In 2013, the NYSPA filed a class-action suit on behalf of its members and their patients against UnitedHealthGroup for not covering mental health-related claims, citing as examples different algorithms; preauthorization; and concurrent review
procedures than for medical claims, often resulting in denial of coverage.
Huff has been named manager of utilization management for ABCBS and will take responsibility over care management activities, such as pre-certification and concurrent review
, associated with large in-state and national accounts.
Food and Drug Administration (FDA) and the Centers for Medicare & Medicaid Services (CMS) have launched a "parallel review" pilot program for concurrent review
of medical devices for FDA approval and Medicare coverage.
As the leader of the hospital medical management efforts, many physician executives are held accountable for the success or failure (denials) of inpatient concurrent review
even though they are not directly involved in managing the process.
In addition to emphasizing application completeness from the beginning and using a city-appointed project manager, the planners will also introduce the concept of concurrent review
Steger told the media, "I asked for the creation of two different but concurrent review
4, and are subject to concurrent review
, not prior review.
It begins with the author's own family members' birthing experiences and moves to a history of childbirth from ancient ancestors to modern times, providing a concurrent review
of changing methods, cultural influences, and childbirth experiences.
Certain CFS line items that will be subject to our concurrent review
because of their significance, such as the federal employee and veteran benefits payable line item, involve federal agencies' significant actuarial estimations.
Instead of a 'waterfall'-style process, which only produces results at the end of a long project, lean development encourages short, iterative working patterns with concurrent review
and feedback, with new, usable software released regularly throughout.
McKenzie-Willamette argued during a two-day hearing last week that state procedures don't require site control in order to grant a request for concurrent review
The public will vote in October on whether to create a North-East assembly, while under the concurrent review
of council structures, the county of Northumberland could be divided into two new unitary authorities.