1987-08-01, English, Article, Journal or magazine article edition: Outpatient claims editor installed by HCFA.

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Bookmark: http://trove.nla.gov.au/version/60911421
Physical Description
  • Magazine/​Journal article
Published
  • Penton Media, Inc., Penton Business Media, Inc. and their subsidiaries, 1987 August
Language
  • English

Edition details

Title
  • Outpatient claims editor installed by HCFA.
Appears In
  • Computers in Healthcare, v8, no.n10, 1987 August, p9(2) (ISSN: 0745-1075)
Published
  • Penton Media, Inc., Penton Business Media, Inc. and their subsidiaries, 1987 August
Physical Description
  • Magazine/​Journal article
Subjects
Target Audience
  • Professional
  • Trade
Summary
  • Since the DRG process was initiated, HCFA has annually adjusted the prospective reimbursement rate and the DRG code. Fiscal Intermediaries (FIs) learned, evaluated, and used these codes. HCFA hired Health Systems International (HSI) to write software allowing FIs to evaluate and screen Medicare claims. HSI was also employed to develop a program called Outpatient Code Editor (OCE) for outpatient claims as well. OCE will be released in Oct 1987. A full outpatient prospective payment system, called Ambulatory Visit Groups (AVG), is anticipated by Apr 1991. HSI also developed the Ambulatory Clinical Data Editor (ACDE) software, which edits out inconsistencies in claims to ensure their passing the OCE test. Other developments in ambulatory surgical care payments are cited that indicate application of ACDE software can help to more accurately predict payments due at the end of each fiscal year.
Language
  • English
Database
  • Gale Academic OneFile
  • Gale General OneFile
Identifier
  • 6006130

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Department of Health (WA). Library Services, Department of Health. Not open to the public WHD; v.7-v.14; 1986-1993, v.7, 1986 - v.14, 1993 <lacks June,Dec.1986;April 1987;Jan-May 1989;13(6-9)> Periodical; Journal, magazine, other English
National Library of Australia. Open to the public 843250; S 362.1202854 COM; Vol. 5, no. 1-v. 14, no. 13 Jan. 1984-Dec. 1993 [Lacks v. 6, no. 10; v. 7, no. 10; v. 8, no. 3-4; v. 8, no. 7; v. 13, no. 12] Periodical; Journal, magazine, other English
South Eastern Sydney Local Health District. St George Hospital Library Services. May not be open to the public 1992 - 1993 Periodical; Journal, magazine, other English
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This single location in Australian Capital Territory:

Library Access Call number(s) Formats held Language
National Library of Australia. Open to the public 843250; S 362.1202854 COM; Vol. 5, no. 1-v. 14, no. 13 Jan. 1984-Dec. 1993 [Lacks v. 6, no. 10; v. 7, no. 10; v. 8, no. 3-4; v. 8, no. 7; v. 13, no. 12] Periodical; Journal, magazine, other English
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South Eastern Sydney Local Health District. St George Hospital Library Services. May not be open to the public 1992 - 1993 Periodical; Journal, magazine, other English
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