Incidence, Persistence, and Steady‐State Prevalence in Coding Intensity for Health Plan Payment

To define measures of Medicare diagnosis coding intensity that capture the dynamics of changes in coding practices. Retrospective analysis of coding for risk adjustment using observational claims data from Medicare beneficiaries. Enrollment and claims data from 2017 and 2018 of a random 20% sample o...

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Bibliographic Details
Published in:Health services research 2026-02, Vol.61 (1), p.e70065
Main Authors: McGuire, Thomas G., Enache, Oana M., Chernew, Michael, McWilliams, J. Michael, Nham, Tram, Rose, Sherri
Format: Article
Language:English
Subjects:
Accountable Care Organizations - statistics & numerical data
Aged
Aged, 80 and over
Behavior change
Beneficiaries
Cardiac arrhythmia
Changes
Clinical Coding - statistics & numerical data
Coding
Data
Diagnosis
Enrollments
Female
Government programs
Health insurance
Health status
Humans
Incidence
Insurance Claim Review - statistics & numerical data
Male
Medical coding
Medical diagnosis
Medicare
Medicare - statistics & numerical data
Mental health
Methods Brief
Policy making
Prevalence
Retrospective Studies
Risk Adjustment
United States
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