Sentences with phrase «benefits schedule review»

The George Institute welcomes a range of measures: Health Care Homes, cheaper medicines, NDIS funding, removing the Medicare freeze, tackling obesity through the Healthy Heart initiative and ensuring the highest standard of care through the Medicare Benefits Schedule Review.

The Government also announced the make - up of its Medicare Benefits Schedule Review Taskforce, and the Primary Health Care Advisory Group, which will look at primary health reform.

Hughes has briefed Indigenous Health Minister Ken Wyatt on the recommendations that have emerged from the report, which she says also provides evidence to support a Medicare Benefits Schedule Review recommendation to create a new item number to improve care for regional and remote Australians.

Not exact matches

In an FDA statement, Richard Pazdur, MD, director of the agency's Oncology Center of Excellence, said that a careful review of the new dosing regimen shows that the benefits outweigh the risk: «Mylotarg's history underscores the importance of examining alternative dosing, scheduling, and administration of therapies for patients with cancer, especially in those who may be most vulnerable to the side effects of treatment.»

Borrowers may also be eligible for discharge if they have been certified as disabled by the Social Security Administration (SSA) where the notice of award for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits indicates that the borrower's next scheduled disability review will be within 5 to 7 years.

If you are receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits, you can submit a Social Security Administration (SSA) notice of award for SSDI or SSI benefits stating that your next scheduled disability review will be within 5 to 7 years from the date of your most recent SSA disability determination, or

As a brief overview, the Management and Board have embarked upon a failed merger that garnered virtually no support from its shareholders, and was opposed by ISS, and continued on that path until the date of the special shareholders meeting and scheduled vote, spending lavishly in a failed effort to close it; attempted to implement substantial new options to itself, a plan opposed by ISS and the shareholders, which was withdrawn; continually paid itself outrageous sums of the shareholders money over the past three years; rejected highly qualified outside board members with deep, broad healthcare company experience supported by its shareholders; held many Board and Committee meetings with nothing to show for it; formed a new Strategic Transactions Committee that is highly paid but that has produced no deals for the shareholders to consider or for any outside valuation experts to formally review; spent lavishly on accountants, auditors and counsel; failed to successfully hire any outside professional negotiators and finally extinguish or remove the outstanding lease obligations; distributed no cash to the shareholders despite holding excess amounts; formed no special purpose entity to hold any royalty and milestone rights and payments for the benefit of its shareholders; and thus generally failed in its fiduciary duties to shareholders.

To schedule a free Social Security disability case review, please contact our Social Security benefits lawyer today.

Review a plan's Description of Coverage or Policy for a complete schedule of benefits and full details on coverages like Trip Interruption, Travel Delay, Missed Connection, and Baggage Delay.

If a covered Injury or Illness requires continuing Treatment after the expiration of the Policy Period, an Insured Person may receive continuing Treatment for the covered Injury or Illness for up to 6 months per Injury or Illness, subject to the following: if the Policy Period expires while the Insured Person is outside the Home Country, a covered Injury or Illness incurred while outside and prior to returning to the Home Country, and that covered Injury or Illness requires continuing Treatment, the Company will review and determine the date of initial Treatment for the covered Injury or Illness, and if such date is prior to the expiration of the Policy Period, Eligible Medical Expenses for the covered Injury or Illness will continue to be reimbursed until there has been at least the minimum number of days of continuous Treatment for the covered Injury or Illness, subject to the limits set forth in the Schedule of Benefits / Limits, and all other Terms of the insurance plan.

The only way to be sure is to schedule a free assessment, called an On Your Side Review, to make sure you're making the most of the discounts and benefits available to you.

Directing coach management — including recruiting, training, and scheduling — to promote top - flight team performances; orchestrating coaching certifications, conducting performance reviews, and determining salaries and benefits.

Front of House Coordinator — Wilson's Steakhouse — 2015 - present • Manage host staff at elegant, 12 - table upscale steakhouse • Arrange reservations received by phone, online or walk - in guests, and schedule tables in an efficient and streamlined manner based on time of day • Greet guests upon entrance and provide menu with brief overview explanation • Train host staff in reservations system, point - of - sale system, and company standards for host expectations and duties • Lead daily staff briefings and monthly staff review meetings, conduct team - building exercises, and complete quarterly performance reviews for host staff members • Coordinate logistics with dining room staff to ensure seamless guest experience • Offer rewards program to guests and explain benefits of membership; increased overall guest memberships by 15 % after six months in the position

Reviewed explanation of benefits (eob) to ensure claims were paid per fee schedule.

Some of the responsibilities for this position are: reviewing unpaid insurance claims report; identifying outstanding insurance; updating insurance / collection reminder calendar; reviewing insurance explanation of benefits for payment accuracy; insurance plan set up; update fee schedules; billing — file all insurance — primary / secondary with insurance companies; confirm pre-authorizations for treatment; and be a back - up to the front desk.

• Accurately processed payroll as well as monitored vacation / benefit accruals independently • Actively managed wage garnishments and processed termination checks • Accepted accountability for the overall teamwork and stood responsible for meeting the deadlines • Assisted HR department with compensation and benefits for payroll related tasks like processing benefits premiums, wage ceilings, long term disability claims, life insurance, group health insurance, fringe benefits, and overtime pay analysis • Assisted internal and external auditing procedures related to payroll by following company standards and policies • Monitored and reviewed complete payroll accounts for verification of accuracy and in case of any discrepancies made appropriate corrections and updates, at the end of every month • Communicated effectively with all staff responding to their requests and inquiries related to payroll information • Correctly made payroll related general ledger journal entries for each record • Created and dispersed payroll vouchers to the company employees every month on the pay day • Created benefit audits and reports for terminated / retired employees • Maintained perfect reconciliations of balance sheet accounts related to the payroll • Executed special research projects regarding payroll management and for detailed analysis of financial facets of payroll • Gave suggestions to the management for the policy and procedure updates and refreshers related to payroll management and its financial aspects • Organized and maintained outstanding payroll checks and lists in coordination with the HR department • Managed contacts and communicated regularly with all the internal and external stakeholders ensuring effective flow of information • Organized files, accounts, ledgers, records, employee books for payroll documents and other related purposes • Prepared SDLs — Salary Distribution Journals and other distribution journals every month for payroll accounts • Processed and prepared corporate payroll using Pay Expert Application, managing all paperwork for the wire transfers and generated return funds • Processed payroll changes for new hires and terminations ensuring accuracy and timeliness of the process • Proficiently used PRG (Millennium) payroll and TMx labor scheduling software applications for effective payroll management • Resolved all issues related to payroll tax payments and reported after every pay run making sure that all filings were accurately represented by the tax service provider • Reconciled tax payments for federal, state and local payroll as well as returns for multiple authorities on monthly basis.

PA Reps for staff development and growth opportunities * Plan, assign, and direct work, appraise performance, reward and discipline employees, address complaints and resolve problems within the team * Assist in the hiring process * Assist in the preparation of performance reviews * Deliver performance reviews in conjunction with the Prior Auth Manager * Meet monthly with each staff member to go over performance status * Assist with training as needed * Lead weekly Team meetings with staff to keep them informed of changes to policy and procedures and corporate communications * Meet with the Prior Authorization Management team weekly to report on clinical call center performance and personnel issues Required Qualifications: * High School Diploma or equivalent * Current and unrestricted Pharmacy Technician license * 2 years» experience supervising Pharmacy Technicians in a Call Center environment * Prior Authorization experience * Knowledge of the Pharmacy Benefit Management and / or Health Insurance * Knowledge of Call Center industry through work experience and as obtained through related courses * Proficient in Microsoft Word and Excel Preferred Qualifications: * Bachelors» Degree * PBM experience * National Pharmacy Technician Certification Required Competencies: * Must have strong leadership and problem solving skills * Strong written and verbal communication skills * Strong interpersonal skills * Ability to effectively present information and respond to questions from groups of associates, managers and clients * Ability to comprehend ACD statistical reporting and apply it to the operation of the department * Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form * Ability to maintain a high level of consistency while working with team members * Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout * Ability to understand what style of conflict resolution is best suited for a particular situation * Ability to determine the needs of each individual team member and assist them in achieving set goals * Demonstrate a clear understanding of company and client confidentiality * Excellent organizational skills * Exemplary coaching / motivational skills at both an individual and team level * Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team.

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Professional Duties & Responsibilities Served as human resource manager for eight locations throughout the Detroit area Led team of approximately 20 employees in daily store and human resource activities Recruited, trained, and reviewed staff ensuring effective, efficient, and professional operations Resolved disputes between staff members and determined appropriate remedial measures Experienced with workplace violence, team member crisis, and labor law disputes Directed corporate finances including payroll, benefits, and company / department budgets Managed employee sick time, vacation, maternity leave, and daily scheduling Implemented professional development programs resulting in increased employee value Conducted staff training in appropriate work conduct, attire, and applicable employment law Oversaw employee recognition program building team morale and dedication to company goals Significantly cut employee rollover through various team building measures Ensured that corporate accounting and human resource operations met industry best practices Oversaw multimillion dollar store inventory and loss prevention strategy Initiated, led, and closed investigations in cases of lost merchandise Performed all duties in a positive, professional, and timely manner

• Quantifiable expertise in scheduling, contract negotiation, implementation and benefit administration, including annual review and analysis.

Program Manager / Product Development, Engineering IT (04/2005 — 02/2010) • Lead Engineering IT efforts focusing on customer satisfaction, business development, and effective resource management • Oversee Data Management Program comprised of Data Warehouse and Reporting Infrastructure and Data Mart Development • Lead and facilitate technical teams in gathering requirements and creating business cases for proper initiation of proposals • Develop and Conduct ROI and Cost / Benefit analysis for the requests within the Engineering IT portfolio • Design and implement Engineering IT department daily operations, policies, procedures, and direct staff workflow • Initiate projects, employee scheduling, project timelines, and budgets • Conduct management reviews, management program / project health reporting, and staff development initiatives • Create process for streamlining projects identification and prioritization within portfolio and programs • Manage internal team status reporting and dashboard management • Lead change control board (CCB) and Failure Review Board (FRB) for effective & coordinate program operations • Serve as Service Manager and Resource Manager for the program data management ensuring effective operations • Act as technical resource for Business Objects Reporting Infrastructure and Database administration • Design, develop, and deploy application suite for Mechanical Engineering Testing Solutions (METS) utilizing Oracle Database Application Express and Oracle 10g Database.

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity

She embarked on a major project looking item by item at the services that should (or shouldn't) be publicly subsidised under the Medicare Benefits Schedule, as well as reviews into primary health care and private health insurance.

It is also to be hoped that the Medicare Benefits Schedule (MBS) Review Taskforce has come up with some good ideas for their Ministers to consider about how access to Medicare funded services in rural and remote areas can be expanded.

We'd like to get to know you and help you determine your best membership option, review the training schedule, explain your member benefits and answer all your questions.

A review of the Medicare Benefits Schedule primary care items is also being undertaken alongside development of the Primary Health Care Strategy — with a focus on reducing red tape for doctors, simplifying the Medicare schedule, and giving more support to preSchedule primary care items is also being undertaken alongside development of the Primary Health Care Strategy — with a focus on reducing red tape for doctors, simplifying the Medicare schedule, and giving more support to preschedule, and giving more support to prevention.