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The Medical Claim Game And How To Win It


The Medical Claim Game And How To Win It
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The Medical Claim Game And How To Win It


The Medical Claim Game And How To Win It
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Author : G.J. Watkins
language : en
Publisher:
Release Date : 1995-04-01

The Medical Claim Game And How To Win It written by G.J. Watkins and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-04-01 with categories.




The Claims Game How To Play To Win


The Claims Game How To Play To Win
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Author : Douglas L. LaFaive
language : en
Publisher:
Release Date : 1991

The Claims Game How To Play To Win written by Douglas L. LaFaive and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Social Science categories.




The Claim Game


The Claim Game
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Author : Mario S. Pecoraro
language : en
Publisher: iUniverse
Release Date : 2015-10-08

The Claim Game written by Mario S. Pecoraro and has been published by iUniverse this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-10-08 with Business & Economics categories.


Organizations that fail to identify and eliminate fraud are losing hundreds of thousands of dollarsand many dont even know it! Many claims professionals dont have the time or resources to spot the red flags that indicate a fraudulent workers compensation claim, and even if they stumble upon one by chance, they fail to conduct a comprehensive investigation. Mario S. Pecoraro, CEO of Alliance Worldwide Investigative Group, provides proactive strategies that will save you resources, money, and time investigating claims. The twenty best practices he explores will help you: hire the type of employee who wont file a claim in the first place; engage in preventative maintenance throughout the life of a claim; determine who should conduct an investigation when a claim is filed; carry out the investigative process using a variety of tools. Filled with case studies demonstrating where investigations went wrong (and where they went right), youll be equipped to apply best practices and avoid common mistakes. Start saving money, and get the right team in place with The Claim Game.



The New Drug Reimbursement Game


The New Drug Reimbursement Game
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Author : Brita A.K. Pekarsky
language : en
Publisher: Springer
Release Date : 2014-10-09

The New Drug Reimbursement Game written by Brita A.K. Pekarsky and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-09 with Medical categories.


This comprehensive text presents a rigorous framework from within which regulators can respond strategically to the claim by the pharmaceutical industry that lower drug prices today lead to a loss for the population’s future health due to less innovation. It starts with a critical review of the empirical evidence of the return to consumers on their ongoing investment into high drug prices in order to increase future innovation. The implicit, critical and unrealistic assumption inherent in these studies is identified, namely that the health budget can be expanded to purchase drugs at higher prices without an opportunity cost, for example, the foregone benefits of alternative investments in health care infrastructure. Price effectiveness analysis (PEA), is introduced. PEA informs the question of how the innovative surplus from the new drug should be allocated between the manufacturer and the consumer so as to optimise society’s welfare. The method allows the decisions by the regulator and the firm to be analysed jointly by specifying the firm’s production and revenue functions in terms of the clinical innovation of a new drug; the incremental effect used in the summary metric of cost effectiveness analysis. An economic value of innovation that takes into account opportunity cost under conditions of economic efficiency in the health system is proposed: the health shadow price. The limitations of the non-strategic methods that currently inform the highly contested new drug subsidy game are presented and the relative strengths of PEA are demonstrated. Health technology assessment quantifies both the clinical innovation of a new drug and its financial impact on the health system. Cost effectiveness analysis tests the relationship between the incremental cost and incremental effect of a new drug for target patients, at a given price. PEA tests the relationship between the price of a new drug and the health of the whole population, now and into the future. It achieves this by taking into account current inefficiency in both resource allocation and the displacement process, and the relationship between price and future innovation.



The Working Mom On The Run Manual


The Working Mom On The Run Manual
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Author : Debbie Nigro
language : en
Publisher: Mastermedia Publishing Company
Release Date : 1995

The Working Mom On The Run Manual written by Debbie Nigro and has been published by Mastermedia Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Family & Relationships categories.




Winning The Outsourcing Game


Winning The Outsourcing Game
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Author : Janet Butler
language : en
Publisher: CRC Press
Release Date : 2000-06-27

Winning The Outsourcing Game written by Janet Butler and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-06-27 with Business & Economics categories.


It has become increasingly difficult to hire and keep warm bodies, not to mention competent IT personnel. With this in mind, outsourcing ceases to be an option and becomes a necessity. Web hosting, application service providers, and integrating legacy and ERP systems are just three examples of when outsourcing is the rule rather than the exception.



Medical Claims Billing Service


Medical Claims Billing Service
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Author : The Staff of Entrepreneur Media
language : en
Publisher: Entrepreneur Press
Release Date : 2016-09-19

Medical Claims Billing Service written by The Staff of Entrepreneur Media and has been published by Entrepreneur Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-19 with Business & Economics categories.


LAUNCH A CAREER IN MEDICAL CLAIMS BILLING The market for medical claim billers is growing exponentially. With legions of providers and an ever-expanding patient pool, health-care industry spending is expected to grow by 5.8 percent each year through 2024. By then, health-care spending will total $5.43 trillion and account for 19.6 percent of the gross domestic product. So let there be no doubt: Health care is big business and its growth shows no signs of slowing. This makes it the perfect time to start your own medical claims billing service.



It S All About Money Winning The Healthcare War


It S All About Money Winning The Healthcare War
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Author : John Sanderson
language : en
Publisher: iUniverse
Release Date : 2008-05

It S All About Money Winning The Healthcare War written by John Sanderson and has been published by iUniverse this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-05 with Business & Economics categories.


If you want to fix healthcare in the United States, read this book! Healthcare costs have soared out of control for the past several decades. Much has been written about what "someone" should do to fix the problems. However, there has been very little written to tell you, your business, your community, and your elected officials HOW to lead the movement for change and how to take control of the healthcare business. This book is written in simple terms and explains how the U.S. healthcare business evolved; it identifies the major contributors to problems plaguing healthcare in the United States; and it leads you through the steps you can take to create a healthcare system that focuses on you and your family. Unfortunately, healthcare in the United States has not been designed to focus on you and your family-it has evolved around payment systems. It's all about money, not you! This is like the tail wagging the dog. You can lead the movement for change in healthcare and we can have a system in which the dog wags the tail.



The Claims Game


The Claims Game
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Author : Vladimir P. Chernik
language : en
Publisher:
Release Date : 1969

The Claims Game written by Vladimir P. Chernik and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1969 with Casualty insurance categories.




The Game Changer


The Game Changer
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Author : Jimmy Cave
language : en
Publisher: Gatekeeper Press
Release Date : 2020-11-05

The Game Changer written by Jimmy Cave and has been published by Gatekeeper Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-05 with Political Science categories.


The purpose of this book is to educate military members who are separating, retiring, active duty members, veterans and their loved ones on the process of how to file VA claims, VA appeals, and Social Security benefits. The goals in my book include: 1. How veterans and civilians must take ownership of their VA claims, Social Security and appeals. 2. How to successfully navigate the VA and Social Security system for disability benefits and appeals. 3. How to apply for VA disability, VA pension and Social Security. 4. Five-star medical evidence in medical records to help win disability claims and appeals. 5. How to get independent medical opinions (Nexus Letters) and diagnoses from private doctors for VA claims is a game changer for veterans. 6. How to keep your claim from being lost or sitting on the shelf. 7. How to speed up the process in disability claims for VA and Social Security. I have firsthand knowledge working at The Vet Center, Veterans Benefits Administration, And VA Medical Center. I have witnessed how veterans are being mistreated and neglected including myself. Many veterans wait years and some die while waiting to be eventually denied VA benefits. While working at Veterans Benefits Administration, I saw lazy Veterans Service Officers taking frequent long breaks and denying veterans to free up the workload off their desks. It took me 21 years fighting the VA Regional Office tooth and nail to get "permanent and total" status after appealing all denied claims to a judge in Washington, D.C. several times! Our veterans deserve better and that’s why I wrote this book to leave a legacy behind to help those who are feeling helpless, frustrated and lost in navigating the VA and Social Security systems.