Not exact matches
Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage
medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health
care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals
required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger; effects on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.cigna.com as well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.express-scripts.com.
The current system
requires that getting help
caring for a profoundly impaired child is completely dependent on being able to blame a
medical provider for the impairment.
Cardiac arrest treatment is a community issue,
requiring a wide range of people to be prepared to act, including bystanders, family members, first responders, emergency
medical personnel, and health
care providers.»
Ongoing
care may also
require visits with a range of health
care providers — including dentists, counselors, and other
medical specialists — to manage the condition.
You may have an underlying digestive disorder which needs urgent
medical attention, so it always to consult a health -
care professional for assessment and treatment or referral to an appropriate
provider where
required.
Historically, the DOT's regulation
required the MRO to report your medication use /
medical information to a third party (e.g. your employer, health
care provider responsible for your
medical qualifications, etc.), if the MRO determines in his / her reasonable
medical judgement that you may be medically unqualified according to DOT Agency regulations, or if your continued performance is likely to pose a significant safety risk.
Physicians and other healthcare
providers would have to testify about the
medical care you will
require in the future as a result of your injuries.
Physicians and other healthcare
providers would have to testify about the
medical care you will
require in the future
Medical providers may fail to diagnose symptoms of major illnesses or diseases, fail to detect emergency situations
requiring immediate
care, or mistakenly diagnose and treat patients for conditions they do not have, resulting in serious side effects.
When
medical malpractice happens, the healthcare
provider's choice did not meet the legally
required standard of
care.
If an employer offers light or modified duty that conforms to the
medical work restrictions of the injured worker's health
care providers, the injured worker is
required to work light or modified duty or otherwise forfeit temporary total disability benefits.
Medical malpractice suits can be complex,
requiring ample evidence of negligence or misconduct on the part of the physician, hospital, or other health
care provider.
Under legislation,
care providers do not
require a signed release from an injured worker in order to provide
medical information to the WCB:
Under legislation,
care providers do not
require a signed release from an injured worker in order to provide
medical information to us because:
Today the women's health
care providers who jointly filed suit last month on behalf of their patients have filed an emergency application with the U.S. Supreme Court to reinstate an injunction granted by U.S. District Judge Lee Yeakel on October 28 blocking a Texas provision
requiring doctors who provide abortions to obtain admitting privileges at a local hospital — a requirement that leading
medical associations oppose and only results in women losing access to safe
medical care.
Medical malpractice is a form of professional negligence that occurs when a healthcare
provider fails to perform at the standard of
care required of his or her profession.
Nursing homes, short - term and long - term
care facilities and their employees are
required to function under the same strict law and standards of
care as any
medical care provider.
If you did not
require emergency
medical treatment immediately following your accident, follow up with your primary
care provider as soon as possible.
Every
medical provider, including nurses, technicians, and other non-doctors, are
required to treat each patient with the appropriate level of
care and skill.
Health
care providers, whether
medical doctors, dentists, nurses, hospitals, or nursing homes are
required to exercise reasonable
care as they fulfill their duties to patients.
Most
care providers require that requests for
medical records be made in writing and by you personally.
Medical malpractice is the failure of a doctor, hospital, or other healthcare
provider to provide the quality of
care that is
required by community standards.
As regulated health
care providers, disability managers are in a unique position that enables them to access
required medical information on behalf of employees and employers while ensuring employees»
medical information remains strictly confidential.
If you have private health
care insurance, Massachusetts Law
requires that
medical bills in excess of $ 2,000.00 be submitted through your
provider for payment.
This policy
requires doctors who object to providing
medical care on the basis of religious or conscientious grounds (such as
medical assistance in dying, abortion, birth control and gender confirmation surgery) to connect the patient with a person or agency who will either provide
care or connect the patient with a willing
provider of the service requested.
This policy
requires doctors who object to providing
medical care on the basis of religious or conscientious grounds (such as
medical assistance in dying — «MAID» — but also abortion, birth control and gender confirmation surgery) to connect the patient with a person or agency who will either provide
care or connect the patient with a willing
provider of the service requested.
Examples that were provided included a mental health
care provider with first hand knowledge of a health plan improperly
requiring disclosure of psychotherapy notes and an occupational health nurse with knowledge that her human resources manager is improperly reviewing
medical records.
The July 1977 Report of the Privacy Protection Study Commission recommended that «each
medical -
care provider be considered to owe a duty of confidentiality to any individual who is the subject of a
medical record it maintains, and that, therefore, no
medical care provider should disclose, or be
required to disclose, in individually identifiable form, any information about any such individual without the individual's explicit authorization, unless the disclosures would be» for specifically enumerated purposes such as treatment, audit or evaluation, research, public health, and law enforcement.
In California, for instance, an individual must be given ten days notice that his or her
medical records are being subpoenaed from a health
care provider and state law
requires that the party seeking the records furnishes the health
care provider with proof that the notice was given to the individual.
We solicited comment on whether health
care providers routinely identify other persons specifically in an individual's
medical record and if so, whether in the final rule we should
require health
care providers to redact information about the other person before providing it to a coroner or
medical examiner.
The July 1977 Report of the Privacy Protection Study Commission recommended that «each
medical -
care provider be
required to notify an individual on whom it maintains a
medical record of the disclosures that may be made of information in the record without the individual's express authorization.»
We
require health
care providers who make disclosures to employers under this provision to provide notice to individuals that it discloses protected health information to employers relating to the
medical surveillance of the workplace and work - related illnesses and injuries.
They explained that through disability management, health
care providers refer and coordinate
medical management and they
require contemporaneous exchange of an employee's specific
medical data for the
provider to properly manage.
The final rule
requires covered entities to obtain authorization to use or disclose psychotherapy notes for purposes listed in § 164.512, with the following exceptions: An authorization is not
required for use or disclosure of psychotherapy notes when the use or disclosure is
required for enforcement of this rule, in accordance with § 164.502 (a)(2)(ii); when
required by law, in accordance with § 164.512 (a); when needed for oversight of the covered health
care provider who created the psychotherapy notes, in accordance with § 164.512 (d); when needed by a coroner or
medical examiner, in accordance with § 164.512 (g)(1); or when needed to avert a serious and imminent threat to health or safety, in accordance with § 164.512 (j)(1)(i).
An authorization is not
required for use or disclosure of psychotherapy notes when
required for enforcement purposes, in accordance with subpart C of part 160 of this subchapter; when mandated by law, in accordance with § 164.512 (a); when needed for oversight of the health
care provider who created the psychotherapy notes, in accordance with § 164.512 (d); when needed by a coroner or
medical examiner, in accordance with § 164.512 (g)(1); or when needed to avert a serious and imminent threat to health or safety, in accordance with § 164.512 (j)(1)(i).
Given the complexity of
medical malpractice cases and the specialty knowledge of the
medical profession, Plaintiffs may
require advice of a
medical doctor to discover whether the injury suffered was caused by the error of a doctor or another health
care provider.
Primary
Care Physician (Personal Care Provider)(PCP) is a medical professional (family practice physicians, general internal medicine physicians, pediatricians, and sometimes obstetrician / gynecologists) who provides a range of health care services to insured individuals, manages the health care of HMO patients and makes referrals to other specialists when requi
Care Physician (Personal
Care Provider)(PCP) is a medical professional (family practice physicians, general internal medicine physicians, pediatricians, and sometimes obstetrician / gynecologists) who provides a range of health care services to insured individuals, manages the health care of HMO patients and makes referrals to other specialists when requi
Care Provider)(PCP) is a
medical professional (family practice physicians, general internal medicine physicians, pediatricians, and sometimes obstetrician / gynecologists) who provides a range of health
care services to insured individuals, manages the health care of HMO patients and makes referrals to other specialists when requi
care services to insured individuals, manages the health
care of HMO patients and makes referrals to other specialists when requi
care of HMO patients and makes referrals to other specialists when
required.
Under the primary reporting method of MIPS, an eligible
provider / clinician is not
required to report and attest to CMS that the three categories of orders are being entered by credentialed
medical assistants or licensed health
care professionals.
As such,
providers participating in that program must continue to ensure that the
required percentages, respectively, of medication, laboratory, and diagnostic imaging orders are entered into the CPOE system by credentialed
medical assistants or licensed health
care professionals to receive incentive payments under the program.4
PARK RIDGE LIVING CENTER, Stamford, CT (Oct 2012 — Present) Home
Care Coordinator • Assess patients» care needs by delving into their medical histories • Create and implement in - home care plans to ensure patient safety and medical wellbeing • Arrange for needed services, supplies and appliances to help patients with their daily care regimens • Review home care policies and procedures with families, physicians, agency care providers and insurance providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility care coordinators and social workers to find solutions for challenging patients requiring constant home
Care Coordinator • Assess patients»
care needs by delving into their medical histories • Create and implement in - home care plans to ensure patient safety and medical wellbeing • Arrange for needed services, supplies and appliances to help patients with their daily care regimens • Review home care policies and procedures with families, physicians, agency care providers and insurance providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility care coordinators and social workers to find solutions for challenging patients requiring constant home
care needs by delving into their
medical histories • Create and implement in - home
care plans to ensure patient safety and medical wellbeing • Arrange for needed services, supplies and appliances to help patients with their daily care regimens • Review home care policies and procedures with families, physicians, agency care providers and insurance providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility care coordinators and social workers to find solutions for challenging patients requiring constant home
care plans to ensure patient safety and
medical wellbeing • Arrange for needed services, supplies and appliances to help patients with their daily
care regimens • Review home care policies and procedures with families, physicians, agency care providers and insurance providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility care coordinators and social workers to find solutions for challenging patients requiring constant home
care regimens • Review home
care policies and procedures with families, physicians, agency care providers and insurance providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility care coordinators and social workers to find solutions for challenging patients requiring constant home
care policies and procedures with families, physicians, agency
care providers and insurance providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility care coordinators and social workers to find solutions for challenging patients requiring constant home
care providers and insurance
providers • Contact physicians and insurance companies to obtain authorizations for services • Determine need for appropriate precautions, including isolation, reverse isolation and restraints • Implement admitting orders and evaluate criteria for patient status • Provide direction and support to administrative officers to ensure efficient patient access flow • Work with discharge planning teams to refer patients needing additional resources • Collect and maintain patient history and statistical data of all referred patients • Coordinate facility admissions and discharge duties • Collaborate with facility
care coordinators and social workers to find solutions for challenging patients requiring constant home
care coordinators and social workers to find solutions for challenging patients
requiring constant home
carecare
> Captures patient
care data for the initial claim preparation > Registration of all patients, including insurance verification > Responsible for accurate and timely preparation of billing data > Validates all appropriate coding data for daily processing > Prepares electronic claims for submission to the appropriate payer > Obtains and submits copies of
medical documentation as
required or requested by third party payers > Reconciles insurance / patient payments > Assists in deposit preparation > Analyzes and resolves claim rejections and denials related to billing or
provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in delinquent account review > Other duties as requested by the Billing Manager
• Gather individual's
medical information and communicate individual needs to our Nurses and Health Services Manager • Attend and effectively and appropriately participate in medication reviews,
medical chart audits, clinics and appointments • Monitor individuals, review records, and provide
medical support at various locations within the Residential and Therapeutic Services department to assure an individual's needs are appropriately addressed • Communicate and consult with appropriate internal / external
providers regarding
medical needs and concerns; ensure appropriate information (med audits, health reviews, consult forms, etc.) is disseminated in a timely manner • Consult with the Nurses and Health Services Manager regarding coordination of
medical, laboratory and dental
care; follow up as
required • In conjunction with approved staff, review Medication Administration Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on
medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested
medical areas • Enter data and generate data base reports; track and distribute requested records and other information