The Potential of Claims Data to Support the Measurement of Health Care Quality

The Potential of Claims Data to Support the Measurement of Health Care Quality

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Current information suggests that millions of Americans fail to receive adequate quality health care. The author examines whether the use of claims data for measuring health care quality is being fully realized and identifies electronic data that might increase the potential for quality measurement. The author found that quality measurement relying extensively on medical records is prohibitively high for most organizations and presents four options for quality measurement: (1) the status quo; (2) expanded use of claims data; (3) expanded use of medical records; and (4) expanded use of both claims data and medical records.As described in Chapter 2, ICD-9-CM, CPT, HCPCS, UB-92 Revenue Codes and NDC are standard coding systems used ... CPT code 20610 represents arthrocentesis of the knee, but there are no other codes to specify the types of analysesanbsp;...


Title:The Potential of Claims Data to Support the Measurement of Health Care Quality
Author:Jennifer Hicks
Publisher: - 2003
ISBN-13:

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