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Showing results for "claims".
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341. Health.Insurance.Exchange.Basics (pdf file)
     digital.ahrq.gov/sites/default/files/docs/library/health.insurance.exchange.basics.pdf
     January 01, 2017 - insurance commissioner, and disclose to the public in plain language, accurate and timely information on claims … www.nashp.org : 4 : Health Insurance Exchange Basics tions of plan performance in areas such as claims

342. Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes
     January 01, 2023 - disease, and counted inpatient (IP), emergency (ED), and outpatient (OP) visits using de-identified claims

343. Santa Cruz County Diabetes Mellitus Registry | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/santa-cruz-county-diabetes-mellitus-registry
     January 01, 2023 - The registry will import data from claims, labs, pharmacies, and points of care for patients in a master

344. Improving Rural Health Care: Implementing Innovative Integration Solutions (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016142-sims-final-report-2008.pdf
     January 01, 2008 - statistics, and payers operate to disperse the minimum amount of funds necessary that result from claims … Multiple billing systems are in place to accommodate payer rules for care provision activities and claims … At the forefront are the various payer and regulatory requirements for claims submissions and reporting … thereby requiring manual retrieval of data for the qualified events, to then be compiled into electronic claims

345. Assessment of Medicaid and CHIP Health IT and HIE Activities and Needs, 2008 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/do_medicaid_schip_needsassessment2008_final.pdf
     July 01, 2009 - business processes or data warehousing functionalities of the Medicaid/CHIP agency, such as improving claims … emergency department data (VT, FL), medication management and prescription data (FL), and Medicaid claims … Administration of Program Agencies were also hoping to improve administrative processes such as claims … plan to compare their Healthcare Effectiveness Data and Information Set (HEDIS) results using their claims … It generally includes computer applications for consumer enrollment and eligibility, claims processing

346. Electronic Prescribing in the United Kingdom and in the Netherlands (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/europe-e-prescribing-report.pdf
     February 01, 2011 - Interviewees mentioned that with e- prescribing, the legal costs of claims associated with adverse drug … Pharmacies would also submit claims through the EPS. … implementation of the Spine is being done centrally by CfH. 23 agency claims … able to streamline the workflow by preparing medications in advance, and reduce costs of submitting claims … Most of the reimbursement claims are currently being entered manually.

347. Improving the Delivery of Health Services at the Health Systems Level - Emerging Research | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
     January 01, 2020 - The research team will use a nationwide information system of telehealth services and insurance claims

348. Issue Brief - 10 16 06 v4.pub (Read-Only) (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
     January 01, 2007 - least one-fifth of respondents are now transmitting a broad range of data electronically including claims

349. A National Conference on the Role of Health IT to Improve Medication Management - Slides (pdf file)
     digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
     September 27, 2018 - used texting, had Internet; data collection: adherence behavior—self-report, bottle openings, and Rx claims

350. D_ITPrivacyandSecurityPrimer (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/D_ITPrivacyandSecurityPrimer_1.pdf
     March 20, 1997 - operations;  requests by the patient or plan member to view or receive a copy of his or her medical or claims … to figure out how best to address the critical functions of the business such as patient care or claims … Examples of roles that could be defined are emergency room nurse, radiologist, or claims processor.

351. D_ITPrivacyandSecurityPrimer (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/D_ITPrivacyandSecurityPrimer_0.pdf
     March 20, 1997 - operations; requests by the patient or plan member to view or receive a copy of his or her medical or claims … to figure out how best to address the critical functions of the business such as patient care or claims … Examples of roles that could be defined are emergency room nurse, radiologist, or claims processor.

352. Responses to Additional Web Conference Questions (pdf file)
     digital.ahrq.gov/sites/default/files/docs/Q&A_Final.pdf
     August 27, 2009 - Responses to Additional Web Conference Questions Responses to Additional Web Conference Questions A National Web Conference, E-Prescribing and Medication Management: Current Realities and Future Directions Agency for Healthcare Research and Quality (AHRQ) August 27, 2009 Questions for both presenters…

353. 2006 Patient Safety and Health IT Meeting | Digital Healthcare Research
     digital.ahrq.gov/2006-patient-safety-and-health-it-meeting
     January 01, 2006 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

354. R18Hs017270-Fricton-Final-Report-2011 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017270-fricton-final-report-2011.pdf
     January 01, 2011 - Specific ER visits to the dentist and medical providers were derived from HP’s dental administrative claims … Specific ER visits to the dentist providers are derived from HP’s dental administrative claims system … Specific ER visits to the medical providers are derived from HP’s medical administrative claims system … the medical group or health plan and, thus, identifying their medical conditions through the EMR and claims … Medical complications were identified by claims registry (VDW), as any inpatient, emergency or urgent

355. Microsoft Word - SummaryRpt_Appendixes_Final.doc (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-nationwide-summary-appendices.pdf
     July 01, 2007 - Indiana is pursuing discussions with Centers for Medicare & Medicaid Services (CMS) about access to the claims … Because this type of use of claims data has not been contemplated in the past, progress has been slow … and exchanges:  Pharmacy benefit manager (PBM) (requesting information)  Company A (providing 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).

356. Symposium on Patient Engagement - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r13hs021600-schumann-final-report-2013.pdf
     January 01, 2013 - centered care approach have a lower cost per case and a shorter length of stay, decreased malpractice claims … patient centered care: Patient centered care has the potential to reduce adverse events, malpractice claims

357. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly
     January 01, 2023 - group, there was a lack of information in the EMR for two thirds of the discharges identified in the claims

358. Length of Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017151-fischer-final-report-2011.pdf
     January 01, 2011 - Quantitative evaluation included e-prescription data and medical claims data for physicians and patients … We obtained claims data from Blue Cross Blue Shield of Massachusetts and Tufts Health Plan of Massachusetts … Patient and provider records were merged across the e-prescribing and claims files by the health insurance

359. Improving Safety and Quality with Outpatient Order Entry (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
     January 01, 2008 - These include decrements in rejected claims, cost of software development, and impact on physician workflow … Avoided unnecessary tests and/or prescriptions • Revenue enhancement from reduction in rejected claims … • Cost savings from reduced need to research and resubmit rejected claims Limitations Study

360. Improving Children's Health through the Adoption of HIT by Medicaid/CHIP Agencies (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/ehr_data_to_measure_medicaid_quality_opportunities_for_the_initial_core_set_of_qms_for_medicaid_eligible_adults_5.pdf
     February 23, 2012 - level (and all done at reduced cost and burden and higher level of clinical accuracy—compared to claims