Common use of Medical Provider Component Clause in Contracts

Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are office-based physicians: Providing care for HC respondents receiving Medicaid Identified through a 75 percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified through a 25 percent sample of the remaining HC households Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders) Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) Inpatient stay codes classified by DRGs (diagnosis-related groups) Prescriptions coded by national drug code (NDC), medication names, strength, and quantity dispensed Charges, payments, and the reasons for any difference between charges and payments The MPC is conducted through telephone interviews and mailed survey materials.

Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physiciansphysicians who: Providing were identified by the household respondent as providing care for HC respondents receiving Medicaid Identified Medicaid. were selected through a 75 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified plan. were selected through a 25 25-percent sample of the remaining HC households households. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th RevisionHealth Care Financing Administration, International Classification of Diseases1980) and DSM-IV (Fourth EditionAmerican Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders) 1994). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) ). Inpatient stay codes classified by DRGs (diagnosis-related groups) ). Prescriptions coded by national drug code (NDC), medication namesname, strength, and quantity dispensed dispensed. Charges, payments, and the reasons for any difference between charges and payments payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records which were abstracted into the survey instruments.

Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physiciansphysicians who: Providing were identified by the household respondent as providing care for HC respondents receiving Medicaid Identified Medicaid. were selected through a 75 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified through a 25 percent sample of the remaining HC households plan. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders) ). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) ). Inpatient stay codes classified by DRGs (diagnosis-related diagnosis groups) ). Prescriptions coded by national drug code (NDC), medication namesname, strength, and quantity dispensed dispensed. Charges, payments, and the reasons for any difference between charges and payments payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records which were abstracted into the survey instruments.

Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physiciansphysicians who: Providing were identified by the household respondent as providing care for HC respondents receiving Medicaid Identified Medicaid. were selected through a 75 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified plan. were selected through a 25 25-percent sample of the remaining HC households households. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th RevisionHealth Care Financing Administration, International Classification of Diseases1980) and DSM-IV (Fourth EditionAmerican Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders) 1994). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) ). Inpatient stay codes classified by DRGs (diagnosis-related groups) ). Prescriptions coded by national drug code (NDC), medication namesname, strength, and quantity dispensed dispensed. Charges, payments, and the reasons for any difference between charges and payments payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records, which were abstracted into the survey instruments.

Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physiciansphysicians who: Providing were identified by the household respondent as providing care for HC respondents receiving Medicaid Identified Medicaid. were selected through a 75 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified through a 25 percent sample of the remaining HC households plan. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders) ). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) ). Inpatient stay codes classified by DRGs (diagnosis-related groups) ). Prescriptions coded by national drug code (NDC), medication namesname, strength, and quantity dispensed dispensed. Charges, payments, and the reasons for any difference between charges and payments payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records which were abstracted into the survey instruments.

Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physiciansphysicians who: Providing were identified by the household respondent as providing care for HC respondents receiving Medicaid Identified Medicaid. were selected through a 75 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified plan. were selected through a 25 25-percent sample of the remaining HC households households. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th RevisionHealth Care Financing Administration, International Classification of Diseases1980) and DSM-IV (Fourth EditionAmerican Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders) 1994). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) ). Inpatient stay codes classified by DRGs (diagnosis-related diagnosis groups) ). Prescriptions coded by national drug code (NDC), medication namesname, strength, and quantity dispensed dispensed. Charges, payments, and the reasons for any difference between charges and payments payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records which were abstracted into the survey instruments.