Concepedia

Reimbursement Determination

Reimbursement Determination is a formal decision-making process within insurance claims processing that identifies the specific amount, if any, an insurer will pay to a claimant or provider based on policy terms, eligibility criteria, and incurred costs.

80

Publications

2.9K

Citations

409

Authors

263

Institutions

Publications per year

2017–2026

26

Variants

Reimbursement Adjudication

Parents

Publications

80

Medicare Reimbursement Accuracy Under the Prospective Payment System, 1985 to 1988

David C. Hsia · JAMA · 1992 · 155 citations

, , +17

Estimates of the prevalence of and current treatment practices for rheumatoid arthritis in Japan using reimbursement data from health insurance societies and the IORRA cohort (I)

Hisashi Yamanaka, Naonobu Sugiyama, Eisuke Inoue et al. · Modern Rheumatology · 2013 · 146 citations · Full text

, , +12

Association of Relapse of Clostridium difficile Disease with BI/NAP1/027

Jane W. Marsh, Rangolee Arora, Jessica L. Schlackman et al. · Journal of Clinical Microbiology · 2012 · 144 citations · Full text

, , +14

Compensation to a Department of Medicine and Its Faculty Members for the Teaching of Medical Students and House Staff

Steven Shea, Katherine G. Nickerson, Joseph Tenenbaum et al. · New England Journal of Medicine · 1996 · 120 citations · Full text

, , +17

The efficiency frontier approach to economic evaluation of health‐care interventions

J. Jaime, Erik Nord, Uwe Siebert et al. · Health Economics · 2010 · 119 citations

, , +14

1–5 of 80

Authors

409

  1. EB
    Eishi Baba

    Kyushu University, Japan

    2 publications · 166 citations

    2

    h-index

  2. HY
    Hisashi Yamanaka

    Tokyo Women's Medical University, Japan

    2 publications · 158 citations

    2

    h-index

  3. TM
    Tracy Merlin

    The University of Adelaide, Australia

    2 publications · 92 citations

    2

    h-index

  4. EI
    Eisuke Inoue

    Tokyo Women's Medical University, Japan

    2 publications · 158 citations

    2

    h-index

  5. AC
    Andrés Cervantes

    Universitat de València, Spain

    2 publications · 166 citations

    2

    h-index

1–5 of 409

Institutions

263

  1. Inserm

    Paris, France

    3 h-index

    9 publications

    259 citations

  2. Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo

    Jakarta, Indonesia

    3 h-index

    4 publications

    254 citations

  3. KU Leuven

    Leuven, Belgium

    3 h-index

    3 publications

    67 citations

  4. University of Indonesia

    Depok, Indonesia

    3 h-index

    4 publications

    254 citations

  5. National Taiwan University

    Taipei, Taiwan

    2 h-index

    2 publications

    166 citations

  6. University of Milan

    Milan, Italy

    2 h-index

    2 publications

    166 citations

  7. Social Insurance Institution

    Helsinki, Finland

    2 h-index

    2 publications

    41 citations

  8. Seoul National University

    Seoul, South Korea

    2 h-index

    3 publications

    50 citations

1–8 of 263

Venues

  1. PubMed

    Repository · 6 publications · 191 citations

    6

    h-index

  2. BMC Health Services Research

    3 publications · 47 citations

    3

    h-index

  3. 3

    h-index

  4. PLoS ONE

    2 publications · 77 citations

    2

    h-index

  5. ESMO Open

    2 publications · 166 citations

    2

    h-index

1–5