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Geographic Adjustment in Medicare Payment Phase II: Implications for Access, Quality, and Efficiency (2012) / Chapter Skim
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Appendix C: Quality Assurance for RTI Payment Simulations
Pages 183-186

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From page 183...
... staff and the committee and submitted to the Report Review Committee (final version August 24, 2011) , and a quality assurance subcommittee was designated to take the lead on technical aspects of the direction and oversight.
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From page 184...
... IOM engaged RTI International in this 2-year study to conduct analyses and simulations related to the accuracy of the data and methods used to develop CMS's geographic adjustments. IOM engaged IHS Global Insight to provide an independent quality assurance review of the work completed by RTI and presented in the second year report titled Geographic Adjustment in Medicare Payment: Phase II: Implications for Access, Quality, and Efficiency.
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From page 185...
... However, IOM requires that contractors performing quantitative analysis have a quality assurance plan and implement quality control procedures. RTI appears to have rigorous internal processes to help ensure quality, and all indications are that RTI has complied with its internal quality assurance protocols and implemented its work in accordance with industry best practices.
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From page 186...
... NOTES: CMS = Centers for Medicare & Medicaid Services; IOM = Institute of Medicine; QA = quality assurance. geographic reimbursement might impact access to services.
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Key Terms

  • geographic adjustment
  • ihs global
  • assurance protocols
  • assurance plan
  • geographic adjustments

  • independent contractor
  • global insight
  • rti project
  • programming code
  • project director

  • conference calls
  • medicare payments
  • medicare payment
  • control activities
  • simulation results

  • committee meetings
  • sufficient documentation
  • excel files
  • rti payment
  • ihs reviewed

  • payment simulation
  • study findings
  • activities conducted
  • iom engaged
  • medicaid services

  • help ensure
  • data tables
  • rti simulation
  • assurance review
  • iom requires


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