Results 71 to 80 of about 248,035 (295)

The prevalence and treatment pattern of clinically diagnosed pelvic organ prolapse: a Korean National Health Insurance Database-based cross-sectional study 2009–2015

Scientific Reports, 2018
The study aim was to evaluate the prevalence of pelvic organ prolapse using claim data of South Korea and to evaluate treatment patterns. The Korea National Health Insurance Corporation pay medical costs for most diseases.
J. Yuk, Jung Hun Lee, J. Hur, Jung-Ho Shin   +3 more
semanticscholar   +1 more source

Contemporary Regional Disparities in Robotic‐Assisted Rectal Resection in Japan: A Nationwide Population‐Based Study Using the National Database Open Data

Annals of Gastroenterological Surgery, EarlyView.
Robotic‐assisted rectal resection in Japan increased markedly after national insurance reimbursement in 2018, with a concurrent decline in open surgery. Using NDB Open Data, we found substantial inter‐prefectural heterogeneity in surgical volume and robotic utilization that persisted after age and sex standardization (SCR). Urban–rural differences were
Ryo Ohta, Takeshi Yamada, Key Uehara, Hiromichi Sonoda, Akihisa Matsuda, Seiichi Shinji, Yasuyuki Yokoyama, Goro Takahashi, Nobuhiko Taniai, Hiroshi Yoshida   +9 more
wiley   +1 more source

Short‐Term Outcomes and Cost Drivers of Emergency Surgery for Acute Abdominal Disease in Super‐Elderly Patients: A Study in the Japanese Tertiary Care Hospital

Annals of Gastroenterological Surgery, EarlyView.
This retrospective study analyzed patients aged ≥ 85 years undergoing emergency abdominal surgery, focusing on short‐term outcomes and inpatient cost structure under the Japanese DPC system. Although major complications occurred in 19.4% of patients, more than 70% were discharged home.
Yuta Kobayashi, Ryo Oikawa, Yumi Shibuya, Masakazu Tatsuno, Atsuya Kamiyama, Tsuyoshi Ozawa, Keiichiro Hara, Shojiro Hata, Hirokazu Yamaguchi   +8 more
wiley   +1 more source

Blockchain-enabled tokenization for health insurance claims: trends, challenges, and future directions

Frontiers in Blockchain
The vaccine of blockchain technology has quickly altered the processing, validation, and settlement of health insurance claims by bringing transparency, automation, and tamper-proof data exchange.
Bhawana Tyagi, Naga Priyadarsini R, Priyadharsini M, Vimal Dwivedi   +3 more
doaj   +1 more source

Reducing medical claims cost to Ghana’s National Health Insurance scheme: a cross-sectional comparative assessment of the paper- and electronic-based claims reviews [PDF]

BMC Health Services Research, 2017
A robust medical claims review system is crucial for addressing fraud and abuse and ensuring financial viability of health insurance organisations. This paper assesses claims adjustment rate of the paper- and electronic-based claims reviews of the National Health Insurance Scheme (NHIS) in Ghana.The study was a cross-sectional comparative assessment of
Eric Nsiah-Boateng, Francis Asenso-Boadi, Lydia Dsane-Selby, Francis-Xavier Andoh-Adjei, Nathaniel Otoo, Patricia Akweongo, Moses Aikins   +6 more
openaire   +2 more sources

When Biology Meets Medicine: A Perspective on Foundation Models

Advanced Intelligent Discovery, EarlyView.
Artificial intelligence, and foundation models in particular, are transforming life sciences and medicine. This perspective reviews biological and medical foundation models across scales, highlighting key challenges in data availability, model evaluation, and architectural design.
Kunying Niu, Yuxing Wang, Limin Zou, Jing Huang   +3 more
wiley   +1 more source

Medical Record Analysis in Supporting BPJS Health Claims in a Hospital: A Retrospective Descriptive Quantitative Study

Jurnal Ilmiah Kesehatan Sandi Husada
Introduction: Delays in inpatient BPJS Health claims represent a persistent operational challenge within Indonesia’s National Health Insurance (JKN) system and may compromise hospital financial stability under case-based reimbursement (INA-CBGs ...
Wa Ode Novi Angraeni, Jessy Andre Mangaya Takke, NurZetty Sofia Zainuddin   +2 more
doaj   +1 more source

Healthcare Utilization Monitoring System in Korea [PDF]

Healthcare Informatics Research, 2015
ObjectivesIt is important to monitor the healthcare utilization of patients at the national level to make evidence-based policy decisions and manage the nation's healthcare sector.
Hyun Chul Shin, Young-Taek Park, Youn Tae Lee, Emmanuel C. Jo   +3 more
doaj   +1 more source

Claim Control Strategies in National Health Insurance: A Scoping Review

EKOMBIS REVIEW: Jurnal Ilmiah Ekonomi dan Bisnis
Pending and rejected claims within national health insurance systems remain a global concern, particularly in developing countries. This scoping review aims to explore the strategies implemented by various countries to manage their health insurance claims and reduce the occurrence of pending and rejected cases.
Septo Pawelas Arso, Sutopo Patria Jati, Syarifah Zulinar   +2 more
openaire   +1 more source

Large Language Model‐Based Chatbots in Higher Education

Advanced Intelligent Systems, Volume 7, Issue 3, March 2025.
The use of large language models (LLMs) in higher education can facilitate personalized learning experiences, advance asynchronized learning, and support instructors, students, and researchers across diverse fields. The development of regulations and guidelines that address ethical and legal issues is essential to ensure safe and responsible adaptation
Defne Yigci, Merve Eryilmaz, Ail K. Yetisen, Savas Tasoglu, Aydogan Ozcan   +4 more
wiley   +1 more source