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Showing results for "claims".
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.htmlApril 01, 2019 - contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims
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www.ahrq.gov/prevention/chronic-care/decision/mcc/dorr-grant.htmlSeptember 01, 2015 - Sample Size Two large data sources, the Integrated Care Coordination Information Systems and All-payer Claims
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www.ahrq.gov/prevention/chronic-care/decision/mcc/berry-grant.htmlSeptember 01, 2015 - , Data Sources & Sample Size Secondary data for 10.7 million children with comprehensive Medicaid claims
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdfJanuary 01, 2024 - data We obtained Medicaid claims data through an agreement with the State of Colorado Department … The Colorado Medicaid Program provided claims history information for all outpatient encounters for … As we worked with the claims data, we came to the conclusion that our ability to extract meaningful … If we had something to link with the claims data (e.g., reported laboratory errors or alarm values, … Malpractice claims data We obtained malpractice claims data to compare the types of reports submitted
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdfJanuary 01, 2024 - After agency updates, NIH/CC and HRSA gave a presentation titled “Medical Claims Review Panel (MCRP) … Decrease in the number of claims per 1 million HRSA-supported visits per year. … R 8 Despite good quality overall, HRSA-supported FQHCs represent about 84 percent of the total claims … Key findings revealed that at least 30 percent of claims primarily involve diagnostic errors, particularly
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www.ahrq.gov/sites/default/files/wysiwyg/data/data-innovations-statbrief-statins-commercial-insurance.pdfOctober 02, 2024 - These files include commercial enrollment and claims data. … Commercially Insured Beneficiaries 10 About SyH-DR SyH-DR is an all-payer, nationally representative claims … The database consists of a sample of inpatient, outpatient, and prescription drug claims, including … SyH-DR is a synthetic database that preserves the structure and statistical properties of the original claims
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AC-2.pdfDecember 16, 2010 - Denominator Exclusions: Exclude claims/encounters with more than one diagnosis D.
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www.ahrq.gov/research/findings/studies/index.html?page=332January 01, 2024 - Safety Chetta MD , Aliu O , Zhong L Reconstruction of the irradiated breast: a national claims-based … Reconstruction of the irradiated breast: a national claims-based assessment of postoperative morbidity … adjustment, reinsurance improved financial outcomes for individual market insurers with the highest claims … risk adjustment program and a temporary reinsurance program, the researchers compared revenues to claims … adjustment, reinsurance improved financial outcomes for individual market insurers with the highest claims
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www.ahrq.gov/research/findings/studies/index.html?page=331January 01, 2024 - , Mei H , Kocher KE Identification of emergency department visits in Medicare administrative claims … They concluded that current operational definitions of ED visitation using administrative claims produce … Identification of emergency department visits in Medicare administrative claims: approaches and implications … The purpose of the study is to describe medical record retrieval for a study validating claims-based … It concluded that the national medical record validation study of claims-based algorithms produced a
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www.ahrq.gov/research/findings/studies/index.html?page=476January 01, 2024 - comorbidity: expanding the definition and measurement of complexity among older adults using administrative claims … Studies of patients with multiple chronic conditions using claims data are often missing important determinants … investigators sought to identify and evaluate a class of function-related indicators (FRIs) from administrative claims … The investigators concluded that claims data studies that include indicators of potentially diminished … comorbidity: expanding the definition and measurement of complexity among older adults using administrative claims
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www.ahrq.gov/research/findings/studies/index.html?page=432January 01, 2024 - Evidence-Based Practice Raghavan R , Brown DS , Allaire BT Challenges in using Medicaid claims … Using data from the first National Survey of Child and Adolescent Well-Being and Medicaid claims, this … Medicaid claims identify maltreatment in only 15 percent of all children identified by the child’s investigating … Challenges in using Medicaid claims to ascertain child maltreatment. … Challenges in using Medicaid claims to ascertain child maltreatment..
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Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs (pdf file)
www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdfJanuary 01, 2024 - Methods Subjects and databases For our study, we used Medicare claims from all beneficiaries age 66 … procedure always requires inpatient admission, helping to ensure its reliable identification in Medicare claims … physicians who participated in the care of these beneficiaries during their surgical episodes through paid claims … We excluded claims submitted by physicians who do not participate in direct patient care and those who … Hollingsworth JM, Dunn RL, Suskind AM, Banerjee M, Hollenbeck BK: Validation of a Medicare claims-based -
www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.htmlJuly 01, 2021 - This toolkit includes materials to support users in: Utilizing a claims-based method for identifying
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.htmlMarch 01, 2013 - Administrative Clinical Data: Data such as enrollment or eligibility information, claims information … The claims and encounters may be for hospital and other facility services, professional services, prescription
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-pediatric-safety-1.htmlAugust 01, 2023 - represent the most common medical factor contributing to pediatric closed (i.e., settled) malpractice claims
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.htmlAugust 01, 2023 - represent the most common medical factor contributing to pediatric closed (i.e., settled) malpractice claims
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www.ahrq.gov/chsp/about-chsp/centers-of-excellence/nber.htmlSeptember 01, 2016 - NRHI is coordinating and assisting four States in developing the all-payer claims data for this work … Massachusetts Health Quality Partners, and Oregon Health Care Quality Corporation will use all-payer claims
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdfDecember 31, 2015 - Data Sources: Administrative Data (e.g claims data), Numerator Exclusions: None Denominator Exclusions … This measure is specified for administrative claims and is intended for use by states and health plans
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.htmlMarch 01, 2020 - Developed a broader range of self-service options (e.g., change own address or PCP, see claims status … Improved internal communication and workflow between Customer Service and Claims departments to resolve … members' inquiries about claims.
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www.ahrq.gov/prevention/chronic-care/decision/mcc/pathak-grant.htmlSeptember 01, 2015 - Study Design, Data Sources & Sample Size Electronic health record (EHR) systems and billing and claims
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