Answers of the Week
MSO Cactus Reports
MSO Quarterly Metrics
Provider Flagging
CSG.QS. 002
100
Frequency that AOWs published.
What is weekly?
100
Flexibility and real-time versus enterprise schedule and report lag time.
What are advantages of running self-generated Cactus MSO reports?
100
The number of metrics measured as part of the MSO Quarterly Metrics.
What is ten (10)?
100
The CPC policy that contains the detailed list of flags, flag numbers and flag descriptions.
What is CPC-32?
100
“It Takes a Village”
What is the Atlas Key word search for information related to the Licensure and Certification policy?
200
Month and year was the first AOW published.
What is January 2012?
200
Each report contains a detail screen which is developed for each report prior to publishing. There are instructions on how to run report or what fields are contained in a report.
Are there instructions on how to run report or what fields are contained in a report?
200
Four (4) individuals (by title) that receive the quarterly MSO Metrics report.
Who is the CEO, CMO, DVPQ, Division President?
200
Three (3) levels of approvals are required - the Facility CEO/Entity Administrator, Division Quality designee, and Operations leadership.
Who reviews and approves the actions Red Flag Review Form (RFRD)?
200
The Department of Health and Human Services' Office of Inspector General's (OIG) List of Excluded Individuals/Entities provides information to health care providers, patients, and others regarding individuals and entities that are excluded from participation in Medicare, Medicaid, and other Federal health care programs.
What is the OIG List of Excluded Individuals/Entities?
300
Facility MSOs, quality and risk professionals, and related stakeholders are encouraged to submit questions to the OPPA team for research and potential publisheing as the AOW.
Who can submit questions for publishing?
300
From the main Menu, Open a File, Reports, and just press "M" for report selection.
Where are the MSO reports located in Cactus?
300
The Atlas OPPA site contains both a bookmark titled; MSO Metrics on the right and a tab on the left side labeled; MSO Quarterly Metrics Reports.
Where can I locate current and past quarter reports?
300
Number of days a qualifying Red Flag can be managed by a protocol before being escalated through the complete Red Flag Review process.
What are ten (10) business days?
300
The Implementation Tool for CSG.QS.002 contains a User Guide and an Appendix D: “Provider Type” Fields which contains the definitions, descriptions and screen shots that reflect the different purposes for the two “Provider Type” fields on Page 1 and Page 2 in the MIS Dictionary
Where can I locate information about the two (2) MIS Dictionary “Provider Type” data fields?
400
There is a searchable index posted on Atlas.
How can the answers from previous AOWs questions be located?
400
A report that can be utilized to see open and closed Credentialing Verifications Instances (CVI) volume.
What is the MSO Credentialing Dashboard?
400
The Executive Summary tab provides an overview of materics data by Division and a quick link to Facility Drill Down.
How do I know if my facility has any 'misses' that were reported as part of the Quarterly MSO Metrics report?
400
The Cactus location containing data fields for documentation of facility responses (actions taken) to address identified flags.
What is the Provider Contact Log – User Defined Tab.
400
Licensure checks must be performed by the facility medical staff services department using primary source verification within three business days after the first patient referred by the Non-Privileged Practitioner is registered for services, and when the Non-Privileged Practitioner’s license is renewed.
What type of check must be performed within three (3) days and upon renewal?
500
What is five (5). 3/22/13, 1/10/14, 2/21/14, 6/6/14, and 9/19/14.
How many AOWs contain the key word - DEA?
500
Reports that can be utilized as post-Board QA checks.
What is: (1) MSO Provider iResponse QA (2) MSO Privileges >24 Months (3) MSO Providers Without Active Privileges (4) MSO Past Appointment Date
500
The Division which received the 1Q15 Overall Highest Gold Star distinction.
Who is Gulf Coast Division with zero (0) in 5/6 metrics?
500
Flow charts that guide facilities through the Red Flag- Protocol Process, the Red Flag – Full Process, the Yellow Flag Process, the Red Flag – Dynamic Process, and the Facility Analysis Process for Flags (Red or Yellow).
What is MSS-002 Master Process for Managing Flags?
500
An unlicensed Practitioner provided patient care and/or ordered patient care services.
What is a Reportable Incident?
M
e
n
u