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?
| Field | Data 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 ID | The internal identifier associated with a project |
| Project Name | The name associated with a project |
| Chase ID | The internal identifier associated with a chase |
| Address Grouping | Data loaded grouper to associate various address IDs into client-desired groups |
| Product | Data loaded grouper to associate various address IDs into client-desired groups |
| Source Alias ID | The identifier provided by the client for a chase |
| Measure Code | Determines the type of an associated chase, which indicates what the coder is seeking to validate |
| Coder User Name | The name of the user who abstracted the chart |
| Coding Date | The date that the chart attached to a chase has been coded or abstracted |
| Overread User Name | The name of the user who completed overread 1 for the given chase |
| Overread Date | The date that a chase was overread |
| Total Validations | The number of items evaluated by the over reader |
| Total Errors | A count of discrepancies between a coder (user) and over read results |
| Chase Score | When report type = 'over read', Validation count-error count/validation count |
| Error Details | Provides the differences between the coder and the overreader |