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Author: Lisa Shames
Publisher: DIANE Publishing
Keywords: consumers, false, misleading, claims, protecting, approach, labeling, fda, needs, reassess, food
Number of Pages: 60
Published: 2011-03-01
ISBN-10: 1437980015
ISBN-13: 9781437980011
FDA oversees federal requirements to prohibit false or misleading food labels; the FTC enforces the prohibition against false or misleading advertising. By statute, health claims on food labels must have significant scientific agreement, but in 2002, in response to a court decision, FDA decided to allow qualified health claims with less scientific support. Structure/function claims refer to a food's effect on body structure or function and are also used on food. This study of FDA's implementation of qualified health claims for food examined: (1) the results of FDA's efforts to allow the use of
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Author: Daniel Bertoni
Publisher: DIANE Publishing
Keywords: performance, training, management, claims, processors, enhance, accountability, benefits, increased, focus, evaluation, veterans
Number of Pages: 64
Published: 2008-09-01
ISBN-10: 1437906117
ISBN-13: 9781437906110
Faced with an increase in disability claims, the Veterans Benefits Admin. (VBA) is hiring a large number of new claims processing staff. This report determines: (1) What training is provided to new and experienced claims processors and how uniform is this training?; (2) To what extent has VBA planned this training strategically, and how well is the training designed, implemented, and evaluated?; (3) To what extent is the performance mgmt. system for claims processors consistent with generally accepted practices? Researchers reviewed VBA policies and training curricula; interviewed VBA central
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Author: Stephen W. Heath
Publisher: DIANE Publishing
Keywords: health, service, tribal, care, professionals, indian, management, medical, liability, manual, risk
Number of Pages: 57
Published: 1998-10-01
ISBN-10: 0788173057
ISBN-13: 9780788173059
Outlines the attitudes, knowledge & skills important to medical care risk management & liability. Provides recommendations that indicate ways to help reduce the incidence of malpractice claims. Addresses the patient-provider relationship, legal definitions, patients rights issues, informed consent, documenting & protecting medical records, issues of physician competence, the most frequent allegations found in IHS/tribal malpractice claims, the Fed. Tort Claims Act & claims processing, malpractice reporting agencies, & malpractice suits against individuals. Includes sample affidavits, & a list
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Author: Daniel Bertoni
Publisher: DIANE Publishing
Keywords: training, experienced, claims, processors, improve, oversight, disability, benefits, expanded, veterans
Number of Pages: 51
Published: 2010-08
ISBN-10: 143793305X
ISBN-13: 9781437933055
The Veterans' Benefits Improvement Act of 2008 (P.L. 110-389) mandated an evaluation of the Department of Veterans Affairs (VA) training for disability claims processors. This report answers the following two questions: (1) How appropriate is the training provided to experienced disability claims processors? (2) How adequate is the Veterans Benefits Administration's (VBA) monitoring and assessment of this training? To address these questions, the auditor conducted a web-based survey of a nationally representative sample of claims processors, interviewed VBA headquarters and regional office off
1798
Author: DIANE Publishing Company
Publisher: DIANE Publishing
Keywords: claims, processing, medicare, reliability, malpractice, drug, fraud, medical, medicaid
Number of Pages: 105
Published: 1994-06
ISBN-10: 0788110349
ISBN-13: 9780788110344
Assesses the extent of the drug diversion problem, the reason it persists, & what actions are being taken to bring it under control. Compares the incidence & outcomes of malpractice litigation involving Medicare & Medicaid patients to that of the general population & analyzes aggregate hospital data on malpractice losses for Medicare, Medicaid, & other hospital patients. Assesses the methods being used to approve or deny Medicare Part B claims. Describes the characteristics of claims denials that are appealed & of those that are reversed. Illustrated.
30896
Author: Daniel Bertoni
Publisher: DIANE Publishing
Keywords: accuracy, consistency, challenges, remain, measuring, programs, disability, benefits, improved, veterans
Number of Pages: 13
Published: 2010-08
ISBN-10: 1437931308
ISBN-13: 9781437931303
For years, in addition to experiencing challenges in making disability claims decisions more quickly and reducing its claims backlog, the Department of Veterans Affairs (VA) has faced challenges in improving the accuracy and consistency of its decisions. This statement discusses issues surrounding VAżs Systematic Technical Accuracy Review (STAR) program, a disability compensation and pension quality assurance program, and possible ways, if any, this program could be improved. It focuses on actions VA has taken, including those in response to past recommendations, to: (1) address identified we
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