Concepedia

Medicare Claims Processing

Medicare Claims Processing is a regulatory administrative mechanism within healthcare financing that systematically evaluates, validates, and reimburses submitted claims for medical services rendered to beneficiaries under the Medicare program, distinguishing it from general billing processes by its adherence to federal statutory guidelines, standardized coding protocols, and multi-stage adjudication requirements.

281

Publications

19.4K

Citations

1.2K

Authors

412

Institutions

Publications per year

2017–2026

87

Parents

Publications

281

RATES AND OUTCOMES OF PRIMARY AND REVISION TOTAL HIP REPLACEMENT IN THE UNITED STATES MEDICARE POPULATION

Nizar N. Mahomed, Jane Barrett, Jeffrey N. Katz et al. · Journal of Bone and Joint Surgery · 2003 · 798 citations

, , +13

Concordance between administrative claims and registry data for identifying metastasis to the bone: an exploratory analysis in prostate cancer

Eberechukwu Onukwugha, Candice Yong, Arif Hussain et al. · BMC Medical Research Methodology · 2014 · 596 citations · Full text

, , +16

The Epidemiology of Diagnosed Pulmonary Embolism and Deep Venous Thrombosis in the Elderly

Wayne D. Kniffin · Archives of Internal Medicine · 1994 · 517 citations

, , +14

Profiles of Older Medicare Decedents

June R. Lunney, Joanne Lynn, Christopher Hogan · Journal of the American Geriatrics Society · 2002 · 492 citations

, , +11

Comparison of SEER Treatment Data With Medicare Claims

Anne‐Michelle Noone, Jennifer L. Lund, Angela B. Mariotto et al. · Medical Care · 2014 · 485 citations · Full text

, , +11

1–5 of 281

Authors

1.2K

  1. JL
    Joan L. Warren

    National Cancer Institute, United States

    12 publications · 1.8K citations

    12

    h-index

  2. RD
    Richard Duszak

    Emory University, United States

    12 publications · 421 citations

    11

    h-index

  3. ML
    Meredith L. Kilgore

    University of Alabama at Birmingham, United States

    9 publications · 293 citations

    9

    h-index

  4. DR
    Danny R. Hughes

    Harvey L. Neiman Health Policy Institute, United States

    7 publications · 260 citations

    7

    h-index

  5. MM
    Monika M. Safford

    University of Alabama at Birmingham, United States

    6 publications · 138 citations

    6

    h-index

1–5 of 1.2K

Institutions

412

  1. Harvard University

    Cambridge, United States

    24 h-index

    135 publications

    8.3K citations

  2. Brigham and Women's Hospital

    Boston, United States

    17 h-index

    99 publications

    6.6K citations

  3. University of Michigan

    Ann Arbor, United States

    15 h-index

    50 publications

    2.9K citations

  4. University of Alabama at Birmingham

    Birmingham, United States

    14 h-index

    75 publications

    4.6K citations

  5. Cornell University

    Ithaca, United States

    13 h-index

    40 publications

    916 citations

  6. National Cancer Institute

    Bethesda, United States

    12 h-index

    29 publications

    4.2K citations

  7. Massachusetts General Hospital

    Boston, United States

    12 h-index

    65 publications

    3.5K citations

  8. Duke University

    Durham, United States

    12 h-index

    60 publications

    3.9K citations

1–8 of 412

Venues

  1. Medical Care

    31 publications · 3.2K citations

    25

    h-index

  2. Health Services Research

    HSR · 19 publications · 1.2K citations

    16

    h-index

  3. Journal of the American Geriatrics Society

    12 publications · 865 citations

    11

    h-index

  4. PubMed

    Repository · 10 publications · 346 citations

    10

    h-index

  5. Journal of the American College of Radiology

    JACR · 9 publications · 302 citations

    9

    h-index

1–5