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26 Feb 2024, 6:41 am
The IMR reviewer noted that applicant had a history of auditory hallucinations, which were ameliorated with Geodon, demonstrating the efficacy of that medication and supporting its medical necessity. [ LexisNexis Commentary: This IMR is particularly interesting because the medication Geodon, which was at issue here, was the subject of a $301 million settlement between Pfizer, Inc. and the U.S. [read post]
30 Jan 2009, 2:25 am
SDI Future Health, Inc., No. 07-10261 (1-27-09). [read post]
1 Jul 2010, 9:42 am
©2010 Amaxx Risk Solutions, Inc. [read post]
4 Jun 2015, 8:00 am
Whether a use is covered under the programs generally depends on whether medical items or services are reasonable and necessary. [read post]
20 Nov 2014, 11:30 am
A federal judge in California denied Prime Healthcare Services, Inc. [read post]
19 Aug 2013, 6:30 am
Overall cost of the primary care physician. [read post]
23 May 2012, 3:44 pm
., with the help of his Texas Disability Attorney, has filed this lawsuit against Sedgwick Claims Management Services , Inc. [read post]
17 Sep 2011, 4:41 am
This case shows that despite strong objective evidence and a positive FCE exam in support of multiple disabling conditions, Prudential can still hire physicians that can review a file and determine that a claimant has no restrictions and limitations. [read post]
29 Mar 2012, 1:03 pm
Caterpillar Logistics Services, Inc. v. [read post]
24 Mar 2016, 9:18 am
Conklin, the former owner, operator and sole shareholder of Recovery Home Care Inc. and Recovery Home Care Services Inc. [read post]
11 May 2009, 5:00 am
Apr. 22, 2009), Suzanne Copley filed a complaint against Wyeth, Inc.; Wyeth Pharmaceuticals, Inc.; Schwarz Pharma, Inc.; Actavis, Inc.; and Actavis Elizabeth LLC in Pennsylvania state court for injuries she allegedly suffered from the long-term ingestion of Reglan (or metoclopramide) as prescribed by her physician. [read post]
10 Nov 2011, 6:55 am
Claims for disability benefits under the Plan were administered by defendant Sedgwick Claims Management Services, Inc. [read post]
9 Oct 2018, 12:48 pm
The result is that MAO plans receive higher payments for patients who are diagnosed with conditions that require greater care.To provide the patient care, MAOs may contract directly with physicians and other healthcare providers, or they may contract with Medical Services Organizations (MSOs), which in turn either employ or contract with healthcare providers. [read post]
18 Jun 2012, 12:04 pm
Health insurer Group Health Inc. [read post]
26 Mar 2013, 6:41 am
It’s also recommended that First Coast Service Options, Inc., implement system edits that review multiuse vial drugs that are billed with units of service equivalent to the dosage of an entire vial. [read post]
24 Jun 2014, 1:52 pm
Staples, Inc., 932 F. [read post]
1 Dec 2010, 2:08 pm
Copyright © 2010 Amaxx Risk Solutions, Inc. [read post]
18 Dec 2018, 12:56 pm
Additionally, a physician practice covered entity should enter into a written agreement for services with its vendor, and require a written, signed business associate agreement when the services require the vendor to receive, create, transmit or maintain the covered entity’s PHI. [read post]
26 May 2022, 2:16 pm
See Upsolve Inc. v. [read post]
30 Aug 2012, 7:41 pm
Hennessy Industries, Inc., 206 Cal.App.4th 140. [read post]