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Showing results for "claims".
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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. Good afternoon (pdf file)

    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
  10. 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.
  11. 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
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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                    
  17. Vendor Assessment (xls file)

    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
  18. 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
  19. digital.ahrq.gov/telehealth
    January 01, 2023 - The two most common sources of fill information are pharmacy claims data provided by the insurer (or
  20. 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

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