Identifying and validating managed care data.
In a managed care organization, data can be the key to facilitating high-quality care and to managing patient care delivery systems effectively, in addition to monitoring costs. Reviewing electronic data requests before contacting data producers, asking the right questions about data, and knowing how to identify good data can help financial managers use data effectively to provide information. In the managed care environment, information is only as good as the steps taken to obtain and validate the data.
Sreckovich
Catherine
C
Tucker Alan Inc., Chicago, Illinois, USA. csreckovich@tuckeralan.com
Fahnestock
Margot
M
D000066:Accounting; D000206:Actuarial Analysis; D003625:Data Collection / Q000592:standards*; D003659:Decision Making, Organizational; D005376:Financial Management / Q000379:methods*; D008329:Managed Care Programs / Q000191:economics* / Q000592:standards / Q000706:statistics & numerical data*; D011907:Rate Setting and Review; D017749:Total Quality Management; D014481:United States; D014600:Utilization Review / Q000592:standards*