UnitedHealthcare made changes to its outpatient procedure group mapping that went into effect Jan. 1. 1. Thirty-two outpatient procedure grouper 0-10 codes expired and were deleted from the UnitedHealthcare Outpatient Procedure Grouper Exhi...
Unstable angina. Aetna considers cardiac rehabilitation experimental, investigational, or unproven for all other indications including the following (not an all-inclusive list) because of insufficient evidence in the peer-reviewed literature: Atrial fibrillation (other than following the Maze procedure) Foll...
“We expect to continue to gradually expand the ASC CPL, as medical practice and technology continue to evolve and advance in future years. We encourage stakeholders to submit procedure recommendations to be added to the ASC CPL, particularly if there is evid...
We used this procedure to determine HCPs' awareness of test results and any follow-up action they took but failed to document. If the ordering HCP was unavailable, we called the PCP of the patient (who also receives the alert per protocol). These processes helped confirm whether the test ...
**Code has a J1 status indicator and its use will result in the assignment of procedure to a comprehensive APC (C-APC) by Medicare. Even though it is possible that separate APC payments may be determined to be appropriate where more than one procedure is performed during the same outpatient...
By applying a distance measure like Pearson correlation, the HCA procedure sorts the candidate explanatory variables into several homogeneous clusters. Variables within a cluster exhibit high correlation, while those in different clusters show low correlation. For each cluster, we select one variable ...
all cost rendered for a normal, uncomplicated procedure), including everything from admission through discharge. These costs are the insurer ’s contracted allowed amounts and are shown in a narrow range from minimum, to likely, to maximum costs . The likely am ount is displayed as equalin...
This study provides a procedure-detailed scientific approach for the outpatient planning problem at the chemotherapy department. Abstract In this paper, we study a complex outpatient planning problem in the chemotherapy department. The planning concerns sequences of patients’ treatment sessions subject to...
This study provides a procedure-detailed scientific approach for the outpatient planning problem at the chemotherapy department. Abstract In this paper, we study a complex outpatient planning problem in the chemotherapy department. The planning concerns sequences of patients’ treatment sessions subject to...
This study provides a procedure-detailed scientific approach for the outpatient planning problem at the chemotherapy department. Abstract In this paper, we study a complex outpatient planning problem in the chemotherapy department. The planning concerns sequences of patients’ treatment sessions subject to...