Sentences with phrase «reimbursement by»

Cost Shift: In health care, cost shift refers to two related phenomena — doctors and hospitals charging patients with health insurance to pay for uncompensated care provided to those without coverage, and providers charging those with private coverage more to pay for below ‐ cost reimbursement by government programs.

The program is funded by MIECHV currently but the state is working on reimbursement by Medicaid and private insurers.

In 2007, the Minnesota Board of Behavioral Health & Therapy was commissioned with the Department of Human Services and other licensing board to review the requirements for mental health practitioners to receive reimbursement by medical assistance programs.

A medical billing specialist generates bills for reimbursement by entering codes in the computer system.

For the Travel companion plan, for all expenses incurred the medical bills have to be paid upfront by the insured and the later claimed from the insurance company for reimbursement by producing required documents.

Examples of these include uninsured motorist insurance, rental car reimbursement by a major insurer, medical payments, towing and service, no - fault insurance, and DUI / DWI insurance.

Register your claim with HDFC ERGO inhouse claims services team (HCS) / Third Party Administrator (TPA) for processing and reimbursement by submitting duly filled claim form along with required documents as mentioned in the claim form.

Once your claim has been processed, you will typically receive reimbursement by check.

Costs are a financial consequence of adjudicated matters and involve a form of reimbursement by the unsuccessful party for legal fees incurred by the successful party.

These expenses are defined in the Child Support Guidelines as including: a) the costs of child care that is necessary to enable a parent to go to work or school, or is necessary because of the parent's health needs b) medical and dental insurance premiums attributable to the child c) health - related expenses for the child that exceed insurance reimbursement by at least $ 100 annually (e.g. orthodontic expenses, prescription drugs, etc.) d) extraordinary expenses for educational programs that meet the child's particular needs e) expenses for post-secondary education, and f) extraordinary expenses for extra-curricular activities.

In Texas and in every other state, you are legally entitled to reimbursement for your injury or injuries when a negligent driver is responsible, but you have to fight actively for that reimbursement by pursuing a personal injury lawsuit with a knowledgeable attorney's help.

(c) health - related expenses that exceed insurance reimbursement by at least $ 100 annually, including orthodontic treatment, professional counselling provided by a psychologist, social worker, psychiatrist or any other person, physiotherapy, occupational therapy, speech therapy and prescription drugs, hearing aids, glasses and contact lenses;

In circumstances where benefits are received prior to an election to advance a civil action, WSIB will often not commence its own separate action for reimbursement of the benefits paid, but rather, will seek reimbursement by having you advance a subrogated claim on its behalf.

Davies v. Byer, 1999 CarswellAlta 981 I represented the applicants who were the residual beneficiaries of a dependent adult's will in opposing an application to pass accounts by the Attorney for the dependent adult and in a cross-application for reimbursement by the Attorney to the estate of the dependent adult for one - half of the renovation expenses, house repairs, and maintenance.

I.G: It will relieve the pharmacies from unnecessary administrative requirements to dispense medicines subject to reimbursement by the NHIF to patients — as a result of which service will be faster and more efficient.

I received the reimbursement by direct deposit which covered 90 % of the vet / surgery bill.

From a taxation standpoint, tuition reimbursement by employers has enjoyed a tax - favored status.

What types of health benefit costs were submitted for reimbursement by participating plan sponsors?

[6] CMS identified these conditions by determining the principal diagnosis codes associated with high, aggregated paid claim amounts submitted for reimbursement by ERRP - participating plan sponsors.

The RentTrack Parties reserve the right, at their own expense subject to reimbursement by you, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you, and you shall not in any event settle any such claim or matter without the written consent of RentTrack.

The device must meet crash test criteria established by the American Association of State Highway and Transportation Officials (AASHTO)-- or it will no longer be eligible for federal reimbursement by FHWA.

[7] If the updated Identified Student Percentage is higher than previously, schools and LEAs may use the increased percentage as the basis for reimbursement by USDA.

«Clear - cut research priorities could accelerate a great many things, for instance, authorization by regulatory agencies, reimbursement by payers, implementation in clinical practice, and ultimately the development of effective treatments.»

However, they say, given that NCCN endorsement is linked to reimbursement by many commercial insurers and social insurance schemes, «our results suggest that payers may be covering cancer drugs with varying and scientifically less robust justification.»

The program is funded by MIECHV currently but the state is working on reimbursement by Medicaid and private insurers.

Reimbursement by insurance providers is not guaranteed, but filing by the client is encouraged.

lRaise the federal reimbursement by 6 cents per lunch for school districts that comply with new meals standards to be issued by the Agriculture Department.

Calculations by the nonprofit National School Boards Association suggest the guidelines could add 11 cents to 25 cents per meal; the new rules, by contrast, would raise the federal reimbursement by only 6 cents.

Meet Omada Health: With 87M consumers at risk of diabetes, 75,000 patients treated, 3 years of outcomes data, NetPromoter scores in the 90's, 70 + clients, and looming reimbursement by Medicare for its diabetes prevention online social network, Omada has «cracked the code» on integrating consumer technology, medical coaching and big data at scale.

9:45 AM — 10:05 AM Discover Why Fast Company Named Omada the Most Innovative Company of the Year Meet Omada Health: With 87M consumers at risk of diabetes, 75,000 patients treated, 3 years of outcomes data, NetPromoter scores in the 90's, 70 + clients, and looming reimbursement by Medicare for its diabetes prevention online social network, -LSB-...]

Significant portions of these distributions were not based on our investment performance and such waivers and reimbursements by NexPoint Advisors may not continue in the future.

Congress seems likely to raise federal reimbursements by a few cents — which is more than it sounds but still less than the White House requested — and tie the increase to more thorough health standards.

But, to the surprise of many school food advocates, the organization also included a request that Congress increase meal reimbursements by 35 cents.

Performance shown reflects fee waivers and / or expense reimbursements by the investment advisor to the fund for some or all of the periods shown.

The customers can only avail the reimbursements by Oct. 1 of this year; the amount that you can claim is between $ 20 and $ 1,800.

We have the ability to send claim reimbursements by check (in U.S. dollars only), wire transfer or ACH transfer.

• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials

Not exact matches

These risks and uncertainties include, among others: the unfavorable outcome of litigation, including so - called «Paragraph IV» litigation and other patent litigation, related to any of our products or products using our proprietary technologies, which may lead to competition from generic drug manufacturers; data from clinical trials may be interpreted by the FDA in different ways than we interpret it; the FDA may not agree with our regulatory approval strategies or components of our filings for our products, including our clinical trial designs, conduct and methodologies and, for ALKS 5461, evidence of efficacy and adequacy of bridging to buprenorphine; clinical development activities may not be completed on time or at all; the results of our clinical development activities may not be positive, or predictive of real - world results or of results in subsequent clinical trials; regulatory submissions may not occur or be submitted in a timely manner; the company and its licensees may not be able to continue to successfully commercialize their products; there may be a reduction in payment rate or reimbursement for the company's products or an increase in the company's financial obligations to governmental payers; the FDA or regulatory authorities outside the U.S. may make adverse decisions regarding the company's products; the company's products may prove difficult to manufacture, be precluded from commercialization by the proprietary rights of third parties, or have unintended side effects, adverse reactions or incidents of misuse; and those risks and uncertainties described under the heading «Risk Factors» in the company's most recent Annual Report on Form 10 - K and in subsequent filings made by the company with the U.S. Securities and Exchange Commission («SEC»), which are available on the SEC's website at www.sec.gov.

But given the size of Trump's expense reimbursement, it seems likely that at least some of the nearly three quarters of a million dollars that Trump was reimbursed by his company for expenses should have been included in wages.

Most states accept the mileage reimbursement amount set by the Internal Revenue Service.

In early July, Texas Governor Rick Perry, a potential 2016 candidate for president, told the U.S. House Committee on Homeland Security that he was seeking $ 500 million in reimbursement for a decade's worth of spending by the state on border security and enforcement.

Such risks, uncertainties and other factors include, without limitation: (1) the effect of economic conditions in the industries and markets in which United Technologies and Rockwell Collins operate in the U.S. and globally and any changes therein, including financial market conditions, fluctuations in commodity prices, interest rates and foreign currency exchange rates, levels of end market demand in construction and in both the commercial and defense segments of the aerospace industry, levels of air travel, financial condition of commercial airlines, the impact of weather conditions and natural disasters and the financial condition of our customers and suppliers; (2) challenges in the development, production, delivery, support, performance and realization of the anticipated benefits of advanced technologies and new products and services; (3) the scope, nature, impact or timing of acquisition and divestiture or restructuring activity, including the pending acquisition of Rockwell Collins, including among other things integration of acquired businesses into United Technologies» existing businesses and realization of synergies and opportunities for growth and innovation; (4) future timing and levels of indebtedness, including indebtedness expected to be incurred by United Technologies in connection with the pending Rockwell Collins acquisition, and capital spending and research and development spending, including in connection with the pending Rockwell Collins acquisition; (5) future availability of credit and factors that may affect such availability, including credit market conditions and our capital structure; (6) the timing and scope of future repurchases of United Technologies» common stock, which may be suspended at any time due to various factors, including market conditions and the level of other investing activities and uses of cash, including in connection with the proposed acquisition of Rockwell; (7) delays and disruption in delivery of materials and services from suppliers; (8) company and customer - directed cost reduction efforts and restructuring costs and savings and other consequences thereof; (9) new business and investment opportunities; (10) our ability to realize the intended benefits of organizational changes; (11) the anticipated benefits of diversification and balance of operations across product lines, regions and industries; (12) the outcome of legal proceedings, investigations and other contingencies; (13) pension plan assumptions and future contributions; (14) the impact of the negotiation of collective bargaining agreements and labor disputes; (15) the effect of changes in political conditions in the U.S. and other countries in which United Technologies and Rockwell Collins operate, including the effect of changes in U.S. trade policies or the U.K.'s pending withdrawal from the EU, on general market conditions, global trade policies and currency exchange rates in the near term and beyond; (16) the effect of changes in tax (including U.S. tax reform enacted on December 22, 2017, which is commonly referred to as the Tax Cuts and Jobs Act of 2017), environmental, regulatory (including among other things import / export) and other laws and regulations in the U.S. and other countries in which United Technologies and Rockwell Collins operate; (17) the ability of United Technologies and Rockwell Collins to receive the required regulatory approvals (and the risk that such approvals may result in the imposition of conditions that could adversely affect the combined company or the expected benefits of the merger) and to satisfy the other conditions to the closing of the pending acquisition on a timely basis or at all; (18) the occurrence of events that may give rise to a right of one or both of United Technologies or Rockwell Collins to terminate the merger agreement, including in circumstances that might require Rockwell Collins to pay a termination fee of $ 695 million to United Technologies or $ 50 million of expense reimbursement; (19) negative effects of the announcement or the completion of the merger on the market price of United Technologies» and / or Rockwell Collins» common stock and / or on their respective financial performance; (20) risks related to Rockwell Collins and United Technologies being restricted in their operation of their businesses while the merger agreement is in effect; (21) risks relating to the value of the United Technologies» shares to be issued in connection with the pending Rockwell acquisition, significant merger costs and / or unknown liabilities; (22) risks associated with third party contracts containing consent and / or other provisions that may be triggered by the Rockwell merger agreement; (23) risks associated with merger - related litigation or appraisal proceedings; and (24) the ability of United Technologies and Rockwell Collins, or the combined company, to retain and hire key personnel.

The goal is to remove the risk for treatment centers in purchasing, handling and waiting for reimbursement of expensive products, and to alleviate for insurers potential markup costs imposed by the treatment centers, Marrazzo said.

«According to a document obtained by Reuters, Valeant employees Bijal Patel and Gary Tanner received a November 2014 email providing guidance on ways to re-submit rejected claims to insurance companies in order to obtain higher reimbursement amounts,» said the Cummings letter.

Craig Powell is CEO of Motus, a Boston - based vehicle management and reimbursement app, which was acquired in January 2018, along with its rival Runzheimer, by Thoma Bravo, a private equity firm.

And best of all, these adventures are supported by a company travel reimbursement of up to # 557 ($ 750) per year (based on time with the company).

Medicare unveiled a new initiative Wednesday that would allow reimbursement for diabetes prevention programs to all seniors covered by the program, underlining the agency's commitment to chronic disease pArevention.

In addition, sales of our products are affected by pricing pressure, political and public scrutiny and reimbursement policies imposed by third - party payers, including governments, private insurance plans and managed care providers and may be affected by regulatory, clinical and guideline developments and domestic and international trends toward managed care and healthcare cost containment.

The administration aims to shift half of all Medicare reimbursements to alternative models like bundled payments by 2018.

Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward - looking statements include, among others, the following: our ability to successfully and profitably market our products and services; the acceptance of our products and services by patients and healthcare providers; our ability to meet demand for our products and services; the willingness of health insurance companies and other payers to cover Cologuard and adequately reimburse us for our performance of the Cologuard test; the amount and nature of competition from other cancer screening and diagnostic products and services; the effects of the adoption, modification or repeal of any healthcare reform law, rule, order, interpretation or policy; the effects of changes in pricing, coverage and reimbursement for our products and services, including without limitation as a result of the Protecting Access to Medicare Act of 2014; recommendations, guidelines and quality metrics issued by various organizations such as the U.S. Preventive Services Task Force, the American Cancer Society, and the National Committee for Quality Assurance regarding cancer screening or our products and services; our ability to successfully develop new products and services; our success establishing and maintaining collaborative, licensing and supplier arrangements; our ability to maintain regulatory approvals and comply with applicable regulations; and the other risks and uncertainties described in the Risk Factors and in Management's Discussion and Analysis of Financial Condition and Results of Operations sections of our most recently filed Annual Report on Form 10 - K and our subsequently filed Quarterly Reports on Form 10 - Q.