Health plan
Employer
Data and
Information
Set
We are employed by insurance companies to go to Dr's offices and hospitals to see if proper care/follow-up is give to patients according to their diagnosis. As I said above, this year I've been assignes 1274 charts to review with some hospitals to be added. Some of what we look for are Immunizations, Well-child care, B/P control, Diabetes control, Prenatal/Postpartum care, Breast cancer, Cervical cancer.
I feel I am helping to keep the docs on their toes as they are given a report of how they are doing and where they should improve. Hopefully, we ALL benefit from it