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Showing results for "claims".
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161. Decreasing Tobacco Related Healthcare Costs Using Interactive Voice Response Technology | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-summary/decreasing-tobacco-related-healthcare-costs-using-interactive
     January 01, 2018 - and healthcare costs for patients, increase efficiency in patient care for the hospital, and decrease claims

162. Showing Health Information Value in a Community Network (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/showing_health_information_value_in_a_community_network_2009_update_2.pdf
     January 01, 2009 - funding sources. 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

163. Indiana | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/indiana
     January 01, 2023 - inpatient, outpatient, and ambulatory care settings Administrative (from provider to payer) Claims

164. Planning and Conducting a Cost-Benefit Analysis of Health IT and HIE Projects: A Workshop for Medicaid/CHIP Agencies (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/planning_and_conducting_a_cost_benefit_analysis_of_health_it_and_hie_5.pdf
     August 13, 2009 - avoidable patient safety events per 1,000 beneficiaries Data Sources for Medical Cost Analysis • Claims … • Use the accumulative benefit model to track actual cost • Annually evaluate utilization and claims … Aggregate clinical information from various data sources ◦ Hospitals ◦ Clinics ◦ Labs ◦ Medicaid claims … (including pharmacy claims) HIE Partners • Regenstrief Institute, Inc., is an internationally recognized … quantify due to the reduction in redundant tests (based on the reduction in a hospital’s revenue from claims

165. 1_ScenariosGuide (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
     April 26, 2013 - and exchanges:  Pharmacy benefit manager (PBM) (requesting information)  Company A (providing claims … Company A is self-insured and as part of their current benefits package, they have the prescription drug claims … PBM1 has requested that Company A send their electronic claims to them to complete the review. … – How to release (electronically or paper—with existing claims data). 1-20 Privacy and Security

166. 1_ScenariosGuide (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
     April 13, 2012 - and exchanges: Pharmacy benefit manager (PBM) (requesting information) Company A (providing claims … Company A is self-insured and as part of their current benefits package, they have the prescription drug claims … PBM1 has requested that Company A send their electronic claims to them to complete the review. … – How to release (electronically or paper—with existing claims data).

167. The Community Chronic Care Network of Santa Cruz County | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/community-chronic-care
     December 31, 2007 - The registry will import data from claims, labs, pharmacies, and points of care for patients in a master

168. Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange (pdf file)
     digital.ahrq.gov/sites/default/files/docs/June_2009_Webinar_Final%20(1).pdf
     January 01, 2009 - Switch Prescription Claim Process Rx Claims Processor Prescription Benefit Manager $ $ $ … Switch e-Prescription Claim Process Rx Claims Processor Prescription Benefit Manager $ $ … clinical information • Eligibility and formulary • Somewhat, but not completely, analogous to online claims

169. Track 6: Using Reporting Systems for Safety and Quality Improvement | Digital Healthcare Research
     digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
     January 01, 2023 - Panelists will describe: a claims and reporting system developed for local healthcare units in the Tuscany

170. Administrative System | Digital Healthcare Research
     digital.ahrq.gov/technology/administrative-system
     January 01, 2023 - Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims

171. Outpatient | Digital Healthcare Research
     digital.ahrq.gov/care-setting/hospital-outpatient
     January 01, 2023 - Description This research, using data from the country’s largest telehealth provider and claims

172. 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_5.pdf
     January 01, 2010 - .▫ Utah is using Medicaid claims data to identify inappropriate medication use and design evidence-based … to authorized users according to their role ▪ Initially populated with 2 years of Medicaid and CHIP claims … ▪ Medications: Displays claims-based record on prescriptions filled. … Provider Member data (eligibility and demographics) DFPS and Eligibility Broker (Maximus) Medical claims … and encounter data TX Medicaid and Healthcare Partnership (TMHP) Other claims data (dental, long-term

173. Use of Health IT and HIE in Section 2703 Medicaid Health Homes: What Types of Health IT Can Medicaid/CHIP Agencies Support to Build a Health Home Infrastructure for Medicaid Providers and Beneficiaries? (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/use_of_health_it_and_hie_in_section_2703_medicaid_health_homes_5.pdf
     January 01, 2017 - Enrolled Nondual ABD …Coupled with Tools for Monitoring of ED and IP Visits, Updated with Every Claims … Payment Cycle 41 Quality Measurement and Feedback: Quarterly Claims— Derived Quality Measures 42 … 1000MM, Enrolled ABD ...Coupled with Tools for Monitoring of ED and IP Visits, Updated with Every Claims … Payment Cycle Quality Measurement and Feedback: Quarterly Claims—Derived Quality Measures Coupled

174. Title Page (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
     January 01, 2008 - The physician profiles were derived from risk adjusted claims, laboratory, and pharmacy data. … in the project will receive a baseline quality report during the 4th quarter of 2008 based on 2007 claims … Also, a combination of aggregated claims data and standardized structural, process and outcome measures … quarter of 2009 based on 2008 claims data aggregated across all health plans participating in the project

175. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use
     January 01, 2023 - Type: Journal Publication Research Method: Systematic Review Ocular anesthesia-related closed claims … Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018.

176. Using electronic health records to measure physician performance for acute conditions in primary care: empirical evaluation of the community-acquired pneumonia clinical quality measure set | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/quality-measurement-and-improvement/using
     Using electronic health records to measure physician performance for acute conditions in primary care: empirical evaluation of the community-acquired pneumonia clinical quality measure set This study evaluated the reliability and feasibility-of-use of a performance measure for pneumonia in an ambulatory elect…

177. The costs of a national health information network | 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/costs-national-health
     August 02, 2005 - national health information network: inpatient/ outpatient results viewing, EHR, CPOE, electronic claims

178. Schade CP et al. 2006 "e-Prescribing, efficiency, quality: Lessons from the computerization of UK family practice." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schade-cp-et-al-2006-e
     January 01, 2006 - that have both timesaving and revenue generating effects, and potential shielding from malpractice claims

179. Prescribing Patterns of Preferred or Formulary Medications (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/prescribing-patterns-of-preferred-or-formulary-medications-quick-reference-guide.pdf
     April 01, 2009 - generic drug utilization in the ambulatory care setting: a retrospective analysis of administrative claims … generic drug utilization in the ambulatory care setting: a retrospective analysis of administrative claims

180. Delaware | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/delaware
     January 01, 2023 - support module Administrative (for provider and payer) - Late Phases Billing functions Claims