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

2017

100%

100%

100%

100%

2018

96%

55%

100%

100%

2019

97% 45% 100%

100%

For 2015, Avg. QASP was 100%, For 2016, Avg. QASP was 99%, For 2017, Avg. QASP was 100%, For 2018, Avg. QASP was 96%

Trends and Observations

An overall sustained, slightly negative trend can be observed from Fiscal Year 2017 – 2019.  Specifically, in 2017 all MACs met 100% of the Medical Review standards. Overall there was a decrease of three percentage points (3% decrease) since 2017.

Page Last Modified:
09/30/2020 04:59 PM