Symposium

Methodological Considerations for Using Medicare Claims Data to Study Use of Community-based Physical and Occupational Therapy 9576

Corresponding Presenter(s)

• 

  Janet K. Freburger, PT, PhD, FAPTA (she/her/hers)

  Professor
  University of Pittsburgh
  Pittsburgh, Pennsylvania, United States

  Slides

Presenter(s)

• 

  Elizabeth Mormer, MS, CCC-SLP (she/her/hers)

  PhD Student
  University of Pittsburgh
  Pittsburgh, PA, United States

  Slides
• 

  Adrianne Smiley, EdD, OTD, OTR/L (she/her/hers)

  Predoctoral Trainee; Occupational Therapist
  University of Pittsburgh
  Pittsburgh, PA, United States

Non-Presenting Contributor(s)

• SJ

  Sara Jones Berkeley, PhD MPH

  Assistant Professor
  UNC-CH
  Chapel Hill, North Carolina, United States

Claims data provide a rich source of information for understanding rehabilitation utilization, but details on how to use these data are often lacking in the published literature. We present our approach to using Medicare administrative claims to identify outpatient and home health physical and occupational therapy visits and to determine the reason for the visit. Methodologic issues to consider when using claims data and future directions for using claims data to study rehabilitation care are also discussed.

Learning Objectives:

• Upon completion, attendees will be able to discuss the general structure of Medicare claims data related to outpatient and home health use.
• Upon completion, attendees will be able to generally describe how procedure and provider codes can be used to identify PT and OT outpatient and home health visits.
• Upon completion, attendees will be able to describe how diagnosis codes can be used to determine the reason for the PT and OT visits.
• Upon completion, attendees will be able to describe potential avenues for future claims-based research on rehabilitation use.
• Upon completion, attendees will be able to discuss the general structure of Medicare claims data related to outpatient and home health use.