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Utilization Review - Articles

Walk #84: Utilization Review, Single Payer and Warm Napa Evenings... by Allan Stellar Posted Thu 26 Mar 2009 12:00am Walk Duration: one hour.... I awoke at 4:30 am and drove the three hours to Napa to work today. Having been in this business for quite a few years now, I sometimes wear different hats. I do the social work sometimes. Today I was the Utilization Review Nurse. I knew it would be a relatively good day when, while driving through the wil ... Read on »
Hospitalists, Peer Committees and Utilization Struggle to Comprehend United HealthCare Algorithms by Medical Quack Patient ExpertHealth Maven Posted Thu 11 Feb 2010 9:45am First of all hats off to the Happy Hospitalist for having the “guts” to discuss this matter and he’s not alone by any means.  This is happening all over the country.  Are we getting to the point to where we will need to have an attorney on a retainer available in order to get admitted to the hospital when we are sick and need care?  When you re ... Read on »
Anthem Blue Cross and Anthem Blue Cross Life Insurance Granted Utilization Management Accreditation – Data Breaches and Ma by Medical Quack Patient ExpertHealth Maven Posted Tue 27 Jul 2010 10:35pm Data breaches, Congressional meetings and testimonies over rate hikes, increased pressure from HHS and they are accredited for conducting business in a manner consistent with national standards?  This kind of reminds me of the Martin Luther King hospital getting accredited and we all know what happened there so what does this really mean with ... Read on »
ApoThera Medication Management and Review Services – Using HealthVault Medication Records You Share for Access by Medical Quack Patient ExpertHealth Maven Posted Thu 04 Jun 2009 10:41pm This company also works with Microsoft HealthVault and and is an annual subscription to have your medications reviewed by their pharmacists/consultants before a provider can add any additional medications to your regime.  So far it is available in 3 states, California, Nevada and Ohio.  Just my own thinking here, but you might want to advise ... Read on »
Brand-new Indigenous Review Exhibits Plastic Bag Utilize on a regular Stretches to Listing Large by Liu M. Facebook Posted Sun 09 Jun 2013 2:45am Brand-new Indigenous Review Exhibits Plastic Bag Utilize on a regular Stretches to Listing Large Alot more LDPE bag manufacturer and Movie Really are Re-cycled than before; Growing Requirement for Naff Junk ARLINGTON, Virtual assistant., April 17 /PRNewswire-USNewswire/ --The utilize on a regular connected with plastic bags along with flick come ... Read on »
Springhill Home Care Group Korea Reviews Consumers Confused Whether Health Care Providers, Employment Agencies and Utilities.. by Hasse H. Facebook Posted Thu 08 Aug 2013 2:33am SpringhillHomeCareGroupKoreaReviewsConsumersConfusedWhether Health Care Providers, Employment Agencies and Utilities are entitled to a SSN   Connecticut Better Business Bureau says Just Because You are asked for Your Social Security Number Doesn’t Mean you Must Provide It   Connecticut Better Business Bureau is offering guidelines to ... Read on »
Product Review: The Detours Toocan Urban Utility Pannier by Karen Voyer-Caravona Posted Sat 10 Apr 2010 4:27pm Tooling around on my bicycle this afternoon, I made my mandatory stop at Absolute Bikes to both stare at the Globe Live2 and check out the accessories section. The Globe Live2 and the Globe Haul recently moved to the front window display and after paying them their due honor I strolled over to accessories, where things appeared delightfully amiss ... Read on »
The Consumer’s Right To Health Care: How To Overturn Managed Care Treatment Denials by Dr. Aniruddha M. Medical Doctor Posted Tue 18 Nov 2008 12:17am The Consumer’s Right To Health Care: How To Overturn Managed Care Treatment Denials: "The cost of health and mental health care is soaring in this country. As a result, governments and insurance companies are increasingly using managed care -- which, in simple terms, is any approach to contain ( = reduce !) healthcare expenses. One of the prima ... Read on »
Reducing Wastage of Blood and Blood Products in Hospitals by Bruce Friedman Patient Expert Posted Wed 24 Mar 2010 12:00am There are two basic ways to reduce wastage of blood and blood products in hospitals. First and focusing on processes that are internal to the blood bank, improved inventory control can reduce outdating of blood. One example of such a process is the maximum surgical blood order schedule (MSBOS) (see: Hospitals Seek to Limit Blood Tran ... Read on »
Remember Our Comments on Medical Loss Ratio? by Jennifer Jaff Patient Expert Posted Fri 14 May 2010 4:44am A week or so ago, I posted Advocacy for Patients' comments on how insurers should calculate the medical loss ratio -- the portion of every premium dollar that is spent on health care. We argued that insurers should have to report separately the amount spent on utilization review and appeals -- the amount they spend trying to deny coverage to pat ... Read on »