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Showing results for "claims".
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221. A National Web Conference on Findings from the Evidence-Based Practice Centers for Health IT | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/events/national-web-conference-findings-evidence-based-practice-centers-health-it
     July 20, 2011 - A National Web Conference on Findings from the Evidence-Based Practice Centers for Health IT Event Details Date: July 20, 2011 Time: 2:00pm to 3:30pm Presenters: Presenters: David F. Lobach, M.D., Ph.D., M.S., Ann McKibbon B.Sc., M.L.S., Ph.D., Michael Christopher Gibbons, M.D., M.P.H., Overall …

222. Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/annual-summary/2010
     January 01, 2010 - Heart Disease Summary: Data from electronic medical records (EMRs) have the potential to far surpass claims

223. Final-Hit-Enabled-Quality-Measurement-Snapshot (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/final-hit-enabled-quality-measurement-snapshot.pdf
     July 01, 2012 - Until recently, quality measurement relied almost exclusively on the use of electronic claims data, … Thus, initial quality measures relied heavily on administrative data, particularly claims, because they … , quality measurement is still primarily conducted via manual chart abstraction and administrative claims … Combining claims and registry data for patient- focused outcome measurement. … data with medical record review and (2) a “claims-only method,” based upon claims data aggregated

224. Final-Hit-Enabled-Quality-Measurement-Snapshot (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/final-hit-enabled-quality-measurement-snapshot.pdf
     July 01, 2012 - Until recently, quality measurement relied almost exclusively on the use of electronic claims data, … Thus, initial quality measures relied heavily on administrative data, particularly claims, because they … , quality measurement is still primarily conducted via manual chart abstraction and administrative claims … Combining claims and registry data for patient- focused outcome measurement. … data with medical record review and (2) a “claims-only method,” based upon claims data aggregated

225. Evaluating Electronic Health Record Data for Use in Diabetes Quality Reporting (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/r36hs020165-hirsch-annual-summary-2012.pdf
     January 01, 2012 - While research exists on the challenges of using claims and registry data for various pay-for-performance

226. Using Information Technology to Improve the Quality of Cardiovascular Disease Prevention and Management (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/using_it_to_improve_the_quality_of_cardiovascular_disease__cvd__prevention___management_2010_pdf__2.pdf
     January 01, 2010 - Heart Disease Summary: Data from electronic medical records (EMRs) have the potential to far surpass claims

227. Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network Clinical State and Regional Demonstration Project (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/2011_290040002_root_pdf_3.pdf
     January 01, 2011 - which allows initial exchange of clinical information through UHIN, is a utility for direct entry of claims

228. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
     March 01, 2010 - Since 2003, Medicaid has shared claims information with Blue Cross that providers can access via InfoSolutions

229. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medicaid/AL_case_study.pdf
     March 01, 2010 - Since 2003, Medicaid has shared claims information with Blue Cross that providers can access via InfoSolutions

230. June 2009 Transcript (pdf file)
     digital.ahrq.gov/sites/default/files/docs/June_2009_Transcript.pdf
     January 01, 2009 - you can see our tired little claim still has a long journey ahead through switching companies and claims … processors and pharmacy benefits managers during the claims adjudication process and finally a message … Also, note that the pharmacy pays for the switch and the claims processor for each of these transactions … Prescription histories and eligibility in formulary, and somewhat but not completely analogues to the online claims … within the pharmacy system itself, in addition, to that, while the claim is being adjudicated at the claims

231. Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
     January 01, 2017 - Methods We used a variety of methods across the four core projects, including statistical analysis of claims … The approach requires three types of data: medication orders, diagnostic claims, and drug indications … We extracted ICD9 diagnoses data from administrative claims for the same time period. … Instead, it looks at claims data for any drug that is not justified by an active diagnosis. … the state of the art in valid, automated measurement of drug name confusions using administrative claims

232. Positioning Medicaid and CHIP for the Future: Health IT Regulations, Initiatives, and Opportunities (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/health_it_regulations__initiatives___opportunities_6.pdf
     April 01, 2009 - Whether it is administrative claims data as well as the other functionality that you’re going to want … time and in the beginning, the early 70s, we basically did Medicaid management systems that were claims … We went from the days of just paying claims to realizing we had information and maybe we should do something … You then have to have an appropriate provider network to provide those services, which is the claims … Trish: One of the things to remember when you say MMIS, you tend to think of the old claims processing

233. Computerized reminders to encourage cervical screening in family practice | 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/computerized-reminders-encourage
     April 01, 1989 - Computerized reminders to encourage cervical screening in family practice Authors:  McDowell I, Newell C, Rosser W Journal:  J Fam Pract Publication Date:  1989 Apr Volume:  28 Issue:  4 Pages:  420-4 HIT Description:  A computerized patient registry that recorded patient diagnoses, prescriptions, treatment…

234. Medication Adherence | Digital Healthcare Research
     digital.ahrq.gov/medication-adherence
     January 01, 2023 - The two most common sources of fill information are pharmacy claims data provided by the insurer (or

235. Pathways to Quality through Health Information Technology | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/pathways-quality-through-health-information-technology
     January 01, 2023 - Measurement Historically, quality measurement has relied on data collected from electronic claims

236. Improving Care Transitions for Complex Patients through Decision Support | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support
     January 01, 2023 - The system was based on HL7 standards for decision support, and utilized routinely available claims and

237. GAO-06-750 Information Security: The Centers for Medicare & Medicaid Services Needs to Improve Controls over Key Communication Network (pdf file)
     digital.ahrq.gov/sites/default/files/docs/library/d06750.pdf
     August 30, 2006 - security breach in this communication network could lead to interruptions in the processing of medical claims … security breach in this communication network could lead to interruptions in the processing of medical claims … Figure 1: Communication Network Interconnections The communication network transmits Medicare claims … and inadvertently or deliberately disclose financial and medical data needed to process Medicare claims

238. Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018912-mcconnochie-final-report-2014.pdf
     January 01, 2014 - impractical to obtain formal written consent, from each participating family, for acquisition of billing claims … Based on prior analyses of insurance organization billing claims, together these data sets would give … Based on 152,802 child-months of billing claims-based observation, utilization was compared among inner-city … We examined healthcare use through insurance claims and HeA records spanning 5.7 and 7.3 years for CSHCN … Claims files captured health services use for varying periods of time among 300 different CSHCN and

239. Welcome to the AHRQ Medicaid and CHIP TA Webinar - Data Linkage and Exchange: Opportunities for Improved Services for Children with Special Health/Developmental Needs (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/data_linkage_and_exchange__opportunities_for_improved_service_to_children_5.pdf
     October 01, 2012 - agencies can benefit from aggregating the data and having access to their data matched to Medicaid claims … • Medicaid benefits by having non-clinical data (e.g., WIC/FCM) for additional analysis of claims

240. Targeting Medication Nonadherence Using Mobile Phone Based Tailored Messaging | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/targeting-medication-nonadherence-using-mobile-phone-based-tailored-messaging
     January 01, 2023 - Survey responses measured changes in health beliefs, adherence was assessed using pharmacy claims, and