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Showing results for "claims".
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221. Opioids' Impact on Seniors | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/infographics/opioids-impact-seniors.html
     September 01, 2018 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims

222. How to Enter the Challenge | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/challenges/health-data/how-to-enter.html
     March 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Agrees to assume any and all risks and waive claims against the Federal Government and its related entities … Agrees to indemnify the Federal Government against third-party claims for damages arising from or related

223. Overview of the 14 Transforming Primary Care Grants | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.html
     October 01, 2015 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Quantitative assessments included analysis of operational and administrative data (such as claims data … operational data; and assessed cost and utilization for individual patients through an analysis of claims … data from the Centers for Medicare & Medicaid Services and Utah’s All Payer Claims Database. 10

224. Overview of the 14 Transforming Primary Care Grants | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-transform/overview.html
     March 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Quantitative assessments included analysis of operational and administrative data (such as claims data … operational data; and assessed cost and utilization for individual patients through an analysis of claims … data from the Centers for Medicare & Medicaid Services and Utah’s All Payer Claims Database. 10 Return

225. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
     April 05, 2017 - Administrative data (e.g., claims data). … We developed and tested the measure using multiple claims datasets. … The measure uses pediatric inpatient claims data. … Yes; hospital claims datasets are widely available. … Use of Claims Data to Measure Readmissions We developed our candidate measure to use inpatient claims

226. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
     November 01, 2019 - This measure uses medical record data after administrative claims data are used to identify the eligible … Denominator Exclusions Exclusions based on ICD-9-CM codes captured in administrative claims data: … Administrative data (e.g., claims data); paper medical record; electronic medical record. … The HIRD includes automated computerized claims data and enrollment information for approximately 60 … Some denominator exclusions cannot reliably be identified using administrative claims.

227. National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
     September 30, 2015 - • Outdated or underdeveloped claims systems, health information exchanges, and electronic health … Strategies range from producing practice-level reports from claims data to helping practices calculate … Carolina is reporting measures from claims data (in addition to other sources, such as immunization … Claims do not contain information about which providers work together, making it difficult to develop … Measures relying on data available in existing systems, such as immunization registries and claims

228. Quality Measures | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/topics/quality-measures.html
     Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices

229. Final Progress Report: Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
     January 01, 2024 - Currently, RRPMs are very common, using post-facto health plan claims and hospital administrative databases … to 60+ million patients to help predict various healthcare events (including hospitalization) using claims … Currently, readmission risk predictive models (RRPMs) are very common using post-facto health plan claims … ACGs are mainly designed and deployed on claims data for prediction modeling (though outside the US … These features make HIEs an interesting alternative to claims and EHRs to explore the development of

230. Module 7: Resolution | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
     August 01, 2022 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Slide 4 Say: It is important that clinical practitioners, risk management/claims, and financial … For the internal organizational resources, clinical, claims/finance, and legal personnel must be coordinated … Staff who need to participate, coordinate, and align among internal groups include:  Insurance/Claims

231. Weighted Summary Statistics: PUF Medicare Pharmacy File (Version 2) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Pharmacy-Weighted.pdf
     September 26, 2023 - Weighted Summary Statistics: PUF Medicare Pharmacy File (Version 2) 15:39 Tuesday, September 26, 2023 1 Weighted Summary Statistics: PUF Medicare Pharmacy File Variable Variable Label Count of Non-missing Values (Unweighted) Count of Missing Values (Unweighted) Minimum Maximum Mean Standard Deviation PER…

232. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
     July 14, 2023 - Claims denials violate the prudent layperson standard, but they are not the only bad practice by payers … HRSA • Medical Claims Review Panel o Annual review of malpractice claims paid shows a similar pattern

233. Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
     February 14, 2018 - Administrative data (e.g., claims data). … Analytic eXtract (MAX) for 11 States. • 2011 claims data from two MEDNET States. • 2012 claims data … from one MEDNET State. • 2009 claims data from 17 New York State Medicaid health plans. • 2013 claims … Although this measure has been developed and tested for claims data, it is likely highly feasible to … This measure has been specified and tested in claims data only.

234. State Variation in Birth Rates and Payments Among Women Ages 18-44 With Commercial Insurance (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
     October 17, 2023 - The intramural files include claims from the commercially insured population, covering those who had … State Variation in Birth Rates 13 About SyH-DR SyH-DR is an all-payer, nationally representative claims … The database consists of a sample of inpatient, outpatient, and prescription drug claims, including … SyH-DR is a synthetic database that preserves the structure and statistical properties of the original claims

235. Publications and Additional Materials | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pqmp/publications/search.html?page=3
     September 01, 2014 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Keywords: Quality measure, Electronic health records Using Medicaid and CHIP Claims Data to Support … Using Medicaid and CHIP claims data to support pediatric quality measurement: lessons from 3 centers … Keywords: Antipsychotics Identifying Sickle Cell Disease Cases Using Administrative Claims Center … Identifying sickle cell disease cases using administrative claims.

236. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … A recent study analyzed medical malpractice claims of a malpractice carrier that insures in four States … These claims highlight several points related to the failure to provide appropriate language services … In the claims analyzed, 2.5 percent of malpractice suits were related to language/interpretation problems … Twelve of the claims involved the failure to translate important documents such as informed consent forms

237. Develop Your Own (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
     January 01, 2003 - Envelope—But Not Too Hard · Learn and Use the "Typical" Data Sources · Consider Using Encounter or Claims … Encounter and claims data are examples of administrative data. … Online Resource: For more information on these types of data, go to Consider Using Encounter or Claims … Data—Very Carefully Encounter and claims data are varieties of administrative data. … Some States have made significant investments in cleaning claims or encounter data to ensure accuracy

238. Data Visualizations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/data-visualization/index.html?page=1
     September 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims

239. Data Visualizations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/data-visualization/index.html
     September 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims

240. Health Care Quality: How Does Your State Compare? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/infographics/state-compare-text.html
     April 01, 2018 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims