Managed Care » 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.
-
Health / 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.
- Risk Mgt / Claims Management : 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.
-
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.
-
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
- Workers Comp / Managed Care : Guidance on managed care in workers compensation to control medical costs
Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.
- Workers Comp / Statistics : State workers comp agency statistical reports & analysis of worker claims
Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.
-
Business Data / Health Data : Health conditions statistical dataStatistics on health conditions, e.g., substance abuse, heart/stroke, cancer. CDC data. Disability data. Medicare statistics. Primary care statistics. World health statistics.
- Business Data / Mortality Data : Mortality by occupation, industry, injury deaths statistical data
CDC data on US deaths due to injury. Number of deaths by external cause of injury - by state. MMWR reports. Life expectancy table. Statistical data on mortality by occupation, industry, injury deaths, etc.
- Business Data / WC Data : State workers comp agency statistical reports & analysis of worker claims
State workers comp agency statistical reports & analysis of worker claims. Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.
-
Health Cost Management / Medical Coding : Coding: DRG, APG & ICD-9-CM and ICD-10-CM. Medicare payment ratesCalculators, manuals related to DRG, APG & ICD-9-CM and ICD-10-CM coding. Index of diagnosis related groups. International classification of diseases ICD-9 code query system.
- Health Cost Management / Medical Costs : Medical procedures & costs, average cost for medical care per DRG code
Average cost by DRG for medical care. Trends in length of stay, charges and functional outcomes in rehab. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Medical Expenditure Panel Survey (MEPS) health care expenditures data.
- Health Cost Management / WC Claims Management : Workers compensation claims cost management
Activities to control disability costs. Guides to work-relatedness of occupational diseases. 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.
- Health Cost Management / WC Managed Care : Managed care in workers compensation to control medical costs
Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.
- Insurance / Claims Management : Claims management, 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. Experts offer tips to adjusters about salvage. Variations in imaging technology and the issues confronting claims adjusters.
- Statistics / 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.
- Statistical Data / 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.
Please report broken links by referencing the [number in brackets in grey].
