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Volumn 36, Issue 4, 1999, Pages 461-470

A management tool for controlling the rate of non-acceptable inpatient hospital claims

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COST; DIAGNOSIS RELATED GROUP; HEALTH INSURANCE; MANAGEMENT; MODEL; PREDICTION; VALIDATION PROCESS;

EID: 0033490135     PISSN: 00469580     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article
Times cited : (6)

References (21)
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    • Ash, A., M. Shwartz, S. Payne, and J. Restuccia. 1990. The Self-Adapting Focused Review System: Probability Sampling of Medical Records to Monitor Utilization and Quality of Care. Medical Care 28:1025-1038.
    • (1990) Medical Care , vol.28 , pp. 1025-1038
    • Ash, A.1    Shwartz, M.2    Payne, S.3    Restuccia, J.4
  • 2
    • 0029364648 scopus 로고
    • The design and analysis of hospital utilization studies
    • Ash, A. 1995. The Design and Analysis of Hospital Utilization Studies. International Journal for Quality in Health Care 7(3):245-252.
    • (1995) International Journal for Quality in Health Care , vol.7 , Issue.3 , pp. 245-252
    • Ash, A.1
  • 4
    • 84933470928 scopus 로고
    • Detroit: Blue Cross and Blue Shield of Michigan
    • Blue Cross and Blue Shield of Michigan (BCBSM). 1985. BCBSM Medical Criteria Manual. Detroit: Blue Cross and Blue Shield of Michigan.
    • (1985) BCBSM Medical Criteria Manual
  • 5
    • 0040828619 scopus 로고
    • Detroit: Blue Cross and Blue Shield of Michigan
    • _. 1987. Participating Hospital Agreement. Detroit: Blue Cross and Blue Shield of Michigan.
    • (1987) Participating Hospital Agreement
  • 7
    • 0342628117 scopus 로고
    • New York: Blakiston Division, McGraw-Hill
    • Commission on Financing Hospital Care in the United States. 1955. Financing Hospital Care in the United States. New York: Blakiston Division, McGraw-Hill.
    • (1955) Financing Hospital Care in the United States
  • 8
    • 0030723605 scopus 로고    scopus 로고
    • Hierarchical polytomous regression models with applications to health services research
    • Daniels, M., and C. Gatsonis. 1997. Hierarchical Polytomous Regression Models with Applications to Health Services Research. Statistics in Medicine 16(20):2311-2325.
    • (1997) Statistics in Medicine , vol.16 , Issue.20 , pp. 2311-2325
    • Daniels, M.1    Gatsonis, C.2
  • 9
    • 0027619821 scopus 로고
    • Monitoring quality of care: What do we need to know?
    • Iezzoni, L. 1993. Monitoring Quality of Care: What Do We Need to Know? Inquiry 30:112-114.
    • (1993) Inquiry , vol.30 , pp. 112-114
    • Iezzoni, L.1
  • 11
    • 0030317961 scopus 로고    scopus 로고
    • The appropriateness of Coronary Artery Bypass Graft Surgery in Academic Medical Centers. Working group of the appropriateness project of the academic medical center consortium
    • Leape L., L. Hilborne, J. Schwartz, D. Bates, H. Rubin, P. Slavin, R. Park, D. Witter Jr., R. Panzer, and R. Brook. 1996. The Appropriateness of Coronary Artery Bypass Graft Surgery in Academic Medical Centers. Working Group of the Appropriateness Project of the Academic Medical Center Consortium. Annals of Internal Medicine 125(1):8-18.
    • (1996) Annals of Internal Medicine , vol.125 , Issue.1 , pp. 8-18
    • Leape, L.1    Hilborne, L.2    Schwartz, J.3    Bates, D.4    Rubin, H.5    Slavin, P.6    Park, R.7    Witter D., Jr.8    Panzer, R.9    Brook, R.10
  • 14
    • 0029366320 scopus 로고
    • The evolution of hospital utilization review methods in the United States
    • Restuccia, J. D. 1995. The Evolution of Hospital Utilization Review Methods in the United States. International Journal for Quality in Health Care 7(3):253-260.
    • (1995) International Journal for Quality in Health Care , vol.7 , Issue.3 , pp. 253-260
    • Restuccia, J.D.1
  • 16
    • 85011222627 scopus 로고    scopus 로고
    • A statistical control model for utilization management programs
    • _. 1998. A Statistical Control Model for Utilization Management Programs. North American Actuarial Journal 2(2):77-87.
    • (1998) North American Actuarial Journal , vol.2 , Issue.2 , pp. 77-87
  • 18
    • 0033479078 scopus 로고    scopus 로고
    • A hierarchical Bayesian Model for predicting the rate of non-acceptable in-patient hospital utilization
    • Rosenberg, M., R. Andrews, and P. Lenk. 1999. A Hierarchical Bayesian Model for Predicting the Rate of Non-Acceptable In-Patient Hospital Utilization. Journal of Business and Economic Statistics 17(1):1-8.
    • (1999) Journal of Business and Economic Statistics , vol.17 , Issue.1 , pp. 1-8
    • Rosenberg, M.1    Andrews, R.2    Lenk, P.3
  • 19
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    • Using claims data to monitor hospital utilization
    • Saad, A., R. Andrews, and J. Griffith. 1993. Using Claims Data to Monitor Hospital Utilization. Inquiry 30:447-454.
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    • Saad, A.1    Andrews, R.2    Griffith, J.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.