Health Care Financing Administration Approves Clementine Data Mining Software.Business Editors CHICAGO--(BUSINESS WIRE)--March 27, 2001 HCFA's Peer Review Organizations peer review organization Professional review organization, qualilty improvement organization Managed care An independent or sponsored group of physicians or other appropriate peers–eg, allied health professionals who conduct pre-admission, continued stay, purchase $1.2 million in SPSS A statistical package from SPSS, Inc., Chicago (www.spss.com) that runs on PCs, most mainframes and minis and is used extensively in marketing research. It provides over 50 statistical processes, including regression analysis, correlation and analysis of variance. software to help in the Payment Error Prevention Program To ensure Medicare pays correctly for medical services, the Health Care Financing Administration Health Care Financing Administration, n.pr department in the U.S. agency of Health and Human Services responsible for the oversight of the Medicaid and Medicare benefit programs, including guidelines, payment, and coverage policies. (HCFA HCFA abbr. Health Care Financing Administration HCFA, n.pr See Health Care Financing Administration. ) has approved Clementine Clementine forty-niner’s drowned daughter; “lost and gone forever.” [Am. Music: Leach, 236] See : Grief , SPSS' enterprise-strength data mining workbench, for use within its national network of Peer Review Organizations (PROs), independent healthcare experts contracted by the federal government to improve the care given to Medicare patients. The PROs will use Clementine to evaluate and ultimately reduce payment error rates. Nine PROs have purchased $1.2 million worth of Clementine software and services, with several additional PROs evaluating the software for purchase in 2001. HCFA approved the use of Clementine within its PRO community as a part of the Payment Error Prevention Program (PEPP PEPP Payment Error Prevention Program PEPP Pediatric Education for Prehospital Professionals PEPP Professional Engineers in Private Practice (division of NSPE) PEPP Probation Environmental Preservation Project ). The program is to reduce the occurrence of Medicare payment Noun 1. medicare payment - a check reimbursing an aged person for the expenses of health care medicare check bank check, check, cheque - a written order directing a bank to pay money; "he paid all his bills by check" errors. PEPP is a directive from HCFA that came from the results of an audit of its 1996 and 1997 financial statements, which estimated Medicare made more than $4 billion in incorrect payments in each of these years for inpatient hospital services. "SPSS has worked closely with us to develop a program option that includes customized training for participating PROs, which will help us isolate factors that lead to payment errors, for better monitoring and prevention of incorrect Medicare payments," said Raymond Frederick, HCFA project manager. "Government agencies are under increasing pressure to deliver quality service to citizens," said Fiona McKenna, SPSS industry marketing manager. "To do so, the agencies must ensure that their funds are allocated properly. Data mining with Clementine will enable HCFA's PROs to implement projects and improve the accuracy of Medicare payments, which will ultimately help them deliver better service to beneficiaries and taxpayers. " About Clementine Clementine, SPSS' enterprise-strength data mining workbench, helps organizations improve the service delivery through in-depth understanding of data. Organizations use the insight gained from Clementine to retain profitable customers, identify up- and cross-selling opportunities, attract new customers, detect fraud, reduce risk and improve government service delivery. Clementine can help organizations better understand their customers' and citizens' online behavior and, as a result, improve Web site design, increase e-store sales and deliver online services more effectively. At each point of the data mining process, Clementine's visual interface invites users' specific business expertise. Clementine's many modeling techniques, such as prediction, classification, segmentation and association detection, lead to the most powerful, accurate model or combination of models, producing superior results. Once models are created, Clementine Solution Publisher enables their delivery enterprise-wide to decision makers or a database. Clementine has established a leading position in the data mining market and is used in a wide range of industries including e-commerce, telecommunications, finance, retail, health care, government and higher education higher education Study beyond the level of secondary education. Institutions of higher education include not only colleges and universities but also professional schools in such fields as law, theology, medicine, business, music, and art. . More than 500 organizations worldwide use Clementine including the Department of Defense's Defense Finance Accounting System, the Internal Revenue Service, British Telecommunications, Unilever, Provident Financial Provident Financial plc is a financial services group based in Bradford, England. It specialises in home credit, but also owns Vanquis Bank which offers credit cards. Domestic Operations , Raydium and e-Dialog. About SPSS in the Public Sector SPSS analytical solutions for the public sector enable government agencies at all levels to deliver better service to citizens, and higher education institutions to better meet students' educational needs and improve the quality of life for students on campus. Government agencies using SPSS analytical solutions develop a deeper understanding of citizens to improve service delivery, as well as develop better e-government initiatives. With SPSS analytical solutions, higher education institutions understand their students, better enabling them to improve recruitment, retention and matriculation ma·tric·u·late tr. & intr.v. ma·tric·u·lat·ed, ma·tric·u·lat·ing, ma·tric·u·lates To admit or be admitted into a group, especially a college or university. n. . About SPSS Inc. SPSS Inc. enables organizations to develop more profitable customer relationships by providing analytical solutions that discover what customers want and predict what they will do. The company delivers analytical solutions at the intersection of customer relationship management and business intelligence. SPSS analytical solutions integrate and analyze market, customer and operational data in key vertical markets worldwide including: telecommunications, health care, banking, finance, insurance, manufacturing, retail, consumer packaged goods Noun 1. packaged goods - groceries that are packaged for sale foodstuff, grocery - (usually plural) consumer goods sold by a grocer plural, plural form - the form of a word that is used to denote more than one , market research and the public sector. Headquartered in Chicago, SPSS has more than 40 offices, over 900 employees and 1999 revenues of $142 million. The company also has won the following awards: No. 77 on Forbes 2000 list of the "200 Best Small Companies" and No. 12 on the 2000 DM Review 100; placed No. 16 on the 2000 Soft-letter 100, a ranking of the top 100 personal computer software companies in the United States; and No. 115 in the 2000 Software 500, a ranking of the world's largest software vendors by Software Magazine; listed on Working Mother magazine's "100 Best Companies for Working Mothers" for 2000. For more information, visit www.spss.com. About HCFA The Health Care Financing Administration (HCFA) is the federal agency that administers Medicare, Medicaid and the State Children's Health Children's Health Definition Children's health encompasses the physical, mental, emotional, and social well-being of children from infancy through adolescence. Insurance Program (SCHIP SCHIP State Children's Health Insurance Program ). HCFA provides health insurance for over 74 million Americans through these programs. In addition, HCFA performs a number of quality-focused activities, including regulation of laboratory testing (CLIA CLIA Clinical Laboratory Improvement Amendments of 1988 Congressional legislation that promulgated quality assurance practices in clinical labs, and required them to measure performance at each step of the testing process from the beginning to the end-point of a ), development of coverage policies, and quality-of-care improvement. HCFA maintains oversight of the survey and certification of nursing homes and continuing care continuing care a professional convention that a veterinarian who is treating an animal is obliged to continue treating that case unless an arrangement is made with its custodian to transfer the care to another practitioner or to a specialist. providers (including home health agencies, intermediate care facilities for the mentally retarded, and hospitals), and makes available to beneficiaries, providers, researchers and State surveyors information about these activities and nursing home quality. For more information, visit www.hcfa.gov. SPSS information is available on the World Wide Web through the SPSS Press Center at: http://www.spss.com/press |
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