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Clinical Accuracy by Chase with Error Detail Report

Report Name
Clinical Accuracy by Chase with Error Detail Report 


About This Report

This report captures details around critical errors made by the original abstractor or coder, that is calculated into a Chase Score.   A critical error for HEDIS (abstractor) is defined as a change in compliance.   A critical error for Risk/IVA (coder) is defined as a missed DOS, ICD code or VRC code.   Also for Risk/IVA a critical error is defined as an added DOS, ICD code or VRC code by the original coder, that is later deleted by the over-reader.   


This report shows information by chase, original clinician, over reader, with error/correction detail. Each of these items can be filtered by measure. The errors captured are those that have been made by the original clinician and confirmed during the over read process by the over-reader.


Project Type 

HEDIS/Risk/IVA


Service Type

All


Intended User

Manager / Technical User


Best For

Assessing the quality of a the original clinician based on their 'Chase Score' and can be used for training purposes.


Using This Report

  • Download and aggregate into pivot tables
  • Segment by original clinician, measure, or chase score
  • Monitor to determine top performing users or users who need additional training


What Information Can I Filter?

Project
Measure
Coding Start Date
Coding End Date


What Do The Fields Mean?

FieldData Dictionary Definition
Line of Business
The type of business associated with this chase: Medicare, Medicaid, Commercial
Product
Further detail for Line of Business, this can be Medicare HIOS number, a Plan ID or Health Plan
Project IDThe internal identifier associated with a project
Project NameThe name associated with a project
Chase IDThe internal identifier associated with a chase
Address GroupingData loaded grouper to associate various address IDs into client-desired groups
ProductData loaded grouper to associate various address IDs into client-desired groups
Source Alias IDThe identifier provided by the client for a chase
Measure CodeDetermines the type of an associated chase, which indicates what the coder is seeking to validate
Coder User NameThe name of the user who abstracted the chart
Coding DateThe date that the chart attached to a chase has been coded or abstracted
Overread User NameThe name of the user who completed overread 1 for the given chase
Overread DateThe date that a chase was overread
Total ValidationsThe number of items evaluated by the over reader
Total ErrorsA count of discrepancies between a coder (user) and over read results
Chase ScoreWhen report type = 'over read', Validation count-error count/validation count
Error Details
Provides the differences between the coder and the overreader


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