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  1. digital.ahrq.gov/principal-investigator/nanji-karen-c
    January 01, 2023 - Through the Use of Clinical Decision Support Ocular anesthesia-related closed claims … Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018.
  2. digital.ahrq.gov/principal-investigator/schillinger-dean
    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
  3. digital.ahrq.gov/sites/default/files/docs/library/Medicaid_ACO_Issue_Brief_-_FINAL.pdf
    February 01, 2010 - Patient-level claims data will enable ACOs to more effectively evaluate the needs of their patient … programs, states may not have access to robust encounter data and will be challenged to provide complete claims-level … Processes will need to be established for both the Medicaid agency and the MCOs to share aggregate and claims-level … The Medicare-proposed ACO rule excludes FQHCs and RHCs from serving as ACOs due to the lack of FFS claims … Most of the Medicare Shared Savings quality measures cannot be captured using claims data.
  4. digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
    December 01, 2009 - qualified EHR system, or claims coding. … data extraction of PQRI quality measures from the organization’s EHR was developed and compared to claims … Also, CMH established and implemented a manual claims-coding method for PQRI reporting to serve as a … Automated coding from the EHR was compared to manual claims coding.
  5. digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy/annual-summary/2010
    January 01, 2010 - The system is based on an emerging standard for decision support and uses routinely available claims … These rules are designed to function using routinely available claims and scheduling data in order to … paper, “ Improving Medication Adherence in a Regional Healthcare Information Exchange Using a Scalable, Claims
  6. digital.ahrq.gov/ahrq-funded-projects/standardization-and-automatic-extraction-quality-measures-ambulatory-electronic/annual-summary/2009
    January 01, 2009 - During this phase, CMH established and implemented a claims-coding method to report to PQRI for comparison … During the comparison period, October 2008 through February 2009, providers and coders utilized the claims-coding … This result is qualified by a low compliance rate for manual claims coding of the quality measures.
  7. digital.ahrq.gov/sites/default/files/docs/activity/improving_quality_through_decision_support_for_evidence_based_pharmacotherapy_2010_pdf__2.pdf
    January 01, 2010 - The system is based on an emerging standard for decision support and uses routinely available claims … These rules are designed to function using routinely available claims and scheduling data in order to … , “Improving Medication Adherence in a Regional Healthcare Information Exchange Using a Scalable, Claims
  8. digital.ahrq.gov/sites/default/files/docs/activity/standardization_and_automatic_extraction_of_quality_measures_2009_pdf__2.pdf
    January 01, 2009 - During this phase, CMH established and implemented a claims-coding method to report to PQRI for comparison … During the comparison period, October 2008 through February 2009, providers and coders utilized the claims-coding … This result is qualified by a low compliance rate for manual claims coding of the quality measures.
  9. digital.ahrq.gov/ahrq-funded-projects/hie-and-ambulatory-test-utilization/annual-summary/2011
    January 01, 2011 - Therefore, a new algorithm for attributing an ordering provider to laboratory and radiology claims was … Because ManagedCare was the agency providing the project with claims data for the analysis, new business
  10. digital.ahrq.gov/sites/default/files/docs/library/33-45.pdf
    February 01, 2012 - For each provider, a 24-month window of pharmacy claims data was obtained—12 months prior to and 12 … Data Data to determine the rate of DDIs were obtained from phar- macy claims. … The total number of pharmacy claims for medications ordered by each prescriber for individuals in … Assessment of potential drug-drug interactions with a prescription claims database. … Median (Range) Number of Claims Per Prescriber Number of Prescribers (%) Total Number of Claims
  11. digital.ahrq.gov/sites/default/files/docs/activity/2011_018749_nease_pdf_3.pdf
    January 01, 2011 - Therefore, a new algorithm for attributing an ordering provider to laboratory and radiology claims was … Because ManagedCare was the agency providing the project with claims data for the analysis, new business
  12. digital.ahrq.gov/sites/default/files/docs/implementation/Lobach.ppt
    August 12, 2005 - # of ED visits, billing diagnoses for visit, severity level of visit Claims data with ICD9 and CPT Codes … State Medicaid claims data Chart audits (electronic or manual) Clinic encounter records Claims data and … What claims data is available? Is there a data dictionary for interpreting the data?
  13. digital.ahrq.gov/sites/default/files/docs/page/2006Lee_051711comp.pdf
    May 01, 2006 -  Demographic, administrative, claims, results, medication histories, clinical summaries, images, or … Size/number of collaborator  small  medium  large  Type of information exchanged  demographic  claims
  14. digital.ahrq.gov/funding-mechanism/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional
    January 01, 2023 - Description This research, using data from the country’s largest telehealth provider and claims
  15. digital.ahrq.gov/sites/default/files/docs/biblio/ChunliuZhan.ppt
    June 06, 2005 - , which is “supposedly” determined by the diagnoses at admission Payment can be calculated based on claims … from 995 hospitals across 35 states, approximating 20% sample of acute hospitals 2.5 million Medicare claims … sepsis Face validity, relative larger number of case Method Calculating Medicare PPS payment for claims
  16. digital.ahrq.gov/sites/default/files/docs/biblio/Chunliu%20Zhan.ppt
    June 06, 2005 - , which is “supposedly” determined by the diagnoses at admission Payment can be calculated based on claims … from 995 hospitals across 35 states, approximating 20% sample of acute hospitals 2.5 million Medicare claims … sepsis Face validity, relative larger number of case Method Calculating Medicare PPS payment for claims
  17. digital.ahrq.gov/sites/default/files/docs/care-transitions-qas-092619.pdf
    September 26, 2019 - QUESTION: Can you elaborate on the roles of the agencies in diving into claims for the roster of patients … Did the HIE lead this process or did the FQHC review their own claims? … In contrast, the analysis of health outcomes was completed using de-identified claims from the NYS Medicaid … QUESTION: Can you elaborate on the roles of the agencies in diving into claims for the roster of patients … Did the HIE lead this process or did the FQHC review their own claims?
  18. digital.ahrq.gov/sites/default/files/docs/page/Utah%204-VI.ppt
    June 13, 2006 - Medication History Settings Utah Health Information Network Evaluation Method Summary AHRQ 2006 Jan Root, Ph.D. Assistant Executive Director UHIN Pilot Submitter Receiver Message Format Hospital Providers (clinical messages) Payers (claim attachments) Discharge summaries, etc. HL7, pdf Clinics Hospitals (clinic…
  19. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hunt-dl-et-al-1998
    January 01, 1998 - As for other health care interventions, such claims should be based on careful trials that assess their
  20. digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost
    January 01, 2023 - Data on paid medical was used and pharmacy claims data coupled with data from the e-prescribing vendor

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