Medical Episode Grouper

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A practical guide to episode groupers for cost-of …

https://journals.sagepub.com/doi/full/10.1177/2050312119840200

A practical guide to episode groupers © The …

https://journals.sagepub.com/doi/pdf/10.1177/2050312119840200

An episode grouper is a set of software programming algo-rithms that systematically define the healthcare services that belong to multiple distinct healthcare …

Episode Grouper for Medicare - American Board of …

https://www.abms.org/inside-abms/research-and-education-foundation/foundation-initiatives/episode-grouper-for-medicare/

Episode Grouper for Medicare. An episode grouper is a proprietary software program that organizes claims data into episodes of care, usually linked to a diagnosis. Episode …

Health Care Transformation Task Force | Episode Groupers: Key ...

https://hcttf.org/episode-groupers-key-considerations/

Grouper rules for cost attribution are often complex due to multiple diagnosis and procedure codes that may fall within a single patient episode. Grouping claims into …

(PDF) A practical guide to episode groupers for cost-of …

https://www.researchgate.net/publication/332280820_A_practical_guide_to_episode_groupers_for_cost-of-illness_analysis_in_health_services_research

This approach has been shown to be a valid way to organize all administrative claims data associated with a condition. 23 The …

Application of Episode Groupers to Medicare | CMS

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ActiveProjectReports/Active-Projects-Reports-Items/CMS1187287

One technique is to compare resource use at the episode of care level. Episodes of care represent a group of healthcare services (claims) for a health condition …

PACES Center - Single Grouper

https://www.pacescenter.org/grouper

Alignment of episode definitions across payers will facilitate value through: Integrated analytics and care-redesign across payers. multi-payer or all-payer models. alignment of cost and quality for defined episodes across …

Medical Groupers Impact on Value-Based Care

https://www.changehealthcare.com/insights/medical-groupers-impact-value-based-care

Episode-based groupers use algorithms and clinical content, such as ICD and CPT codes, to identify and group all services related to a clinical episode—such as a knee replacement, open-heart surgery, or caesarian …

Perspective Grouping Groupers: How They Differ …

https://confluence.hl7.org/download/attachments/30638450/VBP_Groupers_Paper_%284%29_%281%29.pdf?api=v2

called a medical grouper, which is used to help identify services related to a clinical episode. By grouping services, they can be analyzed for cost and quality. Today, many …

3M grouping, editing and reimbursement content | 3M US

https://www.3m.com/3M/en_US/health-information-systems-us/drive-value-based-care/patient-classification-methodologies/grouping-editing-reimbursement/

3M™ Clinical Risk Grouping (CRG) Software - a clinically precise tool for longitudinal disease management; ideal for provider profiling, quality measurement and outcomes …

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