Regional variation in medical systems data: Influences on upcoding

Journal of Medical Systems

Volumn 26, Issue 5, 2002, Pages 369-381

  Lorence, Daniel P ^a   Spink, Amanda ^a  

^a PENNSYLVANIA STATE UNIVERSITY   (United States)

Author keywords

Classification; Coding; Compliance; Health care; Optimization; Reimbursement

Indexed keywords

ACCREDITATION; AMBULATORY CARE; CONFIDENTIALITY; GOVERNMENT; GROUP PRACTICE; HEALTH CARE INDUSTRY; HEALTH CARE MANAGEMENT; HEALTH CARE ORGANIZATION; HOSPITAL INFORMATION SYSTEM; HUMAN; INFORMATION SYSTEM; LONG TERM CARE; MANAGED CARE; MEDICAL INFORMATION SYSTEM; PATIENT CODING; QUESTIONNAIRE; REIMBURSEMENT; REVIEW; UNIVERSITY; ARTICLE; CLASSIFICATION; COMPARATIVE STUDY; DOCUMENTATION; ECONOMICS; FORGERY; HEALTH CARE DELIVERY; HEALTH SERVICES RESEARCH; INSURANCE; LEGAL ASPECT; LEGAL LIABILITY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PRACTICE GUIDELINE; UNITED STATES;

ABSTRACTING AND INDEXING; DECISION MAKING, ORGANIZATIONAL; DELIVERY OF HEALTH CARE; FRAUD; GUIDELINE ADHERENCE; HEALTH SERVICES RESEARCH; HUMANS; INSURANCE CLAIM REPORTING; LIABILITY, LEGAL; UNITED STATES;

EID: 0036776784     PISSN: 01485598     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1016405214914     Document Type: Review

References (11)

1. Brown, J. G., Improper Fiscal Year 2000 medicare fee-for-service payments, A-17-00-02000, Office of Inspector General - Audit, Department of Health and Human Services, 2001.
2. Kleinmuntz, C. E., Kleinmuntz, D. N., Stephen, R. G., and Nordlund, D. S., Measuring and managing risk improves strategic financial planning. Healthcare Financ. Manage. June 53(6):51-58, 1999.
3. Cleverley, W. O., Economic value-added calculates the true value of healthcare organizations. Healthcare Financ. Manage. December:4-8, 1999, Resource Guide.
4. Bennett, C. J., and Jones, B. H., Compliance programs: Do they work? in Proceedings of the 2001 Annual National Institute, Healthcare Financial Management Association, June 20, 2001.
5. Alexander, J. A., Lee, S.-Y. D., Griffith, J. R., Mick, S. S., Lin, X., and Banaszak-Hall, J., Do market-level hospital and physician resources affect small area variation in hospital use? Med. Care Res. Rev. 56(1):94-117, 1999.
6. 31 U.S.C. Sec. 3729(a)-3733.
7. Walston, S. L., Kimberly, J. R., and Burns, L. R., Institutional and economic influences on the adoption and extensiveness of managerial innovation in hospitals: The case of reengineering. Med. Care Res. Rev. 58(2):194-228, 2001.
8. Prophet, S., Health Information Management Compliance: A Model Program for Healthcare Organizations, American Health Information Management Association, Chicago, 1998.
9. Scanlon, W. J., Medicare fraud and abuse: DOJ's implementation of False Claims Act guidance in National Initiatives Varies, GAO Report, August, 1999.
10. Prophet, S., Health Information Management Compliance: A Model Program for Healthcare Organizations, American Health Information Management Association, Chicago, 1998.
11. Lorence, D., National implementation patterns of computer-based patient records, in Proceedings of the National Conference on Health Statistics, NCHVS, Washington, DC, August, 1999.