Knowledge of where the Medicare data originate and what Medicare data files are available to you for research purposes is needed for guidance in the creation of any study using the Medicare administrative data. This presentation will review what a claim is, what entities are involved in the claims process, what the source of the data in the files is, and what claims based files are available to researchers. This presentation will also provide an understanding of what types of services are found in each of the data files that will aid in decision making for which files would be needed for a research study.
Introduction to Medicare – Claims Data: Source and Processing
Thank you for this posting! Very informative. I wonder, is there a lecture
or good informational tool to understand medicare reimbursement for out
patient procedures? I work in collections at the hospital, and we tend to
find the OPPS verbiage hard to interpret at times. Especially when
multiple status indicators are used.