Defining hip fracture with claims data: outpatient and provider claims matter
نویسندگان
چکیده
منابع مشابه
Linking individual medicare health claims data with work-life claims and other administrative data
BACKGROUND Researchers investigating health outcomes for populations over age 65 can utilize Medicare claims data, but these data include no direct information about individuals' health prior to age 65 and are not typically linkable to files containing data on exposures and behaviors during their worklives. The current paper is a proof-of-concept, of merging employers' administrative data and p...
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Patients with a workers' compensation claim have been shown to have inferior outcomes after various orthopedic procedures. In hip arthroscopy, good to excellent results have been shown in the athletic and prearthritic population in short-term and long-term follow-up. In the current study, the authors' hypothesis was that patients with a workers' compensation claim would have inferior outcomes a...
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Objectives: To determine if and to what extent records obtained from PBM pharmacy claims differ from source documents obtained directly from pharmacy providers. This study also sought to explore possible associations between patient, pharmacy benefits, and pharmacy provider characteristics and the likelihood a patient would have missing prescription claims. Methods: This study used a cross-sect...
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Medical claims are all disputes that are somehow related to the medical and related matters so its subject is wide-ranging. These are civil, criminal and diciplinair medical cases, and due to the multy natures of such cases, we are likely to see numerous authorities to them. Furthermore, here expert medical expertise and expert opinion play an important role, but the rules are somewhat conflict...
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Background We aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. Methods We applied data mining approach to a major health insurance organization dataset of private sector general physicians’ prescription claims. It involved 5 ste...
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ژورنال
عنوان ژورنال: Osteoporosis International
سال: 2017
ISSN: 0937-941X,1433-2965
DOI: 10.1007/s00198-017-4008-1