Other Monitoring Activities. 2.9.8.1. In consultation with the Department, the Contractor shall participate in and respond to other Department and/or designee compliance monitoring activities, including but not limited to: 2.9.8.1.1. Encounter Data analysis; Encounter Data validation (the comparison of Encounter Data with Medical Records; 2.9.8.1.2. Appeals analysis to identify trends in the Community Mental Health Services Program and among behavioral health care organizations; and, 2.9.8.1.3. Other reviews determined by the Department.
Appears in 4 contracts
Samples: Contract With Behavioral Healthcare, Inc. For Behavioral Health Services Program, Contract With Behavioral Healthcare, Inc. For Behavioral Health Services Program, Contract
Other Monitoring Activities. 2.9.8.12.6.3.1. In consultation with the Department, the Contractor shall participate in and respond to other Department and/or designee compliance monitoring activities, including but not limited to:
2.9.8.1.12.6.3.1.1. Encounter Data analysis; Encounter Data validation (the comparison of Encounter Data with Medical Records;).
2.9.8.1.22.6.3.1.2. Appeals analysis to identify trends in the Community Mental Health Services Program Medicaid program and among behavioral health managed care organizations; and,
2.9.8.1.3. Other reviews determined by the Department2.6.3.1.3. Risk-adjusted rate studies.
Appears in 2 contracts
Samples: Intergovernmental Agreement, Denver Health Medicaid Choice Contract
Other Monitoring Activities. 2.9.8.1. In consultation with the Department, the Contractor shall participate in and respond to other Department and/or designee compliance monitoring activities, including but not limited to:
2.9.8.1.1. Encounter Data analysis; Encounter Data validation (the comparison of Encounter Data with Medical Records;
2.9.8.1.2. Appeals analysis to identify trends in the Community Mental Behavioral Health Services Program and among behavioral health care organizations; and,
2.9.8.1.3. Other reviews determined by the Department.
Appears in 1 contract
Samples: Contract Amendment