QASP Claims Processing

What is measured?

The Claims Processing QASP standards measure clean Claims Processing timeliness and Medicare Summary Notice (MSN) management.

Performance Data

Fiscal Year

Average QASP Score

Low

Median

High

2015 98% 75% 100% 100%
2016 100% 100% 100% 100%
2017 100% 100% 100% 100%
2018 100% 100% 100% 100%

 

Trends and Observations

An overall sustained trend can be observed from Fiscal Year 2015 – 2018. The MACs have performed very well every year. There has been an overall increase of 2 percentage points (2% increase) since 2015 as well as an increase in the lowest score during the period. It is important to note that the MACs have consistently scored higher on Claims Processing metrics compared to the other business functions measured by QASP and in 2016, 2017, and 2018 all MACs were in 100% conformance.

Page Last Modified:
09/27/2019 11:42 AM