third-party reimbursement

third-party reimbursement

reimbursement for services rendered to a person in which an entity other than the receiver of the service is responsible for the payment. Third-party reimbursement for the cost of a subscriber's health care is commonly paid in full or in part by a health insurance plan, such as Blue Shield or Blue Cross, Medicare, or Medicaid.
References in periodicals archive ?
Calculated annual cost of collecting third-party reimbursement
Forty-nine states provide Medicaid reimbursement for APNs and in approximately 34 states, APNs receive third-party reimbursement for at least some services.
PVA and other veterans' service organizations (VSOs) were surprised when HCVA recommended that third-party reimbursement be required for treatment of service-connected disabilities in VA facilities.
Factors that might cause such a material difference include, among others, uncertainties related to the ability to attract and retain partners for our technologies, the identification of lead compounds, the successful preclinical development thereof, the completion of clinical trials, the FDA review process and other government regulation, our pharmaceutical collaborators' ability to successfully develop and commercialize drug candidates, competition from other pharmaceutical companies, product pricing and third-party reimbursement.
Actual results may be affected by among other things, implementation of the new legislation by CMS, effectiveness and execution of marketing and sales programs by Theragenics and its distributors, changes in product pricing by Theragenics or other brachytherapy seed producers, continued acceptance of the products by the market, continued demand for Pd-103, introduction and/or availability of competitive products by others, potential future changes affecting Medicare or other third-party reimbursement, and other factors set forth from time to time in the Company's Securities and Exchange Commission filings.
Factors that may cause or contribute to such differences include customer delays in making final buying decisions, decreased demand for our products, failure to obtain funding necessary to develop or enhance our technology, adverse results in future clinical studies of our technology, failure to obtain or maintain patent protection for our technology, failure to obtain or maintain adequate levels of third-party reimbursement for use of our products and other factors identified in our most recent Annual Report on Form 10-K under "Factors Which May Affect Future Results", which is on file with the SEC.
Beginning in 1999, he co-founded these entities to assist long-term care and hospital providers in the areas of third-party reimbursement, financial reporting, operational management, and clinical oversight.
This includes hosting of all applications, billing software integrated with a complete electronic patient medical record, marketing tools, employee and physician training, maximizing third-party reimbursement, and other services necessary for physicians to compete successfully in health care's challenging and changing environment.
Certain statements made in this press release that are not based on historical information are express or implied forward-looking statements relating to, among other things, EXACT Sciences' expectations concerning, among other things, its business outlook and business momentum (including the size of the potential market for its technologies), the likelihood of third-party reimbursement of its technologies, and the effectiveness and market acceptance of its technologies.
This includes hosting of all applications, billing software integrated with a complete electronic patient medical record, marketing tools, employee and physician training, maximizing third-party reimbursement and other services necessary for physicians to compete successfully in health care's challenging and changing environment.
Investment in healthcare companies requires a sophisticated understanding of third-party reimbursement associated with their products and services.
Certain statements made in this press release that are not based on historical information are express or implied forward-looking statements relating to, among other things, EXACT Sciences' expectations concerning, among other things, its future sales volumes, revenues and expenses, its business outlook and business momentum (including the size of the potential market for its technologies), the likelihood of third-party reimbursement of its technologies and the future inclusion of its products in reimbursement guidelines, the Company's marketing and sales strategies and programs and their likely future success, the development of new technologies to enhance the sensitivity of its products in the detection of cancer, and the effectiveness and market acceptance of its technologies.