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Anderson emphasized the difficulty of patients' ability to interpret the chargemaster in a subsequent 2012 article: "Furthermore, most of the items on the charge master file are written in code so that only the hospital administrators and a few experts in the field can interpret their meanings." [27]
USC — United States Code (A free website for the full text is at U.S. Code. This text is maintained by the U.S. Gov't Printing Office, but must be checked for revisions or amendments after its effective date.) USCA — United States Code Annotated; USCCAN — United States Code Congressional and Administrative News; USCS — United States ...
Title 63- South Carolina Children's Code Chapter 19 Articles 1-23 established the*South Carolina Department of Juvenile Justice and outlined the means and methods by which minors in the state can be prosecuted and subsequently incarcerated if convicted. This chapter was a part of South Carolina House Bill H.4747, passed in 2008, that ...
An Americans with Disabilities Act lawsuit seeking compensatory damages for the denial of a free and appropriate education (FAPE) may proceed without exhausting the administrative processes of the Individuals with Disabilities Education Act, 20 U.S.C. §1415(l), because the remedy sought is not one IDEA provides. Wilkins v. United States: 21-1164
Those who are "medically indigent earn too much to qualify for Medicaid but too little to purchase either health insurance or health care." [3] Medically indigent people with significant illnesses face several barriers to health insurance. States like South Carolina came up with their own MIAP program to assist those who fall in the gaps. [4]
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Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
The Medicaid drug rebate for brand name drugs, paid by drug manufacturers to the states, is increased to 23.1% (except for the rebate for clotting factors and drugs approved exclusively for pediatric use, which increases to 17.1%), and the rebate is extended to Medicaid managed care plans; the Medicaid rebate for non-innovator, multiple source ...