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Development and Testing of Improved Models to Predict Payment Using Centers for Medicare & Medicaid Services Claims Data.

08:00 EDT 2nd August 2019 | BioPortfolio

Summary of "Development and Testing of Improved Models to Predict Payment Using Centers for Medicare & Medicaid Services Claims Data."

Predicting payments for particular conditions or populations is essential for research, benchmarking, public reporting, and calculations for population-based programs. Centers for Medicare & Medicaid Services (CMS) models often group codes into disease categories, but using single, rather than grouped, diagnostic codes and leveraging present on admission (POA) codes may enhance these models.

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This article was published in the following journal.

Name: JAMA network open
ISSN: 2574-3805
Pages: e198406

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