Hsd Tables A Treat (No Tricks)

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HSD TABLES Welcome to our seminar on

description

Moving from manually creating HSD tables to an automated process.

Transcript of Hsd Tables A Treat (No Tricks)

  • 1. Welcome to our seminar on HSD TABLES

2. Your Spooktacular HostsDarren Huff, Account Mgr. Eastern [email protected] LeCloux, Account Mgr. Western [email protected] Borths, Sales [email protected] You call & well fly right over.920.739.4552PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 3. Years of Partnership + 2007 CMS Partnership BEGINS with Part D 2009 CMS Partnership EXPANDS to Part C 2012 CMS REQUIRES Medicare Standards for DualDemonstration Projects 2012 CMS INTEGRATES Server Version 2013 Network Adequacy at the FOREFRONT ofQualifying and Monitoring Plans for the ExchangesPROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 4. SomeSCARYTHOUGHTSto chew on Quest Analytic Suite 5. What if my ADDRESS IS BAD? PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 6. Do I spend a lot of timeGOOGLE MAPPING? PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 7. Is my TIME & DISTANCE correct? All of these requirements are embedded into the Quest Suite. 8. Am I going to end up with a MESS? All of these requirements are embedded into the Quest Suite. 9. Am I searching from the rightBENEFICIARY POINTS?PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 10. More thoughtsabout HSD TABLESto run a chill upyour spine.Quest Analytic Suite 11. One Doc MULTIPLE COUNTIES4513045940 LM=15 MI 45320 45581 45631ME=40 MI All of these requirements are45223 embedded into 45731the 45140 Quest Suite. 45552 45971MI=75 MI 45562RU=90 MI PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 12. One Hospital MULTIPLE SERVICES045043044 047050061041051 040042 049PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 13. CMS Errors 14. Are you submittingUNNESSASARY PROVIDERS? Specialty Type# of Providers Required # of Providers Submitted # of Providers Within T/D # of Providers Met Distance Actual Distance Met ACC StatusSum of Primary Care Providers51320 216 Pass 97.3 Pass PassAllergy and Immunology2 15 8 Pass 98.2 Pass PassCardiology9 3527 Pass 98.1 Pass PassCardiac Surgery 1 15 5 Pass 98.7 Pass PassChiropractor4 2911 Pass 98.7 Pass PassDermatology 5 18 7 Pass 98.5 Pass PassEndocrinology 2 2010 Pass 95.7 Pass PassENT / Otolaryngology2 3613 Pass 99.1 Pass PassGastroenterology4 2217 Pass 99.2 Pass PassGeneral Surgery 9 3331 Pass 88.2 Fail FailGynecology, OB / GYN2 6228 Pass 99.2 Pass PassInfectious Diseases 18 6 Pass 91.4 Pass PassNephrology3 2921 Pass 95.9 Pass PassNeurology 4 3219 Pass 99 Pass PassNeurosurgery1 2018 Pass 97 Pass PassOncology - Medical, Surgical6 2625 Pass 98.8 Pass PassOncology - Radiation / Raditation Oncology28 8 Pass 91.5 Pass PassOphthalmology 8 5233 Pass 98.4 Pass PassOral Surgery1 12 8 Pass 96.9 Pass PassOrthopedic Surgery7 4431 Pass 87.4 Fail FailPhysiatry, Rehabilitative Medicine26 4 Pass 98.8 Pass PassPlastic Surgery 1 2110 Pass 99.2 Pass PassPodiatry6 3325 Pass 99.2 Pass PassPsychiatry5 9971 Pass 99.2 Pass PassPulmonology 4 2418 Pass 99.2 Pass PassPROVIDING POWERFUL SOLUTIONS ISince 2003 I www.QuestAnalytics.comI 920.739.4552 I 2012 15. Theres abetter wayto powerYOURHSD TABLEresults! Quest Analytic Suite 16. And it is:SIMPLE. CONSISTENT. PROVEN No need for County or SSA Code in data No push pins and radius rings No Google/MapQuest searchesAll you need is:One Record/Provider/Location/SpecialtyPROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 17. SIMPLE. CONSISTENT. PROVEN 18. HSD Table Creation Only 2 data files required. (1)Providers and (2) Facilities.Quest will do the rest!HSD Tables areAUTOMATICALLY generated from your data by simplychecking these boxes. Thenexported them. 19. HSD Table CreationThe Quest Suite will save a lot of time autoThe Quest Suite will populating these for you. save a lot of timeauto populatingthese for you.The Quest Analytics Suite will auto populate your MA Provider & Facility tableswith all the providers in your data that fall under the criteria for the reportingcounty (whether they are in the county or not). The Quest Suite will populate thecounty codes, servicing providers, specialty crosswalk and previously listed. 20. SIMPLE. CONSISTENT. PROVENAll you need is:One Record/Provider/Location/SpecialtyPROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012 21. HSD Table Summary & THANK YOU Please plan to join us for theseupcoming seminars: CY 2014 HSDReference File Changes Pinpoint NetworkDesign & Development 22. Your Spooktacular HostsDarren Huff, Account Mgr. Eastern [email protected] LeCloux, Account Mgr. Western [email protected] Borths, Sales [email protected] You call & well fly right over.920.739.4552PROVIDING POWERFUL SOLUTIONS I Since 2003 I www.QuestAnalytics.com I 920.739.4552 I 2012