Effect of physician specialist alternative payment plans on administrative health data in Calgary: a validation study.

ABSTRACT:

Background

There are concerns that alternate payment plans for physicians may be associated with erosion of data quality, given that physicians are paid regardless of whether claims are submitted. Our objective was to determine the proportion of claims submitted by physician specialists using fee-for-service and alternative payment plans, and to identify and compare the validity of information coded in physician billing claims submitted by these specialists in Calgary.

Methods

We conducted a survey of physician specialists to determine their plan status and obtained consent to use physicians' claims data from 4 acute care hospitals in Calgary. Inpatient and emergency department services were identified from the Discharge Abstract Database for Alberta (Canadian Institute for

SUBMITTER: Cunningham CT 

PROVIDER: S-EPMC4816270 | biostudies-literature | 2015 Oct-Dec

REPOSITORIES: biostudies-literature