ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

16 Tips from 16 Years Sick

Fibromyalgia Fare Fit for All Seasons

New Study Shows Artificial Sweeteners Lead to Diabetes

Essential Oils — An Effective and Healthy Option to Treat Headaches

Higher vitamin D levels associated with less severe disease in NAFLD patients

Krill Oil: Make This Omega-3 Supplement Part of Your Health Regimen

How zinc helps fight esophageal cancer

Everything You Need to Know About Black Cohosh

Low vitamin D levels predict ED in diabetics

Let Sweet Basil Oil Boost Your Health Today

 
Print Page
Email Article

Sensitivity & positive predictive value of Medicare Part B physician claims for rheumatologic diagnoses & procedures

  [ 34 votes ]   [ Discuss This Article ]
By Katz JN, Barrett J, Liang MH, Bacon AM, Kaplan H, Kieval RI, Lindsey SM, Robert s WN, Sheff DM, Spencer RT, Weaver AL, Baron JA • www.ProHealth.com • September 5, 1997


OBJECTIVE: To examine the sensitivity and positive predictive
value of Medicare physician claims for select rheumatic
conditions managed in rheumatology specialty practices.

METHODS: Eight rheumatologists in 3 states abstracted 378
patient office records to obtain information on diagnosis and
office procedures. The Medicare Part B physician claims for
these patient visits were obtained from the Health Care
Financing Administration. The sensitivity of the claims data
for a specific diagnosis was calculated as the proportion of
all patients whose office records for a particular visit
documented that diagnosis and who also had physician claims
for that visit which identified that diagnosis. The positive
predictive value was evaluated in a separate sample of 331
patient visits identified in Medicare physician claims. The
positive predictive value of the claims data for a specific
diagnosis was calculated as the proportion of patients with
that diagnosis coded in the claims for a particular visit who
also had the diagnosis documented in the medical record for
that visit.

RESULTS: Ninety percent of abstracted office
medical records were matched successfully with Medicare
physician claims. The sensitivity of the Medicare physician
claims was 0.90 (95% confidence interval [CI] 0.85-0.95) for
rheumatoid arthritis (RA), 0.85 (95% CI 0.73-0.97) for
systemic lupus erythematosus (SLE), and 0.85 (95% CI 0.78-1.0)
for aspiration or injection procedures. The sensitivity for
osteoarthritis (OA) of the hip or knee was < or = 0.50 if
5-digit codes specifying anatomic site were required. The
sensitivity for fibromyalgia (FM) was 0.48 (95% CI 0.28-0.68).
The positive predictive values were at least 0.90 for RA, SLE,
and aspiration or injection procedures. Positive predictive
values for FM and the 5-digit site-specific codes for OA of
the knee were 0.83 (95% CI 0.66-1.0) and 0.88 (95% CI
0.75-1.0), respectively, while the positive predictive value
of the 5-digit site-specific codes for OA of the hip was zero
(95% CI 0-0.26). The positive predictive value of OA at any
site was 0.83 (95% CI 0.76-0.90).

CONCLUSION: In specialty
practice, Medicare physician claims had high sensitivity and
positive predictive value for RA, SLE, OA without
specification of anatomic site, and injection or aspiration
procedures. The claims had lower sensitivity and predictive
value for FM and for OA of the hip. The accuracy of Medicare
physician claims for other conditions and in the primary care
setting requires further investigation.




Post a Comment

Featured Products From the ProHealth Store
Optimized Curcumin Longvida® Ultra ATP+, Double Strength FibroSleep™


Article Comments



Be the first to comment on this article!

Post a Comment


 
Optimized Curcumin Longvida with Omega-3

Featured Products

Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength

Natural Remedies

Nutrients to Combat the Modern Stress Epidemic Nutrients to Combat the Modern Stress Epidemic
Cocoa's Polyphenol Riches - All the Health Benefits without the Sugar, Calories or Guilt Cocoa's Polyphenol Riches - All the Health Benefits without the Sugar, Calories or Guilt
Carry a Massage Therapist in Your Pocket Carry a Massage Therapist in Your Pocket
The Super Antioxidant for Brain, Joint and Heart Health The Super Antioxidant for Brain, Joint and Heart Health
Curcumin - a Golden Gift of Nature with Benefits Still Untold Curcumin - a Golden Gift of Nature with Benefits Still Untold

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map