Encounter Data Accuracy Study. Measure: This accuracy study will compare the accuracy and completeness of payment data stored in MCPs’ claims systems during the study period to payment data submitted to and accepted by ODJFS. The measure will be calculated per MCP. Payment information found in MCPs’ claims systems for paid claims that does not match payment information found on a corresponding encounter will be counted as omissions.
Appears in 3 contracts
Sources: Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)
Encounter Data Accuracy Study. Measure: This accuracy study will compare the accuracy and completeness of payment data stored in MCPs’ ' claims systems during the study period to payment data submitted to and accepted by ODJFS. The measure will be calculated per MCP (i.e., to include all counties serviced by the MCP). Payment information found in MCPs’ ' claims systems for paid claims that does not match payment information found on a corresponding encounter will be counted as omissions.
Appears in 1 contract
Encounter Data Accuracy Study. Measure: This accuracy study will compare the accuracy and completeness of payment data stored in MCPs’ claims systems during the study period to payment data submitted to and accepted by ODJFS. The measure will be calculated per MCP (i.e., to include all counties serviced by the MCP). Payment information found in MCPs’ claims systems for paid claims that does not match payment information found on a corresponding encounter will be counted as omissions.
Appears in 1 contract
Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)