36C10X19Q0200-018.pdf

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External Clinical Peer Review for Quality Management BPA (VA-19-00058098)
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36C10X19Q0200
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36C10X19Q0200 Attachment J - EXAMPLE End of Task Order Report.pdf

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VHAClinicalPeerReviewforQualityManagement
TaskOrder#X,(FYxxxxQxifneeded)
Contract#XXX‐XXXX‐XXXX‐XX

This report covers audit reviews, facility requested reviews, and management reviews for Task Order #xx

(FYxx QX if needed). This reporting period includes audit, facility requested, and management reviews completed between Month Day, YEAR and Month Day, Year. COMPANY NAME performed XXX Audit

Reviews, XXX Facility Requested Reviews, XXX Management Reviews, XXX Clinical Appeals, XXX Medical

Advisory Opinions, and wrote XXX Executive Summaries.

The external reviewer panel was comprised of XXX reviewers.

Audit Review

X cases – Level 1

X Cases – Level 2

X Cases – Level 3

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

Facility Requested Review

X cases – Level 1

X Cases – Level 2

X Cases – Level 3

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

Management Review

X cases – General Management

X Cases – Clinical Appeal

X Cases – Medical Advisory Opinion

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

Executive Summary

X cases – Executive Summary

The most reviewed cases by clinical specialty of the treating practitioner in question were as follows:

1) SPECIALTY XX/XXX (XX.X%)

2) SPECIALTY XX/XXX (XX.X%)

3) SPECIALTY XX/XXX (XX.X%)

4) SPECIALTY XX/XXX (XX.X%)

5) SPECIALTY XX/XXX (XX.X%)

XXX cases were unable to be reviewed during this task order. The clinical specialty of the treating practitioner in question for these cases were as follows: SPECIALTY and SPECIALTY.

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