ArticleHealth services research2022
A methodology for identifying behavioral health advanced practice registered nurses in administrative claims.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed.
- Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries.JAMA health forum · 2026Article
- Telemedicine Reimbursement Changes and Health Care Contact Days for Older Adults.JAMA network open · 2026Article
- Mental Health Specialist Telemedicine Uptake and Patient Location.JAMA network open · 2026Article
- Palliative Care Specialist Use Among Medicare Decedents Who Had Poor-Prognosis Cancers.JAMA network open · 2025Article
- Characteristics of Mental Health Specialists Who Shifted Their Practice Entirely to Telemedicine.JAMA health forum · 2024Article
- Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness.JAMA health forum · 2023Article
- Receipt of Out-of-State Telemedicine Visits Among Medicare Beneficiaries During the COVID-19 Pandemic.JAMA health forum · 2022Article
- Trends In Mental Health Care Delivery By Psychiatrists And Nurse Practitioners In Medicare, 2011-19.Health affairs (Project Hope) · 2022Article
- A methodology for identifying behavioral health advanced practice registered nurses in administrative claims.Health services research · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
OBJECTIVE (STUDY QUESTION): Advanced practice registered nurses (APRNs) play an increased role in mental illness treatment. Health services research that uses claims to study mental health is often limited because behavioral health nurse practitioners (i.e., APRNs who specialize in mental illness, also known as psychiatric mental health APRNs) cannot be easily identified in claims data. We describe two methodologies to identify behavioral health APRNs in administrative claims. DATA SOURCES/STUDY SETTING (W/ HOSPITAL/INSTITUTION SETTING ANONYMIZED): We use 2010-2018 claims from the traditional Medicare fee-for-service program along with 2010-2019 commercial claims and Medicare Advantage data from the OptumLabs Data Warehouse (OLDW). Self-reported specialty data from the National Plan & Provider Enumeration System (NPPES) were used for validation. STUDY
designFor each APRN, we calculated the percentage of visit diagnoses and of prescriptions in each database that were for mental health and classified those with ≥80% as behavioral health APRNs. We validated our definition with NPPES self-reported specialty for Medicare data. DATA COLLECTION/EXTRACTION
methodsNot applicable. PRINCIPAL
findingsAmong APRNs with 10+ visits, 10,978 (8.1%) in Medicare and 9829 (11.7%) in commercial claims data met our visit-based criteria as behavioral health APRNs. Among APRNs with 10+ prescriptions, 8160 (6.2%) in Medicare and 16,538 (9.0%) in commercial claims data met our prescription-based criteria as behavioral health APRNs. Among the APRNs who self-reported they were behavioral health APRNs, 92.8% and 90.5% met our visit-based and prescription-based criteria, respectively.
conclusionsWe present and validate two methods of identifying behavioral health APRNs in claims that can be used by other researchers.
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Registered trials
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