1 / 9

APCD Analytical Workgroup

APCD Analytical Workgroup. July 23, 2013. www.mass.gov/chia. Agenda for Today. APCD Release 1.0 (“aka” the June Release) Release Regulations Future Topics. 0. APCD Release 1.0 July 10, 2013!. Dates of Service 2009-2011 (with run-out through March 2013) Commercial MassHealth

eliot
Download Presentation

APCD Analytical Workgroup

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. APCD Analytical Workgroup July 23, 2013 www.mass.gov/chia

  2. Agenda for Today • APCD Release 1.0 (“aka” the June Release) • Release Regulations • Future Topics

  3. 0 APCD Release 1.0July 10, 2013! Dates of Service 2009-2011 (with run-out through March 2013) • Commercial • MassHealth • Medicare (available to state agencies only)

  4. APCD Release 1.0New Features To Facilitate Use • Claims files are organized and released based on Date of Service as opposed to Date of Submission. • The Provider File (PV) and Product File (PR) have been aggregated across all years of service as opposed to files for each year. • Some data elements that were previously identified as “No Release” are now considered Level 2 data elements • Several data fields that had been “masked” are now “unmasked” • Address and demographic data have been standardized • More advanced cleaning logic was applied to more data elements • User documentation – separate files

  5. Release Regulations Effective July 19th • One regulation applies to both Hospital Discharge Data (CaseMix) and the All Payer Claims Database data • Different review processes for different types of requests • Limited Discretion: Most requests for de-identified data; all requests made by MA government agencies; requests for patient identifiers for treatment and coordination of care • Full Discretion: All other requests, e.g., research requests for data that may include individually identifiable data; DRC review; DUA Source: Chapter 12C §12

  6. Release Regulations (continued) Under Old Regulations • APCD: “Public Use” and “Restricted Use” data elements • APCD: No specific “de-identified” dataset, but many elements masked • Case Mix: Six levels, none fully de-identified Under New Regulations • APCD: Level 1 extracts (MC and PC only; based on CMS) • APCD: Level 2 data (with PHI and largely unmasked) • CaseMix: Level 1 (de-identified; to be specified) • CaseMix: Levels 2-6 (similar to currentstructure)

  7. New Documents on Line • Applications for Case Mix and APCD • Government Agency • Non Government Agency • Data Extract Specification/Justification • Excel file • Data Use Agreements (DUAs) • Government Agency • De-identified Data (“Level 1”) requests • Others • Revised Fee Schedule • APCD Release 1.0 Documentation

  8. Looking Ahead • Level 1 for Case Mix and APCD • IRBNet – October 1st (tentative) • Release 2.0 – December • 2012 dates of service with 6 months of run-out • Master Patient Index • Highest version/final version of claims

  9. QUESTIONS? Topics for August? Please submit questions and topics chia-apcd@state.ma.us Thank you for your interest in the Massachusetts All Payer Claims Database

More Related