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Showing results for "claims".
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121. Quality Indicators Care Coordination Measures Project - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project/annual-summary/2010
     January 01, 2010 - based on: multiple data sources (electronic health record systems, consumer surveys, and administrative claims … given to those that rely on an existing data source such as review of medical records, administrative claims

122. Improving Quality through Decision Support for Evidence-Based Pharmacotherapy (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017072-lobach-final-report-2011.pdf
     January 01, 2011 - The imported data include encounter and pharmacy claims data from the State Medicaid Office, as well … The presence of IOM priority conditions was determined from claims data using algorithms modeled after … Effectiveness Data and Information Set (HEDIS) with the exclusion of criteria based on medication claims … Analyses were delayed by at least 6 months after the completion of the study to ensure that the claims … As a result, we lost access to pharmacy claims for dually enrolled subjects in spite of significant

123. Showing Health Information Value in a Community Network (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015057-lobach-final-report-2008.pdf
     January 01, 2008 - The imported data include encounter and pharmacy claims data from the State Medicaid Office, as well … Upon digging deeper into the data, we discovered a significant drop in the number of claims during the … each (approximately one third of the usual volume of monthly claims for our program) in the master … After several iterations over 3 to 4 months, we have been able to fill in the missing claims and move … Through this study, we have shown that sentinel health events can be identified from billing/claims

124. Health Information Exchange and Ambulatory Test Utilization (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/r21hs018749-nease-annual-summary-2012.pdf
     January 01, 2012 - ManagedCare was the agency providing the project with claims data for the analysis, and therefore new … Claims submitted by 306 providers in 69 practices for 34,818 patients from the second quarter of 2005

125. Use of reminders to increase compliance with tetanus booster vaccination | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/use-reminders-increase
     March 15, 1992 - Use of reminders to increase compliance with tetanus booster vaccination Authors:  Rosser WW, Hutchison BG, McDowell I, Newell C Journal:  CMAJ Publication Date:  1992 Mar 15 Volume:  146 Issue:  6 Pages:  911-7 HIT Description:  A computerized patient registry that recorded patient diagnoses, prescriptions…

126. E_Glossary (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_1.pdf
     April 26, 2013 - by hardware (network servers, firewalls, etc) or software (electronic health records, databases, claims … specifically defined collection of data such as a health care record, electronic medical record, claims … Individually Identifiable Health Information Medical records, clinical files, health plan claims data

127. E_Glossary (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_0.pdf
     April 13, 2012 - by hardware (network servers, firewalls, etc) or software (electronic health records, databases, claims … specifically defined collection of data such as a health care record, electronic medical record, claims … Individually Identifiable Health Information Medical records, clinical files, health plan claims data

128. Implementing e-Prescribing in the Medicaid/SCHIP Programs: Experiences and Lessons Learned (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/implementing_e_prescribing_in_the_medicaid_schip_programs__experiences_and_lessons_learned_5.pdf
     April 01, 2009 - software required, just Internet access □ Advantage: can be co-located with other utilities (electronic claims … □ Various bells/whistles (prior slide) □ Linked to claims data warehouse Provider uses the Tool … electronic health record, clinical decision support, and e-prescribing function) includes all the claims … formulary, eligibility, history, etc.), make appropriate decision, submit prescription □ Fewer rejected claims

129. Medicaid Health IT Initiatives Boot Camp: Understanding and Managing Multiple Medicaid Health IT Projects (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/medicaid_health_it_initiatives_boot_camp__understanding_and_managing_multiple_medicaid_health_it_projects_5.pdf
     December 31, 2015 - with Medicaid) HINT: For the expanded Medicaid population (101% – 133% of FPL), under the ACA, claims … Business Results Condition • Systems should support • Accurate and timely processing of claims adjudications … rely on diagnosis codes • Determine and encourage provider readiness • Identify issues affected in claims … rules developed for use with (EDI) transaction standards are: • Eligibility and Claim Status • Claims … payment advice and electronic funds transfer (EFT/ERA) • Health claims/encounter information (claims

130. A National Web Conference on E-Prescribing and Medication Management | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/events/national-web-conference-e-prescribing-and-medication-management
     March 31, 2009 - He discussed utilizing pharmacy fill data and claims data not only to populate patient lists but also

131. A Community Health Information Exchange-based Hospital Readmission Risk Prediction & Notification System - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r21hs022578-kharrazi-final-report-2015.pdf
     January 01, 2015 - Currently RRPMs are very common using post-facto health plan claims and hospital administrative … Current readmission risk predictive models (RRPMs) are developed based on post-facto health plan 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

132. Personal Health Records: An Overview (pdf file)
     digital.ahrq.gov/sites/default/files/docs/PHR_Overview_Presentation.pdf
     March 05, 2008 - Populated from claims data (e.g., Aetna)Populated from claims data (e.g., Aetna) 5. … Health Plan Consumer Access Services Blood Pressure Consumer Using Device a Different PHR Claims

133. Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/annual-summary/2011
     January 01, 2011 - phone communications from the ATSM care manager to the patient triggered by data derived from pharmacy claims … information technology innovation - a medication activation communication strategy triggered by pharmacy claims

134. Evaluating Electronic Health Record Data for Use in Diabetes Quality Reporting - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2012
     January 01, 2012 - While research exists on the challenges of using claims and registry data for various pay-for-performance

135. Understanding EHRs: Common Features and Strategic Approaches for Medicaid/SCHIP (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/understanding_ehrs___common_features_and_strategic_approaches_for_medicaid_schip_5.pdf
     January 01, 2007 - Medical Records  The role of Health Information Exchanges in creating an EHR  The utility of claims … Warehouse Partnerships in Funding and Development HIE HeadStart Phase I leverages administrative claims … Medicaid (including pharmacy and physician office visits) • UB-92 inpatient, ambulatory surgery and ED claims

136. Impact of an evidence-based computerized decision support system on primary care prescription costs | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-evidence-based
     Evaluation Method:  Database queries identified all prescription claims during a 6 month period for primary

137. Quality Indicators Care Coordination Measures Project (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/quality_indicators_care_coordination_measures_project_2010pdf_2.pdf
     September 01, 2011 - on: multiple data sources (electronic health record systems, consumer surveys, and administrative claims … given to those that rely on an existing data source such as review of medical records, administrative claims

138. !DirectionsSpring03 web version (pdf file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_I.pdf
     January 01, 2003 - ❍ Yes ❍ No Including electronic remittance of claims? ❍ Yes ❍ No 4. … Do we know what percentage of claims payments are posted via electronic remittance?

139. Leveraging Health Information Technology to Avoid Unnecessary Asymptomatic Carotid Revascularization | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/leveraging-health-information-technology-avoid-unnecessary-asymptomatic-carotid-revascularization
     January 01, 2023 - The team merged data from the Vascular Quality Initiative national registry and Medicare claims data … : Identify which patients receive unnecessary carotid revascularization using a linked registry-claims

140. Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication
     January 01, 2023 - information technology innovation—a medication activation communication strategy triggered by pharmacy claims … The second (ATSM-PLUS) also leveraged pharmacy claims to strengthen medication counseling. … adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims … adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims