Healthcare Data Reference Guides
In-depth technical documentation covering NPI, ICD-10, CPT codes, dispensing standards, and more. Production-ready database schemas, code examples, and best practices.
Showing 25-30 of 31 guides
Care Management: Care Plans & Patient Coordination
Care management systems with care plan development, patient stratification, intervention tracking, and outcome measurement.
Provider Credentialing: Verification & Enrollment
Healthcare provider credentialing workflows, primary source verification, CAQH integration, and credentialing database design.
DRG Codes: Diagnosis Related Groups & Hospital Payment
Complete guide to MS-DRG and APR-DRG grouper logic, hospital inpatient payment calculation, CC/MCC capture, and database schema.
EDI Transactions: 837, 835, 270/271 Healthcare Standards
Complete guide to healthcare EDI — 837 claim files, 835 remittance advice, 270/271 eligibility, and X12 transaction database design.
SNOMED CT: Clinical Terminology Standard
World's most comprehensive clinical terminology — concept model, database schema, ICD-10 mapping, and FHIR integration.
Medicare STAR Ratings: Quality Measures & MA Performance
CMS STAR ratings guide covering measure domains, scoring methodology, quality bonus payments, and member-level gap tracking.
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