Cda file format medical professional#
This decrease was largest in April when there was a 51% reduction in outpatient claims and a 42% reduction in professional claims in 2020 compared to 2019. “Avalere found healthcare utilization decreased in the first 3 months of the pandemic (March, April, and May of 2020) compared to these same months in 2019. “To examine the impact of COVID-19 lockdowns on healthcare utilization, Avalere assessed Medicare FFS claims volume for hospital inpatient, hospital outpatient, and professional/physician services during the first 6 months of 2020 as compared to the first 6 months of 2019. Through my news feed, I ran across this recent analysis done by healthcare consulting firm Avalere. In a follow-up note, I asked the presenter if this translated into an absolute increase in mental health claims incidence rate as well (because it's possible for a particular diagnostic category to increase as a percentage of claims, but if the overall claims incidence decreases enough, that category may not show a corresponding increase in incidence). In early July 2020, I attended a webinar sponsored by Employee News where the presenter (affiliated with a third party claims administrator that works with large employers offering self-insured short-term disability coverage) noted a decrease in 2020 STD claims incidence over prior years. So, if you factor out COVID-19 related claims (of which there wouldn't have been any in prior years), you would expect to see a reduced claims incidence this year compared to previous years, right? No knee- or hip-replacement surgery, no spinal-fusion procedure, no carpal-tunnel release and no four to six weeks' post-op recovery time that might warrant disability leave. What the Household Pulse Survey data showed was workers (in what could be called their prime disability years) are more likely than their younger or older work colleagues to have delayed or foregone medical care as a result of the pandemic. I explored how the reduced-access-to-care percentage varied by various categories and noticed something interesting when I looked at differences by age band: adults reporting reduced access to care stayed in a fairly narrow range (43.7% to 45.7%) with no discernible upward or downward trend. I worked with the Public Use File microdata for weeks 1 thru 12 to do an analysis of how many respondents answered "yes" to either of these questions.
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