with EHRs.

“There still remains a real frustration around EHRs and usability and whether or not there should be federal mandates to use technology as opposed to incentives to use it,” said Anders Gilberg, senior vice president of government affairs for the Medical Group Management Association.

The CMS tried to help with that administrative burden by putting off requirements for physicians and Medicare-eligible hospitals to use 2015-certified EHR technology, allowing them to use 2014-certified EHR technology for another year without being penalized. That change gave providers more leeway in software choice, preventing what would have been last-minute scrambling to get certified EHRs in place and protecting them from penalties.

“The thing they are not calling for is the demise of the meaningful use program,” pointed out Leslie Krigstein, vice president of congressional affairs for the College of Healthcare Information Management Executives.

The ONC also tried to reduce the regulatory burden on vendors, announcing in September that it would allow vendors to “self-declare” meeting most of the criteria for getting their products certified. The agency said the change would make the ONC Health IT Certification Program more efficient.

But some worried that deregulation could put patient safety at risk.

That was the concern with eClinicalWorks’ software. The company found itself in legal trouble a couple of times in 2017 for lying about its software’s capabilities. In one case, a patient claimed he couldn’t ascertain from his EHR records when he first had symptoms of cancer. In May, the vendor settled a different case with the government, agreeing that it and some of its employees would pay $155 million for misleading regulators.


Telemedicine was a clearer technological bright spot for providers in 2017. Providers and telemedicine companies say the technology could cut costs. They also say it could broaden access to healthcare, which it did in the aftermath of the the hurricanes that swept the southern part of the country this fall. Then, some companies offered their services for free to those in hurricane-hit areas.

But telemedicine is still somewhat nascent. Though most states have telemedicine parity laws that require commercial payers to reimburse in-person and telehealth encounters equivalently, and there’s legislation pending to expand Medicare coverage, limited reimbursement stymies the technology.

“Medicare is behind and is just catching up,” said Alexis Gilroy, chair of the American Telemedicine Association’s business and finance group. “There’s been a misperception of increased utilization and cost to the Medicare program by opening up telemedicine.”

The VA has been leading the charge for telemedicine lately. In August, VA Secretary Dr. David Shulkin announced the VA’s “anywhere to anywhere” healthcare initiative, which would allow providers to care for patients virtually across state borders, so matter where the providers or patients are. In November, the House passed a bill that would allow VA healthcare providers to do just that.

Interoperability—or the lack thereof

Healthcare is still an industry of data silos, with patient data held apart by different EHRs. The 21st Century Cures Act tasked the industry with improving interoperability, and it also prohibited data-blocking. But though systems are getting better at sharing information, they’re not truly interoperable yet.

Take Epic’s Share Everywhere, for instance, announced in September: A patient can grant any provider access to his or her records, which are viewable through a web browser. But that’s it—that records are not integrated into the receiving provider’s EHR.

While the feature is important step forward, the technology is still more about providing access to data, rather than actually true interoperability.

Critics of the VA’s EHR have long complained about the lack of interoperability between it and the DoD’s system. That may soon change, though, thanks to Cerner, whose technology the DoD contracted to use in 2015 and whose technology the VA will begin implementing as soon as a contract is signed (imminently, is the word on the street).

“The age of interoperability is upon us,” said Chuck Christian, vice president of technology and engagement for the Indiana Health Information Exchange. “The industry has realized that in order for us to truly have an impact, we need more information about the patient than just what is contained in our (EHR).”

kkkmod v0 15

kkkmod v0 15

kkkmod v0 15
Edition .15 of the mod.
-Preset nationwide concentration tree localisation.
-Additional an excess tune.
-Preset minister localisation (Images however lacking).
-Additional an buy of struggle (6 divisions in 1936, 9 divisions in 1939).
-Additional army factories.

CaravanOptions B18 file – GameFront

CaravanOptions B18 file – GameFront

Caravan Choices adds a set of variables that can be modified to alter caravan speeds in the entire world map.

CaravanOptions B18

Justice Department recovers $2.4 billion in fraud cases in 2017 Mike Souheil

Mylan paid $465 million. Shire Pharmaceuticals paid $350 million. Life Care Centers of America paid $145 million. And eClinicalWorks paid $155 million.

Those were the biggest healthcare fraud and abuse recoveries reported by the U.S. Department of Justice in 2017.

For the fiscal year ending Sept. 30, Justice recovered more than $2.4 billion in total settlements and judgments from healthcare firms for alleged fraud affecting Medicare, Medicaid and TriCare.

This is the eighth consecutive year that the department’s civil health care fraud settlements and judgments have exceeded $2 billion, with a healthy chunk of that coming from an electronic health record system vendor.

The vendor, eClinicalWorks, along with some employees paid $155 million to resolve allegations that they falsely obtained certification for the company’s EHR software by concealing from its certifying entity that its software did not comply with the requirements for certification.

As a result of the deficiencies in its software, the company allegedly caused physicians who used its software to submit false claims for federal incentive payments. The government also alleged that eClinicalWorks paid unlawful kickbacks to certain customers in exchange for promoting its product.

The biggest healthcare recoveries came from the pharmaceutical industry. Drug manufacturer Mylan paid $465 million to resolve allegations that it underpaid rebates owed under the Medicaid Drug Rebate Program by erroneously classifying its patented drug EpiPen as a generic to avoid paying higher rebates. Mylan paid $231.7 million to the federal government and $213.9 million to state Medicaid programs.

Shire Pharmaceuticals paid $350 million to resolve allegations that it and the company it acquired in 2011, Advanced BioHealing, induced clinics and physicians to use or overuse its bioengineered human skin substitute by offering lavish dinners, drinks, entertainment and travel; medical equipment and supplies; unwarranted payments for purported speaking engagements and bogus case studies; and cash, credits and rebates.

In addition to the alleged kickbacks, the settlement also resolved allegations brought by whistleblowers that the two companies unlawfully marketed the skin substitute for uses not approved by the Food and Drug Administration, made false statements to inflate the price of the product, and caused improper coding, verification, or certification of claims for the product and related services. The settlement included $343.9 million in federal recoveries, and another $6.1 million in recoveries to state Medicaid programs.

Life Care Centers of America and its owner agreed to pay $145 million to settle allegations that it caused skilled nursing facilities to submit false claims for rehabilitation therapy services that were not reasonable, necessary, or skilled. This was the largest civil settlement with a skilled nursing facility chain in the history of the False Claims Act.

The government alleged that Life Care instituted corporate-wide policies and practices designed to place beneficiaries in the highest level of Medicare reimbursement irrespective of the clinical needs of the patients, resulting in the provision of unreasonable and unnecessary therapy. Life Care also allegedly sought to keep patients longer than necessary in order to continue billing for rehabilitation therapy.

In some cases, individual owners and executives of healthcare firms agreed to be held jointly and severally liable for settlement payments.

Girish Navani, Rajesh Dharampuriya, and Mahesh Navani, three founders of eClinicalWorks, agreed to joint and several liability for their company’s $155 million settlement.

Forrest Preston, the owner of Life Care Centers of America, agreed to joint and several liability for his company’s $145 million settlement.

Nicholas and Gregory Melehov, the owners of Medstar Ambulance Inc., agreed to be jointly and severally liable for a $12.7 million settlement with their company.

The Justice Department also obtained more than $60 million in settlements and judgments with individuals under the False Claims Act that did not involve joint and several liability with the corporate entity.

After 21st Century Oncology paid $19.8 million to resolve allegations that it billed federal healthcare programs for medically unnecessary laboratory tests, Justice secured separate settlements with various individual urologists, including a $3.8 million settlement with Dr. Meir Daller, resolving allegations that the physicians referred unnecessary tests to a laboratory owned and operated by 21st Century Oncology.

Dr. Robert Windsor, a pain management physician, agreed to a $20 million consent judgment to resolve allegations that he billed a federal healthcare program for surgical monitoring services that he did not perform and for medically unnecessary diagnostic tests.

Dr. Gary Marder, owner and operator of the Allergy, Dermatology & Skin Cancer Centers in Port St. Lucie and Okeechobee, Fla., agreed to an $18 million consent judgment in connection with the performance of radiation therapy services. Joseph Bogdan, the owner of AMI Monitoring, agreed to pay $1 million to resolve liability for his alleged involvement in billing Medicare for higher and more expensive levels of cardiac monitoring services than requested by the ordering physicians. Siddhartha Pagidipati, the former CEO of Freedom Health, agreed to pay $750,000 to resolve liability for his alleged involvement in an illegal scheme to maximize payment from the Medicare Advantage program.

After the report was released, the Justice Department announced another sizable settlement. Kmart Corp. agreed to pay $32.3 million to settle allegations its pharmacies caused federal health programs to overpay for prescription drugs by not telling the government about discounted prices.

The Department of Justice announced the settlement agreement Friday. A whistleblower lawsuit alleged Kmart offered discounted prices to customers who paid in cash through club programs but didn’t report those discounts to federal health programs such as Medicare Part D and Medicaid.

The Department of Justice says the agreement is a part of a $59 million settlement that includes a resolution of state Medicaid and insurance claims against Kmart. The whistleblower will receive $9.3 million.

“Large healthcare recoveries benefit vulnerable Medicare and Medicaid beneficiaries as well as the taxpayers who support these programs,” said Daniel Levinson, HHS’ Inspector General, in a written statement.

Catgod’s Ultimate Mini Mod file

Catgod’s Ultimate Mini Mod file

At any time wished to have extra units effectively look no further.

Catgod's Ultimate Mini Mod


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