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.

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 3

End of Day Processing

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 4

Outpatient Coding (3 Business Days)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 5

APV Coding (15 Days)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 6

Inpatient Coding (30 Days)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 7

Financial Reconciliation

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 8

MEWACS

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 9

DMHRSi Submitted Time Cards

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 10

DMHRSi Approved Time Cards

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 11

EAS Transmission (45 Days)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 12

SIDR Transmission (5th Business Day)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 13

WWR Transmission (10th Calendar Day)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 14

CAPER Transmission (Daily)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 15

Patient Appointment File Transmission (Weekly)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 16

Inpatient Coding Audit - DRG

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 17

IPSR Audit – E&M

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 18

IPSR Coding Audit – ICD

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 19

IPSR Coding Audit – CPT

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 20

Outpatient Coding Audit-Document Availability

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 21

Outpatient Coding Audit–E&M

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 22

Outpatient Coding Audit–ICD

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 23

Outpatient Coding Audit–CPT

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 24

APV Coding Audit–Document Availability

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 25

APV Coding Audit–ICD

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 26

APV Coding Audit–CPT

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 27

DD 2569 Complete/Current (Inpatient)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 28

DD 2569 Correct in CHCS (Inpatient)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 29

DD 2569 Complete/Current (Outpatient)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 30

DD 2569 Correct in CHCS (Outpatient)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 31

DD 2569 Complete/Current (APV)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 32

DD 2569 Correct in CHCS (APV)

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 33

Workload – CAPER/Kept Appointments

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 34

Workload – SIDR/WWR Dispositions

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 35

Workload – MEPRS Visits/Kept Appointment

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 36

Workload – MEPRS/WWR Dispositions

DQ MEPRS Audit Readiness

Workload – IPSR CAPER/WWR

FOR OFFICIAL USE ONLY 37

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 38

Commander Involvement

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

DQ MEPRS Audit Readiness

Colleen Rees, Colleen.Rees@med.navy.mil, 202-762-3538

Randy Van Nostrand, Randy.VanNostrand.ctr@med.navy.mil,703-773-7312, ext. 602

Kate Burchess, Kathryn.Burchess.ctr@med.navy.mil,703-773-7312, ext. 104

Bonnie Rehbein, Bonnie.Rehbein.ctr@med.navy.mil,703-773-7312 ext. 603

FOR OFFICIAL USE ONLY 40

Points of Contact

DQ MEPRS Audit Readiness

FOR OFFICIAL USE ONLY 41

Questions