-
digital.ahrq.gov/sites/default/files/docs/page/Frisse_0.ppt
June 08, 2005 - Roles
The convener
Setting the ground rules; governance
The financial transaction infrastructure
Claims
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digital.ahrq.gov/sites/default/files/docs/page/Frisse_1.ppt
June 08, 2005 - Roles
The convener
Setting the ground rules; governance
The financial transaction infrastructure
Claims
-
digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Roles
The convener
Setting the ground rules; governance
The financial transaction infrastructure
Claims
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digital.ahrq.gov/sites/default/files/docs/page/fl_casestudy_final_0.pdf
September 01, 2010 - Currently, Medicaid providers can already access claims information through an online portal,
the Medicaid
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digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_1.pdf
April 26, 2013 - back hospital and asks to be connected to
requesting physician to verify that physician is who he/she claims
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digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_0.pdf
April 13, 2012 - back hospital and asks to be connected to
requesting physician to verify that physician is who he/she claims
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds
January 01, 2023 - A variety of methods were used across the projects, including statistical analysis of claims data sets
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digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-qa-03182025.pdf
March 18, 2025 - Of course, in the commercial
space, when you look at different AI algorithms, everyone claims theirs … is the best and
highlights its benefits, but those claims can vary, especially when you try to run
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digital.ahrq.gov/sites/default/files/docs/20070611%20The%20role%20of%20HIE%20in%20helping%20providers%20assess%20their%20performance%20on%20the%20AQA%20Starter%20Set.pdf
July 01, 2010 - Another way of getting that information has been through claims data, billing codes. … ve done in this particular context
is taken clinical algorithms that address what 90 percent of the claims … total cost per claim
for the state substantially, but most importantly we reduce the total number of claims … for people that file
chronic disability claims, and that’s really the key driver for people that raise … The Mass
Health Quality Partners, many of you may know already do public reporting on HEDIS claims data
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digital.ahrq.gov/sites/default/files/docs/citation/EnhancedMedHistoriesImplementationGuide.pdf
November 01, 2011 - Our previous work had been with RxHub and its pharmacy claims records, when
RxHub was an independent … We continue to query the new merged entity for the
pharmacy claims records previously provided by RxHub … Medicaid stores pharmacy claims for each patient in its databases; however, that data is
indexed by … Likewise, the pharmacy claims
available through Sure-Scripts RxHub are usually current within a day.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
January 01, 2018 - a significant safety concern in outpatient settings and often lead to patient harm and
malpractice claims … outpatients.(1-10) These errors are expensive(11, 12) and are the leading
cause of ambulatory malpractice claims … Learning from malpractice claims about negligent, adverse events in primary care in the United
States … Analysis of diagnostic error in
paid malpractice claims with substandard care in a large healthcare
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digital.ahrq.gov/sites/default/files/docs/page/preparing_for_multiple_health_it_initiatives_at_once_using_common_project_management_techniques_5.pdf
August 15, 2011 - Business results condition
• Support accurate and timely processing of claims.
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digital.ahrq.gov/sites/default/files/docs/page/final-kaushal-story-7-6-12.pdf
July 05, 2012 - through either manual review of medical
records, which is slow and expensive, or analysis of
insurance claims
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digital.ahrq.gov/sites/default/files/docs/pghd-slides-02222022.pdf
February 22, 2022 - Estimating Indirect Cost Savings
If you have access to claims and/or EHR data and an expert data analyst
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026544-devine-final-report-2022.pdf
January 01, 2022 - parameters
from the published literature and our own retrospective database analysis of commercial
claims … Sources/Collection ( Aim 1)
Our sources of data were the existing literature and a retrospective claims … to 100 years, using the IBM MarketScan® Research
Databases 2015-2019, consisting of the Commercial Claims
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digital.ahrq.gov/sites/default/files/docs/survey/nyc-reach-regional-extension-center-provider-survey.pdf
March 31, 2015 - not able to use the EHR with practice's billing/claims submission
system)
Privacy or security concerns … Cost of denied or delayed claims due to
improper coding
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digital.ahrq.gov/sites/default/files/docs/page/E-PrescribingPhysicianTool6.1.xls
October 01, 2011 - multiple office locations
Patient eligibility and formulary checks
Patient medication history from PBM claims
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digital.ahrq.gov/electronic-prescribing-0
January 01, 2023 - Vendors' claims about their systems' capabilities had a 96 percent sensitivity and a 72 percent specificity
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digital.ahrq.gov/telehealth
January 01, 2023 - The two most common sources of fill information are pharmacy claims data provided by the insurer (or
-
digital.ahrq.gov/health-information-exchange-policy-issues
January 01, 2023 - There is concern that disclosure of such information may lead to harm in terms of denied employment, claims