Encounter Data Accuracy Studies. Measure 1: The focus of this accuracy study will be on delivery encounters. Its primary purpose will be to verify that MCPs submit encounter data accurately and to ensure only one payment is made per delivery. The rate of appropriate payments will be determined by comparing a sample of delivery payments to the medical record. The measure will be calculated per MCP (i.e., to include the MCP’s entire service area for the CFC membership.
Appears in 5 contracts
Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc), CFC Provider Agreement (Wellcare Health Plans, Inc.)
Encounter Data Accuracy Studies. Measure 1: The focus of this accuracy study will be on delivery encounters. Its primary purpose will be to verify that MCPs submit encounter data accurately and to ensure only one payment is made per delivery. The rate of appropriate payments will be determined by comparing a sample of delivery payments to the medical record. The measure will be calculated per MCP (i.e., to include all counties serviced by the MCP’s entire service area for the CFC membership).
Appears in 2 contracts
Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
Encounter Data Accuracy Studies. Measure 1: The focus of this accuracy study will be on delivery encounters. Its primary purpose will be to verify that MCPs submit encounter data accurately and to ensure only one payment is made per delivery. The rate of appropriate payments will w'ill be determined by comparing a sample of delivery payments to the medical record. The measure will be calculated per MCP (i.e., to include all counties serviced by the MCP’s entire service area for the CFC membership).
Appears in 1 contract
