Sentences with phrase «of medical claims data»

The Blue Cross Blue Shield Association analysis of medical claims data showed that the overall rate of major depression was 4.4 percent and that diagnosis rates rose 33 percent between 2013 and 2016.

These data are consistent with analyses of medical claims data from World Bank employees which found that the largest increase in claims among their business travelers was for psychological disorders related to stress.

Not exact matches

Acxiom, one of the country's largest data brokers, touts its potential to marry consumer data — income level, shopping habits — with clinical records and medical claims.

As Amino CEO David Vivero told me back then, the firm's platform is «based on insurance claims data from both public and private players,» allowing for a more accurate depiction of how much medical care costs.

The new offering, «Watson for Patient Safety,» will gobble up anonymized medical records, claims data, and millions of electronic submissions to the FDA about potential drug side effects (known as individual case safety reports) to see if it can learn about the hidden dangers of medicines before they become too costly.

Anthem Blue Cross announced that it's launching a new platform to unite multiple kinds of digital health data — including electronic medical records, insurance claims info, and even health and wellness app stats — into an overarching product called Engage.

Shortly before the contract began with the parent company of Cambridge Analytica, when he was discussing working with the company, the psychologist tried to acquire medical and genetic records of Americans to combine with troves of online data he claimed to have obtained.

Given the latest medical data concerning the distinct characteristics of the fetus and its ability to survive outside the womb at a startlingly early age, it is little wonder that in the past few years several of the denominations that once took a more open position on abortion have retreated somewhat: the Presbyterian Church (U.S.A.) is now studying the issue; in a 1980 statement on social principles, the UMC moved to a more qualified position; the Episcopal Church and the recently formed Evangelical Lutheran Church in America seem to be in the process of toning down their earlier positions (or those of a predecessor body) The Lutherans defeated a resolution in their 1989 Assembly which would have been consistent with the liberal position of the LCA predecessor body, and a 1988 Lutheran - Episcopal dialogue report refers to the fetus as «embryonic humanity» with claims on society.

The researchers, from academic medical centers and private practice, looked at insurance claims data from a large nationwide employment - based database of medical claims.

Gino Gialdini, M.D., of Weill Cornell Medical College, New York, and colleagues conducted a study to determine the long - term risk of ischemic stroke after perioperative AF of patients undergoing surgery, using administrative claims data from California acute care hospitals between 2007 and 2011.

He allegedly stole bottles of C - 25 from his supervisor's desk under the watchful eye of a security camera; kept the receipt he got from mailing the substance to his wife in China; claimed, in documents found on his computer, discovery of the substance and authorship of research done by others; and, in a particularly imaginative touch, «remotely accessed the Medical College servers and deleted [his supervisor's] raw data from the C - 25 research, information the college was later able to restore,» according to the Journal - Sentinel.

Robert Lanza, vice president of medical and scientific development at the privately - held biotechnology company Advanced Cell Technology (ACT), says that without scientific data, he is extremely skeptical of the group's claim.

The data, it turned out, were the anonymized medical claims records — every diagnosis made, every treatment given — of most of the nation, which numbers some 8 million people.

The researchers examined medical claims, pharmacy and laboratory data of 31,542 adults with stable and controlled Type 2 diabetes who were included in the OptumLabs Data Warehouse between 2001 and 2data of 31,542 adults with stable and controlled Type 2 diabetes who were included in the OptumLabs Data Warehouse between 2001 and 2Data Warehouse between 2001 and 2013.

This group talks to patients, and reviews scientific and clinical claims, medical notes and online reports, and other data, to establish an evaluation of each potential treatment.

For a clearer picture of the types of animal illnesses, accidents, and resulting costs that pet owners face, Healthy Paws Pet Insurance, a company that sells medical coverage for dogs and cats, crunched data from 215,000 claims submitted by their customers during a one - year period.

In order to receive the highest possible total of compensation, it is important that you file the necessary claims paperwork and prepare all necessary medical data.

According to the National Practitioner Data Bank, compiled by the U.S. Department of Health, there were 148,909 settlements, awards, judgments, or other monetary exchanges relating to medical malpractice claims from 2005 - 2015.

The National Practitioner Data Bank (NPDB) handles all medical malpractice claims and calculates the total number of wrong - site surgeries, wrong - patient surgeries, and wrong - procedure surgeries in any given year.

McGrane v Sefton Borough Council (2015 - 2016) A medical practitioner convicted of murder and sex offences made claims in defamation, data protection and negligence with damages pleaded at # 2.7 milion.

We helped to develop a particular program for children with chronic and complex conditions, develop a risk - based payment mechanism in Medicaid tied to the creation of a pediatric medical home and analyzed Medicaid claims data and whether a coordinated care model can provide scoreable savings for Congress.

These consist of the death claim form, authentic policy document, attested replica of dying certificates issued by Municipal corporation, nominee's picture identification and residential evidence (attested reproduction), medical data in the time of death and documents relating any past illnesses which the insured may additionally have suffered from, cancelled cheque of the nominee's bank account (with the IFSC code).

Shortly before the contract began with the parent company of Cambridge Analytica, when he was discussing working with the company, the psychologist tried to acquire medical and genetic records of Americans to combine with troves of online data he claimed to have obtained.

Throw in the stuff from medical claims, clinical trials, prescriptions, academic research, and more, and the yield is something on the order of 750 quadrillion bytes every day — or some 30 % of the world's data production.

During his contract with Cambridge Analytica, the psychologist tried to acquire medical and genetic records of Americans to combine with troves of online data he claimed to have obtained.

Daily demonstrate the ability to provide detailed examination of data, medical documents, claim history from beginning to end as a basis for leading clinical round table discussion.

Moreover, I have a solid track record of performing secretarial duties such as answering calls, copying documents, data entry, maintaining patients» medical records and dealing with insurance companies regarding claims.

Data entry / adjudication of 100 + Physician and Hospital claims, (Medicaid and Medicare) into Quick Cap (Medical billing system).

• Assess the facility's need for staff and indulge in activities to interview, hire and train them • Determine need for supplies and medical equipment and ensure that both are procured in a time - efficient manner • Schedule appointments for patients after appropriately determining medical staff's schedules • Create medical records and ensure that they are managed in a secure and confidential manner • Oversee the collection of bills and make bank deposits • Coordinate efforts with medical insurance companies to ensure that outstanding claims are timely paid • Submit billing statements to patients and indulge in follow up activities • Perform data entry and processing duties and generate inventory records • Educate patients and families in a bid to make them understand and appreciate surgical and medical procedures

Key Qualifications • Outstanding knowledge of claims processing and medical terminology • Superb data entry skills with high accurateness • Strong written and spoken communication skills • Knowledge of insurance and accounting procedures and pertinent computer software

PERFORMANCE PROFILE 11 + years» track record of success inputting and validating medical claims data and overseeing the use of proper documentation and coding on patients» accounts.

• Assess all insurance claims against patient services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on medical insurance forms • Post insurance billing information data into predefined database systems • Make list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including medical histories, insurance identification and diagnosis

✔ Adept at communicating with patients and building long - term relationship with them ✔ Track record of carrying out effective patient follows - up calls ✔ Demonstrated ability to forward accurate medical bills at the time of discharge ✔ Skilled in data entry tasks ✔ Adept at handling front desk and answering telephonic queries ✔ Substantial knowledge of various health insurance coverage and claim protocols

Unit Assistant SOUTH CAROLINA HEALTHCARE CENTRE, Charlotte, NC (May 2011 — November 2013) • Managed the database while ensuring data confidentiality • Issued admittance and discharge slips • Forwarded insurance claims on behalf of patients to various companies • Briefed the patients about medical procedures, admission and discharge protocols • Supervised the nursing staff and coordinated their shifts • Fielded inbound visitor calls and handled correspondence

As the Medical Billing Specialist, essential job responsibilities will include reviewing patient claims for accuracy, verifying the accuracy of patient statements, payments verifications, and data entry of billing information.

> Captures patient care data for the initial claim preparation > Registration of all patients, including insurance verification > Responsible for accurate and timely preparation of billing data > Validates all appropriate coding data for daily processing > Prepares electronic claims for submission to the appropriate payer > Obtains and submits copies of medical documentation as required or requested by third party payers > Reconciles insurance / patient payments > Assists in deposit preparation > Analyzes and resolves claim rejections and denials related to billing or provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in delinquent account review > Other duties as requested by the Billing Manager

• Track record of managing medical payment collection activities by indulging in extensive medical billing activities • Demonstrated expertise in acting as a liaison between medical facilities and insurance carriers including HMOs, PPOs, Medi - cal and Medicare • First - hand experience in using coded data to produce and submit claims to insurance companies to ensure prompt payments • Competent at reviewing and appealing unpaid and denied claims • Documented success in effectively and efficiently translating medical procedures into codes which can be easily translated by payers and medical facilities • Familiar with transmitting coded patient treatment information to intended recipients • Proven record of coding treatment information using designated CPT codes and effectively reviewing medical records for accuracy and integrity • Unmatched ability to create reimbursement claims and coordinate reimbursement activities with payers • Qualified to process patient data such as treatment records and insurance information to verify data accuracy and integrity • Proven ability to liaise with insurance companies to facilitate payments of outstanding claims • Particularly effective in verifying coding and billing information to ensure that outstanding payments are paid on time

• Ascertained the integrity, completeness and accuracy of data received from medical coders • Handled data entry duties by ensuring that all information is punched in with minimum errors • Checked the accuracy of punched in data and ensured that any corrected needed are seen to immediately • Contacted insurance companies to determine statuses of claims and resubmitted rejected claims • Serviced information requests from patients and insurance companies, while remaining within the facility's privacy policy

• Organized and processed paperwork, reports and all kinds of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended to clients, claimants, field appraisers and management queries, regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed billing and payment processes • Processed routine claims transactions related to reserves and issued required checks or receipts • Resolved all kinds of issues / problems regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations regarding all claims activities to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants, and the clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared, updated and organized customer and client's files • Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR to providers, field appraisers, agents, insurance agencies, clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up medical appointments for health claims • Kept department's office supplies stocked • Maintained confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record of closed files

Medical Biller MEDMARK SERVICES, Bronx, NY 1/2005 to 5/2012 • Collected and verified billing information before organizing it for data entry purposes • Processed medical invoices and adjustments • Added, updated and reviewed claimant data • Contacted insurance companies to verify insurance data • Completed registration and billing of all accounts in appropriate billing systems • Used coded data to produce and submit claims to insurance companies • Followed up on delinquent accounts to ensure that outstanding payments are Medical Biller MEDMARK SERVICES, Bronx, NY 1/2005 to 5/2012 • Collected and verified billing information before organizing it for data entry purposes • Processed medical invoices and adjustments • Added, updated and reviewed claimant data • Contacted insurance companies to verify insurance data • Completed registration and billing of all accounts in appropriate billing systems • Used coded data to produce and submit claims to insurance companies • Followed up on delinquent accounts to ensure that outstanding payments are medical invoices and adjustments • Added, updated and reviewed claimant data • Contacted insurance companies to verify insurance data • Completed registration and billing of all accounts in appropriate billing systems • Used coded data to produce and submit claims to insurance companies • Followed up on delinquent accounts to ensure that outstanding payments are cleared

Executive Consultant in establishing a start - up health plan for all technical, business and operational and data management and information systems security areas including member enrollment and eligibility, developing coverage, benefits and plan products including procedure and diagnosis codes, claims processing with rules definition, billing and premium, provider - physician and hospital contracting, credentialing, provider reimbursement methodologies, finance, revenue and payments, clinical care, medical management and authorizations and coverage guideline policies, broker / agent operations, EDI, IT Integration, IVR scripting, Microsoft SharePoint and C - Suite data management and reporting, and all Kentucky Dept of Insurance product and benefit filings including SERFF and HIOS.

A: Medical Billing involves entering clinic and patient data into a practice management software for the purpose of submitting medical claims to insurances, post payments from insurance carriers and patients and run management rMedical Billing involves entering clinic and patient data into a practice management software for the purpose of submitting medical claims to insurances, post payments from insurance carriers and patients and run management rmedical claims to insurances, post payments from insurance carriers and patients and run management reports.

The Specialist / Analyst should understand medical billing processes and accounting, and should coordinate, monitor and handle a variety of data entry functions, maintain billing records and statistics, resolve data entry discrepancies, oversea and monitor claims submissions and resolve a variety of second level claim issues, overseas posting charges and accounts receivables.