Concepedia

Claim Adjudication Analysis

Claim Adjudication Analysis is a systematic methodological framework within revenue cycle reporting that evaluates the processing, validation, and outcome determination of healthcare claims by payers, distinguished by its focus on identifying patterns, discrepancies, and performance metrics in adjudication outcomes to enhance billing accuracy and reimbursement efficiency.

11

Publications

334

Citations

56

Authors

29

Institutions

Publications per year

2017–2026

3

Parents

Publications

11

Stability, Not Crisis: Medical Malpractice Claim Outcomes in Texas, 1988–2002

Bernard S. Black, Charles Silver, David A. Hyman et al. · Journal of Empirical Legal Studies · 2005 · 96 citations

, , +13

Accuracy of Medical Claims for Identifying Cardiovascular and Bleeding Events After Myocardial Infarction

Patrícia O. Guimarães, Arun Krishnamoorthy, Lisa A. Kaltenbach et al. · JAMA Cardiology · 2017 · 61 citations · Full text

, , +17

Use of Administrative Claims to Assess Outcomes and Treatment Effect in Randomized Clinical Trials for Transcatheter Aortic Valve Replacement

Jordan B. Strom, Kamil F. Faridi, Neel M. Butala et al. · Circulation · 2020 · 38 citations · Full text

, , +17

Utilizing Medicare claims data for real‐time drug safety evaluations: is it feasible?<sup>,</sup>

Abraham G. Hartzema, Judith A. Racoosin, Thomas MaCurdy et al. · Pharmacoepidemiology and Drug Safety · 2011 · 30 citations

, , +14

Experience of an Italian Hospital Claims Management Committee: A tool for extrajudicial litigations resolution

Patrizia Gualniera, Cristina Mondello, Serena Scurria et al. · Legal Medicine · 2019 · 23 citations

, , +14

1–5 of 11

Authors

56

  1. KH
    Keith Holtermann

    Gifu Women's University, Japan

    1 publications · 17 citations

    1

    h-index

  2. RE
    Reinhold Ewald

    University of Stuttgart, Germany

    1 publications · 12 citations

    1

    h-index

  3. SG
    Simone Grassi

    Università Cattolica del Sacro Cuore, Italy

    1 publications · 23 citations

    1

    h-index

  4. WM
    William M. Sage

    The University of Texas at Austin, United States

    1 publications · 96 citations

    1

    h-index

  5. DA
    David A. Hyman

    Georgetown University, United States

    1 publications · 96 citations

    1

    h-index

1–5 of 56

Institutions

29

  1. Clinical Research Institute

    Plymouth, United States

    2 h-index

    9 publications

    526 citations

  2. George Washington University

    Washington, United States

    1 h-index

    4 publications

    68 citations

  3. University of Chieti-Pescara

    Chieti, Italy

    1 h-index

    1 publications

    23 citations

  4. UNSW Sydney

    Sydney, Australia

    1 h-index

    2 publications

    34 citations

  5. United States Food and Drug Administration

    Silver Spring, United States

    1 h-index

    1 publications

    30 citations

  6. Duke University

    Durham, United States

    1 h-index

    8 publications

    488 citations

  7. Istituti di Ricovero e Cura a Carattere Scientifico

    Rome, Italy

    1 h-index

    2 publications

    46 citations

  8. Cardiovascular Research Center

    São Paulo, Brazil

    1 h-index

    1 publications

    38 citations

1–8 of 29

Venues

  1. JAMA Cardiology

    1 publications · 61 citations

    1

    h-index

  2. Hospital Topics

    1 publications · 16 citations

    1

    h-index

  3. Journal of Empirical Legal Studies

    JELS · 1 publications · 96 citations

    1

    h-index

  4. Annals of Emergency Medicine

    1 publications · 17 citations

    1

    h-index

  5. 1

    h-index

1–5