Common use of Encounter Data Accuracy Study Clause in Contracts

Encounter Data Accuracy Study. Measure: ODJFS validates the encounter data by measuring the rate of agreement between encounters and the corresponding medical records. The focus of the accuracy study will be on delivery encounters. Its primary purpose will be to verify that MCPs submit encounter data accurately and to ensure only one payment is made per delivery. The rate of appropriate payments will be determined by comparing a sample of delivery payments to the medical record. Appendix L

Appears in 1 contract

Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Centene Corp)

Encounter Data Accuracy Study. Measure: ODJFS validates the encounter data by measuring the rate of agreement between encounters and the corresponding medical records. The focus of the accuracy study will be on delivery encounters. Its primary purpose will be to verify that MCPs submit encounter data accurately and to ensure only one payment is made per delivery. The rate of appropriate payments will be determined by comparing a sample of delivery payments to the medical record. Appendix L.

Appears in 1 contract

Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Centene Corp)