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Administrative Healthcare Data by Renu Gehring, Craig Dickstein

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Chapter 7: Pharmacy Claims

Introduction

NCPDP Claim Formats

Paper Claim Form

Electronic Format

Data Elements Unique to Pharmacy Data

Provider Identifiers

National Drug Code

Generic Product Identifier

Therapeutic Class Codes

Other Fields of Interest

Case Study: Computing Medication Adherence

PDC Computation

Data Expansion Using SAS Data Step

Create Study Period Data Set

Create Days Covered Data Set

Combine and Summarize Data

Graphing PDC

Automating PDC Graphs Generation

Conclusion

Introduction

Pharmacists, as a class of service providers, play a significant role in the healthcare industry. They provide their services in two types of settings, stand-alone pharmacies—like Rite-Aid or Walgreens—or institutions such as hospitals. It is important to ...

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