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Showing results for "form".

41. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 3 (1998-1999) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p3.pdf
    January 01, 1999 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

42. Context/Flow Specifications for the Overall CAPI Instrument, MEPS-Household Component: Panel 6 (2001-2002) Consolidated Instrument (pdf file)
    meps.ahrq.gov/survey_comp/overall_p6.pdf
    January 01, 2002 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

43. MEPS Medical Provider Component (MPC) Glossary
    meps.ahrq.gov/survey_comp/appendix_d_glossary.shtml
    December 31, 2020 - AF (Authorization Form): Consent form signed by a household respondent during one … Authorization Form: See AF. … Contact Guide (also POC module): Data collection forms used in the MPC to collect … Event Forms: Data collection forms used in the MPC to collect information about medical … Permission Form: The Authorization Form complies with the requirements of the Health

44. Medical Expenditure Panel Survey - Household Participant Frequently Asked Questions
    meps.ahrq.gov/communication/household_participant_faqs.jsp
    copy of the Record Keeper for your use, there are two versions to choose from, namely: (1) Simple Form … (English) (PDF 89 KB) or Simple Form (Spanish) (PDF 86 KB), which are simple PDF files that people … can print out and use a hard copy, or (2) Fillable Form (English) (PDF 1,001 KB) or Fillable Form

45. Working Paper #4004: Using Propensity Scores to Adjust Weights to Compensate for Dwelling Unit Level Nonresponse in the Medical Expenditure Panel Survey (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_04004.pdf
    October 01, 2004 - Survey nonresponse is usually compensated for by some form of weighting adjustment to reduce the bias … Survey nonresponse is usually compensated for by some form of weighting adjustment to reduce the potential … A previous comparison of the use of covariates versus the use of response propensities to form classes … “tree algorithm” response propensity approach (see Breiman, Friedman, Olshen, and Stone, 1993) to form … Grouping scores to form adjustment cells: Using the propensity scores, the sample is grouped into

46. Wp4004 (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/OLD_WorkingPapers/wp4004.pdf
    October 01, 2004 - Survey nonresponse is usually compensated for by some form of weighting adjustment to reduce the bias … Survey nonresponse is usually compensated for by some form of weighting adjustment to reduce the potential … A previous comparison of the use of covariates versus the use of response propensities to form classes … “tree algorithm” response propensity approach (see Breiman, Friedman, Olshen, and Stone, 1993) to form … Grouping scores to form adjustment cells: Using the propensity scores, the sample is grouped into

47. sbd4.PDF (pdf file)
    meps.ahrq.gov/survey_comp/misc_survey/mpc/1996/sbd4.pdf
    January 01, 1996 - BATCH: REGION: EVENT DATE: _____/_____/_____ (to _____/_____/_____) # OF EVENTS IN BOOKLET _____ FORM … ______ OF ______ MEDICAL EXPENDITURE PANEL SURVEY MEDICAL PROVIDER SURVEY MEDICAL EVENT FORM FOR … .. 1 NO, NEED TO COVER ADDITIONAL EVENTS............................................... 2 (NEXT FORM

48. MEPS 2021 Help Text
    meps.ahrq.gov/survey_comp/Helptext2022.html
    January 01, 2022 - For MPC authorization forms, prepare one Authorization Form for each person-provider pair displayed by … For Pharmacy authorization forms, prepare one Authorization Form for each person-pharmacy pair displayed … If the AFs are to be returned by mail, leave an Authorization Form Booklet, the forms, a storage envelope … These amounts can be found on forms 1099-INT or 1099-OID. … Thank you for taking the time to sign authorization forms.

49. MEPS 2021 Help Text
    meps.ahrq.gov/survey_comp/F1HelpText_2021.html
    January 01, 2021 - For MPC authorization forms, prepare one Authorization Form for each person-provider pair displayed … For Pharmacy authorization forms, prepare one Authorization Form for each person-pharmacy pair displayed … corner of the form. … If the AFs are to be returned by mail, leave an Authorization Form Booklet, the forms, a storage envelope … These amounts can be found on forms 1099-INT or 1099-OID.

50. MEPS Annual Methodology Report - Medical Provider Component (MEPS-MPC) (pdf file)
    meps.ahrq.gov/data_files/publications/annual_contractor_report/mpc_ann_cntrct_methrpt.PDF
    October 20, 2023 - In the Pharmacy Event Form, changed dosage form designation for caplets to CAPL from CAP, Started collecting … Event Forms Event Forms were used for collecting information either during telephone calls with providers … As each Event Form was completed, it was checked for critical items and, if missing, the Form was flagged … The mail return form includes a pre-printed mailing label for the provider to send via mail. … If Drug Name: Dosage Form Range of Forms & Other Specify Q2e 5.

51. 2022 Health Insurance Cost Study Plan Information Questionnaire (pdf file)
    meps.ahrq.gov/survey_comp/ic_survey/2022/meps11s.pdf
    January 01, 2022 - 2022 Health Insurance Cost Study Plan Information Questionnaire FORM MEPS-11(S) (03-05-2022) À Blue … Please use photocopies of this MEPS-11(S) form if sufficient copies were not included in this reporting … preferred providers and any providers Please photocopy this MEPS-11(S) questionnaire if additional forms … 104 1 Yes 2 No 3 Don’t know §> % + 4 ¤ 2 9 0 4 1 0 1 9 1 2 3 Continue with 4 FORM … FORM MEPS-11(S) IN-NETWORK PAYMENTS §> % 5 s ¤ 2 9 0 4 2 0 8 2 8 Continue with 24d 155

52. Sam-Fac3 (pdf file)
    meps.ahrq.gov/data_stats/nhc/sam-fac3.pdf
    September 30, 1997 - In SS2, it becomes part of a form, for interviewer confirmation. … As cursor moves through the entry fields, display appropriate question text above the form. … SS24 Display as an overlay on the form. SS24 On what date did {SP} die? PROBE FOR MONTH. … Name of person completing form: PLEASE PRINT Title: Date form completed: ASSURANCE OF CONFIDENTIALITY … Name of person completing form: PLEASE PRINT Title: Date form completed: ASSURANCE OF CONFIDENTIALITY

53. Methodology Report #5: Estimation Procedures in the 1996 MEPS Household Component
    meps.ahrq.gov/data_files/publications/mr5/mr5.shtml
    May 01, 1999 - More specifically, the nonresponse adjustment for the cth weighting class takes the form where … dwelling unit nonresponse, WGTDU1(i), for the ith dwelling unit associated with class c, takes the form … specifically, the family-level poststratification adjustment for the cth weighting class takes the form … The person-level poststratification adjustment factor for the cth weighting class takes the form … For others, it takes the form where CPSPER(c) represents the national population estimate at the

54. Medical Expenditure Panel Survey Privacy Policy Notice
    meps.ahrq.gov/mepsweb/privacy_policy.jsp
    July 24, 2006 - to provide us with additional information about yourself through an e-mail message, form … All communications to the Web site mailbox and customer feedback form are archived on

55. Methodology Report #5: Estimation Procedures in the 1996 Medical Expenditure Panel Survey Household Component (pdf file)
    meps.ahrq.gov/data_files/publications/mr5/mr5.pdf
    May 01, 1999 - Many information products have an electronic ordering form and are mailed free of charge from the AHCPR … The HC is the core survey, and it forms the basis for the MPC sample and part of the IC sample. … More specifically, the DU-level ratio adjustment for the cth weighting class takes the form where iεc … More specifically, the nonresponse adjustment for the cth weighting class takes the form where DUPSWT … The person-level poststratification adjustment factor for the cth weighting class takes the form D(c

56. Medical Expenditure Panel Survey Medical Provider Component (MEPS MPC) (pdf file)
    meps.ahrq.gov/data_files/publications/annual_contractor_report/mpc_ann_cntrct_methrpt.pdf
    May 01, 2023 - A number of changes was also made to the Event Forms, including: • The addition of a soft check to the … Hospital, OBD, Home Health, Institution, and SBD Event Forms when payment type is capitated, and all … Event Forms Event Forms were used for collecting information either during telephone calls with providers … As each Event Form was completed, it was checked for critical items and, if missing, the Form was flagged … Dosage Form Range of Forms & Other Specify Q2e 5.

57. Conference Proceeding: Issues with Measuring Activities Associated with Seeing and Hearing Across National Surveys
    meps.ahrq.gov/data_files/publications/2009ConfProceed.html
    January 01, 2010 - American Community Survey whose annual estimates replace those previously produced by the Census long form … The 2000 Census had one question for both seeing and hearing and it was in the Census long form: "Does … Information that would have been on the long form will be obtained from the American Community Survey … are not included again in a census until the 2000 census which contained one question on the long form … year of the census since the ACS estimates are being used in place of estimates from the Census long form

58. Sam-Fac2 (pdf file)
    meps.ahrq.gov/data_stats/nhc/sam-fac2.pdf
    September 30, 1997 - The names are recorded on a paper form (the Facility Records Organization Grid or FROG). … In SS2, it becomes part of a form, for interviewer confirmation. … SHOW RATE FORM TO R. INDICATE RESULTS HERE. … LEFT RATE FORM WITH R TO PICK UP LATER TODAY . . 1 LEFT RATE FORM WITH R, CAN’T COMPLETE TODAY; RECORD … If Rate Form is not receipted in house, flag for data retrieval in next round.

59. hh0213.PDF (pdf file)
    meps.ahrq.gov/survey_comp/misc_survey/mpc/1996/hh0213.pdf
    January 01, 1996 - __________________________________________ PATIENT NAME: ______________________________________ FORM … NEED TO COVER ADDITIONAL MONTHS............................................ 2 (Q1 - NEXT EVENT FORM

60. Fronttext
    meps.ahrq.gov/data_files/publications/rf19/fronttext.txt
    June 08, 2021 - Many information products have an electronic ordering form and are mailed free of charge from the AHRQ