Data Quality Management Cleanse, enrich and connect your data to help your agency break down silos and set the stage for success. Challenges We Address Reduce friction and streamline eligibility decisioningStrengthen population health initiatives, enhance interoperability and member viewsSimplify Medicaid un...
To identify limitations of abortion data in national Medicaid claims files by comparing abortion counts in Medicaid claims data with state abortion estimates. We used procedure (Current Procedural Terminology/Healthcare Common Procedure Coding System) and drug (National Drug Code) codes to identify abort...
Building solutions for Medicare Addvantage is our specialty. Our domain expertise and knowledgeable staff make us ideal partners for your next solution IT Services Management of Cloud infrastructure & services. Tools Analytical Tools for data mining....
Building solutions for Medicare Addvantage is our specialty. Our domain expertise and knowledgeable staff make us ideal partners for your next solution IT Services Management of Cloud infrastructure & services. Tools Analytical Tools for data mining....
They include the resolution of outdated data from infrequent provider screening by data maintenance, ignorance of contractor processes and data by demand accessibility, and inability to gather customized requirements by easy customization and integration.Haddad...
OR IF THE PCP DOES NOT FEEL THAT TREATMENT MEETS CRITERIA FOR AN EXTENSION, AND THE ENROLLEE IS UNWILLING/UNABLE TO PAY OUT OF POCKET, THE PCP CAN ISSUE A REFERRAL/AUTHORIZATION SO THE ENROLLEE MAY RECEIVE CARE FROM ANOTHER PROVIDER WHO MAY BE WILLING EVEN THOUGH ALL 12 VISITS ARE USED. ...
https://medicaid.ohio.gov/static/Providers/ProviderTypes/Managed+Care/Provider+Agreements/ManagedCare-PA-201601.pdf 20. SAMHSA Research Data Center. Guidelines for SAMHSA RDC Data Users. Substance Abuse and Mental Health Services Administration; June 26, 2023. Accessed December 19, 2023. https://...
We help set and achieve ambitious agendas across growth, operational excellence, and innovation. . Our work spans national and local organizations, provider-led entities, and organizations focused on addressing special needs populations (e.g., behavioral health, long term service and supports, and du...
Mary - 《Journal of Ambulatory Care Management》 被引量: 0发表: 1980年 How Well Does Medicaid Work in Improving Access to Care? Objective. To provide an assessment of how well the Medicaid program is working at improving access to and use of health care for low-income mothers. Data... ...
Medicaid expansion has positively impacted healthcare providers by boosting financial performance and resulting in payer mix improvements, data from the Kaiser Family Foundation (KFF) found.