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