Have you ever heard of Triple Aim in healthcare? If not, you may notice that private and public entities around the world are investigating how to maximize the power of analytics to improve quality of care, operational efficiencies, billing reimbursements with a lower cost. United States spent about 17.9% of GDP on healthcare in 2011, according to World Health Organization’s report.
With such a great opportunity, millions and millions of healthcare data are waiting for analysts to be turned into useful insights and predictions for Triple Aim. This presentation paints a big picture of what you can do with these huge volume and complicated data. What can be turned into reports, predictions, and actions? Analysis of enrollment and emergency department (ED) visits demonstrate the aspects you can dig into.
Moreover, what is the structure for claims? How to use quality measures? You may get a peek from an example of ED visits about how to dig out ED visits from claims.
Lastly, it explains common medical billing and coding, including ICD, CPT, and HCPCS to help you get a good grasp of these coding standards.
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