Sentences with phrase «providing utilization review»

A general acute care hospital in Texas resolved a Stark violation involving an arrangement with a physician to provide utilization review services that did not satisfy any applicable exception.

Not exact matches

We provide a vast wealth of knowledge through the utilization of e-newsletters, mailing lists, peer - reviewed journal articles, & books so access to information regarding school nutrition services is easy & straightforward.

We provide ongoing program utilization feedback, including monthly data reports and annual utilization reviews.

The NRC provided additional «pre-application» guidance for advanced reactor design reviews in the June 1988 NUREG - 1226, «Development and Utilization of the NRC Policy Statement on the Regulation of Advanced Nuclear Power Plants.»

Comment: One commenter said that the minimum necessary standard would be impossible to implement with respect to information provided on its standard payment claim, which, it said, was used by pharmacies for concurrent drug utilization review and that was expected to be adopted by HHS as the national pharmacy payment claim.

We also include within the definition an organized system of health care in which more than one covered entity participates, and in which the participating covered entities hold themselves out to the public as participating in a joint arrangement, and in which the joint activities of the participating covered entities include at least one of the following: utilization review, in which health care decisions by participating covered entities are reviewed by other participating covered entities or by a third party on their behalf; quality assessment and improvement activities, in which treatment provided by participating covered entities is assessed by other participating covered entities or by a third party on their behalf; or payment activities, if the financial risk for delivering health care is shared in whole or in part by participating covered entities through the joint arrangement and if protected health information created or received by a covered entity is reviewed by other participating covered entities or by a third party on their behalf for the purpose of administering the sharing of financial risk.

Once we have confirmed receipt of your request, our utilization management and review team will review the information provided and should respond to the insured person or the provider within two business days.

Once we have confirmed receipt of your request, our utilization management and review team will review the information provided and respond to the insured person or the provider within 2 business days.

Provided comprehensive Utilization Review, prospectively, concurrently or retrospectively utilizing cost containment strategies

The services that utilization review nurses provide to insurance companies, medical facilities, and patients help in keeping the healthcare industry free of any problems.

EnvisionRx, with a commitment to providing transparency and disclosure to the Pharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related services.

Participates in daily quality / clinical review of patients profiles to ensure appropriate medication utilization and provides counseling as appropriate...

Provided essential training of nursing staff and mentorship that garnered improved utilization reviews and achievement of 100 % chart audit accuracy over 3 - to 6 - month period.

Summary Summary Summary Education Care Manager / Utilization Review (Most recent position) * Worked in Critical Care 16 years as a staff RN caring for critically ill patients and supporting the patient and their families during the acute / chronic illness Provided care planning, implementation of care plan and revisions of individual patient plans * Managed ventilators / IABP / continuous IV infusions / conscience sedation / * RN Car...

Accounting and Financial Administration Professional — Duties & Responsibilities Develop and maintain a strong and extensive working knowledge of various accounting principles, regulations, tax codes, and applications, continuously applying changes to accounting landscape to current responsibilities Apply various accounting rules and procedures to critical tasks, including the review and approval of journal entries, data and financial reconciliations, balance sheet and income statement accounting, cash flow analyses, account collections, capital utilization and on - going budgetary considerations Provide relevant oversight and administration to all aspects of business finance, including billing and collections, payroll execution, vendor relationships, payroll and salary management, and other pertinent functions Perform regular book reconciliations and variance resolutions to ensure audit - ready financials and provide continuous relevant insight into the financial health of the company, in both a regular and ad - hoc manner, to company management Manage important and sensitive financial documents, receipts, and invoices on a daily basis, providing organization for audit assistance and execution as well as compliance with various accounting standards Perform analysis, research and evaluation of current accounting policies and procedures, implementing change where necessary to drive corporate efficiency, manage costs and drive revenue Facilitate the efficiency and implementation of all accounting operations from concept to execution, while coordinating actions on all daily operational and logistical aspects from corporate financial management to payroll Utilize technological resources, including software and accounting applications, to track all aspects of firm accounting and financial operations as well as prepare important and sensitive tax documents related to all aspects of organizational operations Collaborate with respect to effective communication between all departments and coordinate all daily business operations with other leadership staff and other personnel Work closely with and support senior - level management in budgeting and corporate planning strategies Address client, vendor, and management queries, resolving them in an expedited manner Assist management with various other duties as assigned to facilitate efficient administration and operations, making appropriate and effective recommendations with respect to performance optimProvide relevant oversight and administration to all aspects of business finance, including billing and collections, payroll execution, vendor relationships, payroll and salary management, and other pertinent functions Perform regular book reconciliations and variance resolutions to ensure audit - ready financials and provide continuous relevant insight into the financial health of the company, in both a regular and ad - hoc manner, to company management Manage important and sensitive financial documents, receipts, and invoices on a daily basis, providing organization for audit assistance and execution as well as compliance with various accounting standards Perform analysis, research and evaluation of current accounting policies and procedures, implementing change where necessary to drive corporate efficiency, manage costs and drive revenue Facilitate the efficiency and implementation of all accounting operations from concept to execution, while coordinating actions on all daily operational and logistical aspects from corporate financial management to payroll Utilize technological resources, including software and accounting applications, to track all aspects of firm accounting and financial operations as well as prepare important and sensitive tax documents related to all aspects of organizational operations Collaborate with respect to effective communication between all departments and coordinate all daily business operations with other leadership staff and other personnel Work closely with and support senior - level management in budgeting and corporate planning strategies Address client, vendor, and management queries, resolving them in an expedited manner Assist management with various other duties as assigned to facilitate efficient administration and operations, making appropriate and effective recommendations with respect to performance optimprovide continuous relevant insight into the financial health of the company, in both a regular and ad - hoc manner, to company management Manage important and sensitive financial documents, receipts, and invoices on a daily basis, providing organization for audit assistance and execution as well as compliance with various accounting standards Perform analysis, research and evaluation of current accounting policies and procedures, implementing change where necessary to drive corporate efficiency, manage costs and drive revenue Facilitate the efficiency and implementation of all accounting operations from concept to execution, while coordinating actions on all daily operational and logistical aspects from corporate financial management to payroll Utilize technological resources, including software and accounting applications, to track all aspects of firm accounting and financial operations as well as prepare important and sensitive tax documents related to all aspects of organizational operations Collaborate with respect to effective communication between all departments and coordinate all daily business operations with other leadership staff and other personnel Work closely with and support senior - level management in budgeting and corporate planning strategies Address client, vendor, and management queries, resolving them in an expedited manner Assist management with various other duties as assigned to facilitate efficient administration and operations, making appropriate and effective recommendations with respect to performance optimization

Media Production Management — Duties & Responsibilities Lead through example with consistent work ethic, attitude, and professionalism, coordinating news and series production operations and communicating critical and sensitive information with various anchors, producers, reporters, editors, and other relevant parties Oversee the execution of all administrative duties, including personnel coordination, story / VO / intro drafting, live shot review, information analytics / research, and various production planning and logistical concerns Collaborate in all phases of strategic planning with other members of production crew, including topic and information utilization, dissemination strategies, viewer projections, and other relevant metrics Act as a liaison between personnel, vendors, department / unit heads, and other management partners to facilitate information flow, ensure critical and timely communications, and drive operational efficiency Research, develop, and market story ideas to senior production management, providing relevant oversight and administration to all writing, editing, and production tasks, including live - shot management and cut - in production Maintain a strong working knowledge of the all services, equipment, technologies, and other relevant information, including media trends, viewer ratings, story and series development, and general news - related conditions Perform needs - based and situational assessments of policies, protocols, and procedures to improve operational efficiency, manage and optimize program viewership, and best support personnel across production team Facilitate the organization of subject interviews, production shoots, and story development to synthesize all news and series into accurate and effective production successes Identify and utilize talent among team members with the promotion of a performance - based work environment that leverages individual talents for production benefit Provide continuous assessment of production implementation methods, while furnishing oversight and guidance regarding personnel utilization, informational flow, and series organization Manage sensitive news documents, audio / video files and recordings, and information log data in a secure, organized, and professional manner Address key queries and resolve them in an expedited manner, promoting sustained operational efficiency and production success through the supervision of critical and timely problem resolution tasks