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  1. 09-0071-Ef 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/09-0071-EF_1.pdf
    June 01, 2009 - .18 § Errors and Omissions insurance (E&O) and Cyberliability: protects the organization from claims … the indemnifying partner has acquired enough liability coverage to pay for any potential damages or claims … In the case of the MSeHA, some of the public hospitals in Tennessee fall under the Tennessee Claims … A recent study, however, found that physicians with EHRs appear less likely to pay malpractice claims … Electronic health records and malpractice claims in office practice.
  2. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015431-brooks-final-report-2007.pdf
    January 01, 2007 - Phase I Analysis: The effectiveness of IT implementation was assessed through a pre-post analysis of 6 claims-based … should also include first the evaluation of the reliability of data that comes from small facilities claims … measurement of data quality was created (Data Quality Measure) for each hospital, based on the percentage of claims … by total claims
  3. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017795-eisenstein-final-report-2012.pdf
    January 01, 2012 - The system was based on HL7 standards for decision support and utilized routinely available claims and … The imported data include encounter and pharmacy claims data from the State Medicaid Office, as well … obtained via ADT feeds from network hospitals, practice management data from network clinics, and claims … Rate of ED encounters Rate of hospitalizations Rate of outpatient encounters NC Medicaid claims … fees Pharmaceutical reimbursement ED costs, hospitalization and outpatient costs NC Medicaid claims
  4. digital.ahrq.gov/sites/default/files/docs/activity/e_prescribing_impact_2009_update_2.pdf
    January 01, 2009 - To accomplish this aim, all pharmacy and medical claims from 2003 through the first quarter of 2005
  5. digital.ahrq.gov/sites/default/files/docs/E-Prescribing%20and%20Medication%20Management%20(1).pdf
    March 31, 2009 - Patient 1 2 5 Provides Patient:  Eligibility  Benefit & Formulary  Medication Claims History … history for patients they are treating in an inpatient setting – Person search – Dispensed claims
  6. digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
    December 29, 2006 - giving patients a cause of action for inappropriate disclosure, and another reported that HIPAA-based claims … are being included in lawsuits by patients frequently enough that one provider had reported 6 such claims … (The specific legal basis for such claims was not identified.
  7. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/implementation/Wheeler%202-I.ppt
    June 05, 2006 - Slide 1 The Michigan Upper Peninsula Critical Access Hospital HIT Network Implementation Project Donald A. Wheeler, FACHE Primary Investigator Moving Community Health To the 21st Century AHRQ 2006 Annual Patient Safety & Health Information Technology Conference June 5, 2006 Critical Access Hospital HIT Netw…
  8. BD: Good afternoon (pdf file)

    digital.ahrq.gov/sites/default/files/docs/20081027_Transcript_CD_WS.pdf
    October 27, 2008 - Couple of concerns, there is a school of thought which claims that they're sort of worried that young … We are also aware that there is a lot of data that's available in clinical settings, claims data. … This system receives and displays external billing, claims and clinical data from five hospitals, eight … individual-- care transition that transpired and some relative information that we can obtain from the claims … This just highlights that this is all derived from claims data Use of Clinical Decision Support and
  9. digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation
    January 01, 2023 - and healthcare costs for patients, increase efficiency in patient care for the hospital, and decrease claims
  10. digital.ahrq.gov/sites/default/files/docs/page/e-prescribing-toolset-pharmacy.pdf
    January 01, 2020 - One e-prescribing intermediary network claims participation from 98 percent of chain pharmacies, vs. … pharmacy management software system depending on how your software handles this field for submitting claims … Errors in days supply may lead to issues with claims submission and reimbursement—the following case … In addition to handling the basic standards for prescriptions and prescription claims, Medicare Part
  11. digital.ahrq.gov/sites/default/files/docs/page/4-GLIDES-LegalAspects.pdf
    March 02, 2011 - (1990-99) – 20 common procedures – Anesthesia, ED, OB-GYN, radiology – Goal: resolve malpractice claims
  12. digital.ahrq.gov/sites/default/files/docs/page/e_rx_evaluation_guide.pdf
    February 01, 2010 - Decreased costs for program administration of individual claims. Costs: None. … Impact of CDSS on all pharmacy claims and per member per month expenditures. … Examined new prescriptions and their refills via database queries on pharmacy claims. … Method/type of analysis Identified all new prescription claims for the two groups of clinicians … Retrospective review of pharmacy claims data from 2 groups of doctors: 95 using e-prescribing and
  13. digital.ahrq.gov/sites/default/files/docs/20070315%20Model%20Contract%20Language%20for%20Health%20Information%20Exchange.pdf
    March 15, 2007 - A request from a claims processor allows a limited and different set of information to pass through. … They did not insist upon being indemnified by third-party claims, and so they still are responsible to
  14. digital.ahrq.gov/sites/default/files/docs/clinical-care-slides-10142020.pdf
    October 14, 2020 - with Diabetes • Problem: lifestyle counseling not recorded in any structured data (e.g., billing claims
  15. digital.ahrq.gov/sites/default/files/docs/citation/r21hs025000-liss-final-report-2019.pdf
    January 01, 2019 - Hospital encounters during follow-up were identified using retrospective Medicaid plan claims. … however, five lost Medicaid plan coverage during follow-up and were excluded due to lack of available claims … During follow-up, 17 (29.8%) participants had any claims-validated hospital encounters; three participants
  16. digital.ahrq.gov/sites/default/files/docs/page/health_it_and_hie_initiative_governance__establishing_the_medicaid_presence_within_the_state_hie_governance_structure_5.pdf
    February 25, 2010 - infrastructure • Business and technical ops • Legal and policy Types of Exchange • Eligibility and claims … Stakeholders and Ongoing Related Collaborative Efforts Health Planning Advisory Committee All Payer Claims … environment • Preparing an RFP for EOHHS-wide Common Client Index tool • Participating in all payer claims … Medicaid consortium • Potential regional efforts include master patient/provider indices, all payer claims … and customer service functions as well as provider enrollment, credentialing, customer service, and claims
  17. digital.ahrq.gov/sites/default/files/docs/page/identity_management_for_interoperable_health_information_exchanges_5.pdf
    March 26, 2008 - Requirements: Entities are authenticated to assure that the entity is the person or application that claims
  18. Length of Stay (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
    March 01, 2009 - Measure: Medical Records (Discharge Summaries, Daily Notes); Computerized Information Warehouse; Claims
  19. digital.ahrq.gov/sites/default/files/docs/hie-slides-011713.pdf
    January 17, 2013 - Original Research Design • Measure HIE impact on patient outcomes (readmissions, ED use) using claims … Data Sources: patient outcomes Challenge: Claims unavailable Solution: Rely on HIE data • New Challenge
  20. digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
    July 01, 2015 - In order to support the QHF program we added two additional sources of data to the INPC: claims data … Claims data were obtained from payors and converted into HL7 messages containing the relevant data including … Second, the claims data proved very useful to providers for clinical care. … In order to support the QHF program we added two additional sources of data to the INPC: claims data … Second, the claims data proved very useful to providers for clinical care.

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