This process lets you ask for a review of claims that have been denied by your health plan. Authorization* This is an important process. It is approval a person gets for care before receiving care. This helps people know if the care is covered by a health plan. People should check with...
In line with this definition and from other reviews on well-being, we refer to mental well-being as a generic term different from physical well-being and encompassing components of hedonic (“feeling good”) and eudaimonic (“functioning well”) well-being, as well as social aspects of ...
Cost is calculated automatically based on claims submitted to Medicare. In promoting interoperability, clinicians report on a set of measures and objectives connected to digitization (e.g., use of electronic health records, e-prescribing). In the area improvement activities, clinicians have to attest...
(2004) 2–18 Non-White (89.4 %), White (10.6 %) Philadelphia, Pennsylvania Child welfare data, Medicaid claims 1,635 Multivariable logistic regression Mental or behavioral healthcare High mental health service use defined as the top 10 % of mental health users by cost (yes/no) Shin (2005...
Methods: The study uses claims data from a German statutory health insurance fund. Patients were included if they received a diagnosis of ischemic or hemorrhagic stroke between 1 January and 31 December 2007 and if they survived for one year after stroke and were not dependent on care before ...
A change from two to three tiers decreased claims for third tier medica- tions and net insurer costs, while patient out-of-pocket copayments increased significantly in both the first year [44] and second year [45] of follow-up. In a study by Nair et al [46] change from a two-tier ...
One approach to understanding the prevalence and burden of disease due to diabetes has been the use of the United States Department of Veterans Affairs, or Canada's National Diabetes Surveillance System (NDSS), both based on administrative claims [9, 10]. The Ontario, Canada version of this ...
Hoffmann F, Icks A (2011) Diabetes prevalence based on health insurance claims: large differences between companies. Diabet Med 28:919–923 CrossRef Mielck A (2000) Soziale Ungleichheit und Gesundheit. Huber, Bern Braun B, Müller R (2006) Gesundheitsberichterstattung mit GKV-Daten. In:...
FDA: Guidance for Industry - Patients-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims. (Administration USDoHaHSFaD ed. 2006, [http://www.fda.gov/ohrms/dockets/98fr/06d-0044-gdl0001.pdf] Bastiaansen D, Koot HM, Ferdinand RF: Psychopathology in children...
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions Reprints and permissions About this article Cite this article Horve, P.F., Lloyd, S., Mhuireach, G.A. et al. Building upon current know...