- NLM Digital Collections - Medicare payments for clinical diagnostic laboratory tests in 2016 : year 3 of baseline dataPublication: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2017... statistics and emerging trends, including Medicare payments by procedure code, beneficiary, lab, ordering provider, and test category. What ... statistics and emerging trends, including Medicare payments by procedure code, beneficiary, lab, ordering provider, and test category. What ...
- NLM Digital Collections - Medicaid : CMS needs better data to monitor the provision of and spending on personal care ...Publication: Washington, D.C. : U.S. Government Accountability Office, January 2017... claims lacked provider identification numbers, over 400 different procedure codes were used to identify the services, and the ... claims lacked provider identification numbers, over 400 different procedure codes were used to identify the services, and the ...
- NLM Digital Collections - Medicaid personal care services : more harmonized program requirements and better data are ...Publication: Washington, D.C. : U.S. Government Accountability Office, May 2, 2017... were also inconsistent as more than 400 different procedure codes were used by states to identify personal care ... were also inconsistent as more than 400 different procedure codes were used by states to identify personal care ...
- NLM Digital Collections - Medicaid managed care : additional CMS actions needed to help ensure data reliability : ...Publication: Washington, DC : United States Government Accountability Office, October 2018... and their service areas; • additional diagnosis codes and procedure codes associated with treatments, which are included on the ... found that about 14 to 15 percent of procedure codes in the medical records did not match with ...
- NLM Digital Collections - Medicare laboratory test expenditures increased in 2018, despite new rate reductionsPublication: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, August 2020... total spending in 2018 for each lab test procedure code. What OIG Found. Total Medicare spending for clinical ... total spending in 2018 for each lab test procedure code. What OIG Found. Total Medicare spending for clinical ...
- NLM Digital Collections - Medicare payments for clinical diagnostic laboratory tests in 2017 : year 4 of baseline dataPublication: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018... statistics and emerging trends, including Medicare payments by procedure code, beneficiary, lab, ordering provider, and test category. What ... statistics and emerging trends, including Medicare payments by procedure code, beneficiary, lab, ordering provider, and test category. What ...
- NLM Digital Collections - Assessing the usability of MAX 2008 encounter data for enrollees in comprehensive managed carePublication: Princeton, N.J. : Mathematica Policy Research, Inc., July 2012... than use the reference the diagnosis code and procedure code fields—one indicating range based on the average ... the OT, IP, and RX data, states on procedure codes specific to the state make a national “complete” ...
- NLM Digital Collections - Assessing the usability of encounter data for enrollees in comprehensive managed care ...Publication: Princeton, NJ : Mathematica Policy Research, Inc., August 2015... 72.09–100 80.82–100 with a procedure code in CPT-4 or HCPCS format Inpatient Hospital ( ... 30.70–74.00 29.85–75.62 procedure codes Percentage of IP records with UB ≥90 ≥90 ≥ ...
- NLM Digital Collections - The availability and usability of behavioral health organization encounter data in MAX 2009Publication: Princeton, NJ : Mathematica Policy Research, Inc., [2012]... claims that included a primary diagnosis, a principal procedure code, and a revenue code. In addition, in Several ... BOE groups. Iowa’s data for records had a procedure code. We conclude that all four states all eligibility ...
- NLM Digital Collections - Assessing the usability of encounter data for enrollees in comprehensive managed care across ....Publication: Princeton, NJ : Mathematica Policy Research, Inc., [2012]... Set (HEDIS). Analyzing these the diagnosis code and procedure code fields—one indicating types of service individually and ... cross-state analysis.4 of some states on procedure codes specific to the state made A state was ...
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