DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM (continued)

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DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM (continued). TRICARE Data Quality Training Course March 1, 2011. DQMC Program Inspections/External Audits. FY 2010 MTF External Coding Audit: Process. MHS Data Repository. Medical Records. Coding Audit. Paper Records.
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DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM(continued)TRICARE Data Quality Training CourseMarch 1, 2011DQMC ProgramInspections/External AuditsFY 2010 MTF External Coding Audit: ProcessMHS Data RepositoryMedical RecordsCoding AuditPaper Records
  • Audit for availability of record
  • Audit for accuracy ofof coding
  • Reliability tests confirmed audit results
  • Intra-examiner (same auditor – reaudit later in time)
  • Inter-examiner (different auditor – reaudit)
  • AHLTARandom Sample 7100 records pulled at randomSIDRsSADRsMERHCFRandom Sample ListMedical Record CopyDQMC ProgramInspections/External Audits11 random samples of FY 2008 medical records drawn from across the direct care systemTotal audit size = 7,100DQMC ProgramInspections/External AuditsExternal Coding Audit Response Rates FY 2010 (Data Records FY 2008)DQMC ProgramInspections/External AuditsExternal Coding Audit Response Rates FY 2010 (Data Records FY 2008)DQMC ProgramInspections/External AuditsDQMC ProgramInspections/External AuditsDQMC ProgramInspections/External AuditsNote: Quick Fix – send the AHLTA cited documentation
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