insurance claim reporting
Summary: The design, completion, and filing of forms with the insurer.
Publications238 found, 100 shown here
- Focused physician coding audits: using modifier 25Mary H Stanfill
J AHIMA 75:62-4. 2004
- Making sense of preventive medicine codingEmily Hill
Hill and Associates, Wilmington, N C, USA
Fam Pract Manag 11:49-54. 2004
- Accuracy of administrative data for identifying patients with pneumoniaDominik Aronsky
Department of Biomedical Informatics and Emergency Medicine, Vanderbilt University, 2209 Garland Avenue, Nashville, TN 37232, USA
Am J Med Qual 20:319-28. 2005..ICD-9-based algorithms did not influence patient variables in our population. Identifying pneumonia patients with DRG codes is significantly less precise...
- Are claims data accurate enough to identify patients for performance measures or quality improvement? The case of diabetes, heart disease, and depressionLeif I Solberg
HealthPartners Research Foundation, Minneapolis, Minnesota 55440, USA
Am J Med Qual 21:238-45. 2006..97, 0.95, and 0.95. This approach is feasible and necessary for those wanting to use administrative data for case identification for performance measurement or quality improvement...
- Prospective validation of eight different adherence measures for use with administrative claims data among patients with schizophreniaSudeep Karve
Department of Pharmacy Administration, College of Pharmacy, The Ohio State University, Columbus, OH, USA
Value Health 12:989-95. 2009....
- The accuracy of Medicare claims as an epidemiological tool: the case of dementia revisitedDonald H Taylor
Center for Health Policy, Sanford Duke School of Public Policy, Duke University, Durham, NC 27708, USA
J Alzheimers Dis 17:807-15. 2009..The use of Medicare claims to identify dementia results in an overstatement of the increase in Medicare costs that are due to dementia...
- Agreement of diagnosis and its date for hematologic malignancies and solid tumors between medicare claims and cancer registry dataSoko Setoguchi
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
Cancer Causes Control 18:561-9. 2007..However, linkage between cancer registry and claims data including pharmacy-dispensing information is not always available. We examined the accuracy of claims-based definitions of incident cancers and their date of diagnosis...
- Estimation of disease-specific costs in health insurance claims: a comparison of three methodsEtsuji Okamoto
National Institute of Public Health, Department of Management Sciences, 2 3 6, Minami, Wako Shi, Saitama 351 0197, Japan
Nihon Koshu Eisei Zasshi 51:926-37. 2004....
- Risk of diabetes mellitus associated with atypical antipsychotic use among patients with bipolar disorder: A retrospective, population-based, case-control studyJeff J Guo
College of Pharmacy, University of Cincinnati Medical Center, Cincinnati, Ohio 45267 0004, USA
J Clin Psychiatry 67:1055-61. 2006..Drug-induced diabetes onset has not been adequately quantified in patients with bipolar disorder, although atypical antipsychotics have been widely used as new mood stabilizers...
- Refined method for estimating medical expenditures for liver disease using the patient survey and claim data in JapanSatoshi Toyokawai
Department of Public Health, Graduate School of Medicine, University of Tokyo, Japan
Nihon Koshu Eisei Zasshi 52:957-61. 2005..This study was performed to develop a estimation method for medical expenditures based on detailed data for the various kinds of liver disease...
- More than code revisions in the 2004 changes to ICD-9-CMKathy Giannangelo
J AHIMA 75:94-6. 2004
- The 15 most common coding/billing errorsRobin Linker
National AAPC Advisory Board Officer Local Chapter Relations, Aurora, CO, USA
J Med Pract Manage 20:327-31. 2005
- Clarifying today's coding and compliance issues. Treatment delivery clarificationCindy C Parman
Coding Strategies, Inc, Atlanta, GA, USA
J Oncol Manag 12:5-6. 2003
- Medicare maximization by state Medicaid programs: effects on Medicare home care utilizationWayne L Anderson
Med Care Res Rev 60:201-22. 2003....
- APCs: lack of knowledge can hurt your bottom lineCaral Edelberg
Medical Management Resources Team Health, Jacksonville, FL, USA
ED Manag 15:53-5. 2003
- The power of paperwork: how Philip Morris neutralized the medical code for secondhand smokeDaniel M Cook
Center for Tobacco Control Research and Education, University of California, San Francisco UCSF, USA
Health Aff (Millwood) 24:994-1004. 2005..Philip Morris's reaction reveals the importance of policy decisions related to data collection and paperwork...
- Bolstering bottom lines. Claims and codingRichard R Rogoski
Health Manag Technol 26:10, 12, 14-5. 2005
- Improve compliance and financial performance at the same timeJeff Sinaiko
HPEN, Inc, 11777 San Vicente Boulevard, Suite 777, Los Angeles, CA, USA
J Med Pract Manage 18:155-8. 2002..The lesson for medical practice managers is that if you improve compliance, you should actually improve your bottom line, not harm it...
- Medicare cost controls and program compliance: the rationale of physician claims editsDarren Carter
J Med Pract Manage 18:115-9. 2002..Many resources are available to aid physicians, including computerized tools, new CMS initiatives, and Internet materials...
- Variation in coding influence across the USA. Risk and reward in reimbursement optimizationDaniel P Lorence
Department of Health Policy and Administration, Pennsylvania State University, State College, Pennsylvania, USA
J Manag Med 16:422-35. 2002..Implications for reimbursement programs and evidence-based health care are discussed...
- 2003 OIG Work Plan highlights aberrant coding patterns. Plan puts new spin on 2002 work plans, introduces new projectsSue Prophet-Bowman
J AHIMA 74:76-9. 2003
- Emergency department coding and billingCaral Edelberg
Medical Management Resources, Inc Team Health, 8001 Belfort Parkway, Suite 200, Jacksonville, FL 32256, USA
Emerg Med Clin North Am 22:131-51. 2004..Minimizing the risk for submitting fraudulent claims is critical, because it assures the efficient and timely billing of all ED services. For the practice to thrive, each is necessary...
- Observation services present compliance challengesSue Prophet-Bowman
J AHIMA 74:60-5. 2003
- The False Claims Act: the courts move toward a rule of reasonMichael M Mustokoff
Partner, Duane Morris, LLP, One Liberty Place, Philadelphia, PA 19103 7396, USA
J Med Pract Manage 20:317-22. 2005..It indicates the limitations that are imposed on prosecutors, as well as the liability that providers do incur under current statues...
- Make sense of wound care billing: turn your cents into reimbursement dollarsDeanna M Vargo
Department of Ambulatory Care Wound Care, Summa Health System, Barberton Citizens Hospital, Barberton, Ohio 44203, USA
J Wound Ostomy Continence Nurs 35:186-96; quiz 197-8. 2008..Therefore, investing the time to check the site for the latest updates can make a critical difference in your success with reimbursement for wound care services...
- Keeping internal chart reviews from being used against you: 11 useful strategiesDavid M Glaser
Fredrikson and Byron, 200 South Sixth Street, Minneapolis, MN, USA
J Med Pract Manage 20:32-5. 2004..This article provides some guidance to help practitioners realize the fuller value of chart reviews in terms of over- and under-coding, adequacy of documentation, and attorney-client privilege...
- Coding for split visits for Medicare patients: preventive medicine and office visit on the same dayBetsy Nicoletti
Medical Practice Consulting, PO Box 946, Springfield, VT 05156, USA
J Med Pract Manage 20:97-9. 2004
- An MS-DRG journey. How one hospital joined together to successfully implement MS-DRGsGinny Martin
SwedishAmerican Hospital, Rockford, IL, USA
J AHIMA 79:70-2. 2008
- Insurance billing and codingRebecca H Napier
Department of Surgery, University of Kentucky, College of Dentistry, D 508, 800 Rose Street, Lexington, KY 40536 0297, USA
Dent Clin North Am 52:507-27, viii. 2008..Claim submissions for care provided can be completed electronically or by means of paper forms...
- Coding for effective denial managementJackie Miller
Per Se Technologies, Atlanta, GA, USA
Radiol Manage 26:18-21. 2004..Some radiologists may lack the funding or human resources needed to implement truly effective coding programs for their staff members. In these circumstances, radiology business managers should consider outsourcing their coding...
- Keep your billing on targetGail Garfinkel Weiss
Med Econ 81:60-1. 2004
- CPT new patient vs. established patient guidelinesDeborah Grider
Medical Professionals Inc, 7098 N Shadeland Ave, Suite D, Indianapolis, IN 46220, USA
J Med Pract Manage 19:159-60. 2003
- Making your encounter form work for youCrystal S Reeves
Coker Group, 11660 Alpharetta Highway, Suite 710, Roswell, Georgia 30076, USA
J Med Pract Manage 19:150-3. 2003..A well-designed encounter form is one key to enhance the process. This article provides some practical guidelines for making the encounter form more effective...
- CPT coding for hospice in long-term careRonald J Crossno
American Board of Hospice and Palliative Medicine, 1904 Sager Road, Rockdale, TX 76567, USA
J Am Med Dir Assoc 5:50-4. 2004
- Claims denials--don't take no for an answerBetsy Nicoletti
Med Econ 82:41-2. 2005
- How to get a good night's sleep: adhere to correct billing practicesBetsy Nicoletti
Medical Practice Consulting, P O Box 946, Springfield, VT 05156, USA
J Med Pract Manage 20:314-6. 2005
- Obtaining advance beneficiary notices for Medicare physician providersDarren Carter
Provistas, Incorporated, 12 Dongan Place, Suite 203, New York, NY 10040 1592, USA
J Med Pract Manage 19:10-8. 2003..The author also presents special applications of the ABN regulations as they apply to the EMTALA rules, anti-kickback, and other statutes. Samples of the official ABN forms are illustrated...
- 10 tips for avoiding APC trapsJulie A Micheletti
HSS, Inc, Hamden, Connecticut, USA
Healthc Financ Manage 56:64-8. 2002..Transitional pass-through items should be audited routinely; associated coding should be kept current. Consideration should be given to meeting medical necessity requirements, particularly for mental health services...
- Don't get burned coding common skin proceduresKeith Millette
University of North Dakota School of Medicine and Health Sciences, USA
Fam Pract Manag 12:47-50. 2005
- Ambulance services move to a new payment methodRichard L Gundling
HFMA, Washington, D C, USA
Healthc Financ Manage 56:80-1. 2002..Of particular interest is the development of a new coding system for ambulance claims reports and payment increases for ambulance service in rural areas...
- Remember to report changesDuane C Abbey
Abbey and Abbey, Consultants, Inc, Ames, Iowa, USA
Revenue-cycle Strateg 4:3. 2007
- Corporate integrity agreements: making the best of a tough situationRobert B Ramsey
Healthcare Group of Buchanan Ingersoil, Pittsburgh, Pennsylvania, USA
Healthc Financ Manage 56:58-62. 2002..Effective negotiations can help minimize the organization's costs of compliance with the agreement and facilitate its ongoing implementation of the agreement...
- Ensuring timely reimbursementLisa L Spoden
Strategic Health Care Company, Columbus, OH, USA
Dermatol Nurs 19:280, 285, 288. 2007
- Are you committing health care fraud under the False Claims Act? The answer may not be as simple as you thinkMichael K Goldberg
Goldberg and Frankenstein, LLC, 222 South Riverside Plaza, Suite 810, Chicago, IL 60606, USA
J Med Pract Manage 17:206-9. 2002..In addition, it characterizes the concept of qui tam that allows whistleblowers to share in any financial awards. Finally, it highlights the importance of proper coding as a means of reducing the suspicion of fraud or abuse...
- Coding changes for 2006Theresa Powers
DoctorsManagement, Knoxville, USA
Tenn Med 99:33-4. 2006
- Perceived, actual, and desired knowledge regarding Medicare billing and reimbursement. A national needs assessment survey of internal medicine residentsKenna Adiga
Department of Medicine, University of Missouri, Kansas City, MO, USA
J Gen Intern Med 21:466-70. 2006..Economics and reimbursement have become a daily part of practicing physicians' lives. Yet, few internal medicine (IM) programs have offered formal curricula during residency about practice management or economics...
- Evaluation and management and modifiers: you too can find comfort in using themSuzan Hvizdash
University of Pittsburgh Medical Center, UPP Department of Surgery, USA
J Med Pract Manage 22:60-1. 2006
- The deficit reduction act of 2005: policy, politics, and impact on radiologistsJames W Moser
American College of Radiology, Reston, VA 20191, USA
J Am Coll Radiol 3:744-50. 2006..Although the DRA cuts payments for certain imaging services, it does nothing to control utilization, which is the prime mover driving spending...
- Nursing homes face quality-of-care scrutiny under the False Claims ActB S Landsberg
Litigation and Employment Business Unit, Manatt, Phelps and Phillips, LLP, Los Angeles, California, USA
Healthc Financ Manage 55:54-8. 2001..In a recent case, however, a Federal judge refused to grant the defendant facility's motion to dismiss and permitted the government's case to proceed...
- CPT coding by interventional radiologists: a multi-institutional evaluation of accuracy and its economic implicationsRichard Duszak
West Reading Radiology Associates, Department of Radiology, Reading, Pennsylvania 19612 6052, USA
J Am Coll Radiol 1:734-40. 2004..To evaluate the accuracy of Current Procedural Terminology (CPT) coding for interventional radiology procedures and the associated professional economic impact when coding is performed by operating physicians...
- Coding and reimbursementClaudia P Barone
University of Arkansas for Medical Sciences in Little Rock, 72205, USA
AACN Adv Crit Care 17:116-8. 2006
- From concept to CPT code to compensation: how the payment system worksWilliam T Thorwarth
Catawba Radiological Associates, Hickory, NC 28603, USA
J Am Coll Radiol 1:48-53. 2004....
- "This might sting a bit": policing skin care in nursing facilities by litigating fraudMichael Stockham
Cornell Law Rev 87:1041-77. 2002
- The pitfalls of overcoding evaluation and management servicesVickie Balistreri
J Med Pract Manage 17:234-6. 2002
- PaybackKen Ortolon
Tex Med 101:43-5. 2005
- Hospitals' code blues. MS-DRG switch may initially delay payCinda Becker
Mod Healthc 37:18-9. 2007
- Medicare fraud-busters target patient transfer reportingStephen G Sozio
Trustee 55:46-7. 2002
- CODE your way to better reimbursementRobert Lowes
Med Econ 84:48-50, 52-4. 2007
- The codes to watch: identifying the DRGs most prone to payment errorKimberly Hrehor
Texas Medical Foundation, Austin, TX, USA
J AHIMA 76:36-40. 2005
- Coding level-IV visits without fearThomas A Waller
Department of Family Medicine, Mayo Clinic, Jacksonville, Fla, USA
Fam Pract Manag 13:34-8. 2006
- OASIS coding, your license, and your reputationElizabeth A Madigan
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106 4904, USA
Home Healthc Nurse 24:190. 2006
- Using administrative data to study persons with disabilitiesLisa I Iezzoni
Harvard University, USA
Milbank Q 80:347-79. 2002..Linking administrative data to survey or other data sources enhances the utility of administrative data for disability studies...
- Coding, coverage, and compensation for pathology and laboratory medicine servicesRonald L Weiss
ARUP Laboratories, University of Utah School of Medicine, 500 Chipeta Way, Salt Lake City, UT 84108, USA
Clin Lab Med 27:875-91, viii. 2007..CMS uses a Physician Fee Schedule and a separate Clinical Laboratory Fee Schedule, whose designs and annual updates differ...
- Medical necessity and level-IV visitsJeffrey J Sourbeer
Fam Pract Manag 13:26. 2006
- Validation of a method for identifying nursing home admissions using administrative claimsIlene H Zuckerman
Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland, USA
BMC Health Serv Res 7:202. 2007..Our objective was to develop and validate an algorithm that identifies nursing home admissions at the resident-month level using the MarketScan Medicare Supplemental and Coordination of Benefit (COB) database...
- [Interspinous decompression as treatment for lumbar spinal stenosis]U Münnich
Abteilung Medizinische Beratung der Deutschen Krankenversicherung, Koln
Versicherungsmedizin 59:176-8. 2007..There are reports of implanting these devices in certain cases under local anaesthetic. A prospective randomised trial has shown promising results for up to two years postoperatively. There are no long-term results available...
- Impact of managed care on physicians' decisions to manipulate reimbursement rules: an explanatory modelJonathan VanGeest
WellStar College of Health and Human Services, Kennesaw State University, Kennesaw, GA 30144 5591, USA
J Health Serv Res Policy 12:147-52. 2007..To develop and test an explanatory model of the impact of managed care on physicians' decisions to manipulate reimbursement rules for patients...
- Use of pharmacy claims databases to determine rates of medication adherenceDavid Day
Clinical Applications, Pfizer Pharmaceuticals Group, New York, New York 10017, USA
Adv Ther 20:164-76. 2003....
- Real-time payment: what's holding it back?Ken Terry
Med Econ 84:44, 47-8, 51. 2007
- Asthma disease management: regression to the mean or better?David Tinkelman
National Jewish Medical and Research Center, Denver, CO 80206, USA
Am J Manag Care 10:948-54. 2004....
- Stratified random sampling for estimating billing accuracy in health care systemsJirachai Buddhakulsomsiri
Sirindhorn International Institute of Technology, Thammasat University, P O Box 22, Thammasat Rangsit Center, Pathumthani 12121, Thailand
Health Care Manag Sci 11:41-54. 2008..Computational study results show effectiveness of the proposed sampling plan...
- Computers, coding, and changeChris Dimick
J AHIMA 79:46-9; quiz 51-2. 2008
- Managing medical necessity denialsCarl Bertrams
Compliance Solutions, 3M Health Information Systems, Chicago, USA
Healthc Financ Manage 59:95-100. 2005
- Factors associated with back problems among emergency medical techniciansJonathan R Studnek
National Registry of Emergency Medical Technicians, Columbus, OH 43230, USA
Am J Ind Med 50:464-9. 2007..It is hypothesized that the likelihood of reporting back problems will be associated with the individual and work-related characteristics of a national sample of EMTs...
- Eight reasons payer interoperability and data sharing are essential in ACOs. Interoperability standards could be a prerequisite to measuring careShefali Mookencherry
Hayes Management Consulting, USA
Health Manag Technol 33:16-9. 2012..It is in the interest of ACOs to work collaboratively with payers early on to develop reasonable and effective performance benchmarks. Hence, it is essential to have payer interoperability and data sharing integrated in an ACO model...
- New codes, new rules and new opportunitiesCindy Hughes
Fam Pract Manag 14:27-8. 2007
- Economic burden of acute coronary syndrome in South Korea: a national surveyJinhyun Kim
College of Nursing The Research Institute of Nursing Science, Seoul National University, 28 Yeongeon dong, Jongro Gu, Seoul, Republic of Korea
BMC Cardiovasc Disord 13:55. 2013..This study examined the economic effect of ACS on the Korean population during the period 2004 to 2009...
- Medicare part B claims for chiropractic spinal manipulation, 1998 to 2004James M Whedon
Health Services Research, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA
J Manipulative Physiol Ther 33:558-61. 2010..The objective of this study was to examine the volume and rate of Medicare Part B claims for chiropractic spinal manipulation longitudinally from 1998 to 2004...
- Straight talk: new approaches in healthcare. Are you ready to send HIPPA-compliant transactions? Your cash flow is at stake. Panel discussionLee B Barrett
Mod Healthc 32:37-40. 2002..If you can't send a compliant transaction, the Centers for Medicare and Medicaid Services could reject your claims, drying up a big percentage of your cash flow...
- The effect of zanamivir treatment on influenza complications: a retrospective cohort studyJ Alexander Cole
Epidemiology and Safety Research Division, Riverside Center, Ingenix, Inc, Auburndale, Massachusetts 02466, USA
Clin Ther 24:1824-39. 2002..Complications of influenza are a major cause of morbidity and mortality during the influenza season. Clinical trials of zanamivir have reported a reduced incidence of influenza complications among high-risk patients...
- Regulatory and medical-legal aspects of intraoperative monitoringMarc R Nuwer
Department of Neurology, School of Medicine, University of California at Los Angeles UCLA, California, USA
J Clin Neurophysiol 19:387-95. 2002..Various billing codes for intraoperative monitoring are reviewed along with the circumstances in which they are to be used. Policy on the use of non-approved devices is also presented...
- How physicians can steer clear of fraud chargesJeffrey J Denning
Manag Care 11:26. 2002
- Revascularization in the new yearMelody W Mulaik
Coding Strategies, Inc, USA
Radiol Manage 33:25-8. 2011..New codes bring new guidelines for the lower revascularization procedures. It is important that all staff members responsible for coding and charge capture understand how to properly assign correct codes for these procedures...
- Update on standardized nursing data sets and terminologiesJudith J Warren
University of Kansas School of Nursing, USA
J AHIMA 73:78-83; quiz 85-6. 2002
- Electronic 'superbills'Steven F Isenberg
Ear Nose Throat J 81:439. 2002
- CPT code recommendations for nuclear medicine therapyKenneth A McKusick
J Nucl Med 43:27N-28N. 2002
- Get a grip on billing and reimbursementDiana S Contino
Emergency Management Systems, Inc, Laguna Niguel, California, USA
Nurs Manage 33:10-3. 2002..Managing Medicare outpatient reimbursement has ballooned into a complex, full-time job. Here's an overview of upcoming initiatives that require changes to your financial procedures...
- Costs and resources associated with the treatment of overactive bladder using retrospective medical care claims dataJ A Hall
Ingenix Pharmaceutical Services, Eden Prairie, Minnesota, USA
Manag Care Interface 14:69-75. 2001..Although the adjusted percent change in PPPM pharmacy costs was significantly higher within the tolterodine group, medical and total PPPM costs were not...
- Dental benefits--expanding access to dental careE F Ireland
National Association of Dental Plans, Dallas, Texas, USA
J Am Coll Dent 68:18-23. 2001..Current issues include dental workforce, the economy, human resources policies, and regulation. The issue of quality oral health care is identified as needing consensus definition by the entire dental industry...
- Diagnostic imaging studies performed in children over a nine-year periodTrevor Tompane
Department of Pediatrics, University of California, San Diego, La Jolla, California 92093 0984, USA
Pediatrics 131:e45-52. 2013..Our objective was to determine the prevalence and characteristics of DIPs ordered by physicians in an independent physicians association treating a general pediatric population...
- Using Medicaid data to estimate state- and county-level prevalence of asthma among low-income childrenP A Buescher
State Center for Health Statistics, North Carolina Department of Health and Human Services, Raleigh 27699 1908, USA
Matern Child Health J 3:211-6. 1999..This study examines the prevalence of asthma among low-income children in North Carolina using Medicaid paid claims and enrollment data...
- Epidemiology of recurrent cerebral infarction: a medicare claims-based comparison of first and recurrent strokes on 2-year survival and costG P Samsa
Center for Clinical Health Policy Research, and the Departments of Community and Family Medicine and Medicine, Duke University School of Medicine Durham, NC, USA
Stroke 30:338-49. 1999..The extent of this difference has, however, not yet been estimated with precision...
- Predictive value of Medicare claims data for identifying revision of index hip replacement was modestJeffrey N Katz
Orthopedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham and Women s Hospital, Harvard Medical School, Boston 02115, MA, USA
J Clin Epidemiol 64:543-6. 2011..To determine the positive predictive value of Medicare claims for identifying revision of total hip replacement (THR), a frequent marker of THR quality and outcome...
- A case study of population health improvement at a Midwest regional hospital employerD Adam Long
Department of Research and Infomatics, Onlife Health, Franklin, Tennessee 37067, USA
Popul Health Manag 13:163-73. 2010..Participants averaged $40.65 PMPM savings over the control population. Program return on investment, including incentive costs and vendor fees, was 2.87:1...
- Characteristics of medical professional liability claims in patients with cardiovascular diseasesWilliam J Oetgen
Division of Cardiology, Georgetown University School of Medicine, Washington, District of Columbia, USA
Am J Cardiol 105:745-52. 2010..Detailed knowledge of risks associated with liability claims should assist practicing cardiologists in improving the quality of care, reducing patient injury, and reducing the incidence of claims...
- Increasing short-stay unplanned hospital admissions among children in England; time trends analysis '97-'06Sonia Saxena
Department of Primary Care and Social Medicine, Imperial College London, London, United Kingdom
PLoS ONE 4:e7484. 2009..We hypothesised that any increase in isolated short stay admissions for childhood illness might reflect failure to manage these cases in the community over a 10 year period spanning these changes...
- Managing workers' compensation costs in the military setting: the Army's storyMarianne Cloeren
US Army Center for Health Promotion and Preventive Medicine, Building E 1570, Stark Road, Aberdeen Proving Grounds, MD 21010 5403, USA
Clin Occup Environ Med 4:vii, 323-39. 2004..Front-line managers bear the responsibility for educating the workforce and providing safe workplaces. Employees become the beneficiaries, not of medical and compensation benefits but of safe and healthy work environments...
- Relationship of lumbar strength in shipyard workers to workplace injury claimsV Mooney
University of California at San Diego, USA
Spine (Phila Pa 1976) 21:2001-5. 1996..All but two had higher-than-average strength. CONCLUSIONS: There is no evidence that preplacement back strength testing would predict workplace claims of injury...
- Direct health care costs of 4 common skin ulcers in New Mexico Medicaid fee-for-service patientsRitesh N Kumar
College of Pharmacy, University of Michigan, Ann Arbor, MI, USA
Adv Skin Wound Care 17:143-9. 2004..To determine health care costs associated with pressure ulcers, ulcers of the lower limbs, other chronic ulcers, and venous leg ulcers from the New Mexico Medicaid fee-for-service program perspective...
- The science of compliance. CMS is enlisting hospitals for pilot program to help determine why some billing-compliance programs work while others don'tMark Taylor
Mod Healthc 34:6-7, 1. 2004..The plan is already winning praise. "The burning question is which components of compliance programs are the most effective," says Roy Snell, left, of the Health Care Compliance Association...
- Coding for NP careDorothy L Pennachio
Med Econ 81:45-7. 2004
- The Secondary Prevention of MelanomaSusan Oliveria; Fiscal Year: 2007..abstract_text> ..
- Use of Complementary and Alternative Medical (CAM) Providers by Cancer PatientsPaula Diehr; Fiscal Year: 2007..This study will increase the understanding of the role CAM should play in providing supportive care for cancer patients. ..
- Race and Herbal Medications Among Medicare RecipientsWilliam Lafferty; Fiscal Year: 2004..African- Americans already report lower satisfaction with their medical care and frequently leave the doctor's office with unanswered questions, therefore, special educational programs may be useful. ..
- Competitive Continuation of Insurance Financing of Integrative MedicinePaula Diehr; Fiscal Year: 2007..Since the United States is the world's number one consumer of medical care, this study on the addition of new CAM benefits and the consequences is important. [unreadable] [unreadable]..
- The Development of a Health Numeracy MeasureMarilyn Schapira; Fiscal Year: 2009..d. Criterion validity will be tested by evaluating the association of scores on the NUMi with the Medical Data Interpretation Test, the adoption of health protective behaviors, and perceived health. ..
- Breast Density, IGF-I, & Prolactin, in Four PopulationsGertraud Maskarinec; Fiscal Year: 2004..The statistical analysis will include mixed models to explore the relation between hormone levels and breast density while controlling for confounders and for clustering by study location. ..
- Arkansas Consortium for Health Services ResearchBradley Martin; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- EVALUATING MAMMOGRAPHY CLAIMS DATAJean Freeman; Fiscal Year: 2006..S. radiologists. [unreadable] [unreadable]..
- Health Services Research in Under-Served PopulationsJean Freeman; Fiscal Year: 2006..unreadable] b. Develop and implement a Health Services Research selective to introduce School of [unreadable] Medicine students to this area of research. [unreadable] [unreadable] [unreadable]..
- Soy Consumption and Breast Tissue ProliferationGertraud Maskarinec; Fiscal Year: 2006....
- Until Death Do Us Part: Careers of Caregiving WivesDonald Taylor; Fiscal Year: 2006..abstract_text> ..
- Use of Claims Data to Study Quality of Cancer CareJames Goodwin; Fiscal Year: 2007..We will then explore the reliability of the provider-level data in order to assess its potential utility in assessing quality of care for individual providers. ..
- In-Depth Examination of Disparities in Cancer OutcomesCathy Bradley; Fiscal Year: 2007..abstract_text> ..
- Effects of Soy on Estrogens in Breast Fluid and UrineGertraud Maskarinec; Fiscal Year: 2010..The NAF approach is the only way to learn more about the beneficial and adverse effects of soy directly in the female breast without applying invasive procedures to women without breast disease or surgery. ..
- Intervention Effectiveness in Finnish AgricultureRisto Rautiainen; Fiscal Year: 2007..The results have great importance for similar efforts in Iowa and elsewhere. This study addresses three NORA priority areas and four Healthy People 2010 priority areas. ..
- Promoting Postpartum Weight Loss in Overweight WomenTruls Ostbye; Fiscal Year: 2007..In addition, extended follow-up will enable evaluation of long-term benefits of the intervention for weight loss and maintenance. ..
- Nutritional Risk Factors for Type 2 Diabetes in the Multiethnic CohortGertraud Maskarinec; Fiscal Year: 2008..unreadable] [unreadable] [unreadable] [unreadable]..
- The effect of physical activity on metabolic syndrome in pregnancy and fetal outcCynthia Ko; Fiscal Year: 2008..It may offer a safe and readily available method to control weight and improve infant health during and after pregnancy. [unreadable] [unreadable] [unreadable]..
- Tracking Hospital Readmissions for Assessing Quality of Care: Methodological and Denise Love; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Colonoscopy quality and outcomes in clinical practiceCynthia W Ko; Fiscal Year: 2010..The various algorithms we develop will be tested in a second, validation subset of our database to find the algorithm with optimal performance characteristics. ..
- COST AND OUTCOMES OF TWO PROTOCOLS FOR DENTAL SEALANTSStephen Eklund; Fiscal Year: 2001..A total of 1,000 children are being enrolled over a three-year period, and will be followed for an additional two years, in order to evaluate the clinical outcomes and resource requirements for the two alternatives. ..
- Welfare Reform, Fertility and Reproductive BehaviorRobert Kaestner; Fiscal Year: 2003....
- Outcomes of ICU Working ConditionsPatricia Stone; Fiscal Year: 2003..In addition, obtaining NNIS and Medicare data creates an opportunity to explore the sensitivity and specificity of identifying NI through claims data. ..
- Children with Chronic Health Conditions: Family ImpactKAREN KUHLTAHU; Fiscal Year: 2002....
- COST EFFECTIVENESS OF GENETIC SCREENING FOR COLON CANCERScott Ramsey; Fiscal Year: 2002....
- HLTH LIT, SOC SUPPORT,& HLTH: SURVEY OF MEDICARE ENROLLEShoou Yih Lee; Fiscal Year: 2003..abstract_text> ..
- NIMH TRAINEE CONFERENCE ON MENTAL HEALTH SERVICES RESEARDavid Salkever; Fiscal Year: 2004..In Year 1, the conference will be held with the annual meeting of the Association for Health Services Research; alternative sites will be considered for subsequent years. ..
- Mental Disorders, Private Insurance, and SSDI BenefitsDavid Salkever; Fiscal Year: 2001..abstract_text> ..
- Pilot to Evaluate Second Primary Cancers in the ElderlyLynne Penberthy; Fiscal Year: 2002..abstract_text> ..
- INTERVENTION EFFECTIVENESS IN NURSING HOMESBarbara Silverstein; Fiscal Year: 2001....
- Nursing Effort and Quality in Long-Term Care FacilitiesRobert Kane; Fiscal Year: 2004..The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards. ..
- RCT of Arthroscopic Partial Meniscectomy in OAJeffrey Katz; Fiscal Year: 2004..If funded, these planning activities would enable us initiate the full trial with minimal delay. ..
- PERCEPTION OF RISK AND BEHAVIOR IN THE ELDERLYDonald Taylor; Fiscal Year: 2001....
- IMMUNOMODULATION IN INFLAMMATORY BOWEL DISEASEBRUCE SANDS; Fiscal Year: 2004..The principal investigator seeks to become an independent clinical investigator by completing the didactic and scientific portions of this proposal. ..
- Economic Evaluations of Emerging Genomic Tests for Early Stage Breast CancerYA CHEN SHIH; Fiscal Year: 2008..To estimate the budgetary impact of the emerging pharmacogenomic prognostic and/or predictive tests [unreadable] [unreadable] [unreadable]..
- UTMB Center for Population Health and Health DisparitiesJames Goodwin; Fiscal Year: 2008..unreadable] [unreadable]..
- Youth Alcohol, Tobacco and Marijuana Use: Effects of Hours of Work and WagesRobert Kaestner; Fiscal Year: 2009..The proposed research will identify the importance of employment and earned income on youth substance use and produce information that can be used to design effective public health policy to address this problem. ..
- OUTCOMES OF OLDER WOMEN WITH EARLY STAGE BREAST CANCERANN NATTINGER; Fiscal Year: 2008..The results will be critical to informing policy initiatives, including determination of how to best reduce socioeconomic disparities in breast cancer outcomes. ..
- KAN-DO: A Family-Based Intervention to Prevent Childhood ObesityTruls Ostbye; Fiscal Year: 2010..Participants will be surveyed at baseline (3 months postpartum), 12 and 24 months post-baseline. Extended follow-up will enable evaluation of long-term benefits, and if effective, the KAN-DO intervention can be disseminated broadly. ..
- Inflammatory Markers in a 2-Year Soy Intervention among Premenopausal WomenGertraud Maskarinec; Fiscal Year: 2008..The statistical analysis will apply general linear models to compare the levels of inflammatory markers by soy intake, while taking into account the repeated measurement design. [unreadable] [unreadable] [unreadable] [unreadable]..
- TRUCKING FIRM CHARACTERISTICS, DRIVER INJURY AND OUTCOMEArthur Oleinick; Fiscal Year: 2003..Predictive value is evaluated by ROC curves, the Bayes Information Criteria or other recommended approaches. ..
- A Genetic Screening Policy Model for Colorectal CancerScott Ramsey; Fiscal Year: 2006..The model will incorporate QOL information from Aim 2, along with family history, clinical, and screening information from the Seattle CFR. ..
- IMURAN Dose Ranging Study in Crohn's DiseaseBRUCE SANDS; Fiscal Year: 2005..Abstract Not Provided ..
- Epidemiology of hepatocellular carcinomaCynthia Ko; Fiscal Year: 2006....
- Linking Performance Measures to Treatment OutcomesDeborah Garnick; Fiscal Year: 2004..Our goal is to develop a data set rich enough to support testing the WCG performance measures and their relationship to outcomes in states that represent larger and more diverse populations. ..
- ESTABLISHING A LINK BETWEEN NUMERACY AND HEALTHMarilyn Schapira; Fiscal Year: 2005..The findings will have implications for the role of mathematics in education and the potential role of interventions to improve numeracy among adults. ..
- LABOR MARKET OUTCOMES OF LONG TERM CANCER SURVIVORSCathy Bradley; Fiscal Year: 2004....
- SCHOOL ENVIRONMENT: EFFECT ON SUICIDE PREVENTION PROGRAMBradley Stein; Fiscal Year: 2004....
- Diabetes and Drug-Associated Hyperkalemia: Effect of Laboratory MonitoringMarsha Raebel; Fiscal Year: 2008..The findings will also assist in developing a framework for future studies to evaluate the effects and costs of medication-laboratory monitoring among patients with diabetes. [unreadable] [unreadable] [unreadable] [unreadable]..
- PRIVATE AND SOCIAL COST OF SMOKINGFrank Sloan; Fiscal Year: 2001..We will examine implications of our empirical analysis for tort claims brought against tobacco companies and the evolution of legal theories underlying tobacco tort litigation in a law review article. ..
- Economic and Policy Analyses in Geriatric DiseaseEKATERINA NOYES; Fiscal Year: 2006..The model and analytical approaches acquired by the candidate during her training will be used later to develop a decision analytical model describing geriatric depression. ..
- LINKING OCCUPATIONAL INJURY AND ILLNESS DATA BASESKenneth Rosenman; Fiscal Year: 2002..We have assembled an interdisciplinary team consisting of an occupational health physician, epidemiologists, a biostatistician and a computer programmer. We have arranged access to all nine data systems. ..
- Visual Impairment, Treatment and Effects on the ElderlyFrank Sloan; Fiscal Year: 2008..Ten papers are anticipated for this four-year study. [unreadable] [unreadable]..
- Utility of a New Database to Study Drug Safety during PregnancySOKO SETOGUCHI IWATA; Fiscal Year: 2008..This database based on large population-based follow-up data with linkable clinical birth data has the potential to enhance the safety of prescription drug use in pregnant women and their children. [unreadable] [unreadable] [unreadable]..
- Medication Management Decisions in SchizophreniaMark Olfson; Fiscal Year: 2003..The results will inform quality improvement programs by identifying key modifiable determinants of the quality of medication management in the community treatment of schizophrenia. ..
- A PRESCRIPTION FOR ENHANCING RESIDENT QUALITY OF LIFEAnn Kolanowski; Fiscal Year: 2008..This study holds promise for improving quality of life for nursing home residents with dementia by using theoretically based activities to respond to their needs. ..
- Predicting Transitions Among Community-Dwelling EldersIlene Zuckerman; Fiscal Year: 2008....
- Determinants and Consequences of Alcohol ConsumptionFrank Sloan; Fiscal Year: 2008..abstract_text> ..
- CYTOKINE MODULATION IN PROLIFERATIVE VITREORETINOPATHYGLENN JAFFE; Fiscal Year: 2005..Density-dependent effects of IL-1, TNFalpha, and specific NF-kappaB inhibitors on NF-kappaB-mediated RPE apoptosis will be quantified. IV) To determine whether specific in vivo NF-kappaB blockade inhibits PVR. ..
- OSCCAR: A Novel, Population-based Prospective Inception Cohort of Inflammatory BoBRUCE SANDS; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..