Utilization review conference. Third-party review programs from the Blue Cross vantage point

JAMA ◽  
1966 ◽  
Vol 196 (11) ◽  
pp. 1006-1007
Author(s):  
J. M. Ensign
Keyword(s):  
Vantage Point ◽  
Third Party ◽  
Utilization Review

Documentation of Pharmaceutical Care Activities in Community Pharmacies by Doctor of Pharmacy Students

1995 ◽  
Vol 8 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Robert J. Anderson ◽  
Diane Nykamp ◽  
Randell K. Miyahara
Keyword(s):  
Community Pharmacists ◽  
Value Added ◽  
Pharmacy Students ◽  
Third Party ◽  
Utilization Review ◽  
Patient Counseling ◽  
Pharmacy Technicians ◽  
Reimbursement Incentives ◽  
The Cost

The practice of pharmacy is evolving from a product-related focus to one that is more patient-oriented and outcome-directed. This new focus can reduce the cost and/or improve the quality of care. Pharmacists often detect and resolve medication-related problems, though few reimbursement incentives exist for the amount of time and effort it takes. With statutory restrictions on the total use of pharmacy technicians and state-mandated OBRA patient counseling and prospective drug utilization review, community pharmacists are pressed for time more than their hospital colleagues to document their daily interventions for improving drug therapy for their patients. PharmD students can assist the community pharmacist in documenting these medication-related problems. Documentation of these "cognitive" or "value-added services," including their outcome on cost and care, is critically necessary for future reimbursement consideration by third-party payers. Copyright © 1995 by W.B. Saunders Company

Diagnosis-Related Groups: Past and Future

1988 ◽  
Vol 9 (10) ◽  
pp. 471-474
Author(s):  
Laurence F. McMahon
Keyword(s):  
Health Care ◽  
Diagnosis Related Groups ◽  
Prospective Payment System ◽  
Health Maintenance Organizations ◽  
Payment System ◽  
Third Party ◽  
Good Time ◽  
Utilization Review ◽  
Prospective Payment ◽  
Health Maintenance

Introduction of the diagnosis-related group (DRG)-based Medicare Prospective Payment System is one of a series of major innovations that has occurred in the payment and delivery of health care over the past ten years. Changes such as the increased prevalence of health maintenance organizations, preferred provider organizations, third-party utilization review programs, and the peer review organizations for Medicare patients have all altered the way health care is financed and delivered. The DRG-based Medicare Prospective Payment System is the most visible of these changes, given its breadth of application and its radical departure from the previous retrospective reimbursement for hospital care. The Medicare Prospective Payment System has been in effect since October, 1983. As we approach the fifth anniversary of this program, it is a good time to review its history and to make some judgments as to its future.

scholarly journals Revitalising the Management of Family Waqf: A Way Forward

2021 ◽  
Vol 56 (3) ◽  
pp. 603-618
Author(s):  
Sakinah Abdul Samad ◽  
Ahmad Sufian Che Abdullah ◽  
Kamaruzaman Noordin
Keyword(s):  
Case Studies ◽  
Current Practice ◽  
Current Situation ◽  
Vantage Point ◽  
Third Party ◽  
Comparative Case Study ◽  
Legal Authority ◽  
Model Based

This research proposes a few models of legal authority (hereinafter referred to as al-Wilayah) over the practice of Family Waqf in Malaysia. The research adopted a comparative case study based on the theory of al-Wilayah over the management of waqf. Five selected State Islamic Religious Councils (SIRCs) have been chosen: SIRC of Perak, Pulau Pinang, Kelantan, Terengganu, and Johore, prominent with Family Waqf. The author proposed models that broaden the involvement of many parties in waqf management based on the amalgamation of Wilayah Asliyyah and Wilayah Fariyyah in waqf affairs. These are models of the religious council, third-party model, and model of the subsidiary body. The contribution of this research was to provide more compatible models in the management of Family Waqf operationalized harmoniously with the Malaysian waqf jurisdiction. These models were expected to improve the current situation of Family Waqf in Malaysia, which was deemed incompatible with being managed by the SIRC alone. Based on the researcher’s best knowledge, there were no case studies that empirically investigated the current practice of Family Waqf according to the theory of al-Wilayah. Therefore, it was necessary to acquire an up-to-date situation of Family Waqf from the vantage point of al-Wilayah to assist the researcher in developing the model based on the actual loophole in its practice.

scholarly journals OmniCrawl: Comprehensive Measurement of Web Tracking With Real Desktop and Mobile Browsers

2021 ◽  
Vol 2022 (1) ◽  
pp. 227-252
Author(s):  
Darion Cassel ◽  
Su-Chin Lin ◽  
Alessio Buraggina ◽  
William Wang ◽  
Andrew Zhang ◽  
...  
Keyword(s):  
Vantage Point ◽  
Third Party ◽  
Measurement Study ◽  
Methodological Choices ◽  
The Third ◽  
Desktop Computers ◽  
The Third Party ◽  
Measurement Infrastructure ◽  
Comprehensive Measurement ◽  
Tracking Measurement

Abstract Over half of all visits to websites now take place in a mobile browser, yet the majority of web privacy studies take the vantage point of desktop browsers, use emulated mobile browsers, or focus on just a single mobile browser instead. In this paper, we present a comprehensive web-tracking measurement study on mobile browsers and privacy-focused mobile browsers. Our study leverages a new web measurement infrastructure, OmniCrawl, which we develop to drive browsers on desktop computers and smartphones located on two continents. We capture web tracking measurements using 42 different non-emulated browsers simultaneously. We find that the third-party advertising and tracking ecosystem of mobile browsers is more similar to that of desktop browsers than previous findings suggested. We study privacy-focused browsers and find their protections differ significantly and in general are less for lower-ranked sites. Our findings also show that common methodological choices made by web measurement studies, such as the use of emulated mobile browsers and Selenium, can lead to website behavior that deviates from what actual users experience.

Third-Party Review Programs From the Blue Cross Vantage Point

JAMA ◽  
1966 ◽  
Vol 196 (11) ◽  
pp. 1006
Author(s):  
fames M. Ensign
Keyword(s):  
Vantage Point ◽  
Third Party

The many faces of obligation

2020 ◽  
Vol 43 ◽  
Author(s):  
Michael Tomasello
Keyword(s):  
Third Party ◽  
The Many ◽  
Sense Of Obligation

Abstract My response to the commentaries focuses on four issues: (1) the diversity both within and between cultures of the many different faces of obligation; (2) the possible evolutionary roots of the sense of obligation, including possible sources that I did not consider; (3) the possible ontogenetic roots of the sense of obligation, including especially children's understanding of groups from a third-party perspective (rather than through participation, as in my account); and (4) the relation between philosophical accounts of normative phenomena in general – which are pitched as not totally empirical – and empirical accounts such as my own. I have tried to distinguish comments that argue for extensions of the theory from those that represent genuine disagreement.

A Macintosh Interface for the Cameca Camebax-Micro Electron Microprobe

1990 ◽  
Vol 48 (1) ◽  
pp. 438-439
Author(s):  
Carl E. Henderson
Keyword(s):  
Electron Microprobe ◽  
Processing Speed ◽  
Word Processing ◽  
State Of The Art ◽  
Computer Control ◽  
Third Party ◽  
Disk Storage ◽  
The Past ◽  
User Facility ◽  
Instrument Control

Over the past few years it has become apparent in our multi-user facility that the computer system and software supplied in 1985 with our CAMECA CAMEBAX-MICRO electron microprobe analyzer has the greatest potential for improvement and updating of any component of the instrument. While the standard CAMECA software running on a DEC PDP-11/23+ computer under the RSX-11M operating system can perform almost any task required of the instrument, the commands are not always intuitive and can be difficult to remember for the casual user (of which our laboratory has many). Given the widespread and growing use of other microcomputers (such as PC’s and Macintoshes) by users of the microprobe, the PDP has become the “oddball” and has also fallen behind the state-of-the-art in terms of processing speed and disk storage capabilities. Upgrade paths within products available from DEC are considered to be too expensive for the benefits received. After using a Macintosh for other tasks in the laboratory, such as instrument use and billing records, word processing, and graphics display, its unique and “friendly” user interface suggested an easier-to-use system for computer control of the electron microprobe automation. Specifically a Macintosh IIx was chosen for its capacity for third-party add-on cards used in instrument control.

Coding for Evaluation and Treatment

2008 ◽  
Vol 18 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Mark Kander ◽  
Steve White
Keyword(s):  
Medical Record ◽  
Treatment Session ◽  
Accurate Diagnosis ◽  
Third Party ◽  
Speech Language Pathologists ◽  
Adequate Information ◽  
Diagnosis Codes ◽  
Coding Rules ◽  
Procedure Codes ◽  
The Web

Abstract This article explains the development and use of ICD-9-CM diagnosis codes, CPT procedure codes, and HCPCS supply/device codes. Examples of appropriate coding combinations, and Coding rules adopted by most third party payers are given. Additionally, references for complete code lists on the Web and a list of voice-related CPT code edits are included. The reader is given adequate information to report an evaluation or treatment session with accurate diagnosis, procedure, and supply/device codes. Speech-language pathologists can accurately code services when given adequate resources and rules and are encouraged to insert relevant codes in the medical record rather than depend on billing personnel to accurately provide this information. Consultation is available from the Division 3 Reimbursement Committee members and from [email protected] .

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