Statistics » Medical Costs
The following are related categories found throughout the Libraries and Directories. Please click on the category to visit that category - a new browser window will open. Each library requires a seperate subscription.
- Claims Management / Claims Administration : Bad faith, structured settlements, large losses, etc.
Information on claims management, e.g., structured settlements, importance of prompt reporting, construction claim guidance, preservation of evidence, etc. Self-insurance & claims administrators/adjustors selection/evaluation checklist of TPAs. Variations in imaging technology and the issues confronting claims adjusters. Experts offer tips to adjusters about salvage.
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Claims Management / Health Claims Code Sets : DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment ratesIndex of diagnosis related groups. International classification of diseases ICD-9 code query system. Calculators, manuals related to DRG, APG & ICD-9-CM and ICD-10-CM coding.
- Claims Management / WC Claims : Managing the costs of workers compensation claims
Guides to work-relatedness of occupational diseases. Activities to control disability costs. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.
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Claims Management / WC Fee Schedules : Workers compensation medical fee schedulesState mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere.
A few states (such as Tennessee) base their computation of WC fee schedules on Medicare rates which are available in our library in the Managed Care - Medical Costs section under Medicare Payment Systems. You must conduct the calculations yourself. They are not provided for you.
The following states allow payment of Workers' Compensation claims at usual and customary rates: District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin
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Claims Management / WC Managed Care : Guidance on managed care in workers compensation to control medical costsChallenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.
- Managed Care / Medical Costs : Average cost for medical care per DRG code, medical procedures & costs, etc.
Average cost by DRG. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Trends in length of stay, charges and functional outcomes in rehab. Medical Expenditure Panel Survey (MEPS) health care expenditures data.
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Statistics / Health : Government and industry sources of statistical data on health conditionsStatistics on health conditions, e.g., substance abuse, heart/stroke, cancer
- Statistics / Mortality : Statistical data on mortality by occupation, industry, injury deaths, etc.
CDC data on US deaths due to injury. Number of deaths by external cause of injury - by state. MMWR reports. Life expectancy table.
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Workers Comp / Statistics : State workers comp agency statistical reports & analysis of worker claimsStatistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.
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Workers Compensation / WC Claims : Managing the costs of workers compensation claimsReference sources to assist with managing workers compensation claims
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Statistics / Health : Government and industry sources of statistical data on health conditionsStatistics on health conditions, e.g., substance abuse, heart/stroke, cancer
- Statistics / Mortality : Statistical data on mortality by occupation, industry, injury deaths, etc.
CDC data on US deaths due to injury. Number of deaths by external cause of injury - by state. MMWR reports. Life expectancy table.
- Workers Comp / Claims Management : Managing the costs of workers compensation claims
Guides to work-relatedness of occupational diseases. Activities to control disability costs. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.
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Workers Comp / Fee Schedules : Workers compensation medical fee schedulesState mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere.
A few states (such as Tennessee) base their computation of WC fee schedules on Medicare rates which are available in our library in the Managed Care - Medical Costs section under Medicare Payment Systems. You must conduct the calculations yourself. They are not provided for you.
The following states allow payment of Workers' Compensation claims at usual and customary rates: District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin
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Workers Comp / Managed Care : Guidance on managed care in workers compensation to control medical costsChallenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.
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Workers Comp / Statistics : State workers comp agency statistical reports & analysis of worker claimsStatistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.
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