Milliman criteria set
[DOC File]APCD Data Release Application Design Checklist (for ...
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Jun 29, 2012 · Milliman has risk adjustment and APCD expertise. They have worked on similar projects for other clients and have been consulting to the Connector on risk adjustment since 2009. Describe your oversight and monitoring of the activity and actions of this agent or subcontractor. Connector assigns Audrey Gasteier to oversee the process. Ms.
[DOC File]CHAPTER 8
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Such hazard information can also be communicated to private individuals (developers, householders, and business owners) so they can make better decisions about the location and type of development on their land (Milliman, 1983). As discussed in Chapter 4, local officials can disseminate this information through a variety of communication channels.
[DOCX File]Subject: - Home State Health
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InterQual criteria are proprietary and cannot be publicly published and/or distributed. On an individual member basis, the specific criteria document used to make a medical necessity determination can be made available upon request. Registered providers can obtain the appropriate InterQual SmartSheet™ by logging in to the secure provider portal.
[DOC File]CSEHRP
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Milliman’s four Transaction Strategy Alternatives: System Replacement; System Remediation; Clearinghouse; and Translation were considered as to costs vs. benefits. PAI chose MIP Systems because its proposed system costs were lower than either of the software vendor packages and lower than Milliman’s estimated set up and annual transaction ...
[DOC File]Book I, Supplement No. 22 - Veterans Affairs
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Representative CPT/HCPCS codes are statistically selected and weighted so as to give a weighted average RVU comparable to the weighted average RVU of the entire pathology/laboratory CPT/HCPCS code group (the selected CPT/HCPCS codes are set forth in the Milliman USA, Inc., Health Cost Guidelines fee survey).
Iowa Department of Human Services
IOWA MEDICAID ENTERPRISE. PHARMACY POINT-OF-SALE SYSTEM. MED-04-084. Issued by the. Iowa Department of Human Services. OCTOBER 2004. Iowa Medicaid Enterprise. Pharmacy Point-of-Sa
[DOC File]1 - California
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Apr 07, 2004 · It is the intent of the Operating Agency to set up evaluation criteria with baseline data and benchmarks in order to measure the success of phases and to be able to justify moving to the next phase. The evaluation plan criteria will be developed prior to implementation of Phase I. Goals and performance criteria for each phase will be ...
[DOCX File]Welcome to the Network
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NBH maintains a utilization management committee (UMC) which is charged with ensuring that standards and criteria set by regulatory and any accrediting agencies are followed and NBHs capacity to accept delegation. The UMC and the Quality improvement committee share relevant data between committees and work collaboratively to address issues.
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The Offeror(s) for components one through four shall be prepared to work with the Department to select a specific set of low value services as determined by the Milliman Health Waste Calculator and design and implement a program to reduce or eliminate waste in these services.
[DOC File]901203 Add1_Health and Welfare
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The CSC will score and recommend a Contractor in accordance with the evaluation criteria set forth in this RFP. ... San Francisco CA susan.pantely@milliman.com OmniConsultants Tess Snook O'Riva 925-408-0588 800 Laurel Court Rodeo CA tess@omniconsultants.net Oracle Cory Lovell 415-717-8782 475 Sansome St., FL15 San Francisco CA cory.lovell ...
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