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

How Can You Benefit From Vitamin B12?

Discover Why Ashwagandha Can Be Used for Stress and Anxiety

Calorie restriction promotes longevity through effects on mitochondrial network

Higher resveratrol dose linked to lower glucose levels in type 2 diabetics

Tryptophan's Possible Effects for Your Health

What Is Bitter Orange?

Black Tea Is Great for Your Gut

Ashwagandha Helps Hormones - Aids Arthritis

Drug can dramatically reduce weight of people with obesity

New Finding: Broccoli Helps Heal Leaky Gut

 
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
Ultra ATP+, Double Strength Optimized Curcumin Longvida® Energy NADH™ 12.5mg


Article Comments



Be the first to comment on this article!

Post a Comment


 
Optimized Curcumin Longvida with Omega-3

Featured Products

Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils

Natural Remedies

Fight Inflammation and Promote Cognitive Health with High-OPC Grape Seed Fight Inflammation and Promote Cognitive Health with High-OPC Grape Seed
Can Autoimmune Conditions be Reversed? Researchers Make a Surprising Discovery Can Autoimmune Conditions be Reversed? Researchers Make a Surprising Discovery
"It's Not Easy Being Green" - But It Is Healthy
Cell-Charging Compound Gives Steady Energy to Fibromyalgia & Chronic Fatigue Patients Cell-Charging Compound Gives Steady Energy to Fibromyalgia & Chronic Fatigue Patients
Optimize Your Immune System Naturally: Thymic Protein A Optimize Your Immune System Naturally: Thymic Protein A

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