Search for: "Pharmacy Management Services Inc." Results 101 - 120 of 372
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30 Nov 2012, 5:51 am by Rebecca Shafer, J.D.
  ·         The third technique is to have cost control services in place and ready to use including medical fee schedule reviews, utilization reviews, peer reviews and pharmacy benefit managers. [read post]
11 Aug 2007, 8:02 am
Sun Healthcare Group, Inc., No. 06-2156 (10th Circuit August 7, 2007) was remanded by the United States Court of Appeals, Tenth Circuit. [read post]
17 Nov 2015, 9:51 am by Green and Associates
Now the federal authorities were privvy to the wide ranging nature of management agreements, rent payments, consulting agreements in every area of state workers' compensation patient treatment and ancillary services covering hospitals, durable medical equipment, compounding pharmacy, diagnostic services (MRI), psychological treatment, shockwave therapy, nerve conduction therapy and other servies. [read post]
15 Sep 2013, 7:01 pm by A. Brian Albritton
  In CVS Caremark, the relator alleged that CVS and its related corporations had "violated the False Claims Act . . . in their role as a Pharmacy Benefit manager by engaging in a nationwide practice of fraudulently adjudicating and submitting improper Prescription Drug Event claims to the Center for Medicaid and Medicare Services." [read post]
24 Aug 2006, 9:41 am
Aetna Inc.; Aetna RX Home Delivery, LLC; Wellpoint, Inc.; Professional Claim Services, Inc. d/b/a Wellpoint Pharmacy Management, Inc.; Anthem Prescription Management, LLC; Precision RX, Inc.; Caremark RX, Inc.; Caremark Inc. d/b/a Caremark Prescription Services; The Kroger Co.; Kroger Texas L.P.; Healthy Options, Inc. d/b/a Postal Prescription Services; Petmed Express,… [read post]
10 Dec 2019, 4:02 pm by Cynthia Marcotte Stamer
Stamer has worked extensively with domestic and international hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing, utilization management, management services organizations, group purchasing organizations; pharmaceutical, pharmacy, and prescription benefit management and… [read post]
10 Feb 2012, 3:04 pm by William Maruca
  The AG relied heavily on securities disclosure materials provided by Accretive to its investors, which described its business as including “development of risk scores on individual patients; automated care plans; case management; medical necessity reviews; pharmacy management; length of stay management; discharge planning; population based management; and analytics and reporting of utilization by patient, per patient profit and loss reports,… [read post]
22 Aug 2014, 6:30 am by Michael B. Stack
Medical bill reviews will include both the audits of doctor bill and hospital bill auditing; Pharmacy benefit managers – These are the businesses specializing in managing and maintaining cost control for medications prescribed for the employee. [read post]
30 Apr 2024, 5:42 am by David Kessler (US) and Susan Ross (US)
Background According to the complaint, Cerebral offered telehealth services, including mental health treatment and/or medication management services, through websites and mobile apps since October 2019. [read post]
15 Nov 2011, 5:54 pm by Rebecca Shafer, J.D.
Pharmacy Benefit Managers Pharmacy benefit managers (PBM) specialize in providing the employee with needed prescription medications. [read post]
19 Nov 2021, 10:33 am by Ana Popovich
A November 2019 press release reports on settlements with Freedom Pharmaceuticals, Inc. and Pharmacy Services Inc., “which were also defendants in this matter. [read post]
1 Oct 2021, 9:19 am by Cynthia Marcotte Stamer
As PHI Vendors also could face exposure from service providers, this review should include assessment of those compliance risks and exposures. [read post]
24 Feb 2023, 12:29 pm by Ana Popovich
Of that $2.2 billion, “over $1.7 billion related to matters that involved the health care industry, including drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. [read post]
22 Sep 2011, 8:56 am by Tron Emptage
Emptage has overseen Pharmacy Services, Clinical Services, National Account Management served as Vice President of Strategic Initiatives and Executive Vice President of Business. [read post]