QASP Medical Review

What is measured?

The various Medical Review QASP standards measure the quality of the data analysis plan; the implementation and effectiveness of MR edits; medical review of claims and documentation; and effectiveness of Progressive Corrective Actions.

Performance Data

Fiscal Year

Average QASP Score

Low

Median

High

2015

100%

100%

100%

100%

2016

99%

75%

100%

100%

2017

100%

100%

100%

100%

2018

96%

55%

100%

100%

Trends and Observations

An overall sustained, slightly negative trend can be observed from Fiscal Year 2015 – 2018. Specifically, in 2015, and again in 2017 all MACs met 100% of the Medical Review standards. Overall there was a decrease of four percentage points (4% decrease) since 2015.

Page Last Modified:
09/27/2019 11:46 AM