Evidence map›Paper›PMID 25492833›Full record

ArticleJournal of the American Society of Hypertension : JASH2014

Rates, amounts, and determinants of ambulatory blood pressure monitoring claim reimbursements among Medicare beneficiaries.

Shia T Kent, Daichi Shimbo, Lei Huang, Keith M Diaz, Anthony J Viera, Meredith Kilgore, Suzanne Oparil, Paul Muntner

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Hypertension : JASH, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Masked Hypertension: Fragile in More Ways Than One.Hypertension (Dallas, Tex. : 1979) · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Implementing ABPM into Clinical Practice.Current hypertension reports · 2018
    Review
  17. Insights in Public Health: Ambulatory Blood Pressure Monitoring: Underuse in Clinical Practice in Hawai'i.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2017
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Shia T KentDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: shia@uab.edu.
Daichi ShimboCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Lei HuangDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Keith M DiazCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Anthony J VieraDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Meredith KilgoreDepartment of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA.
Suzanne OparilDepartment of Medicine, Vascular Biology and Hypertension Program, University of Alabama at Birmingham, Birmingham, AL, USA.
Paul MuntnerDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USColumbia University Irving Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

WORKSITE BLOOD PRESSURE STUDYP01HL047540 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SCHWARTZ, JOSEPH E · 1993 to 2014
$27.7M
MECHANISMS OF HYPERTENSION AND CARDIOVASCULAR DISEASEST32HL007457 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Martin E Young · 1985 to 2026
$8.6M
NHLBI NIH HHS P01 HL047540NHLBI NIH HHS P01HL047540NHLBI NIH HHS P01HL047540-19S1NHLBI NIH HHS T32 HL007457NHLBI NIH HHS T32HL007457
6 · The paper itself

Abstract

Ambulatory blood pressure monitoring (ABPM) can be used to identify white coat hypertension and guide hypertensive treatment. We determined the percentage of ABPM claims submitted between 2007 and 2010 that were reimbursed. Among 1970 Medicare beneficiaries with submitted claims, ABPM was reimbursed for 93.8% of claims that had an International Classification of Diseases, Ninth Revision, diagnosis code of 796.2 ("elevated blood pressure reading without diagnosis of hypertension") versus 28.5% of claims without this code. Among claims without an International Classification of Diseases, Ninth Revision, diagnosis code of 796.2 listed, those for the component (eg, recording, scanning analysis, physician review, reporting) versus full ABPM procedures and performed by institutional versus non-institutional providers were each more than two times as likely to be successfully reimbursed. Of the claims reimbursed, the median payment was $52.01 (25th-75th percentiles, $32.95-$64.98). In conclusion, educating providers on the ABPM claims reimbursement process and evaluation of Medicare reimbursement may increase the appropriate use of ABPM and improve patient care.

Indexed as

AgedAged, 80 and overBlood Pressure Monitoring, AmbulatoryFemaleHealth Services ResearchHumansInsurance Claim ReviewMaleMedicareReimbursement MechanismsUnited StatesWhite Coat Hypertensionhealth insurance reimbursementHealth servicesmedicarewhite coat hypertension

Identifiers

PMID25492833
PMCPMC4262764
OpenAlexW2021441380

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.