Can Claims Data Algorithms Identify the Physician of Record?

ABSTRACT:

Background

Claims-based algorithms based on administrative claims data are frequently used to identify an individual's primary care physician (PCP). The validity of these algorithms in the US Medicare population has not been assessed.

Objective

To determine the agreement of the PCP identified by claims algorithms with the PCP of record in electronic health record data.

Data

Electronic health record and Medicare claims data from older adults with diabetes.

Subjects

Medicare fee-for-service beneficiaries with diabetes (N=3658) ages 65 years and older as of January 1, 2008, and medically housed at a large academic health system.

Measures

Assignment algorithms based on the plurality and majority of visits and tie breakers determined by either last visit, cos

SUBMITTER: DuGoff EH 

PROVIDER: S-EPMC5601011 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature