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Member Measure Non-Compliance Summary Report

Report Name
Member Measure Non-Compliance Summary Report 


About This Report

This report provides insight into non-compliance at the chase/sample level for a member. A member may have multiple chases per measures as well, so they may have multiple lines. For instance, a member may have three CDC chases. Each chase will have its own line for chase compliance, and then there will be one line for the sample compliance for the member. This member would have four lines on the report (three chase lines and one sample line). 


Project Type

HEDIS, IVA, Risk


Service Type

Full Service, Platform, Retrieval Only, Clinical Only


Intended User

Admin / Manager / Technical User


Best For

Determining compliance hits at the Chase and Sample level.

Using This Report

  • Download and aggregate into pivot tables
  • Drill down into compliance at a chase/measure level
  • Drill down and identify trends or patterns


What Information Can I Filter?

Project


What Do The Fields Mean?

FieldData Dictionary Definition
Project IDThe internal identifier associated with a project
Project NameThe name associated with a project
Compliance CodeDetermines if a given chase/measure code is compliant for HEDIS
Sample Compliance DescriptionProvides a full description of the meaning of a compliance code
Measure CodeDetermines the type of an associated chase, which indicates what the coder is seeking to validate
Total Chase CountShows the total count of chases for a member
Total Chase ID ListSemicolon separated list of all chase IDs for this Member
Chases in Del And Completed Chase ID ListSemicolon separated list of chase IDs in Delivery and Completed for this Member
Chases in Del And CompletedCount of all chase IDs in Delivery and Completed for this Member
Open ChaseCountShows the unique count of Open chases in an AID
Open Chase ID ListSemicolon separated list of chase IDs that still need to be retrieved for this Member
Chartcollection Chase ID ListSemicolon separated list of chase IDs that are in "Chart Collection" status for this Member
Waiting for Chart ListSemicolon separated list of chase IDs that are "Waiting for Chart" status for this Member
Chart QA ListSemicolon separated list of chase IDs that are "Chart QA" status for this Member
Abstraction ListShows the comma separated list of chaseid's thru abstraction for a member
Overread ListShows the comma separated list of chaseid's thru Overread1 for a member
Overread2 ListShows the comma separated list of chaseid's thru overread2 for a member
Member IDThe internal identifier associated with a member
Client Member Key The client identifier associated with a member


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