Analytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesAnthropology, Education, Sociology and Social PhenomenaInformation ScienceNamed GroupsHealth CareGeographicals
Insurance Claim ReviewInsurance Claim ReportingInsurance, HealthInsurance, AccidentInsurance CarriersInsurance CoverageHealth Systems PlansInsuranceTaiwanHealth ExpendituresInsurance, Long-Term CareHealth Care CostsUnited StatesInsurance, LifeNational Health ProgramsDatabases, FactualHealth ServicesInsurance PoolsMedically UninsuredRepublic of KoreaMedicareInsurance Selection BiasInsurance, LiabilityHospitalizationInsurance BenefitsDrug CostsRetrospective StudiesInsurance, DentalInsurance, Health, ReimbursementAmbulatory CareHealth Benefit Plans, EmployeeMedicaidInsurance, Major MedicalCohort StudiesUniversal CoverageNational Health Insurance, United StatesLogistic ModelsMalpracticeHealth Care ReformInsurance, HospitalizationHealth Insurance Portability and Accountability ActIncidenceAge FactorsState Health PlansHealth Services AccessibilityEligibility DeterminationRisk FactorsPrivate SectorInsurance, PsychiatricInsurance, Pharmaceutical ServicesFees and ChargesMedical AssistanceFinancing, PersonalInsurance, Physician ServicesInsurance, DisabilityCost SharingSocial SecurityPatient Protection and Affordable Care ActLiability, LegalTime FactorsManaged Care ProgramsHealth Insurance ExchangesChild Health ServicesWorkers' CompensationIncomeCompensation and RedressHealth Care SurveysSocioeconomic FactorsHealthcare DisparitiesPovertyState GovernmentCost ControlLegislation, FoodHealth PolicyModels, Econometric
Insurance Claim Review: Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.Insurance Claim Reporting: The design, completion, and filing of forms with the insurer.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Insurance, Accident: Insurance providing coverage for physical injury suffered as a result of unavoidable circumstances.Insurance Carriers: Organizations which assume the financial responsibility for the risks of policyholders.Insurance Coverage: Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)Health Systems Plans: Statements of goals for the delivery of health services pertaining to the Health Systems Agency service area, established under PL 93-641, and consistent with national guidelines for health planning.Insurance: Coverage by contract whereby one part indemnifies or guarantees another against loss by a specified contingency.TaiwanHealth Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Insurance, Long-Term Care: Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.United StatesInsurance, Life: Insurance providing for payment of a stipulated sum to a designated beneficiary upon death of the insured.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Insurance Pools: An organization of insurers or reinsurers through which particular types of risk are shared or pooled. The risk of high loss by a particular insurance company is transferred to the group as a whole (the insurance pool) with premiums, losses, and expenses shared in agreed amounts.Medically Uninsured: Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured.Republic of Korea: The capital is Seoul. The country, established September 9, 1948, is located on the southern part of the Korean Peninsula. Its northern border is shared with the Democratic People's Republic of Korea.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Insurance Selection Bias: Adverse or favorable selection bias exhibited by insurers or enrollees resulting in disproportionate enrollment of certain groups of people.Insurance, Liability: Insurance against loss resulting from liability for injury or damage to the persons or property of others.Hospitalization: The confinement of a patient in a hospital.Insurance Benefits: Payments or services provided under stated circumstances under the terms of an insurance policy. In prepayment programs, benefits are the services the programs will provide at defined locations and to the extent needed.Drug Costs: The amount that a health care institution or organization pays for its drugs. It is one component of the final price that is charged to the consumer (FEES, PHARMACEUTICAL or PRESCRIPTION FEES).Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Insurance, Dental: Insurance providing coverage for dental care.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Insurance, Major Medical: Insurance providing a broad range of medical services and supplies, when prescribed by a physician, whether or not the patient is hospitalized. It frequently is an extension of a basic policy and benefits will not begin until the basic policy is exhausted.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Universal Coverage: Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.National Health Insurance, United StatesLogistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Malpractice: Failure of a professional person, a physician or lawyer, to render proper services through reprehensible ignorance or negligence or through criminal intent, especially when injury or loss follows. (Random House Unabridged Dictionary, 2d ed)Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Insurance, Hospitalization: Health insurance providing benefits to cover or partly cover hospital expenses.Health Insurance Portability and Accountability Act: Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Eligibility Determination: Criteria to determine eligibility of patients for medical care programs and services.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Insurance, Psychiatric: Insurance providing benefits to cover part or all of the psychiatric care.Insurance, Pharmaceutical Services: Insurance providing for payment of services rendered by the pharmacist. Services include the preparation and distribution of medical products.Fees and Charges: Amounts charged to the patient as payer for health care services.Medical Assistance: Financing of medical care provided to public assistance recipients.Financing, Personal: Payment by individuals or their family for health care services which are not covered by a third-party payer, either insurance or medical assistance.Insurance, Physician Services: Insurance providing benefits for the costs of care by a physician which can be comprehensive or limited to surgical expenses or for care provided only in the hospital. It is frequently called "regular medical expense" or "surgical expense".Insurance, Disability: Insurance designed to compensate persons who lose wages because of illness or injury; insurance providing periodic payments that partially replace lost wages, salary, or other income when the insured is unable to work because of illness, injury, or disease. Individual and group disability insurance are two types of such coverage. (From Facts on File Dictionary of Health Care Management, 1988, p207)Cost Sharing: Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)Social Security: Government sponsored social insurance programs.Patient Protection and Affordable Care Act: An Act prohibiting a health plan from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014. It permits a restricted annual limit for plan years beginning prior to January 1, 2014. It provides that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits. The Act sets up a competitive health insurance market.Liability, Legal: Accountability and responsibility to another, enforceable by civil or criminal sanctions.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Health Insurance Exchanges: State-provided health insurance marketplaces established under the PATIENT PROTECTION AND AFFORDABLE CARE ACT.Child Health Services: Organized services to provide health care for children.Workers' Compensation: Insurance coverage providing compensation and medical benefits to individuals because of work-connected injuries or disease.Income: Revenues or receipts accruing from business enterprise, labor, or invested capital.Compensation and Redress: Payment, or other means of making amends, for a wrong or injury.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Healthcare Disparities: Differences in access to or availability of medical facilities and services.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.State Government: The level of governmental organization and function below that of the national or country-wide government.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Legislation, Food: Laws and regulations concerned with industrial processing and marketing of foods.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Models, Econometric: The application of mathematical formulas and statistical techniques to the testing and quantifying of economic theories and the solution of economic problems.

Patterns of anti-inflammatory therapy in the post-guidelines era: a retrospective claims analysis of managed care members. (1/676)

Published and widely disseminated guidelines for the care and management of asthma characterize asthma as a chronic, inflammatory disease and propose specific recommendations for therapy with inhaled anti-inflammatory medications. In a retrospective analysis of medical and pharmacy claims data of approximately 28,000 asthmatic members from five managed care settings, the dominant pattern of pharmacologic therapy that emerged was the use of bronchodilators without inhaled anti-inflammatory drug therapy. In addition, a significant proportion of asthmatic patients received no prescription drug therapy for asthma. Less than one third of asthmatic patients received any anti-inflammatory therapy and the majority of these received one or two prescriptions per year. Specialist physicians were two to three times more likely than non-specialists during a study period of 1 year to prescribe an anti-inflammatory medication, and were half as likely to have their asthmatic patients experience an emergency department or hospital event. This database analysis suggests that greater conformity with guidelines and/or access to specialist physician care for asthmatic members will lead to improved patient outcomes.  (+info)

Implications of managed care denials for pediatric inpatient care. (2/676)

With the growing penetration of managed care into the healthcare market, providers continue to experience increasing cost constraints. In this environment, it is important to track reimbursement denials and understand the managed care organization's rationale for refusal of payment. This is especially critical for providers of pediatric care, as children justifiably have unique healthcare needs and utilization patterns. We developed a system for tracking and documenting denials in our institution and found that health maintenance organizations denied claims primarily for one of three reasons: medically unnecessary care, care provided as a response to social (rather than medical) need, and provider inefficiencies. Health maintenance organization denials are also growing annually at our institutions. This knowledge can not only help providers of pediatric care more effectively negotiate future contracts, but provides an opportunity to differentiate the health needs of the pediatric patient from those of the adult. This information can be used as a basis for education, pediatric outcome studies, and guideline development--all tools that can help providers receive reasonable reimbursement for pediatric services and enable them to meet the complex health needs of children. Recommendations for action are discussed.  (+info)

Course of antidepressant treatment with tricyclic versus selective serotonin reuptake inhibitor agents: a comparison in managed care and fee-for-service environments. (3/676)

We compared course of treatment with tricyclic antidepressant drugs (TCADs) and selective serotonin reuptake inhibitors (SSRIs) to assess interactive effects of antidepressant type with payer type and patient characteristics. A nationwide sampling of adults (n = 4,252) from approximately equal numbers of health maintenance organization (HMO) and indemnity enrollees were prescribed no antidepressants for 9 months, and thereafter prescribed a TCAD or SSRI. Using a retrospective analysis of prescription claims, these cohorts of TCAD and SSRI utilizers were followed for 13 to 16 months after their initial antidepressant prescription. Outcome measures included (1) termination of antidepressant treatment before 1 month; and (2) failure to receive at least one therapeutic dose during treatment lasting 3 months or more. Rates of premature termination and subtherapeutic dosing were significantly higher for TCAD-treated than SSRI-treated patients, and for HMO than indemnity enrollees. The interaction of HMO enrollment and TCAD use was associated with particularly high rates. Excluding patients terminating in the first month, the proportions of TCAD and SSRI utilizers remaining in treatment over time were not significantly different. We conclude that SSRIs may provide advantages in treatment adherence and therapeutic dosing, particularly in environments with limited prescriber time. The first month of treatment may be especially critical in determining compliance.  (+info)

Differences in costs of treatment for foot problems between podiatrists and orthopedic surgeons. (4/676)

We examined charge data for health insurance claims paid in 1992 for persons under age 65 covered by a large California managed care plan. Charge and utilization comparisons between podiatrists and orthopedic surgeons were made for all foot care and for two specific foot problems, acquired toe deformities and bunions. Podiatrists provided over 59% of foot care services for this commercial population of 576,000 people. Podiatrists charged 12% less per individual service than orthopedists. However, podiatrists performed substantially more procedures per episode of care and treated patients for longer time periods, resulting in 43% higher total charges per episode. Hospitalization was infrequent for all providers, although podiatrists had the lowest rates. In a managed care setting in which all providers must adhere to a preestablished fee schedule, regardless of specialty, the higher utilization by podiatrists should lead to higher overall costs. In some cases, strong utilization controls could offset this effect. We do not know if the utilization difference is due to actual treatment or billing differences. Further, we were unable to determine from the claims data if one specialty had better outcomes than the other.  (+info)

The myths of emergency medical care access in the managed care era. (5/676)

In this paper, we examine the perception that emergency care is unusually expensive. We discuss the myths that have fueled the ineffective and sometimes deleterious efforts to limit access to emergency care. We demonstrate the reasons why these efforts are seriously flawed and propose alternate strategies that aim to improve outcomes, including cooperative ventures between hospitals and managed care organizations. We challenge managed care organizations and healthcare providers to collaborate and lead the drive to improve the cost and clinical effectiveness of emergency care.  (+info)

Monitoring patients with diabetes mellitus: an application of the probit model using managed care claims data. (6/676)

The primary objective of this study was to estimate the likelihood of the use of either a glycosylated hemoglobin (HbA1c) test or an eye examination, or both, among a cohort of patients diagnosed with diabetes mellitus. A secondary objective was to provide a step-by-step discussion of the applicability of an econometric model to managed care organizations. The study used medical and pharmacy claims data from a managed care organization for the calendar year 1995. A probit regression model was specified to estimate the probability of occurrence for either an HbA1c test or an eye examination among patients with insulin-dependent, non-insulin dependent, or atypical/unclassified diabetes. Data were available only for patients under 65 years of age due to data truncation for patients covered by Medicare, resulting in a study sample size of 6,841. Results indicate that age, presence of hypertension, hyperlipidemia, multiple cardiovascular comorbidities, ophthalmic disease, and combinations of multiple commonly observed comorbidities were positively correlated with the probability of either HbA1c testing or eye examination. Gender and the type of benefit plan were not statistically significant as predictors of disease monitoring. A total of 1,860 patients with diabetes mellitus were predicted by the model to have undergone one of the two monitoring procedures; but in actuality, these patients were not monitored in 1995. They could be considered as high-risk patients who were not getting recommended monitoring. The probit model shows a predictive power of 64.48%.  (+info)

Issues of medical necessity: a medical director's guide to good faith adjudication. (7/676)

The term medical necessity is difficult to define, a problem for insurers who need to clearly describe what is and is not covered in their contracts with subscribers. An unclear, vague definition of medical necessity leaves insurers vulnerable to litigation by subscribers denied care deemed medically unnecessary. To avoid lawsuits, insurers must make every effort to educate their subscribers about their medical coverage, going beyond merely providing a lengthy subscriber handbook. In decisions on medical necessity, medical directors at insurance companies play a key role. They can bolster the insurer's position in denial-of-care cases in numerous ways, including keeping meticulous records, eliminating unreasonable financial incentives, maintaining a claims denial database, and consulting with other insurers to achieve a consensus on medical necessity.  (+info)

Health-based payment and computerized patient record systems. (8/676)

Health care information technology is changing rapidly and dramatically. A small but growing number of clinicians, especially those in staff and group model HMOs and hospital-affiliated practices, are automating their patient medical records in response to pressure to improve quality and reduce costs. Computerized patient record systems in HMOs track risks, diagnoses, patterns of care, and outcomes across large populations. These systems provide access to large amounts of clinical information; as a result, they are very useful for risk-adjusted or health-based payment. The next stage of evolution in health-based payment is to switch from fee-for-service (claims) to HMO technology in calculating risk coefficients. This will occur when HMOs accumulate data sets containing records on provider-defined disease episodes, with every service linked to its appropriate disease episode for millions of patients. Computerized patient record systems support clinically meaningful risk-assessment models and protect patients and medical groups from the effects of adverse selection. They also offer significant potential for improving quality of care.  (+info)

Anesthesia Claims Processing | BCBSNDAnesthesia Claims Processing | BCBSND
If the anesthesia claim does not have a related surgical procedure code on the claim this delays the claim processing as the anesthesia claim will then cycle in the system up to three days searching for a claim with a surgical procedure on the same date of service. If a related surgical procedure claim is not found, the anesthesia claim will suspend for manual processing. During manual processing if a surgical procedure claim for the same date of service cannot be found, the anesthesia claim will be rejected. If a surgical procedure for the same date of service is found, the surgical procedure code is entered on the anesthesia claim and the anesthesia claim is then released for processing.. To help outline this process, here are the various scenarios that may occur with anesthesia claims:. ...
Anesthesia Claims Process | Getting You More of the Money Youre OwedAnesthesia Claims Process | Getting You More of the Money You're Owed
Our anesthesia claims process tightly monitors all data collection & accurately submits claims using multiple review systems to ensure the highest claims.
Clinical and economic impact of infusion reactions in patients with co by K A Foley, P F Wang et al."Clinical and economic impact of infusion reactions in patients with co" by K A Foley, P F Wang et al.
BACKGROUND: Systemic agents in cancer treatment were often associated with possible infusion reactions (IRs). This study estimated the incidence of IRs requiring medical intervention and assessed the clinical and economic impacts of IRs in patients with colorectal cancer (CRC) treated with cetuximab. PATIENTS AND METHODS: Details on patients with CRC receiving cetuximab in 2004-2006 were extracted from a large USA administrative claims database. IRs were identified based on the occurrence of outpatient treatment, emergency room (ER) visit, and/or hospitalization for hypersensitivity and allergic reactions. Multivariate regressions were used to examine potential risk factors and quantify the economic impact of IRs. RESULTS: A total of 1122 CRC patients receiving cetuximab were identified. The incidence of IRs requiring medical intervention was 8.4%. Sixty-eight percent of the patients had treatment disruptions and 34% discontinued cetuximab treatment. Mean adjusted costs were $13,863 for cetuximab
CORR Insights <sup>®</sup>: Do Claims-based Comorbidities Adequately Capture Case Mix for Surgical Site...CORR Insights <sup>®</sup>: Do Claims-based Comorbidities Adequately Capture Case Mix for Surgical Site...
TY - JOUR. T1 - CORR Insights ®. T2 - Do Claims-based Comorbidities Adequately Capture Case Mix for Surgical Site Infections?. AU - Lyman, Stephen. PY - 2015/5/1. Y1 - 2015/5/1. UR - http://www.scopus.com/inward/record.url?scp=84939943887&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84939943887&partnerID=8YFLogxK. U2 - 10.1007/s11999-015-4149-5. DO - 10.1007/s11999-015-4149-5. M3 - Article. C2 - 25627145. AN - SCOPUS:84939943887. VL - 473. SP - 1787. EP - 1788. JO - Clinical Orthopaedics and Related Research. JF - Clinical Orthopaedics and Related Research. SN - 0009-921X. IS - 5. ER - ...
Claims Processing Specialists / Medical Claims Processors in IndoreClaims Processing Specialists / Medical Claims Processors in Indore
Search results for qualified Medical Claims Processing in Indore with their contact details, addresses and location map of 1 Medical Claims Processors in Indore
Medical Claims Processing Specialits/ Medical Claims Processors in India - Starting with alphabet DMedical Claims Processing Specialits/ Medical Claims Processors in India - Starting with alphabet D
Full contact details of 0 qualified Medical Claims ProcessorsStarting with alphabet D or Search from 81 different category of specialist doctors in India
No rating reached on claim about Adan Ballesteros and cocaine blood money | PolitiFact TexasNo rating reached on claim about Adan Ballesteros and 'cocaine blood money' | PolitiFact Texas
In a campaign mailer sent out before the May 2012 Democratic primary, Libertarian-leaning super PAC Liberty for All depicted Travis County Precinct 2 Constable Adan Ballesteros as tainted by illicit funds. One side of the mailer includes two photos — one of armed men guarding a parking lot containing what looks like hundreds of packages of drugs and another of a rolled-up dollar bill, a razor blade and loose white powder. Accompanying text says: "If you knew this was happening in Travis County, would you fight to change it?" Below that, readers are pointed to cocaineconstable.com, an anti-Ballesteros website maintained ...
Patente US7676379 - System and method for automated extraction and display of past health care ... - Google PatentesPatente US7676379 - System and method for automated extraction and display of past health care ... - Google Patentes
The present invention relates to a system and method for automated extraction and display of past health care use to aid in predicting future health status. A system and method that converts raw medical and pharmacy claims data into Hierarchical Major Clinical Condition (HMCC) and Place of Treatment (POT) time-series data to facilitate the health assessment of a members total clinical conditions and aid in predicting his or her future health status. The HMCC categories are organized in body systems and likely disease progression to permit both spatio-temporal digital signal processing and the development of a dynamical learning system. Each medical and pharmacy claim of the member is mapped onto one or more HMCC/POT-time cells. At the end of mapping, multiple entries in each HMCC-time cell are accumulated with the temporal resolution determined as a function of group size and temporal fidelity required for model building.
Quality Data Codes Rejected in Error - AAPC Knowledge CenterQuality Data Codes Rejected in Error - AAPC Knowledge Center
Providers should be aware that line items containing certain quality data codes (QDCs) on claims submitted during first quarter 2009 may be rejected or ret
Successful Motions to Amend Claims at the PTAB - LexologySuccessful Motions to Amend Claims at the PTAB - Lexology
In April, the USPTO released the results of a study on claim amendments in AIA proceedings. The study showed that of 118 Motions to Amend Claims filed…
Cost of illness of common cancer types - Results of a health insurance claims data analysisCost of illness of common cancer types - Results of a health insurance claims data analysis
Damm, O., Leppert, F., & Greiner, W. (2012). Cost of illness of common cancer types - Results of a health insurance claims data analysis. Value In Health, 15(7), A417-A417. doi:10.1016/j.jval.2012.08. ...
Insurance ClaimsInsurance Claims
Let a Toledo insurance claim attorney at Lafferty, Gallagher & Scott, LLC help you sort through all the necessary paperwork involved in insurance claims. Call Toledo, Ohios attorneys at Lafferty, Gallagher & Scott, LLC at 419-241-5500 today to discuss your case.
NIH Guide: CANCER SURVEILLANCE USING HEALTH CLAIMS-BASED DATA SYSTEMNIH Guide: CANCER SURVEILLANCE USING HEALTH CLAIMS-BASED DATA SYSTEM
This PA will expire on October 2, 2003, unless reissued. CANCER SURVEILLANCE USING HEALTH CLAIMS-BASED DATA SYSTEM Release Date: October 4, 2001 PA NUMBER: PA-02-006 (see replacement PA-04-012) National Cancer Institute Agency for Health Care Quality and Research This Program Announcement (PA) replaces PA-99-015, which was published in the NIH Guide on November 12, 1998. THIS PA USES "MODULAR GRANT" AND "JUST-IN-TIME" CONCEPTS. MODULAR INSTRUCTIONS MUST BE USED FOR RESEARCH GRANT APPLICATIONS UP TO $250,000 PER YEAR. MODULAR BUDGET INSTRUCTIONS ARE PROVIDED IN SECTION C OF THE PHS 398 (REVISION 5/2001) AVAILABLE AT https://grants.nih.gov/grants/funding/phs398/phs398.html. Since AHRQ study sections require complete budget information in their review, all applications assigned, after initial submission, to AHRQ for review and funding considerations will be requested to submit detailed budget pages prior to the study section review. PURPOSE The Division of Cancer Control and Population Sciences ...
Health Insurance Claims: How Do They Work?Health Insurance Claims: How Do They Work?
One of the side effects of visiting a new doctor or a different hospital is having to fill out another of those insurance claim forms. Rather than grumble...
Crazy Pet Accidents, Pet Insurance Claims - ABC NewsCrazy Pet Accidents, Pet Insurance Claims - ABC News
This year, the Veterinary Pet Insurance Co. (VPI) invited people to vote on the most outrageous pet health insurance claims filed over the past year and the winner will be given the first annual Hambone Award.
Type 2 diabetes detection and management among insured adults | Population Health Metrics | Full TextType 2 diabetes detection and management among insured adults | Population Health Metrics | Full Text
The Centers for Disease Control and Prevention estimates that 28.9 million adults had diabetes in 2012 in the US, though many patients are undiagnosed or not managing their condition. This study provides US national and state estimates of insured adults with type 2 diabetes who are diagnosed, receiving exams and medication, managing glycemic levels, with diabetes complications, and their health expenditures. Such information can be used for benchmarking and to identify gaps in diabetes detection and management. The study combines analysis of survey data with medical claims analysis for the commercially insured, Medicare, and Medicaid populations to estimate the number of adults with diagnosed type 2 diabetes and undiagnosed diabetes by insurance type, age, and sex. Medical claims analysis used the 2012 de-identified Normative Health Information database covering a nationally representative commercially insured population, the 2011 Medicare 5% Sample, and the 2008 Medicaid Mini-Max. Among insured adults
Common factors for rejection of travel insurance claimsCommon factors for rejection of travel insurance claims
Your travel insurance claim can be denied by the insurer under certain circumstances, learn more about the common factors for claims rejection.
Shortage of labour, parts delays motor insurance claims - Times of IndiaShortage of labour, parts delays motor insurance claims - Times of India
India Business News: Chennai: Labour shortage and gaps in spare parts availability due to supply chain issues resulted in delays in settling motor insurance claims, partic.
PPT - PALLIATIVE CARE CLAIMS ANALYSIS PowerPoint Presentation - ID:1716674PPT - PALLIATIVE CARE CLAIMS ANALYSIS PowerPoint Presentation - ID:1716674
Are my PC visits being billed?. Why Not?. NO. Are they being paid?. YES. NO. Why are the claims being denied?. Billing Error?. Same Specialty or group?. Hospice Patient?. Other?. What happens with denied claims?. CLOSED. RESUBMIT. PALLIATIVE CARE CLAIMS ANALYSIS. Slideshow 1716674 by herbst
Coreg and HSRs-Updated Analysis - Full Text View - ClinicalTrials.govCoreg and HSRs-Updated Analysis - Full Text View - ClinicalTrials.gov
Derived from the LabRx database from Oct. 1st 2004 to Sep. 30th 2009. The LabRx Database (referred to in publications as the i3 InVision Data Mart) is provided by Ingenix Pharmaceutical Services, Inc. It is a comprehensive, de-identified U.S. healthcare claims database that contains the aggregated health claims experience of the covered lives managed by United Healthcare. It contains only those covered lives for which there exists a combined benefit structure including medical and prescription coverage. Overall, it is representative of the non-elderly, insurance-carrying population in the U.S., but it also contains information on several hundred thousand Managed Medicaid and Medicare Advantage members. It contains inpatient, outpatient and pharmacy claims, lab results and enrolment information on over 30.5 million lives from October 2004 through September 2009 ...
Pesquisa | Portal Regional da BVSPesquisa | Portal Regional da BVS
BACKGROUND: Wide variations exist in price and quality for health-care services, but the link between price and quality remains uncertain. OBJECTIVE: This paper used claims data from a large commercially insured population to assess the association between both procedure- and provider-level prices and complication rates for three common outpatient surgical services. DESIGN: This is a retrospective cohort study. SETTING: The study used medical claims data from commercial health plans between 2009 and 2013 for three outpatient surgical services-joint arthroscopy, cataract surgery, and colonoscopy. MAIN MEASURES: For each procedure, price was assessed as the sum of patient, employer, and insurer spending. Complications were identified using existing algorithms specific to each service. Multivariate regressions were used to risk-adjust prices and complication rates. Provider-level price and complication rates were compared by calculating standardized differences that compared provider risk-adjusted ...
Characterizing Disease Manifestations and Treatment Patterns Among Adults With Systemic Sclerosis: A Retrospective Analysis of...Characterizing Disease Manifestations and Treatment Patterns Among Adults With Systemic Sclerosis: A Retrospective Analysis of...
Characterizing Disease Manifestations and Treatment Patterns Among Adults With Systemic Sclerosis: A Retrospective Analysis of a US Healthcare Claims Population
New herbal study pours further ridicule on claims that natural health therapies are not scientifical | The Dr. Rath Health...New herbal study pours further ridicule on claims that natural health therapies are not scientifical | The Dr. Rath Health...
Hippocrates (460-370 BC), a Greek physician often referred to as the "Father of Modern Medicine", is famously believed to have recommended: "Let food be thy medicine, and medicine be thy food." However, with its now almost total reliance on the use of drugs, the practice of medicine today has essentially forgotten the age-old wisdom of these words. Worse still, at the international level, strict regulations on nutrition and health claims - such as those based on the standards and guidelines contained in the so-called Codex Alimentarius - are increasingly preventing consumers from being told the facts about the beneficial properties of foods.. Consider the results of a study published in 2016, for example, which found that a simple combination of garlic and lemon juice reduces cholesterol levels and improves blood pressure. Carried out by researchers from Iran in the form of a randomized clinical controlled trial, the study involved a total of 112 people diagnosed with moderate hyperlipidemia. A ...
Question on Claim and PaperworkQuestion on Claim and Paperwork
Hi everything. Thank you for taking the time to read this. My father is currently applying for Disability... At this point hes just waiting on a response to his application. Yesterday we received a letter saying any children under the age of 18 in the household may be eligible for help as well. Does this mean he was accepted and they are just trying to figure out the amount?
Common Travel Insurance Claims Questions Answered | Southern Cross Travel Insurance AUCommon Travel Insurance Claims Questions Answered | Southern Cross Travel Insurance AU
Do you know the difference between making a medical claim and one for lost luggage? Or how to make sure your claims process is as quick as possible? Weve answered your most common claims questions to help make the process as simple and stress-free as possible.
University of Manitoba - Human Resources - Staff Benefits - Submitting ClaimsUniversity of Manitoba - Human Resources - Staff Benefits - Submitting Claims
The HCSA pays out only on the balance remaining after all other insurance plans have paid out. That includes your basic plan, your spouses plan, and provincial plans. On the top right hand corner of the Supplementary Healthcare claim form you are asked to select whether any portion of the expense should be paid from the HCSA. It is very important that you clearly identify how you would like your expenses paid. Some things to remember about submitting your claim are:. ...
Hip Replacements - Medical Claim Legal - Legal Settlements and NewsHip Replacements - Medical Claim Legal - Legal Settlements and News
If you or a loved one had hip replacements that led to more or additional health issues Medical Claim Legal can help you get the claim you need
Six ways big data analytics can improve insurance claims processing | SASSix ways big data analytics can improve insurance claims processing | SAS
Why make analytics a part of your claims processing? Because adding analytics to the claims life cycle can deliver a measurable ROI.
A Doctor Shortage or an Uncompetitive Industry? The Government We DeserveA Doctor Shortage or an Uncompetitive Industry? The Government We Deserve
Posted: August 8, 2012 , Author: Gene Steuerle , Filed under: Columns, Health and Health Policy ,28 Comments » In their article "Doctor Shortage Likely to Worsen with Health Law," Annie Lowrey and Robert Pear report on claims of a future shortfall in the number of doctors. I was thinking about this recently when, for the first time ever, a dermatologist offered to have a nurse perform my checkup. In all likelihood, this nurse did as good a job as the doctor, perhaps even better; she certainly took more time. Im sure she got paid less, though Im not sure that costs passed along to the insurance company were any lower.. Is there really a doctor shortage? Or does the Lowrey-Pear article reveal one of the major problems with health care in this country: that if this were any normal industry or market, nurses and other providers would be competing with doctors to fill needs and provide services at a lower cost.. Despite its title, the article actually cites professionals making three different ...
Comparison of trends in sepsis incidence and coding using administrative claims versus objective clinical dataComparison of trends in sepsis incidence and coding using administrative claims versus objective clinical data
The incidence of hospitalizations with sepsis codes rose dramatically while hospitalizations with corresponding objective clinical markers remained stable or decreased. Coding for sepsis has become more inclusive, and septicemia diagnoses are increasingly being applied to patients without positive b …
Teaching Schedule - Ophthalmology CalendarTeaching Schedule - Ophthalmology Calendar
2. What the current scheme entails and how JLT can support doctors on issues on claims, SMC inquiries, other issues of concern (overseas research/ humanitarian work coverage) and impact on a doctors practice ...
Claim reviews - Health FeedbackClaim reviews - Health Feedback
the autoimmune diseases and menstrual cycle problems and fertility problems [...] and all of the other things that weve now seen are associated with the [HPV] vaccine ...
Top 10 obesity-related pet conditionsTop 10 obesity-related pet conditions
These cat and dog conditions accounted for more than 1.3 million of Nationwide pet insurance claims in 2016, a 23 percent increase from three years before.
Posts by Donna GeraghtyPosts by Donna Geraghty
Donna Geraghty and Kathleen Smith , March 14, 2016 Subrogation entitles an insurance claims entity to transfer risk by successfully recovering a paid loss from a negligent third party, the tortfeasor who caused the […]. ...
IndividualIndividual
At Allianz, we are committed in ensuring that your insurance claims is made easy every step of the way so you can continue focusing on whats truly important in your life.. ...
IndividualIndividual
At Allianz, we are committed in ensuring that your insurance claims is made easy every step of the way so you can continue focusing on whats truly important in your life.. ...
A Health Plans Investigation of Healthy Days and Chronic ConditionsA Health Plan's Investigation of Healthy Days and Chronic Conditions
Linking administrative claims to health-related quality of life measured in Healthy Days provides a new vision into the health of populations.
A Health Plans Investigation of Healthy Days and Chronic ConditionsA Health Plan's Investigation of Healthy Days and Chronic Conditions
Linking administrative claims to health-related quality of life measured in Healthy Days provides a new vision into the health of populations.
Michael Elliott bids farewell to the ONE Campaign | DevexMichael Elliott bids farewell to the ONE Campaign | Devex
After five years at the helm of the 7 million member advocacy organization, CEO Michael Elliott is stepping down. An inside look at the legacy he leaves behind - and the work he hasnt finished yet.
Micro-Stuttering And GPU Scaling In CrossFire And SLI | Toms Hardware ForumMicro-Stuttering And GPU Scaling In CrossFire And SLI | Tom's Hardware Forum
Page 3 - Seeking answers? Join the Toms Hardware community: where nearly two million members share solutions and discuss the latest tech.
Clinical and Economic Burden of Patients With Chronic Obstructive Pulmonary Disease in a Medicaid Population - Full Text View -...Clinical and Economic Burden of Patients With Chronic Obstructive Pulmonary Disease in a Medicaid Population - Full Text View -...
Reports suggest that the Medicaid population includes a higher percentage of smokers than the general population. A high prevalence of smokers in a population is likely to lead to a higher burden of chronic obstructive pulmonary disease (COPD). Few studies have evaluated the economic burden of COPD in a Medicaid population. The objective of this observational, retrospective cohort study is to estimate the economic burden of COPD in subjects with a COPD diagnosis who are enrolled in Medicaid and are receiving maintenance treatment covered by Medicaid.. Specifically, the null hypothesis for the primary outcome measure is that no difference is observed in all-cause costs between subjects with and without COPD. The test hypothesis is that there is a difference in all-cause costs between subjects with and without COPD.. Secondary outcomes to be evaluated include all-cause resource use and COPD-related costs for the COPD cohort.. The study uses a medical and pharmacy administrative claims database ...
Most recent papers with the keyword Clinical swallowing examination | Read by QxMDMost recent papers with the keyword Clinical swallowing examination | Read by QxMD
INTRODUCTION: Studies indicate similar survival and toxicity between pazopanib and sunitinib, but few have examined real-world outcomes among elderly patients with advanced renal cell carcinoma (RCC). The purpose of this retrospective claims analysis was to assess real-world overall survival (OS), healthcare resource utilization (HRU), and healthcare costs (both all-cause and associated with RCC diagnosis) among elderly advanced RCC patients starting pazopanib or sunitinib treatment. METHODS: Advanced RCC patients aged 65 years or older who started first-line treatment with pazopanib or sunitinib (index drug; the initiation date was the index date) were identified from the 100% Medicare database plus Part D linkage (January 1, 2006 to December 31, 2014 ...
Shortsville Insurance Claims Lawyers - Compare Top Insurance Claims Attorneys in Shortsville, New York - JustiaShortsville Insurance Claims Lawyers - Compare Top Insurance Claims Attorneys in Shortsville, New York - Justia
Compare insurance claims attorneys serving Shortsville, New York on Justia. Comprehensive profiles including fees, education, jurisdictions, awards, publications and social media.
Clovis Insurance Claims Lawyers - Compare Top Insurance Claims Attorneys in Clovis, California - JustiaClovis Insurance Claims Lawyers - Compare Top Insurance Claims Attorneys in Clovis, California - Justia
Compare insurance claims attorneys serving Clovis, California on Justia. Comprehensive profiles including fees, education, jurisdictions, awards, publications and social media.
Impact of using Using Electronic Health Record (EHR) or Administrative Healthcare Claims Data for time to last treatment...Impact of using Using Electronic Health Record (EHR) or Administrative Healthcare Claims Data for time to last treatment...
To explore the impact of using different data sources and definitions for time to last treatment administration (TTLA) of Trastuzumab Emtansine (T-DM1)
Liability related to peripheral venous and arterial catheterization: a closed claims analysis. - PubMed - NCBILiability related to peripheral venous and arterial catheterization: a closed claims analysis. - PubMed - NCBI
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
Shireman, TheresaShireman, Theresa
Theresa Shireman is a health services researcher who specializes in pharmacoepidemiology and health economic evaluations. Significant research achievements include contributions to understanding how medications are used and to what effect in people who are on chronic dialysis, development of a novel methodology to tracking medication exposure over time, development of a bleeding risk prediction model for warfarin in older adult patients with atrial fibrillation, and health economic evaluations of expensive therapeutic agents. In addition, she has managed numerous contracts with the State Medicaid agencies evaluating pharmaceutical use in children with disabilities and other vulnerable populations, examining the quality of diabetes care for people with disabilities, and creating a claims-based algorithm to distinguish between important subgroups of individuals with disabilities. She currently has a grant with the National MS Society to examine the role of Medicaid-funded home- and community-based ...
Insurance Claim for Bone Marrow Transplant DeniedInsurance Claim for Bone Marrow Transplant Denied
A patient in need of chemotherapy, radiation and a bone marrow transplant had her insurance claim denied by TD Banks insurance arm.
Critical Illness Insurance Claims<...Critical Illness Insurance Claims<...
Get the benefits you deserve from your critical illness insurance claim, so that you can focus on recovery. Call Horowitz Injury Law today.
Critical Illness Insurance Claims | Futerman Partners LLPCritical Illness Insurance Claims | Futerman Partners LLP
Get the benefits you deserve from your critical illness insurance claim, so that you can focus on recovery. Call Futerman Partners LLP today!
Broken Wrist Insurance Claim - Accident Advice HelplineBroken Wrist Insurance Claim - Accident Advice Helpline
A broken wrist insurance claim may not result in a payout so make a compensation claim with Accident Advice Helpline if you feel you should be compensated.
10 Most Expensive Cat Health Insurance Claims | Webvet10 Most Expensive Cat Health Insurance Claims | Webvet
Few of us consider that treatment for a single pet-health incident or condition can cost $1,000 or more -- a reason many cat owners give for surrendering their pets to shelters.
Trends in anesthesia-related liability and lessons learned. | PSNetTrends in anesthesia-related liability and lessons learned. | PSNet
Closed claim analysis can identify care problems and inform improvement strategies. This review examined closed claims for anesthesia and identified types of injuries experienced by patients receiving anesthesia.
Ubisoft backtracks on claims it lowered AC: Unity resolution on PS4 to achieve Xbox One parity | MCV/DEVELOPUbisoft backtracks on claims it lowered AC: Unity resolution on PS4 to achieve Xbox One parity | MCV/DEVELOP
A developer working on Assassins Creed: Unity has said that the game has been made to run at a reduced resolution of 900p on PS4 to keep it in line with | MCV/DEVELOP
Plus itPlus it
The medical expenditures associated with diabetes in general and by diabetes treatment mode among U.S. youth are less known. Using administrative claims data from ,3 million youth, we estimated that the excess mean total medical expenditure associated with diabetes among youth was $7,593 per year. Estimated mean annual total medical expenditures were $9,333 for ITDM youth and $5,683 for NITDM youth, an excess of $3,650 for those with ITDM. Our ITDM group included all youth with type 1 diabetes but probably also some with type 2. Youth with NITDM most likely have type 2 diabetes (4,22-25), therefore, our estimated medical expenditures for NITDM youth likely represent a lower bound for youth with type 2 diabetes receiving medications in the U.S.. We found that excess expenditures on prescription drugs contributed the most to the total excess medical expenditures associated with diabetes in youth. This contrasts with findings for the entire diabetic population, where hospitalization or inpatient ...
Applying PQ Measurements to Predictive Maintenance | Electrical Construction & Maintenance (EC&M) MagazineApplying PQ Measurements to Predictive Maintenance | Electrical Construction & Maintenance (EC&M) Magazine
When it comes to predictive maintenance (PdM) on electrical equipment, the numbers dont lie. According to insurance claims data in NFPA 70B-2006, Recommended Practice for Electrical Equipment Maintenance, roughly half of the cost associated with electrical failures could be prevented by regular maintenance. Another study published in IEEE 493-1997, Recommended Practice for the Design of Reliable
Use of Imaging Technology Skyrockets ( But study questions if MRIs CT scans ...)Use of Imaging Technology Skyrockets ( But study questions if MRIs CT scans ...)
Health,...But study questions if MRIs CT scans are always worth the cost ...MONDAY Nov. 10 (HealthDay News) -- The use of MRI and CT scanners in ...The researchers analyzed Medicare claims data and found that the numbe...Each new CT scanner led to an additional 2224 CT procedures per year...,Use,of,Imaging,Technology,Skyrockets,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
Patient Health Image & Photo (Free Trial) | BigstockPatient Health Image & Photo (Free Trial) | Bigstock
Download high-quality Patient health insurance claim form doctor nurse images, illustrations and vectors perfectly priced to fit your projects budget.
US federal appeals court rules that private technology conglomerates are not bound by First Amendment - World Socialist Web SiteUS federal appeals court rules that private technology conglomerates are not bound by First Amendment - World Socialist Web Site
A federal appeals court in California upheld the dismissal of a 2017 lawsuit brought by the right-wing video publisher PragerU based on claims that YouTube was biased and was violating First Amendment freedoms.
567 F2d 854 Ramirez v. United States | OpenJurist567 F2d 854 Ramirez v. United States | OpenJurist
4. The Federal Tort Claims Act confers jurisdiction on the federal courts over "civil actions on claims against the United States, for money damages . . . for . . . personal injury or death caused by the negligent or wrongful act or omission of any employee of the Government while acting within the scope of his office or employment, under the circumstances where the United States, if a private person, would be liable to the claimant in accordance with the law of the place where the act or omission occurred." 28 U.S.C. § 1346(b). Certain specified torts are excluded from coverage, however. The exclusion provisions are found in 28 U.S.C. § 2680, which provides: "Section 1346(b) of this title shall not apply to . . . (h) Any claim arising out of assault, battery, false imprisonment, false arrest, malicious prosecution, abuse of process, libel, slander, misrepresentation, deceit, or interference with contract rights." (emphasis added). Questions of interpretation under the exclusion provisions are ...
Asbestos FAQsAsbestos FAQ's
Scale of disease including trends. An upward trend in the annual number of cases assessed for disablement benefit occurred during the 1990s but with more stable numbers of around 400 per year since 2003. The larger numbers of assessed cases in recent years may be connected with the admission of unilateral cases of disease (i.e. cases where only one lung is affected) from April 1997. Previously, Department for Work and Pensions regulations limited compensation to cases of bilateral disease, where both lungs are affected. In April 2002 a new method of collecting statistical information on claims and assessments was introduced, making the data more accurate. The large increase in cases in 2002 (380 cases compared 290 in 2001) is likely to be at least partly because of this rather than a true rise in claims. In addition the figures from April 2002 onwards include assessments where the claimant has been found to be suffering, but where there has been no loss of faculty.. The numbers of cases of ...
Product of the week: Provider-Based Clinics and Departments: Impact of OPPS 2014 Rule on Data Collection, Coding, and Billing -...Product of the week: Provider-Based Clinics and Departments: Impact of OPPS 2014 Rule on Data Collection, Coding, and Billing -...
Join Kimberly A. Hoy Baker, JD, at 1 p.m. Eastern, Friday, April 25, for this 90-minute webcast to learn about current requirements to gain provider-based status as well as how to properly apply modifiers on claims.
Discoveries in Health Policy: The Impact of PAMA on Molecular Codes Currently Unpriced by CMSDiscoveries in Health Policy: The Impact of PAMA on Molecular Codes Currently Unpriced by CMS
Another route to that result would be if MolDX continues to apply its rule that "any claim with 2 or more genetic tests becomes a panel," to be submitted with an unlisted code 81479 and a Z code. Since its increasingly rare that genetic tests occur at only 1 per patient, fewer and fewer claims under the large MolDX policy system would show specific CPT codes in national databases since the claims would be viewed as "panel" of 2 or more genes. [The MolDX concept that 2 or more genes constitute a panel for coding purposes is inconsistent with AMA CPT Coding Assistant guidance in August 2016, which instructed that all CPT-coded genes (or Tier 2 codes) should be individually listed on claims, and in Tier 2 multiples when needed ...
Revved-up ReportingRevved-up Reporting
As federal quality reporting mandates and noncompliance penalties add up, experts say registries can help take the sting out of the process and rev up quality improvement for physician practices. The online reporting tool is also taking a front seat over claims-based reporting as Medicare signals its plans to eventually phase out that less efficient and less clinically accurate option.
Despite Law, Health Plans Refuse Medical Claims Related To Suicide | KPBSDespite Law, Health Plans Refuse Medical Claims Related To Suicide | KPBS
Dealing with the aftermath of a suicide or attempted suicide is stressful enough. But some health plans make a harrowing experience worse by refusing to cover medical costs for injuries that are related to suicide, even though the federal health law doesnt allow such exclusions, legal and government analysts say.
Farks Drew Curtis Explains How To Beat A Patent Troll (And Live To Tell The Tale) | TechdirtFark's Drew Curtis Explains How To Beat A Patent Troll (And Live To Tell The Tale) | Techdirt
A few years ago, we wrote about a patent troll known as Gooseberry Natural Resources LLC who claimed to hold a patent (US Patent 6,370,535) which it believed broadly covered putting press releases online. It then sued a ton of companies, including Fark, Reddit, Slashdot, Digg, TechCrunch and others. While most of the companies played into Gooseberrys hands and "settled" along with the standard non-disclosure agreement (NDA), we pointed out that Drew Curtis at Fark stood his ground, and got Gooseberry to settle for nothing and (even better) to agree to no NDA -- meaning hed be free to talk about it. This is important, because trolls rely on claims that they "settled" with others to insist that other companies recognize the validity of their patent. This isnt true. Many (perhaps most) companies settle because even if you were to win, its usually cheaper to settle than to go through with the lawsuit ...
IBM MarketScan Inpatient View and Outpatient View - Overview - SingaporeIBM MarketScan Inpatient View and Outpatient View - Overview - Singapore
IBM MarketScan Inpatient View and Outpatient View enable you to estimate market demand for your drug or device, uncover new opportunities, and understand payer and practice trends that may affect market performance.
Personal injury solicitor in Burnley - Accident Advice HelplinePersonal injury solicitor in Burnley - Accident Advice Helpline
A personal injury solicitor in Burnley could help you but, with a time limit on claims, you could spend time searching for the right solicitor or firm.
Higher healthcare costs: Consider less obvious factors too, Letters in Print News & Top Stories - The Straits TimesHigher healthcare costs: Consider less obvious factors too, Letters in Print News & Top Stories - The Straits Times
The ongoing debate on containing the spiralling cost of healthcare seems to have reached a conclusion - minimising consumption of medical services will produce fewer insurance claims and, hence, premiums will not rise so much that consumers end up bearing the brunt.. Read more at straitstimes.com.
Medicaid Claims and NDCs !!!!!Medicaid Claims and NDC's !!!!!
As Im sure lots of you would agree, Medicaid is pretty inconsistent with processing those HCPCS that require the NDC on the claim. I guess I just wou
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Disclaimer: The content on this website and descriptions of products herein are not intended to provide any professional advice, or medical advice, or medical claims. This website is for educational purposes only. The owner of this website (Crystal Tripp) is not a medical provider. Neither the owner, nor the publisher of this site are liable for any misconception or misuse of the information or products provided in which lead to bad results. This information is not intended to diagnose, cure, or prevent any disease. Consult a physician with any concerns. Keep all products out of reach of children! Do not use products if taking medications or chronically ill. Do not use if pregnant. Neither this website nor the information contained herein has been approved by the Food and Drug Administration. The names of products herein are not medical claims or medical advice. Always perform your own research to understand these products and their effects before use. Always use herbal products wisely and with ...
Streptococcus SupportStreptococcus Support
Disclaimer: The content on this website and descriptions of products herein are not intended to provide any professional advice, or medical advice, or medical claims. This website is for educational purposes only. The owner of this website (Crystal Tripp) is not a medical provider. Neither the owner, nor the publisher of this site are liable for any misconception or misuse of the information or products provided in which lead to bad results. This information is not intended to diagnose, cure, or prevent any disease. Consult a physician with any concerns. Keep all products out of reach of children! Do not use products if taking medications or chronically ill. Do not use if pregnant. Neither this website nor the information contained herein has been approved by the Food and Drug Administration. The names of products herein are not medical claims or medical advice. Always perform your own research to understand these products and their effects before use. Always use herbal products wisely and with ...
Quayside Medical CentreQuayside Medical Centre
The practices offer a number of private services that include insurance claims, medicals, access to records and non NHS travel vaccinations. As these are private services and are not covered by the. NHS a cost will be incurred (see price list below). The practice asks for these charges to be paid in cash on/or prior to the provision of the service. If the GP has agreed to complete documentation for you, please phone the practice and confirm this is ready for collection before you come to the surgery.. Please be aware private services may take some time to complete as we need to ensure our NHS work takes priority ...
Health official doubts ghost dialysis whistleblowers masterminded scam | ABS-CBN NewsHealth official doubts 'ghost dialysis' whistleblowers masterminded scam | ABS-CBN News
Whistleblowers of the ghost dialysis scam could not have masterminded the filing of fraudulent insurance claims made by a dialysis center in Quezon City, a Health official said Friday.
Research ELISA (Enzyme-Linked Immunosorbent Assay) Markets 2016-2024 - Global Strategic Business Report 2017 - Research and...Research ELISA (Enzyme-Linked Immunosorbent Assay) Markets 2016-2024 - Global Strategic Business Report 2017 - Research and...
Senen Garcia operates SG Law Group LLP a thriving law practice in multiple states assisting clients with their corporate, real estate, estate planning, and property insurance claim needs ...
Related Occupations for TaskRelated Occupations for Task
Perform a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, or operating office machines ...
Caravan User Payload - Is Your Caravan Overweight?Caravan User Payload - Is Your Caravan Overweight?
Do you understand the legal user payload of your caravan? Making sure your within the user payload limit of your caravan also affects insurance claims.
Return to Work Matters - The surprising incidence of pain in young adultsReturn to Work Matters - The surprising incidence of pain in young adults
Best-practice tips, tools and training resources for RTW Coordinators, Rehabilitation and injury managers, and insurance claims agents.
Returning to a property after a flood - Gocompare.comReturning to a property after a flood - Gocompare.com
If your propertys been hit by flooding, find out more about the next steps with regard to recovery, repair and home insurance claims.
KiwiSaver Series Part One - NZ Herald VideoKiwiSaver Series Part One - NZ Herald Video
With nearly two million members and $12.8 billion invested in KiwiSaver, nzherald.co.nz is launching a four-part video series about the retirement savings s
KiwiSaver Series Part Four - NZ Herald VideoKiwiSaver Series Part Four - NZ Herald Video
With nearly two million members and $12.8 billion invested in KiwiSaver, nzherald.co.nz is launching a four-part video series about the retirement savings s
AutoChess: August 2016AutoChess: August 2016
DISCLAIMER: The information on this website is not medical science or medical advice. This information is not backed up by scientific evidence. This is just for your information. This information and these products have not been evaluated by the FDA. These products and information are not intended to diagnose, treat, cure or prevent any disease, disorder, pain, injury, deformity, or physical or mental condition. Results are not typical. Individual results may vary. Because every persons situation is different , the author of this article will not be held responsible for any negative results which come from reading or acting upon the information in this article. Use at your own risk. We make no medical claims for any products, nor do we sell them or offer them for the treatment for any ailment. ...
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Vandalism and Theft Damage Insurance Claim LawyersVandalism and Theft Damage Insurance Claim Lawyers
Insurance Claims Representative Job DescriptionInsurance Claims Representative Job Description
Consumers Guide to Filing a Health Insurance Claim - Insurance QuotesConsumer's Guide to Filing a Health Insurance Claim - Insurance Quotes
Submission for OMB Review; Comment Request | Occupational Safety and Health AdministrationSubmission for OMB Review; Comment Request | Occupational Safety and Health Administration
Health Insurance Claims: How Do They Work?Health Insurance Claims: How Do They Work?
Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Reproductive-Aged Women with Private Employer...Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Reproductive-Aged Women with Private Employer...
Antidepressant Prescription Claims Among Reproductive-Aged Women With Private Employer-Sponsored Insurance - United States 2008...Antidepressant Prescription Claims Among Reproductive-Aged Women With Private Employer-Sponsored Insurance - United States 2008...
Tricks, Treats, and Safety: Prevent a Halloween Insurance Claim! - InsuranceHotline.com Tricks, Treats, and Safety: Prevent a Halloween Insurance Claim! - InsuranceHotline.com
Long-Term-Care Insurance for Less | KiplingerLong-Term-Care Insurance for Less | Kiplinger
INFORMS Annual Meeting | Cambridge University PressINFORMS Annual Meeting | Cambridge University Press
Bachelier World Congress | Cambridge University PressBachelier World Congress | Cambridge University Press
New York Court upholds Hartford Insurance Companys denial of disability benefits but denies $86,000 overpayment claimNew York Court upholds Hartford Insurance Company's denial of disability benefits but denies $86,000 overpayment claim
Stroke Disability Claim Help from Disability Insurance LawyersStroke Disability Claim Help from Disability Insurance Lawyers
Southern Oak Insurance Review | Kin InsuranceSouthern Oak Insurance Review | Kin Insurance
Santander travel insurance review - Which?Santander travel insurance review - Which?
BBB Business Profile | Health Insurance Professionals, LLCBBB Business Profile | Health Insurance Professionals, LLC
BBB Business Profile | Miller & Associates Health Insurance IncBBB Business Profile | Miller & Associates Health Insurance Inc
43-9041.01 - Insurance Claims Clerks43-9041.01 - Insurance Claims Clerks
Analytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesAnthropology, Education, Sociology and Social PhenomenaInformation ScienceNamed GroupsHealth CareGeographicals
Insurance Claim ReviewInsurance Claim ReportingInsurance, HealthInsurance, AccidentInsurance CarriersInsurance CoverageHealth Systems PlansInsuranceTaiwanHealth ExpendituresInsurance, Long-Term CareHealth Care CostsUnited StatesInsurance, LifeNational Health ProgramsDatabases, FactualHealth ServicesInsurance PoolsMedically UninsuredRepublic of KoreaMedicareInsurance Selection BiasInsurance, LiabilityHospitalizationInsurance BenefitsDrug CostsRetrospective StudiesInsurance, DentalInsurance, Health, ReimbursementAmbulatory CareHealth Benefit Plans, EmployeeMedicaidInsurance, Major MedicalCohort StudiesUniversal CoverageNational Health Insurance, United StatesLogistic ModelsMalpracticeHealth Care ReformInsurance, HospitalizationHealth Insurance Portability and Accountability ActIncidenceAge FactorsState Health PlansHealth Services AccessibilityEligibility DeterminationRisk FactorsPrivate SectorInsurance, PsychiatricInsurance, Pharmaceutical ServicesFees and ChargesMedical AssistanceFinancing, PersonalInsurance, Physician ServicesInsurance, DisabilityCost SharingSocial SecurityPatient Protection and Affordable Care ActLiability, LegalTime FactorsManaged Care ProgramsHealth Insurance ExchangesChild Health ServicesWorkers' CompensationIncomeCompensation and RedressHealth Care SurveysSocioeconomic FactorsHealthcare DisparitiesPovertyState GovernmentCost ControlLegislation, FoodHealth PolicyModels, Econometric
2018InsurerCompany'sCoverageLiabilityCompany2019Disability InsuranceComplaintsSkipPolicyPremiumsCompaniesPolicyholderReimbursementLawyersAttorneysPolicyholdersMedical MalpracticeDenialSettlementCashlessLitigationPaperworkInvestigationHealth Insurance ClaimComparesPoliciesEmbrace Pet InsuranceProcessWorker's CompensationMakeYearsBusinessExperienceInjuryExpensesInjuriesAppealsAdjusterSettlementsAccidentCalculateProcedureHomeowners insuranceFile a claimEmployerEligibilityRoutineInsurersFraudulent claimsBillsService RepresentativeDamagesPaymentsRenters insuranceMaximize the valueFindDisputesLossesProvideNegative Reviews
20181
Insurer20
Company's5
Coverage51
Liability8
Company65
20192
Disability Insurance12
Complaints5
Skip1
Policy24
Premiums9
Companies32
Policyholder2
Reimbursement6
Lawyers3
Attorneys4
Policyholders4
Medical Malpractice3
Denial2
Settlement5
Cashless2
Litigation3
  • As a law clerk/staff attorney, Brent worked on matters ranging from death penalty cases to will contests, business litigation, and property claims. (justia.com)
  • In-house counsel also provide a unique and integral commercial perspective to litigation counsel defending claims that arise against the corporation. (straffordpub.com)
  • Having an understanding of potential litigation risks at the negotiation stage can help counsel facilitate claims resolution and potentially reduce costs. (straffordpub.com)
Paperwork4
  • Patients with Preferred Provider Organizations (PPOs) that use an out-of-network provider will likely need to file their own claims paperwork. (insurancequotes.org)
  • The Department of Labor (DOL) has submitted the following public information collection requests (ICRs) to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995 (Pub. (osha.gov)
  • 1. Review all the paperwork regarding the case immediately, making sure you understand every aspect. (bankrate.com)
  • After verifying with my veterinarian I had a valid claim and filling out all the appropriate paperwork. (consumeraffairs.com)
Investigation3
Health Insurance Claim2
Compares1
Policies8
Embrace Pet Insurance2
Process15
Worker's Compensation1
Make24
Years10
  • The years that I have paid into the insurance plan has turned out to be a complete waste of money and time. (complaintsboard.com)
  • During 2008-2013, approximately 15% of a convenience sample of reproductive-aged women (aged 15-44 years) with employer-sponsored insurance filled a prescription for antidepressants. (cdc.gov)
  • To understand trends among women of reproductive age, CDC used Truven Health's MarketScan Commercial Claims and Encounters data* to estimate the number of antidepressant prescriptions filled by women aged 15-44 years with private employer-sponsored insurance. (cdc.gov)
  • Patients (N = 93,604) were health plan members aged 6-56 years with at least 2 years of enrollment between July 1, 2003, and June 30, 2007, an asthma diagnosis, and at least 1 asthma medication claim per study year. (nih.gov)
  • Two years of administrative claims were collected. (nih.gov)
  • mean age at the time of SPI claim submission was 47 years, and the mean duration of BZD treatment was 11.7 years. (nih.gov)
  • Have been paying travel insurance for the reassurance it provided for years of holidays, but never again with Tick. (comparetravelinsurance.com.au)
  • Good2Go Mature Age Travel Insurance is available and valid only for travellers aged 70 years and over at the date of departure. (good2gotravelinsurance.com.au)
  • I had this insurance for the last 2 years for my dog, it was offered as part of my work health plan, so I thought it would be great to have in case anything ever happened. (consumeraffairs.com)
  • Pros who have not received a review in the last three years do not have a rating displayed. (angieslist.com)
Business8
Experience6
Injury10
Expenses6
Injuries4
Appeals2
Adjuster1
Settlements1
Accident7
Calculate2
Procedure2
Homeowners insurance5
File a claim7
Employer1
  • CDC used Truven Health's 2008-2013 MarketScan Commercial Claims and Encounters databases, a large convenience sample of employed persons and their dependents with private employer-sponsored insurance, to assess outpatient prescription drug claims for antidepressants. (cdc.gov)
Eligibility1
Routine1
Insurers6
  • When denying claims, there is a specific timetable that insurers must stick to. (insurancequotes.org)
  • They're also dogging insurers to treat claims fairly. (kiplinger.com)
  • Fraudulent claims account for a significant portion of all claims received by insurers, and cost billions of dollars annually. (wikipedia.org)
  • The best that can be done is to provide an estimate for the losses that insurers suffer due to insurance fraud. (wikipedia.org)
  • According to some consumer advocates, some insurers have turned the contestable period into a "gotcha period," taking advantage of every possible flaw, error, misstatement or omission to reject a beneficiary's claim to death benefits. (weitzlux.com)
  • Although state laws limit exclusions, life insurers may use specific wording or particular terms ambiguously and then later interpret that language in their favor to deny a claim. (weitzlux.com)
Fraudulent claims1
  • However, the sector is negatively affected by the high rate of fraudulent claims.Objectives. (who.int)
Bills2
Service Representative5
  • Our office located in Sugar Land, TX is seeking an Associate Claims Service Representative . (indeed.com)
  • Farmers Insurance Agency in Kingwood/Humble is seeking a Customer Service Representative (CSR)/Agency Producer (AP) to become a part of our growing team. (indeed.com)
  • As an Insurance Customer Service Representative , you will be responsible for auto, home and Life insurance production. (indeed.com)
  • Complete formal training program for consideration of advancement to Customer Service Representative , Claim. (indeed.com)
  • Oakdale Group LLC is looking for an Insurance Customer Service Representative to join our team! (indeed.com)
Damages2
Payments2
Renters insurance3
Maximize the value1
Find9
Disputes2
Losses3
  • Valuables Plus ® 1 insurance may cover items such as jewelry, watches, antiques and fine art in the event of covered losses, including theft . (nationwide.com)
  • According to the catastrophe modeling firm AIR Worldwide, Tropical Storm Isaac might cost the insurance industry as much as $2 billion in losses without adding in the cost of flooding damage. (dmillerlaw.com)
  • Damage: Without damage (losses which may be pecuniary or emotional), there is no basis for a claim, regardless of whether the medical provider was negligent. (wikipedia.org)
Provide6
  • The more evidence you can provide to strengthen your claim, the better your chances of being compensated. (forthepeople.com)
  • Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. (onetonline.org)
  • The bureau provides a number of consumer guides to provide you with information about various kinds of insurance. (maine.gov)
  • Busy SANDY SPRINGS pediatric psychology office has an immediate opening for a full time front office administrative assistant who will also provide insurance. (indeed.com)
  • When you purchase life insurance, you may feel some degree of comfort knowing that you've made a caring, conscientious decision to provide for your family after your death. (weitzlux.com)
  • Motor Insurance World will once again provide a one-stop shop for all things motor. (postonline.co.uk)
Negative Reviews1
  • The Customer Review Rating percentages are based on the total number of positive, neutral, and negative reviews posted. (bbb.org)
INFORMS Annual Meeting | Cambridge University Press
INFORMS Annual Meeting | Cambridge University Press (cambridge.org)
Bachelier World Congress | Cambridge University Press
Bachelier World Congress | Cambridge University Press (cambridge.org)
Institute of Mathematical Statistics | Cambridge University Press
Institute of Mathematical Statistics | Cambridge University Press (cambridge.org)
Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Reproductive-Aged Women with Private Employer...
Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Reproductive-Aged Women with Private Employer... (cdc.gov)
The distributional impact of a green payment policy for organic fruit.
The distributional impact of a green payment policy for organic fruit. (bioportfolio.com)
Insurance application Jobs, Employment | Freelancer
Insurance application Jobs, Employment | Freelancer (freelancer.com)
GPs to review 260,000 patients as full scale of CV risk calculator error revealed | News Article | Pulse Today
GPs to review 260,000 patients as full scale of CV risk calculator error revealed | News Article | Pulse Today (pulsetoday.co.uk)
Top 347 Reviews and Complaints about Unum Insurance Company
Top 347 Reviews and Complaints about Unum Insurance Company (consumeraffairs.com)
Southern Oak Insurance Review | Kin Insurance
Southern Oak Insurance Review | Kin Insurance (kin.com)
Dog Insurance Plans & Coverage - Protect your Dog | Embrace
Dog Insurance Plans & Coverage - Protect your Dog | Embrace (embracepetinsurance.com)
Hurricane Isaac Insurance Claims | D. Miller & Associates
Hurricane Isaac Insurance Claims | D. Miller & Associates (dmillerlaw.com)
Appendix D: Study Designs for the Safety Evaluation of Different Childhood Immunization Schedules--Martin Kulldorff | The...
Appendix D: Study Designs for the Safety Evaluation of Different Childhood Immunization Schedules--Martin Kulldorff | The... (nap.edu)
Cumberland Advisors Week in Review (Sept 07, 2020 - Sept 11, 2020) - Cumberland Advisors
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Travel Insurance Reviews and Ratings on InsureMyTrip p.5
Travel Insurance Reviews and Ratings on InsureMyTrip p.5 (insuremytrip.com)
Hospital Cash Plan Insurance - Aviva
Hospital Cash Plan Insurance - Aviva (aviva.co.uk)
Expert Witness And Consultant Inquiries And Referrals
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Toxicology Expert Witness Richard Stripp
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Woolworths Pet Insurance (page 2) | ProductReview.com.au
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NAB Travel Insurance | ProductReview.com.au
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Claims Examiner Job Description - BestJobDescriptions.com | BestJobDescriptions.com
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Unlicensed staff passing medication | allnurses
Unlicensed staff passing medication | allnurses (allnurses.com)
Fighting your health insurance company
Fighting your health insurance company (bankrate.com)
McKesson to Present at the 38th Annual J.P. Morgan Healthcare Conference: Will Provide Company Overview and Review Updated...
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Substance Abuse EMR Software
Substance Abuse EMR Software (softwareadvice.com)
James S. Carter | Blank Rome LLP
James S. Carter | Blank Rome LLP (blankrome.com)
Middletown, CT
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Healthcare Fraud Detection Market Unbelievable Growth| IBM, Northrop Grumman, LexisNexis, Pondera Solutions | Medgadget
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