Diagnostic rate estimation from Medicare records: Dependence on claim numbers and latent clinical features.

ABSTRACT:

Objective

International Classification of Disorders version 10 (ICD-10) codes contribute heavily to healthcare data. Medicare claims and other data-sources are used to constitute study populations and appraise healthcare processes. How variability in claims-per-beneficiary impacts diagnostic determinations is inadequately understood. The objective of this study is so assess distributional properties of Medicare claims, and examine claim rates impact on code utilization and rate determinations.

Methods

The study population was Medicare beneficiaries aged 75-79.99 with claim(s) in the 5% standard analytical Carrier and Outpatient files, alive and participating in Medicare part B for all 12 months of 2017. Medicare beneficiary files were processed to create records containing a

SUBMITTER: Hogans B 

PROVIDER: S-EPMC10576984 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature