Administrative Memos

200205

FROM: Theodore O. Will, Chief Executive Officer
DATE: May 30, 2002
SUBJECT: Project Report: New York State Data Trending
IPRO CONTACTS:

Kathy Terry, Ph.D., Senior Director, Data Analysis & Evaluation, Medicare/Federal Health Care Assessment, Extension 261 and Alice Vallar, Senior Director, Medicare/Federal Health Care Assessment, Extension 423

Enclosed please find copies of IPRO's Payment Error Prevention Program report entitled "Aggregate and Hospital-Specific Project Reports for New York State Data Trending". These reports are based upon IPRO's analysis of a random sample of New York State (NYS) Medicare Prospective Payment System (PPS) inpatient claims. The purpose of the NYS Data Trending project is to determine and track the aggregate payment error rate across all acute care PPS hospitals in New York State. Errors may be due to DRG/coding errors, unnecessary admissions, or technical denials for failure to provide the medical record. Identifying and correcting these errors will help reduce NYS Medicare inpatient PPS payment errors.