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DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

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Page 1: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

DQ – Where We Stand

RE-T-3-B

2012 Navy Medicine Audit Readiness Training Symposium

Page 2: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 2

• Context: Demonstrate the DQMC Metric Results at the Service Level.

• Purpose: Provide audience an understanding of the impact of the MTF reporting to the Service performance metrics.

• Outcome: Engage audience in sharing local initiatives that impact results.

Page 3: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 3

End of Day Processing

Page 4: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 4

Outpatient Coding (3 Business Days)

Page 5: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 5

APV Coding (15 Days)

Page 6: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 6

Inpatient Coding (30 Days)

Page 7: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 7

Financial Reconciliation

Page 8: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 8

MEWACS

Page 9: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 9

DMHRSi Submitted Time Cards

Page 10: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 10

DMHRSi Approved Time Cards

Page 11: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 11

EAS Transmission (45 Days)

Page 12: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 12

SIDR Transmission (5th Business Day)

Page 13: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 13

WWR Transmission (10th Calendar Day)

Page 14: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 14

CAPER Transmission (Daily)

Page 15: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 15

Patient Appointment File Transmission (Weekly)

Page 16: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 16

Inpatient Coding Audit - DRG

Page 17: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 17

IPSR Audit – E&M

Page 18: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 18

IPSR Coding Audit – ICD

Page 19: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 19

IPSR Coding Audit – CPT

Page 20: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 20

Outpatient Coding Audit-Document Availability

Page 21: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 21

Outpatient Coding Audit–E&M

Page 22: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 22

Outpatient Coding Audit–ICD

Page 23: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 23

Outpatient Coding Audit–CPT

Page 24: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 24

APV Coding Audit–Document Availability

Page 25: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 25

APV Coding Audit–ICD

Page 26: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 26

APV Coding Audit–CPT

Page 27: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 27

DD 2569 Complete/Current (Inpatient)

Page 28: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 28

DD 2569 Correct in CHCS (Inpatient)

Page 29: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 29

DD 2569 Complete/Current (Outpatient)

Page 30: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 30

DD 2569 Correct in CHCS (Outpatient)

Page 31: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 31

DD 2569 Complete/Current (APV)

Page 32: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 32

DD 2569 Correct in CHCS (APV)

Page 33: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 33

Workload – CAPER/Kept Appointments

Page 34: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 34

Workload – SIDR/WWR Dispositions

Page 35: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 35

Workload – MEPRS Visits/Kept Appointment

Page 36: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 36

Workload – MEPRS/WWR Dispositions

Page 37: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

Workload – IPSR CAPER/WWR

FOR OFFICIAL USE ONLY 37

Page 38: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 38

Commander Involvement

Page 39: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 39

Overall Rankings (FY12)

Navy Army Air Force JTFBilling (8) 2 1 4 3CO (11) 1 1 1 1Coding (5,6,7) 4 2 3 1Coding Timeliness (2) 2 1 3 4EAS Processing (3) 1 2 2 3EOD (1) 2 1 1 3Transmissions (4) 1 2 4 3Workload (9) 2 1 3 4Grand Total (All) 2 1 3 4

Page 40: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

Colleen Rees, [email protected], 202-762-3538

Randy Van Nostrand, [email protected],703-773-7312, ext. 602

Kate Burchess, [email protected],703-773-7312, ext. 104

Bonnie Rehbein, [email protected],703-773-7312 ext. 603

FOR OFFICIAL USE ONLY 40

Points of Contact

Page 41: DQ MEPRS Audit Readiness DQ – Where We Stand RE-T-3-B 2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

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Questions


New for FY13 Discussion on DQMC and MEPRS Changes

DQ MEPRS Audit Readiness 2012 Navy Medicine Audit Readiness Training Symposium DQMCP Review List and The Commanders Data Quality Statement FOR OFFICIAL

MEPRS Connecting the Dots

MEPRS What it’s good for …*

MEPRS: Our Cost Accounting System

Internal Management Controls Tri-SERVICE MEPRS CONFERENCE 28 August 2007

1 Six Sigma MEPRS Management Metrics Deirdre Baker SRA International, Inc. TMA MEPRS Program Office Management Control and Financial Studies Division

MEPRS Launches Online University Please be patient as TMA develops the best game plan for equip- ... practices MEPRS data processing ... EAS IV users must save Business Objects reports

MEPRS Early Warning and Control System (MEWACS) Online 2010 and the Consolidated Cost Report (CCR) MEPRS 2010 TMA MEPRS Program Office Management Control

Briefing: AFMOA MEPRS Dashboard/Vector Check

Chapter 10. DSP Blocks in Arria GX Devices...“Architecture” on page 10–7 ... ENA PRN CLRN DQ ENA PRN CLRN DQ ENA PRN CLRN DQ ENA PRN CLRN DQ ENA PRN CLRN DQ ENA PRN CLRN DQ ENA

SIGNED - DHA-PM 6010.13 MEPRS Volume 1

EAS IV: ASD Table and DQ Business Rules Advanced MEPRS and Financial Reconciliation Class 2 - 5 March 2010

1 Medical Expense and Performance Reporting System (MEPRS) Program Data Quality Tools Type Brief: Information April 30, 2014 DHA MEPRS Program Office “Medically

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Title: Data Integrity Breakouts (Navy) MEPRS - Depreciation Requirement

MEPRS 2010 TMA MEPRS Program Office Management Control and Financial Studies Division

DQ Research1

MEPRS: Our Cost Accounting System Data Quality Course Deirdre Baker TMA / MEPRS Program Office Management Control and Financial Studies Division TRICARE

MEPRS 2010 From Source to Resource: Data Quality Solutions for Today's MEPRS Challenges 26 – 29 July Lansdowne, VA Briefing: CRIS Query Steps Speaker:

2010 UBO/UBU Conference 1 Title: MEPRS Tools: Six Sigma MEPRS Management Metrics (S2M3) Session: M-4-1100 and M-4-1630

Six Sigma MEPRS Management Metrics

DQ MEPRS Audit Readiness New for FY13 Discussion on DQMC and MEPRS Changes 2012 Navy Medicine Audit Readiness Training Symposium RE-W-3-A

DQ MEPRS Audit Readiness DMHRSi Timecard Management Bi-weekly vs. Monthly RE-T-3-F 2012 Navy Medicine Audit Readiness Training Symposium

MEPRS Processing

DDR SDRAM RDIMM - Micron Technology...dqs cs# dm u3 dq dq dq dq dq16 dq17 dq18 dq19 dqs cs# dm u22 dq dq dq dq dq44 dq45 dq46 dq47 dqs cs# dm u4 dq dq dq dq dq24 dq25 dq26 dq27 ddr

MEPRS for FMMTC

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Improving DQ

Consolidated Cost Report Enhances DQ - MEPRS The TMA MEPRS Program Office remains steadfast in its commitment to data quality. To support your surveillance efforts,

DQ MEPRS Audit Readiness 2012 Navy Medicine Audit Readiness Training Symposium Plan of Action and Milestones (POA&Ms) DQ Statement Comments A How-To Exercise

MEPRS Management Improvement Group (MMIG) Strategic Plan Update TMA/MEPRS Program Office: Mr. Patrick Wesley Mr. Eric Meadows Mr. Herb Escobar

DQ MEPRS Audit Readiness FCC Validation and DMLSS RE-W-3-C 2012 Navy Medicine Audit Readiness Training Symposium

Orientation to MEPRS Structure and Processes Tri-Service 2007 Medical Expense and Performance Reporting System (MEPRS) Conference Charlee Wunderlin SRA

An Overview TMA MEPRS Program Office Medical Expense and Performance Reporting System (MEPRS)