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DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM (continued)

DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM (continued). TRICARE Data Quality Training Course March 1, 2011. DQMC Program Inspections/External Audits. FY 2010 MTF External Coding Audit: Process. MHS Data Repository. Medical Records. Coding Audit. Paper Records.

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DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM (continued)

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  1. DATA QUALITY MANAGEMENT CONTROL (DQMC) PROGRAM(continued) TRICARE Data Quality Training Course March 1, 2011

  2. DQMC ProgramInspections/External Audits FY 2010 MTF External Coding Audit: Process MHS Data Repository Medical Records Coding Audit Paper Records • Audit for availability of record • Audit for accuracy ofof coding • Reliability tests confirmed audit results • Intra-examiner (same auditor – reaudit later in time) • Inter-examiner (different auditor – reaudit) AHLTA Random Sample 7100 records pulled at random SIDRs SADRs MERHCF Random Sample List Medical Record Copy

  3. DQMC ProgramInspections/External Audits 11 random samples of FY 2008 medical records drawn from across the direct care system Total audit size = 7,100

  4. DQMC ProgramInspections/External Audits External Coding Audit Response Rates FY 2010 (Data Records FY 2008)

  5. DQMC ProgramInspections/External Audits External Coding Audit Response Rates FY 2010 (Data Records FY 2008)

  6. DQMC ProgramInspections/External Audits

  7. DQMC ProgramInspections/External Audits

  8. DQMC ProgramInspections/External Audits Note: Quick Fix – send the AHLTA cited documentation

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