Data Quality Standard. The data quality standard is a monthly minimum accepted rate of encounters for each file in the ODJFS-specified medium per format as follows: Third through sixth month with membership: 50 encounters per 1,000 MM for NCPDP 65 encounters per 1,000 MM for NSF 20 encounters per 1,000 MM for UB-92 Seventh through twelfth month of membership: 250 encounters per 1,000 MM for NCPDP 350 encounters per 1,000 MM for NSF 100 encounters per 1,000 MM for UB-92 Determination of Compliance: Performance is monitored once every month. Compliance determination with the standard applies only to the month under consideration and does not include performance in previous months.
Data Quality Standard. A minimum record submittal rate of 85% for each clinical measure.
Data Quality Standard. A maximum generic provider number usage rate of 10%.
Examples of Data Quality Standard in a sentence
Penalty for noncompliance with the Data Quality Standard for measure 1: The first time an MCP is noncompliant with a standard for this measure, ODJFS will issue a Sanction Advisory informing the MCP that any future noncompliance instances with the standard for this measure will result in ODJFS imposing a monetary sanction.
Data Quality Standard: A maximum generic provider number usage rate of 10%.
Data Quality Standard: The data quality standard is a minimum rate of 80%.
NEE tried to represent the facts accurately – the record is more than 56,000 pages, spanning two years.
Penalty for Noncompliance with the Data Quality Standard for measure 2: If the MCP is determined to be noncompliant for either standard, ODJFS will impose a monetary sanction of one percent of the MCP’s current month’s premium payment.
More Definitions of Data Quality Standard
Data Quality Standard. The data quality standard is a minimum rate of 95%. Determination of Compliance: Performance is monitored once every quarter for all report periods. For quarterly reports that are issued on or after July 1, 2007, an MCP will be determined to be noncompliant for the quarter if the standard is not met in any report period and the initial instance of noncompliance in a report period is determined on or after July 1, 2007. An initial instance of noncompliance means that the result for the applicable report period was in compliance as determined in the prior quarterly report, or the instance of noncompliance is the first determination for an MCP’s first quarter of measurement. Penalty for noncompliance: The first time an MCP is noncompliant with a standard for this measure, ODJFS will issue a Sanction Advisory informing the MCP that any future noncompliance instances with the standard for this measure will result in ODJFS imposing a monetary sanction. Upon all subsequent quarterly measurements of performance, if an MCP is again determined to be noncompliant with the standard, ODJFS will impose a monetary sanction (see Section 6) of one percent of the current month’s premium payment. Once the MCP is performing at standard levels and violations/deficiencies are resolved to the satisfaction of ODJFS, the money will be refunded.
Data Quality Standard. A rate of open case management spans for disenrolled members of no more than 1.0%.
Data Quality Standard. The data quality standard is a monthly minimum accepted rate of encounters for each file type in the ODJFS-specified medium per format as follows: Third through sixth month with membership: 50 encounters per 1,000 MM for NCPDP 65 encounters per 1,000 MM for NSF 20 encounters per 1,000 MM for UB-92 Seventh through twelfth month of membership: 250 encounters per 1,000 MM for NCPDP 350 encounters per 1,000 MM for NSF 100 encounters per 1,000 MM for UB-92 Appendix L Covered Families and Children (CFC) population Determination of Compliance: Performance is monitored once every month. Compliance determination with the standard applies only to the month under consideration and does not include performance in previous months.
Data Quality Standard. A rate of open case management spans for disenrolled members of no more than 1.0%. Statewide Approach: MCPs will be evaluated using a statewide result specific for the ABD program, including all regions in which an MCP has ABD membership. An MCP will not be evaluated until the MCP has at least 3,000 ABD members statewide who have had at least three months of continuous enrollment during each month of the entire report period. As the ABD Medicaid managed care program expands statewide and regions become active in different months, statewide results will include every region in which an MCP has membership [Example: MCP AAA has: 6,000 members in the South West region beginning in January 2007; 7,000 members in the West Central region beginning in February 2007; and 8,000 members in the South East region beginning in March 2007. MCP AAA’s statewide results for the April-June 2007 report period will include data for the Xxxxx Xxxx, Xxxx Xxxxxxx, xxx Xxxxx Xxxx regions.] Penalty for noncompliance: If an MCP is noncompliant with the standard, then the ODJFS will issue a Sanction Advisory informing the MCP that a monetary sanction will be imposed if the MCP is noncompliant for any future report periods. Upon all subsequent semi-annual measurements of performance, if an MCP is again determined to be noncompliant with the standard, ODJFS will impose a monetary sanction of one-half of one percent of the current month’s premium payment. Appendix L Once the MCP is performing at standard levels and violations/deficiencies are resolved to the satisfaction of ODJFS, the money will be refunded.
Data Quality Standard. The data quality standard is 70% for encounters with dates of service in C Y 2003 and 80% for CY 2004 and thereafter.
Data Quality Standard. A minimum record submittal rate of 85% for each clinical measure. Appendix L Covered Families and Children (CFC) population Penalty for noncompliance for Data Quality Standard: For each study that is completed during this contract period, if an MCP is noncompliant with the standard, ODJFS will impose a non-refundable $10,000 monetary sanction.