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  1. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3c.html
    July 01, 2018 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Number or insurance claims for medication. Productivity Work limitations.
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - ■ Notify appropriate individuals of the event (e.g., claims management, legal counsel, any liability … – Determine if it is appropriate to continue to withhold some or all claims to third parties and
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
    January 01, 2018 - xvii Invalid TINs appear in the data when a valid TIN was not reported on MA claims. … Medicare claims We used billing information in 2018 Medicare fee-for-service claims to create an analytic … used to create the MD-PPAS data, including only claims: 1. … A date of service can include more than one service and multiple Medicare claims. … Medicare claims 4. IQVIA OneKey database III. Methodology A.
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
    January 01, 2016 - Instead of using the specified denominator (an enrolled health plan population based on claims data) … measures developed for use at the state or health plan level often rely on program administrative or claims … At the health system, hospital, or practice level, however, these claims data are often unavailable … significant number of self-paid visits—documented in electronic medical records (EMRs) but not in claims … One key informant – a state Medicaid medical director – noted that pharmacy claims, which are available
  5. ce.effectivehealthcare.ahrq.gov/data/innovations.html
    March 01, 2024 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Determinants of Health Synthetic Healthcare Database for Research (SyH-DR) All-Payer Claims
  6. ce.effectivehealthcare.ahrq.gov/cpi/about/nac/snac-shenkman.html
    November 01, 2019 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … OneFlorida has a centralized Data Trust containing linked healthcare claims, electronic health record
  7. ce.effectivehealthcare.ahrq.gov/data/infographics/us-clinical-preventive-services.html
    May 01, 2019 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims
  8. ce.effectivehealthcare.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims
  9. ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.html
    July 01, 2021 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … This toolkit includes materials to support users in: Utilizing a claims-based method for identifying
  10. ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
    August 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … represent the most common medical factor contributing to pediatric closed (i.e., settled) malpractice claims
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
    October 16, 2019 - Exclusions • Denominator Exclusions o Exclusions based on ICD-9-CM codes captured in administrative claims … obtained  Suspected abuse and neglect or other head trauma (IMG9 or the presence of an E-code in claims
  12. ce.effectivehealthcare.ahrq.gov/opioids/about.html
    August 01, 2021 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims
  13. ce.effectivehealthcare.ahrq.gov/data/innovations/3p-rd.html
    April 01, 2024 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Determinants of Health Synthetic Healthcare Database for Research (SyH-DR) All-Payer Claims … The database was supplemented and enhanced using available state and national claims files. 3P-RD contains
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.pdf
    September 01, 2015 - Dailey The National Evaluation Team 2  Updates on data collection: site visits, claims, and … patients and primary care physicians, and others 7 Site Visits: Early Observations Claims
  15. ce.effectivehealthcare.ahrq.gov/data/innovations/sdoh.html
    June 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Determinants of Health Synthetic Healthcare Database for Research (SyH-DR) All-Payer Claims
  16. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
    April 01, 2018 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Electronic records consisted of billing records, LVPHO claims, and EMRs. … For other practices, we were only able to use PHO claims data. … However, the PHO claims were a good source of data for tracking screening. … For the remaining practices, we were able to use a combination of billing records and PHO claims.
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … Identification of in-hospital complications from claims data – Is it valid? … Enhancement of claims data to improve risk adjustment of hospital mortality.
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
    November 26, 2013 - 2 (Percentage of Children in State with SCD Receiving Antibiotics by 3 Months of Age) Medicaid Claims
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
    January 01, 2014 -  Claims in the administrative records for any of the sickle cell disease variants listed in Table … Select cases with TCD Select cases with TCD IPOT2008 _TCD Merge files, eliminate duplicate claims … by date of service for each ID IPOT2008_ Meas13Had 3 Select cases that had 3 or more claims … This frequency is for syntax testing only*/ /*Delete duplicate IDs (this not only deletes multiple claims
  20. ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
    August 01, 2018 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … incentive to invest in needed infrastructure, including clinical care redesign (by providers) and automated claims … Inadequate infrastructure for claims processing: Health plans' existing automated claims systems could

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