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Methodology 2019
4. Reference: 8.3.2. Clinical Coding Process Review Aspects, Section E – Training Policies,
page 30
a. Note 2: Certified coder is not a requirement for facilities with exclusive dental
services, however, a training on coding guidelines for reporting ICD should be
evident.
5. Reference: 8.4.3. Verification Points, Section – KPI Process for Planning, Support and
Operations, page 32 (2018 Methodology: KPI Robustness)
a. The Quality department can determine the resources selected for the roles of
data collectors/validators/ KPI owners based on established criteria that
ensures the accuracy of the data; and to determine the accountability for
entire process as process owner.
b. Data Quality Lead(s)
i. Training records on healthcare quality
c. Data collectors/Validators
10. Scoring: KPI process: 25% from 35%; KPI data validation: 25% from 15%
11. Cancellation of scheduled audit would be two (2) months prior the date.
12. Committee meetings can be done as one (1) depending on the numbers of attendees.