-
www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.html
October 01, 2015 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Quantitative assessments included analysis of operational and administrative data (such as claims data … operational data; and assessed cost and utilization for individual patients through an analysis of claims … data from the Centers for Medicare & Medicaid Services and Utah’s All Payer Claims Database. 10
-
www.cpsi.ahrq.gov/ncepcr/reports/grants-transform/overview.html
March 01, 2017 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Quantitative assessments included analysis of operational and administrative data (such as claims data … operational data; and assessed cost and utilization for individual patients through an analysis of claims … data from the Centers for Medicare & Medicaid Services and Utah’s All Payer Claims Database. 10
Return
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Slide 4
Say:
It is important that clinical practitioners, risk management/claims, and financial … For the internal organizational resources, clinical, claims/finance, and legal personnel must be coordinated … Staff who need to participate, coordinate, and align among internal groups include:
Insurance/Claims
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Claims denials violate the prudent layperson standard, but they are
not the only bad practice by payers … HRSA • Medical Claims Review Panel
o Annual review of malpractice claims paid shows a similar pattern
-
www.cpsi.ahrq.gov/data/data-visualization/index.html?page=1
September 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.cpsi.ahrq.gov/data/data-visualization/index.html
September 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.cpsi.ahrq.gov/data/infographics/state-compare-text.html
April 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
January 01, 2018 - xvii Invalid TINs appear in the data when a valid TIN was not reported on MA claims. … Medicare claims
We used billing information in 2018 Medicare fee-for-service claims to create an analytic … used to create the MD-PPAS data, including only claims:
1. … A date of service can include more than one service and multiple Medicare claims. … Medicare claims
4. IQVIA OneKey database
III. Methodology
A.
-
www.cpsi.ahrq.gov/data/innovations.html
March 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims
-
www.cpsi.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
April 01, 2019 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims
-
www.cpsi.ahrq.gov/opioids/about.html
August 01, 2021 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … in research to test promising model programs to improve patient safety and reduce medical liability claims
-
www.cpsi.ahrq.gov/data/innovations/3p-rd.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims … The database was supplemented and enhanced using available state and national claims files.
3P-RD contains
-
www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
June 01, 2014 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … within 24 hours of discharge. 1
Format/Data Source: This process measure requires administrative claims … all of the specified elements. 1
Format/Data Source: This process measure requires administrative claims … missed a scheduled appointment. 1
Format/Data Source: This process measure requires administrative claims
-
www.cpsi.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … 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.
-
www.cpsi.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … agencies typically focus on all eligible members of the population identified using administrative claims
-
www.cpsi.ahrq.gov/talkingquality/translate/organize/datasource.html
November 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … access to information from one particular source of data—a patient experience survey, administrative/claims
-
www.cpsi.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … process, outcome, patient experience)
Organizing Measures by Data Source (e.g., medical records, claims
-
www.cpsi.ahrq.gov/research/publications/pubcomguide/pcguide2apc.html
June 01, 2020 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … sources of all content are specifically identified and references are provided for health and scientific claims
-
www.cpsi.ahrq.gov/data/meps.html
March 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims