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Showing results for "claims".
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141. Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact on Potentially Avoidable Health Care Utilization - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs024556-vest-final-report-2019.pdf
     January 01, 2019 - combination of system log files and qualitative interviews and technology adoption records and Medicare claims … Data Sources We combined HIE participation data with claims. … We merged these data with a 100% sample of inpatient and outpatient claims for continuously enrolled … Beneficiaries were attributed to the provider with the plurality of their outpatient evaluation and management claims

142. Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2011
     January 01, 2011 - office-based e-prescribing system, and with multiple insurance companies and public programs that provided claims … The project linked patients' e-prescriptions with pharmacy claims and generated a comprehensive dataset

143. Twelve-month drug cost savings related to use of an electronic prescribing system with integrated decision support in primary care | 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/twelve-month-drug-cost-savings
     May 01, 2005 - The total savings on all pharmacy claims averaged $863 per prescriber per month.

144. Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/2011_017261_schillinger_pdf_3.pdf
     January 01, 2011 - phone communications from the ATSM care manager to the patient triggered by data derived from pharmacy claims … technology innovation—a medication activation communication strategy triggered by pharmacy claims

145. National Web-Based Teleconference on Health IT and Underserved Populations: Health IT Adoption in Rural Clinical Settings (pdf file)
     digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
     September 17, 2010 - reports Lab results Adm/Disch notices Payers Pharmacies Medication History Medication History Claims … Reporting Admit / Discharge Notification Payers Pharmacies Medication History Medication History Claims … Clinical messages Adm/Disch notices Payers Pharmacies Medication History Medication History Claims … reports Lab results Adm/Disch notices PBMs Pharmacies Medication History Medication History Claims

146. Improving Children's Health through the Adoption of HIT by Medicaid/CHIP Agencies (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/improving_children_s_health_through_the_adoption_of_hit_by_medicaid_chip_agencies_6.pdf
     July 06, 2009 - We can also pull in all medical medication claims [and] prescriptions that are filled. … We get our claims data and encounter data from our claims administrator contract. … We get other claims data, regarding vision and dental, from contractors [and] subcontractors to our … of the overview model that is the recent activities screen, [which] gives a quick view of the last claims … not a complete record, we can tell providers and people who log on that this is incomplete based on claims

147. eHealth in Utah: Improving Patient Care Through Health Information Exchange (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
     June 01, 2006 - Information Network - UHIN) – Statewide network • 90+% of all UT providers • All Medicaid health claims … Commissioner for Health 7 Where We Are: • UHIN eCoverage – 3rd Party payers’ claims … initiatives – UHIN – Medicaid involvement • Require all Medicaid providers statewide to submit claims

148. PCP CPHC (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Schillinger_Q6_PCP_CPHC.2.20.09.pdf
     November 05, 2009 - automated telephone self-management support combined with * medication intensification using pharmacy claims

149. Haynes RB et al. 1987 "Computer-aided quality assurance: a critical appraisal." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/haynes-rb-et-al-1987
     January 01, 2023 - Many of the claims of the creators and promoters of these systems, however, are not based on sound clinical

150. Vendor Questions During Selection Phase 1.xls (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medicaid/vendor-questions-during-selection-phase.pdf
     April 01, 2005 - Explain the process for submitting electronic claims to various 3rd party payers. … Explain your rules engine for denied claims and lower payment posting.

151. HL7 | Digital Healthcare Research
     digital.ahrq.gov/hl7
     January 01, 2023 - Secretary Mike Leavitt proposed the adoption of standards for certain attachments to electronic health care claims

152. Evaluating electronic health record data for use in diabetes quality reporting - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2011
     January 01, 2011 - While research exists on the challenges of using claims and registry data for P4P programs, there is

153. NDC | Digital Healthcare Research
     digital.ahrq.gov/ndc
     January 01, 2023 - transactions, coding drug information within clinical information systems and for prescription drug claims

154. Showing Health Information Value in a Community Network - 2008 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/showing-health-information-value-community-network/annual-summary/2008
     January 01, 2008 - ( Ongoing * ) 2008 Activities: Data for the primary and secondary outcomes were obtained from claims … Analyses were delayed at least 6 months after the completion of each study phase to ensure that the claims

155. Unlocking Quality Information: Understanding the Value of Health IT for Quality Measurement and Improvement: A Workshop for Medicaid/CHIP Agencies (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/unlocking_quality_information__understanding_the_value_of_health_it_for_quality_measurement_and_improvement_5.pdf
     April 26, 2010 - • Level 2: Aggregation of multiple sources of claims (e.g., diagnosis plus pharmacy claims) • Level … 3: Clinically enriched sources (e.g., claims, plus clinical lab results) • Level 4: Electronic health … • Provider/credentialing databases • Utilization review data (prior authorizations) • Plan’s core claims … data • Vendors’ claims data: behavioral health, pharmacy benefits manager, durable medical equipment … old: lost opportunity for rapid cycle quality improvement 62 Medicaid Quality—Capitated MCOs • Claims

156. Improving HIT Implementation in a Rural Health System (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015337-mingle-final-report-2008.pdf
     January 01, 2008 - Average office visit costs PPPY 4b: PPPY Total Medical Costs/Claims. … Average total medical costs PPPY 4c: PPPY Psychiatric Costs/Claims. … Average mental health costs PPPY 4d: PPPY Hospital Costs/Claims. … Average inpatient costs PPPY 4e: PPPY ED Costs/Claims. … Average ER costs PPPY 4f: PPPY Pharmacy Costs/Claims.

157. Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/2011_017151_fischer_pdf_3.pdf
     January 01, 2011 - office-based e-prescribing system, and with multiple insurance companies and public programs that provided claims … The project linked patients’ e-prescriptions with pharmacy claims and generated a comprehensive dataset

158. Funnels and Quilts (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006Overhage_051711comp.pdf
     May 26, 2011 - health surveillance Research Clinical trials screening & management Admin functions Credentialing Claims … an ge Clinical Data Sources Primary care physician Payors Clinical Data In office Tests Claims

159. Targeting Medication Nonadherence Using Mobile Phone-Based Tailored Messaging - FInal Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r36hs021976-gatwood-final-report-2014.pdf
     January 01, 2014 - Survey responses measured changes in health beliefs, adherence was assessed using pharmacy claims, and … To capture medication use information, pharmacy claims data were obtained from two sources. … Claims for subjects enrolled in Priority Health were given to the study team directly from the payer … First, the use of pharmacy claims is an indirect measure of medication use- a prescription filled … Secondly, not all subjects had reliable pharmacy claims within their insurance record; therefore, the

160. ACTS COVID-19 Evidence to Guidance to Action Collaborative | Digital Healthcare Research
     digital.ahrq.gov/covid-acts
     January 01, 2023 - or organization’s name; You release and forever discharge AHRQ and its employees from any and all claims