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The American Journal of Medicine
Volume 117, Issue 9
, Pages 629-635
, 1 November 2004
Reimbursement denial and reversal by health plans at a university hospital
References
- . The emerging role of “hospitalists” in the American health care system . N Engl J Med . 1996;335:514–517
- Reorganizing an academic medical service: impact on cost, quality, patient satisfaction, and education . JAMA . 1998;279:1560–1565
- . Back to the drawing board: new directions in health plans' care management strategies . Health Aff (Millwood) . 2002;21:210–217
- . Reducing insurer-denied days of care . Healthc Financ Manage . 1996;50:52; 54,56-58
- . Reducing the number of days for which insurers deny payment to the hospital: one primary objective for a newly configured department of case management . Soc Work Health Care . 1998;28:31–49
-
3M. All Patients Diagnosis Related Groups Definitions Manual. 8th ed. 3M Health Information Systems 3M Health Information Systems, Wallingford, Connecticut;; 1990.
-
HCIA. The Guide to the Managed Care Industry, 2000 Edition. Baltimore, Maryland: HCIA, L.L.C.; 1999.
- A prediction rule to identify low-risk patients with community-acquired pneumonia . N Engl J Med . 1997;336:243–250
- The hospital discharge decision for patients with community-acquired pneumonia (Results from the Pneumonia Patient Outcomes Research Team cohort study) . Arch Intern Med . 1997;157:47–56
- The hospital admission decision for patients with community-acquired pneumonia (Results from the pneumonia Patient Outcomes Research Team cohort study) . Arch Intern Med . 1997;157:36–44
- Time to clinical stability in patients hospitalized with community-acquired pneumonia: implications for practice guidelines . JAMA . 1998;279:1452–1457
-
.
Just how short can hospital stays be
.
Med Econ
. 1994;71:37–38
- Pediatric Milliman and Robertson length-of-stay criteria: are they realistic . Pediatrics . 2000;105:733–737
- . An analysis of 25 Milliman & Robertson guidelines for surgery: data-driven versus consensus-derived clinical practice guidelines . Ann Surg . 1998;228:579–587
- . Milliman and Robertson—going in the wrong direction . Pediatrics . 2000;105:858–859
PII: S0002-9343(04)00482-6
doi: 10.1016/j.amjmed.2004.06.025
© 2004 Elsevier Inc. All rights reserved.
« Previous
Next »
The American Journal of Medicine
Volume 117, Issue 9
, Pages 629-635
, 1 November 2004

