AP Biology 2006-2007 Nucleic acids AP Biology 2006-2007 Nucleic Acids.
2006/2007 Monthly
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J U L Y 2 0 0 7 A training initiative presented by 2006/2007 Monthly Risk Adjustment User Group Session A training initiative presented by JULY 2007
description
2006/2007 Monthly. Risk Adjustment User Group Session. A training initiative presented by. JULY 2007. Welcome to the July User Group. Introduction Payment Process Data Validation Operations Update Training Update Questions and Answers Closing. INTRODUCTION. Introduction. - PowerPoint PPT Presentation
Transcript of 2006/2007 Monthly
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
2006/2007 Monthly
Risk Adjustment User Group
Session
A training initiative presented by
JULY 2007
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Welcome to the July User Group
• Introduction
• Payment Process
• Data Validation
• Operations Update
• Training Update
• Questions and Answers
• Closing
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Introduction
• All attendees must pre-register• Panel will answer questions during the Q&A
portion of the session• Session will last for one hour• Q&A document and session notes will be
available within 2 weeks after the session• Session slides will be available by the
Tuesday before the session
User Group Process
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Payment Process
2006 final scheduled for August payment Final 2006 and mid-year 2007 Model
Output Reports (MOR) to be available mid-August
2004 and 2005 MORs to be available on July 26, 2007
2005 and 2006 ESRD reconciliation -- CMS testing ESRD status
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Data Validation
• Calendar Year 2006– May 31, 2007: Notification letter distributed to
selected MA organizations
– June 29, 2007: Instructions package sent to selected MA organizations
– July 11, 2007: Teleconference to orient selected MA organizations to RADV process
– August 17, 2007: Medical record submission deadline
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Data Validation
• Calendar Year 2005- Second validation contractor (SVC) currently
reviewing medical records – expected to conclude this month
- Organizations contacted by CMS to confirm provider credentials – responses required by COB on July 23, 2007
− CMS anticipates releasing results in the fall of 2007
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Data Validation
• Calendar Year 2004– QA process completed
– July 12, 2007: Plan-specific findings disseminated
– August 2007: Teleconference with MA organizations to communicate results
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
502 DUPLICATE STATUS
Decrease in 502 Errors
19.11%
13.24%
23.36%25.17%
36.31%
17.44%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
Jan Feb Mar Apr May Jun
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Training Update
2007 Regional Training Schedule*
August 7 – 9, 2007Las Vegas, NV
Register online atwww.medicaretraining.net
* Risk Adjustment session is closed
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Monthly training sessions will be available for
September and October
*Register online at
www.medicaretraining.net
2007 Monthly Training Schedule*
Training Update
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
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2006/2007 Monthly
Risk Adjustment User Group Meeting
JULY 2007
A training
initiative
presented by
Resources
• Sean Creighton (Director, Division Risk Adjustment Operations)• [email protected]
• Henry Thomas (Training, Project Officer) [email protected]
• Lateefah Hughes (Data Validation, Team Lead) [email protected]
• Louis Johnson (FERAS, Risk Adjustment Coordination) [email protected]
• Chanda McNeal (Payment Issues)[email protected]
• LTC www.Medicaretraining.net
• CSSC www.csscoperations.com
