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

2017 100% 100% 100% 100%
2018 100% 100% 100% 100%
2019 100% 100% 100% 100%

 For 2015, Avg. QASP was 98%, For 2016, Avg. QASP was 100%, For 2017, Avg. QASP was 100%, For 2018, Avg. QASP was 100%

Trends and Observations

An overall sustained trend can be observed from Fiscal Year 2017 – 2019.  The MACs have performed very well every year.  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 2017, 2018, and 2019 all MACs were in 100% conformance.

Page Last Modified:
10/01/2020 08:37 AM