oregon doctor information check

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METHODSStudy SitesWe initially selected 40 VA nursing homes for possible inclusion in the study. Nursing homes were selected so as to meet the following three characteristics. First, they were to represent diverse geographic areas. Second, they were to vary in size, with approximately half having fewer than 100 beds. Third, nursing homes were to differ in their quality of care as measured by the rate of pressure ulcer development calculated from an administrative database. Two nursing homes were dropped from this initial list because we could not identify a local liaison to assist with data collection, two were dropped due to delays in obtaining institutional approval, and one was dropped from the analyses due to its exceptionally small size, with resulting limited information on performance. Thus, our final sample consisted of 35 nursing homes.

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To determine the charges for the physician services, we selected five-digit procedural codes from me American Medical Associations (AMA) physician''s Current Procedural Terminology (CPT) Fourth Edition 2001 (17). The selection methods for the codes were based upon the AMA CPT 2001 coding guidelines. The AMA CPT 2001 is separated by categories such as evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. We used codes from the evaluation and management and surgery sections (Table 3). For simplicity, we chose to use only the Arkansas Medicare non-facility fee schedule for the CPT codes; however, we realize that these costs may vary in other locations. The non-facility fee, which is used for private practice clinics, differs from facility (academic center) fees.

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