QAPI Program Utilization_Manual

QUALITY IMPROVEMENT ASPECT OF CARE, INDICATOR, THRESHOLD Aspect Financial Review, Billing Audits Indicator The Administrator quarterly review financial and billing records • Receive Financial reports from Agency Software • Receive Financial reports from Agency’s Accountant • Receive Billing report from Agency’s Billing Department Threshold 90-100 % of financial or billing records Sample Full Financial and Billing records Methodology Quarterly review of Financial and Billing reports, records by the Administrator or designee Responsibility Results will be submitted to the Administrator or designee whose responsibility it shall be to channel any identified problems to the appropriate staff for resolution and follow-up. Re-evaluation: next quarter Plan if finding fail to meet acceptable standards: In-service to staff 119