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.


Journal Details

This article was published in the following journal.

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


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