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Showing results for "claims".
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  1. Materials X (pdf file)

    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.

  2. Materials X (pdf file)

    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.

  3. Materials X (pdf file)

    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.

  4. Materials X (pdf file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.

  5. Materials X (pdf file)

    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.

  6. Materials X (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.

  7. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality

    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
    October 01, 2014 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Percentage of members who followed up with a physician after an ER visit or hospital admission Claims … (AQA and HEDIS Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims … ) Percentage of members who received at least one LDL-C screening during the measurement year Claims … <130mg/dl)(AQA Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims

  8. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality

    www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
    October 01, 2014 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Percentage of members who followed up with a physician after an ER visit or hospital admission Claims … (AQA and HEDIS Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims … ) Percentage of members who received at least one LDL-C screening during the measurement year Claims … <130mg/dl)(AQA Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims

  9. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality

    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
    October 01, 2014 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Percentage of members who followed up with a physician after an ER visit or hospital admission Claims … (AQA and HEDIS Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims … ) Percentage of members who received at least one LDL-C screening during the measurement year Claims … <130mg/dl)(AQA Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims

  10. Diabetes-Drugs-Utilization Research (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-drugs-utilization_research.pdf
    March 01, 2011 - rosiglitazone.11 A recent study showed up to a 54 percent decrease in rosiglit- azone prescription claims … Beneficiaries with prescription claims for sulfonylureas also frequently had prescription claims for … A pronounced reduction in claims occurred from 2007 to 2009, likely driven by highly publicized concerns … Claims for meglitinides decreased from 2006-2009 (3 percent to 2 percent). … Similarly, claims for alpha-gluco- sidase inhibitors decreased from 0.6 percent to 0.4 percent.

  11. Diabetes-Drugs-Utilization Research (pdf file)

    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/diabetes-drugs-utilization_research.pdf
    March 01, 2011 - rosiglitazone.11 A recent study showed up to a 54 percent decrease in rosiglit- azone prescription claims … Beneficiaries with prescription claims for sulfonylureas also frequently had prescription claims for … A pronounced reduction in claims occurred from 2007 to 2009, likely driven by highly publicized concerns … Claims for meglitinides decreased from 2006-2009 (3 percent to 2 percent). … Similarly, claims for alpha-gluco- sidase inhibitors decreased from 0.6 percent to 0.4 percent.

  12. 1b.4_Input_File_Specifications_508 (xls file)

    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  13. 1b.4_Input_File_Specifications_508 (xls file)

    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  14. 1b.4_Input_File_Specifications_508 (xls file)

    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  15. 1b.4_Input_File_Specifications_508 (xls file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  16. 1b.4_Input_File_Specifications_508 (xls file)

    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  17. 1b.4_Input_File_Specifications_508 (xls file)

    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  18. 1b.4_Input_File_Specifications_508 (xls file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  19. Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic Prophylaxis (pdf file)

    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
    November 01, 2015 - Claims data. … Claims data. … (MAX) administrative claims data from six States with a moderate to high prevalence of SCD … ● This measure was also tested using administrative claims acquired directly from the respective … Caveats These measures are based on administrative claims; incomplete reporting of claims or SCD diagnosis

  20. Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic Prophylaxis (pdf file)

    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
    November 01, 2015 - Claims data. … Claims data. … (MAX) administrative claims data from six States with a moderate to high prevalence of SCD … ● This measure was also tested using administrative claims acquired directly from the respective … Caveats These measures are based on administrative claims; incomplete reporting of claims or SCD diagnosis
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