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Showing results for "claims".
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41. Title Page (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015409-overhage-final-report-2009.pdf
    January 01, 2009 - , controlled trial during 2008, continue to support the infrastructure and end users, obtained the claims … The source of claims data that we originally planned to work with ceased operations during the grant … The data manager has obtained the claims and clinical data from their respective source systems and … Claims data may include data related to amounts billed/charged by health care providers, payments to … The types (or category) of claims data being billed is determined by the place of service code.

42. Massachuesetts Quality e-Measure Validation Study (MQeVS) (pdf file)
    digital.ahrq.gov/sites/default/files/docs/biblio/AHRQ_Webinar_July_2008_Edited_3_26_2009_Schneider.pdf
    January 01, 2009 - structured, coded EHR data with… 1) Current “hybrid method” involving a combination of aggregated claims … data and medical record review. 2) Current “claims-only method” based on a novel database that aggregates … claims data from commercial health plans and Medicare. 4 � Built on EHR adoption initiative of … about measured services – Office medical record review (including paper records) – Health plan claims

43. Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
    January 01, 2010 - office-based e-prescribing system, and with multiple insurance companies and public programs that will provide claims … The project will link patients’ e-prescriptions with pharmacy claims and will generate a comprehensive … the datasets has been linking events and individuals from the e-prescription files to the insurance claims … The final step will be linking e-prescriptions to filled claims.

44. Functional gaps in attaining a national health information network. What will it take to get there in five years? | 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/functional-gaps-attaining
    be established in five years included inpatient/ outpatient results viewing, EHR, CPOE, electronic claims … Implementation:  In five years it was projected that automated claims submission would be available in

45. Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/impact_of_office_based_e_prescribing_on_prescribing_processes_and_outcomes_2010_pdf__2.pdf
    January 01, 2010 - e-prescribing system, and with multiple insurance companies and public programs that will provide claims … The project will link patients’ e-prescriptions with pharmacy claims and will generate a comprehensive … the datasets has been linking events and individuals from the e-prescription files to the insurance claims … The final step will be linking e-prescriptions to filled claims.

46. Evaluating Health IT Projects - A State Perspective (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/evaluating_health_it_projects___a_state_perspective_5.pdf
    July 10, 2008 -  Electronic health care record Medicaid claims  BCBS claims  Lab values  Immunization history … Implementation of measures must be feasible with Medicaid pharmacy and medical claims data. 3. … Process of Episode of Care Analysis 43 Baseline Analysis for Asthma Intervention  Processed claims … for all Utah recipients (FFS and Encounter)  Analyzed claims for intervention group identified …  Claims data-based quality measures Limited without clinical specificity or markers Gross visit/

47. Improving Quality through Decision Support for Evidence-Based Pharmacotherapy | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy
    January 01, 2023 - Improving medication adherence in a regional healthcare information exchange using a scalable, claims-driven … Improving medication adherence in a regional healthcare information exchange using a scalable, claims-driven … of an improved methodology for assessing adherence to evidence-based drug therapy guidelines using claims … of an improved methodology for assessing adherence to evidence-based drug therapy guidelines using claims

48. Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/NY_CaseStudy_0.pdf
    July 01, 2010 - would require a prescription origin code effective January 2010; by requiring it for Medicaid pharmacy claims … As of July 1, 2010, Medicaid will deny pharmacy claims that are submitted without a valid prescription … Since the prescription origin codes were already slated to be required for Medicare claims, it was straightforward … for pharmacy software vendors to use the same standards for Medicaid claims as well.

49. Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid (pdf file)
    digital.ahrq.gov/sites/default/files/docs/medicaid/NY_CaseStudy.pdf
    July 01, 2010 - would require a prescription origin code effective January 2010; by requiring it for Medicaid pharmacy claims … As of July 1, 2010, Medicaid will deny pharmacy claims that are submitted without a valid prescription … Since the prescription origin codes were already slated to be required for Medicare claims, it was straightforward … for pharmacy software vendors to use the same standards for Medicaid claims as well.

50. Using Health IT to Determine Medication Adherence: Findings from the AHRQ Health IT Portfolio (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/10-0010-EF.pdf
    November 01, 2009 - with an e-prescribing vendor to obtain system use data by linking patient information to pharmacy claims … • Lobach DF and colleagues are using the number of days prescribed as indicated in Medicaid claims … The project uses pharmacy claims information to graphically display when patients have been filling … The two most common sources of fill information are pharmacy claims data provided by the insurer (or … For example, Lobach DF indicated that the project waits 6 months to perform analysis on claims data

51. Using Health IT to Determine Medication Adherence (pdf file)
    digital.ahrq.gov/sites/default/files/docs/lesson/10-0010-ef-medication-adherence.pdf
    November 01, 2009 - with an e-prescribing vendor to obtain system use data by linking patient information to pharmacy claims … • Lobach DF and colleagues are using the number of days prescribed as indicated in Medicaid claims … The project uses pharmacy claims information to graphically display when patients have been filling … The two most common sources of fill information are pharmacy claims data provided by the insurer (or … For example, Lobach DF indicated that the project waits 6 months to perform analysis on claims data

52. Evaluating HIT – Evaluation designs from the Colorado AHRQ State and Regional Demonstration Project (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/2006Davidson_051711comp.pdf
    December 31, 2006 - chart review • Relative costs: Medium, requires chart review • Time frame: 1/1/06 – 12/31/06 4 Claims … Foundation • Purpose: – To document attitudes, feasibility and timelines for implementation of a claims … with the CORHIO initiative • Study design: focus groups • Main outcome: attitudes and beliefs about claims … AHRQ State and Regional Demonstration Project Objective Missing Information in Urgent/Chronic Care Claims

53. Davidson 5-V (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/Davidson_5-V.pdf
    December 31, 2006 - chart review • Relative costs: Medium, requires chart review • Time frame: 1/1/06 – 12/31/06 4 Claims … Foundation • Purpose: – To document attitudes, feasibility and timelines for implementation of a claims … the CORHIO initiative • Study design: focus groups • Main outcome: attitudes and beliefs about claims … , MSPH� Denver Public Health, Denver Health Objective Missing Information in Urgent/Chronic Care Claims

54. Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/design-toolkit-add-electronic-clinical-data-statewide-hospital-administrative/annual-summary/2010
    January 01, 2010 - Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data … Project Name Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims

55. NJ-EPAC Pilot Testing of Electronic Prescribing Standards (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
    April 01, 2008 - Thus, a PA Attachment modeled after Claims Attachments was created. … Claims data. … Claims Data. … databases for prescriptions that today remain a small minority of all claims. … Assessment of potential drug- drug interactions with a prescription claims database.

56. Key Topics | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/key-topics
    June 21, 2021 - Learn more about LOINC NCPDP The standard used in electronic prescribing and pharmacy benefits/claims … system used for reporting drugs and biological products in pharmacy transactions, prescription drug claims

57. Handley, Margaret | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/handley-margaret
    January 01, 2023 - adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims … adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims

58. Statewide Implementation of Electronic Health Records - 2008 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/annual-summary/2008
    January 01, 2008 - Merging survey results with claims data enabled the evaluation of the relationship between EHRs and quality … An additional analysis examined the relationship between EHRs and malpractice claims. … Electronic health records and malpractice claims in office practice.

59. Data Innovations | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/design-toolkit-add-electronic-clinical-data-statewide-hospital-administrative/publication/data-innovations
    January 01, 2023 - Project Name Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims

60. USA, CA, Santa Barbara | Digital Healthcare Research
    digital.ahrq.gov/location/usa-ca-santa-barbara
    January 01, 2023 - Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims