Sample TOPR Atch 3 Workload Pricing Template Provider Numbers GME Historical Accuracy Rates for Section J Attachment 5.xlsx

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Air Force Medical Service (AFMS) Medical Support Services (MSS) Program
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FA8053-11-R-0003
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Per Question 76 response the Excel version of the sample TOPR attachment is provided.

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File Type Posted
Amendment 0003 dated 17 Jun 11.pdf PDF
Final RFP Q A Set 4.pdf PDF
Final RFP Q A Set 3.pdf PDF
Final RFP Q A Set 3.pdf PDF
Attachment L-1 Revised 14 Jun 11.docx DOCX document
Section J Attachment 6 - Wage Determinations - Updated 14 June 2011.xlsx XLSX spreadsheet
Amendment 0002 dated 14 Jun 11.pdf PDF
9 Section J Attachment 9 - MSS Pricing Model Revised 14 Jun 11.xlsx XLSX spreadsheet
Final RFP Amendment 0001.pdf PDF
Final RFP Amendment 0001.pdf PDF
Final RFP Q A Set 2.pdf PDF
9 Section J Attachment 9 - MSS Pricing Model Final 7Jun 11.xlsx XLSX spreadsheet
Spiral 2-1 Final RFP Question and Answer Set 1.docx DOCX document
Section J Attachment 9 - MSS Pricing Model FinalExcel.xlsx XLSX spreadsheet
Attachment L-1 for Solicitation FA8053-11-R-0003.docx DOCX document
Table L.4-1 - Proposal Cross Reference Matrix for Solicitation FA8053-11-R-0003.docx DOCX document
Section J Atch 11 Monthly Program Status Report.pdf PDF
Section J Atch 5 Sample TOPR for Service Type II.pdf PDF
Section J Atch 10 Performance Plan.pdf PDF
Section J Atch 1 Privacy Act Notifications.pdf PDF
Section J Atch 6 Wage Determinations.pdf PDF
Section J Atch 3 Position Descriptions.pdf PDF
Section J Atch 13 Contract Data Requirements List —
Attachment L-5 MSS Past Performance Questionnaire.doc DOC document
Section J Atch 4 Statement of Objectives —
Section J Atch 12 MTF Referral Management Center —
Section J Atch 9 MSS Pricing Model.pdf PDF
FA8053-11-R-0003 FINAL RFP.pdf PDF
Section J Atch 8 AFMASS Training Administrators User Guide.pdf PDF
Section J Atch 2 Potential Requesting Locations.pdf PDF
Section J Atch 7 MHS Learn Learning Paths.pdf PDF
MSS Industry Day Questions and Responses.pdf PDF
MSS Industry Day Slides - 05-Jan-11.pdf PDF
MSS Industry Day Participant List 01-05-11 update.pdf PDF
MSS Industry Day Participant List 01-05-11.pdf PDF
Agenda.xlsx XLSX spreadsheet
Section J Attachment 6 - Wage_Determinations.doc.docx DOCX document
Section J Attachment 5 - Sample TOPR for Service Type II.doc DOC document
DRAFT RFP Cover Letter.docx DOCX document
Section J Attachment 9 - MSS Pricing Model —
Draft RFP - FA8053-11-R-0003.pdf PDF
Section J Attachment 10 - Performance Plan.doc DOC document
Section J Attachment 8 - AFMASS-TrainingAdministratorsUserGuide.pdf PDF
Section J Attachment 11 - MSS MPSR V1.xls XLS spreadsheet
Section J Attachment 4 - SOOs.doc DOC document
Section J Attachment 7 - Learning Paths.xls XLS spreadsheet
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Workload & Pricing Template

MEDICAL CODING & AUDITING TOPR, ATTACHMENT 5 - Projected Workload/Groupings/Pricing Template
AFSPC, AMC & PACAFAnnual ERAnnual APVAnnual Billables10% of Remaining EncountersAnnual AFMOA Audit RequirementsInpt DispIBWANon-Fed/Ab SickERSATOTAL ENCOUNTERSUnit RateTotal Annual Cost
36TH MED GRP-ANDERSEN003502875119000004,415$ 0.01$ 44.15
460TH MEDGRP-BUCKLEY AF0062142751283.500006,180$ - 0
437TH MED GRP-CHARLESTON007255200110500007,030$ - 0
436TH MED GRP-DOVER001,9006200127500009,375$ - 0
354TH MED GRP-EIELSON001,20028001062.500005,063$ - 0
3RD MED GRP-ELMENDORF29,5003,00015,000180003255.501340044082,200$ - 0
92ND MED GRP-FAIRCHILD001,8005200122400008,224$ - 0
319TH MED GRP-GRAND FORKS007002500129200004,492$ - 0
15TH MED GRP-HICKAM001,0005000134300007,343$ - 0
19TH MEDICAL GROUP-LITTLE ROCK0060060251192007,817$ - 0
61ST MED GROUP-LOS ANGELES005253700120700005,432$ - 0
6TH MED GRP-MACDILL006,600150001793.500040023,794$ - 0
22ND MED GRP-MCCONNELL001,4006650125800009,308$ - 0
305TH MED GRP-MCGUIRE001,00091001385.5000011,486$ - 0
21ST MED GRP-PETERSON001,70097001113.5000012,514$ - 0
375TH MED GRP-SCOTT004,80014500178500024021,325$ - 0
60TH MED GRP-TRAVIS17,000018,000230005389000063,389$ - 0
30TH MED GRP-VANDENBERG0090035001181.500005,582$ - 0
Total for 18 MTFs46,5003,00058,821143,22529,336013,40044640294,966$ 44.15
Audit Reduction8.59
AFDW, AFMC & USAFAAnnual ERAnnual APVAnnual Billables10% of Remaining EncountersAnnual AFMOA Audit RequirementsInpt DispIBWANon-Fed/Ab SickERSATOTAL ENCOUNTERSUnit RateTotal Annual Cost
10TH MED GROUP-USAF ACADEMY CO003,800172500000021,050$ 0.01$ 210.50
779TH MED GRP-ANDREWS22,0001,3007,350185000025620051,712$ - 0
11TH MED GRP-BOLLING006002900000003,500$ - 0
95TH MED GRP-EDWARDS001,1004050000005,150$ - 0
96TH MED GRP-EGLIN35,00005,900220000090000071,900$ - 0
66TH MED GRP-HANSCOM003002800000003,100$ - 0
75TH MED GRP-HILL004,00090000000013,000$ - 0
377TH MED GRP-KIRTLAND001,8006800000008,600$ - 0
88TH MED GRP-WRIGHT-PATTERSON21,700016,100251000000062,900$ - 0
Total for 9 MTFs78,7001,30040,950108,4000011,56200240,912$ 210.50
AETCAnnual ERAnnual APVAnnual Billables10% of Remaining EncountersAnnual AFMOA Audit RequirementsInpt DispIBWANon-Fed/Ab SickERSATOTAL ENCOUNTERSUnit RateTotal Annual Cost
97TH MED GRP-ALTUS0035024001152003,902$ 0.01$ 39.02
14TH MED GRP-COLUMBUS001,00028001208005,008$ - 0
17TH MED GRP-GOODFELLOW0030026501152004,102$ - 0
81ST MED GRP-KEESLER22,282010,8001535042130052,644$ - 0
37th MG & 59th Med Wing - Lackland49,58615,00026,100600005286035,0000190,972$ - 0
47TH MED GRP-LAUGHLIN0050019501089003,539$ - 0
56TH MED GRP-LUKE003,6001227514150057517,865$ - 0
42ND MEDICAL GROUP-MAXWELL002,775945011840013,409$ - 0
12TH MED GRP-RANDOLPH002,250832512000011,775$ - 0
82ND MED GRP-SHEPPARD001,8001000016130013,413$ - 0
325TH MED GRP-TYNDALL0095060001192008,142$ - 0
71ST MED GRP-VANCE002752075938003,288$ - 0
Total for 12 MTFs71,86815,00050,700133,27521,643035,0000575328,06139
ACC & GSCAnnual ERAnnual APVAnnual Billables10% of Remaining EncountersAnnual AFMOA Audit RequirementsInpt DispIBWANon-Fed/Ab SickERSATOTAL ENCOUNTERSUnit RateTotal Annual Cost
2ND MED GRP-BARKSDALE00822749600- 0174- 08,492$ 0.01$ 84.92
9TH MED GRP-BEALE00414438317160- 00- 06,513$ - 0
355TH MED GRP-DAVIS MONTHAN00824946918840- 0298- 012,475$ - 0
7TH MED GRP-DYESS00886689118120- 00- 09,589$ - 0
28TH MED GRP-ELLSWORTH001,280596018240- 02- 09,066$ - 0
49TH MED GRP-HOLLOMAN00820468520760- 00- 07,581$ - 0
1ST MED GRP-LANGLEY01,3986,557169258,975928865782- 043,522$ - 0
341ST MED GRP-MALMSTROM008003800115600005,756$ - 0
5TH MED GRP-MINOT00450475318840- 052- 07,139$ - 0
347TH MED GRP-MOODY00546475518360- 00- 07,137$ - 0
366TH MED GRP-MOUNTAIN HOME5,44401,918534026760- 00- 015,378$ - 0
99TH MED GRP-O'CALLAGHAN HOSP31,1201,4879,1651840045842,98212446248780,439$ - 0
55TH MED GRP-OFFUTT05983,9921556934320- 0- 0- 023,591$ - 0
4TH MED GRP-SEYMOUR JOHNSON001,352539118120- 0- 0- 08,555$ - 0
20TH MED GRP-SHAW001,585712617520- 042- 010,505$ - 0
509TH MED GRP-WHITEMAN00982515219800- 0164- 08,278$ - 0
Total for 16 MTFs36,5643,48332,393126,09539,3993,91021,1031,0627264,016$ - 0
All 45 MTFs233,63222,783182,864510,99590,3783,91081,0651,1061,2221,127,954$ 293.67
% of Total Encounters20.71%2.02%16.21%45.30%8.01%0.35%7.19%0.10%0.11%100.00%
Unit Rate entry of .01 is an example ONLY

PROJECTED CODING WORKLOAD

&F

Providers

LocationBaseStateMAJCOMPhaseFY10 ProvidersFY12 Estimated # of Providers
10TH MED GROUP-USAF ACADEMY COAcademyCOUSAFA112375
97TH MED GRP-ALTUSAltusOKAETC11515
36TH MED GRP-ANDERSENAndersenGuamPACAF21922
779TH MED GRP-ANDREWSAndrewsDCAFDW2186250
2ND MED GRP-BARKSDALEBarksdaleLAACC13636
9TH MED GRP-BEALEBealeCAACC12425
11TH MED GRP-BOLLINGBollingDCAFDW1217
460TH MEDGRP-BUCKLEY AFBuckleyCOAFSPC21423
437TH MED GRP-CHARLESTONCharlestonSCAMC22929
14TH MED GRP-COLUMBUSColumbusMSAETC11818
355TH MED GRP-DAVIS MONTHANDavis MonthanAZACC16071
436TH MED GRP-DOVERDoverDEAMC13024
7TH MED GRP-DYESSDyessTXACC13232
95TH MED GRP-EDWARDSEdwardsCAAFMC22226
96TH MED GRP-EGLINEglin*FLAFMC2180200
354TH MED GRP-EIELSONEielsonAKPACAF21727
28TH MED GRP-ELLSWORTHEllsworthSDACC12424
3RD MED GRP-ELMENDORFElmendorfAKPACAF2146190
92ND MED GRP-FAIRCHILDFairchildWAAMC23131
17TH MED GRP-GOODFELLOWGoodfellowTXAETC11620
319TH MED GRP-GRAND FORKSGrand ForksNDAMC11726
66TH MED GRP-HANSCOMHanscomMAAFMC21024
15TH MED GRP-HICKAMHickamHIPACAF22726
75TH MED GRP-HILLHillUTAFMC24356
49TH MED GRP-HOLLOMANHollomanNMACC13535
81ST MED GRP-KEESLERKeesler*MSAETC1129167
377TH MED GRP-KIRTLANDKirtlandNMAFMC24559
37th MG & 59th Med Wing - LacklandLackland*TXAETC1674770
1ST MED GRP-LANGLEYLangleyVAACC1107200
47TH MED GRP-LAUGHLINLaughlinTXAETC11212
19TH MEDICAL GROUP-LITTLE ROCKLittle RockARAETC13829
61ST MED GROUP-LOS ANGELESLos AngelesCAAFSPC21522
56TH MED GRP-LUKELukeAZAETC16675
6TH MED GRP-MACDILLMacDillFLAMC27864
341ST MED GRP-MALMSTROMMalmstromMTAFSPC12124
42ND MEDICAL GROUP-MAXWELLMaxwellALAETC13743
22ND MED GRP-MCCONNELLMcConnellKSAMC13140
305TH MED GRP-MCGUIREMcGuireNJAMC252115
5TH MED GRP-MINOTMinotNDACC12730
347TH MED GRP-MOODYMoodyGAACC12533
366TH MED GRP-MOUNTAIN HOMEMt HomeIDACC14042
99TH MED GRP-O'CALLAGHAN HOSPNellis*NVACC1143166
55TH MED GRP-OFFUTTOffutt*NEACC1103108
21ST MED GRP-PETERSONPetersonCOAFSPC23839
12TH MED GRP-RANDOLPHRandolphTXAETC15656
375TH MED GRP-SCOTTScott*ILAMC295144
4TH MED GRP-SEYMOUR JOHNSONSeymour JohnsonNCACC12638
20TH MED GRP-SHAWShawSCACC12629
82ND MED GRP-SHEPPARDSheppardTXAETC15763
60TH MED GRP-TRAVISTravis*CAAMC1240350
325TH MED GRP-TYNDALLTyndallFLAETC13636
71ST MED GRP-VANCEVanceOKAETC11113
30TH MED GRP-VANDENBERGVandenbergCAAFSPC21830
509TH MED GRP-WHITEMANWhitemanMOACC12229
88TH MED GRP-WRIGHT-PATTERSONWright-Patterson*OHAFMC1269300
GRAND TOTAL38064438
* GME Sites

MTF PRIVILEGED PROVIDER NUMBERS

GME Personnel

GRADUATE MEDICAL EDUCATION PROGRAMS
PROGRAMRESIDENT NUMBERS
♦USAF School of Aerospace Medicine (Brooks City-Base, San Antonio, TX)22
♦Wilford Hall Medical Center, Brooke Army Medical Center and University of Texas, San Antonio384
Andrews Medical Center (Camp Springs, MD)17
♦ Keesler Medical Center (Biloxi, MS)41
♦ David Grant Medical Center (Travis AFB, CA)77
♦ Wright Patterson Medical Center (Dayton, OH)141
♦ Offutt AFB (Bellevue, NE)24
♦ Scott AFB (Belleville, IL)25
♦ Eglin AFB (Ft Walton Beach, FL)27
♦ Mike O’Callaghan Federal Hospital (Nellis AFB, Nevada)5
763

Outpt Accuracy History

Year Month2009 - Oct2009 - Nov2009 - Dec2010 - Jan2010 - Feb2010 - Mar2010 - Apr2010 - May2010 - Jun2010 - Jul2010 - Aug2010 - Sep2010 - Oct2010 - Nov2010 - Dec
MeasuresCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 Accuracy
MTF
ALTUS89%87%91%88%84%97%99%89%99%96%88%99%92%90%98%95%94%99%96%94%99%98%95%99%96%95%100%91%96%97%92%94%98%95%95%98%97%95%100%96%95%99%95%93%99%95%92%83%
ANDERSON99%99%99%100%99%99%97%97%98%99%97%98%99%95%99%100%99%99%98%96%100%100%96%100%99%97%99%99%100%99%97%94%98%97%96%98%97%97%98%99%97%99%
ANDREWS92%84%92%91%91%95%92%83%93%92%85%92%92%86%94%93%87%94%94%87%94%92%86%93%92%86%95%95%84%94%95%86%93%95%89%94%95%87%94%96%88%95%95%85%92%93%86%94%
BARKSDALE100%95%98%96%94%95%98%95%94%95%95%96%99%94%95%97%90%98%93%94%98%96%91%96%99%92%97%97%94%96%97%93%98%96%94%96%96%89%96%90%89%96%92%90%96%96%93%96%
BEALE88%84%90%92%86%92%90%87%93%88%88%91%84%85%94%86%93%94%87%87%95%90%85%97%89%73%94%97%78%92%84%76%96%90%84%91%88%78%91%89%82%93%88%89%88%89%84%93%
BOLLING97%99%99%98%99%98%94%99%99%98%99%99%98%99%97%94%97%99%98%95%95%100%97%99%92%97%99%100%99%100%100%98%98%97%95%99%96%96%99%100%90%100%98%87%98%98%96%98%
BUCKLEY99%96%96%99%98%98%99%98%98%100%100%92%81%93%77%83%96%91%91%97%88%83%71%58%86%82%68%71%70%62%81%77%72%94%85%86%89%89%82%
CHARLESTON100%99%100%100%99%99%100%99%99%99%99%99%100%99%99%99%99%100%100%99%99%99%99%100%98%99%100%98%99%99%99%99%100%98%99%100%98%98%99%97%100%99%97%99%99%99%99%99%
COLUMBUS88%75%90%95%81%86%93%85%88%92%87%88%97%89%90%96%84%90%94%87%92%93%88%90%93%87%93%91%87%89%90%89%93%84%85%88%94%84%90%83%82%86%87%81%96%91%85%90%
DAV MONTHAN89%85%94%93%90%92%93%84%95%88%83%93%88%89%93%90%83%90%89%86%88%87%85%92%91%85%92%88%82%93%80%77%93%81%81%91%88%87%94%87%77%94%90%85%93%88%84%92%
DOVER97%89%98%100%85%97%99%87%97%91%90%93%98%91%97%100%99%99%100%96%100%97%97%99%99%93%97%96%98%95%96%94%98%96%84%96%99%85%97%98%83%97%98%84%99%98%90%97%
DYESS81%73%89%89%80%87%87%83%85%87%79%86%83%84%88%81%83%89%88%84%90%84%84%85%87%76%88%80%88%89%89%83%87%84%79%83%93%81%82%86%82%84%87%82%87%86%81%87%
EDWARDS97%94%88%95%86%89%91%86%89%94%82%85%88%85%87%90%94%92%82%85%85%91%86%88%94%85%89%94%88%82%97%88%85%93%91%81%93%95%90%90%92%94%98%95%93%92%89%88%
EGLIN89%84%83%91%78%85%91%81%83%93%78%86%93%82%86%95%81%88%93%82%87%93%79%86%91%79%88%91%82%88%88%83%86%93%78%87%91%78%87%91%71%84%94%84%88%91%80%86%
EIELSON97%96%94%95%90%93%93%94%91%95%95%95%99%96%94%100%90%95%98%94%96%95%96%99%91%92%95%96%94%93%92%87%93%95%88%96%99%92%95%98%80%96%99%90%95%96%92%95%
ELLSWORTH99%92%99%96%93%99%96%92%99%97%93%95%94%80%95%91%89%95%96%90%95%90%86%96%96%88%94%94%87%96%94%88%96%96%90%94%93%88%93%95%85%96%93%87%93%95%88%96%
ELMENDORF98%93%97%99%93%97%98%92%99%98%91%98%99%93%100%99%93%99%88%85%85%93%89%93%85%84%91%88%88%93%85%77%87%80%81%84%80%76%89%93%88%93%96%91%96%92%88%94%
FAIRCHILD86%89%92%87%85%93%79%83%90%87%84%89%94%87%82%85%83%91%96%86%96%90%87%96%86%89%95%95%85%93%93%84%94%96%77%90%98%87%96%89%80%97%98%81%99%91%84%93%
G. FORKS96%87%97%95%84%96%97%87%94%95%91%96%100%89%92%92%82%96%97%88%97%99%90%97%91%86%100%99%93%97%95%91%97%93%94%99%95%95%98%99%88%98%93%95%98%96%89%97%
GOODFELLOW87%77%86%79%78%84%84%69%86%86%72%83%81%83%82%94%77%85%91%79%89%88%87%91%80%80%82%81%87%88%91%82%86%54%79%85%86%88%84%83%87%98%83%80%86%
HANSCOM62%90%74%75%91%72%59%87%80%71%90%77%77%84%89%81%84%88%80%84%86%76%88%95%90%86%92%69%95%95%56%79%73%71%81%93%56%90%94%62%88%89%73%84%92%72%87%86%
HICKHAM95%92%94%97%90%93%95%91%91%97%91%92%95%92%91%98%94%94%97%94%93%97%97%96%96%92%96%97%96%96%94%96%96%75%80%87%80%84%86%75%82%74%90%83%93%92%90%92%
HILL99%98%99%98%99%98%99%98%97%100%98%100%100%95%99%100%99%99%99%97%97%97%99%99%100%98%99%99%97%97%100%98%98%100%98%99%100%99%99%100%97%99%99%97%96%99%98%98%
HOLLOMAN99%96%98%95%96%95%97%95%97%96%95%97%96%95%96%95%95%97%95%96%98%95%95%98%95%95%97%96%95%97%95%95%97%99%95%97%97%96%98%98%95%99%96%95%97%
KEESLER89%68%89%88%77%90%87%76%92%95%86%92%91%85%94%95%84%94%96%83%95%94%81%95%90%83%96%91%87%95%93%83%97%94%85%97%95%87%96%89%84%93%94%87%96%92%82%94%
KIRTLAND99%98%99%100%97%100%100%98%98%99%99%99%99%97%99%100%98%95%99%98%98%97%99%99%99%99%97%98%98%97%100%97%97%92%95%93%97%91%90%97%89%94%99%92%92%98%96%97%
LACKLAND86%78%81%93%86%86%88%83%83%90%81%84%92%89%86%91%94%88%90%91%89%90%88%88%93%90%87%89%86%84%88%82%85%92%88%87%93%89%86%92%84%88%91%82%85%90%86%86%
LANGLEY89%84%95%91%91%97%90%88%94%92%90%94%89%85%91%91%85%92%89%85%94%91%83%89%75%78%76%70%72%85%84%73%82%82%63%75%83%84%93%79%71%89%79%77%89%85%81%89%
LAUGHLIN94%98%99%93%96%99%91%95%99%89%96%100%98%94%100%100%99%100%100%97%100%97%98%99%100%96%100%99%92%100%95%97%99%97%97%99%100%94%98%100%97%100%99%92%100%97%96%99%
LITTLE ROCK87%72%85%85%69%82%96%82%95%95%90%95%99%91%96%97%92%99%99%93%97%99%94%96%95%93%97%98%93%98%93%92%91%92%93%93%95%90%91%89%85%87%91%85%85%94%88%92%
LOS ANGELES99%92%99%100%98%100%99%90%100%99%90%100%99%90%100%97%92%97%98%99%100%100%95%99%100%100%100%67%63%78%96%91%97%
LUKE97%91%98%94%93%95%95%96%96%96%95%96%98%95%97%95%95%98%100%100%100%91%80%95%97%92%97%96%91%97%95%87%96%94%88%94%97%87%92%89%88%95%94%91%97%96%91%96%
MACDILL99%98%98%99%99%99%99%97%98%99%97%98%97%96%98%96%98%99%97%97%98%98%98%98%95%97%96%97%97%98%98%97%99%98%92%97%83%78%93%89%74%93%94%84%95%96%93%97%
MALMSTROM98%84%95%97%93%92%96%89%94%96%95%97%99%87%97%99%88%93%93%89%98%97%89%96%100%89%95%96%87%96%89%90%93%98%86%96%82%90%93%97%88%95%94%92%97%95%89%95%
MAXWELL93%81%89%91%85%93%98%81%94%91%81%89%94%87%94%92%84%95%92%85%95%90%85%95%98%86%94%98%91%97%91%78%84%87%82%93%90%80%93%94%77%93%98%80%94%93%83%93%
MCCONNELL81%81%96%96%83%97%97%90%97%91%82%96%99%92%98%98%91%99%98%92%98%98%94%97%98%95%100%96%93%98%100%95%99%95%96%99%95%95%99%97%97%99%97%95%99%96%91%98%
MCGUIRE100%97%100%100%93%100%100%99%100%100%99%100%100%98%100%99%99%100%100%98%100%99%100%100%100%95%98%100%99%99%99%99%98%98%99%93%98%96%99%99%96%97%100%94%99%100%97%99%
MINOT92%85%92%93%90%94%91%89%94%92%89%92%97%90%95%93%90%93%95%93%93%93%90%92%95%91%94%95%93%96%96%89%92%96%91%93%85%93%91%90%90%96%94%91%95%93%90%93%
MOODY97%84%94%97%86%94%95%86%95%93%82%95%96%84%96%95%88%94%96%84%94%97%72%95%97%85%96%95%92%94%98%94%92%93%85%92%97%95%96%100%91%98%95%96%95%96%87%95%
MT HOME93%93%95%96%94%98%97%94%96%93%88%96%94%92%97%96%94%95%94%96%97%93%91%98%97%92%98%94%94%97%97%94%96%98%95%97%96%95%96%94%96%96%98%92%98%95%93%97%
NELLIS95%89%92%94%89%94%94%87%93%95%90%94%93%88%95%95%87%93%95%88%94%93%82%95%93%85%92%95%81%94%93%83%92%92%83%88%90%79%90%90%86%85%93%79%94%93%85%92%
OFFUTT97%97%98%95%97%96%97%97%97%97%97%96%95%95%96%95%94%94%97%93%94%99%95%97%99%96%97%98%97%98%96%95%96%96%95%97%97%95%98%99%98%99%99%97%99%97%96%97%
PETERSON100%88%91%100%92%92%99%92%94%100%95%94%100%97%95%100%95%92%100%94%96%100%94%95%100%92%95%100%98%95%100%95%96%100%93%97%100%97%95%100%95%96%100%96%97%100%94%95%
RANDOLPH100%84%98%100%89%98%100%92%98%100%95%98%100%93%99%100%93%99%100%96%96%100%93%95%100%96%96%97%90%97%98%86%97%96%85%95%94%85%96%96%89%97%99%90%97%
S JOHNSON86%92%91%95%92%91%97%85%93%94%91%94%96%92%96%97%90%96%96%93%97%90%88%92%91%92%95%95%90%96%95%96%95%97%91%95%96%90%94%95%90%95%98%86%97%94%90%94%
SCOTT97%97%96%97%97%98%96%99%97%96%96%98%97%96%96%98%95%97%98%95%100%98%96%99%96%98%99%100%96%98%97%96%98%95%96%99%89%87%96%95%89%94%93%89%96%96%95%97%
SHAW99%90%99%99%90%99%100%92%98%99%92%97%100%92%98%99%91%99%97%95%100%100%92%99%100%91%98%98%90%98%99%94%99%99%92%99%95%94%95%95%91%98%94%92%99%98%92%98%
SHEPPARD89%82%91%88%86%93%88%90%92%91%88%92%93%84%94%95%85%96%91%91%95%94%90%96%93%89%95%95%89%94%93%85%94%91%90%94%91%90%95%93%88%95%96%85%97%92%87%94%
TRAVIS82%67%74%90%79%92%86%59%81%88%63%88%84%65%91%82%71%90%89%65%86%86%66%86%87%63%90%82%64%91%88%66%87%84%65%88%92%79%93%93%80%93%94%87%95%88%69%88%
TYNDALL93%76%91%93%85%92%97%81%90%91%81%91%91%82%92%96%87%93%95%84%94%92%86%93%93%89%94%94%84%93%93%83%91%90%88%93%98%87%92%89%91%94%92%96%95%93%85%93%
USAFA90%87%95%95%88%94%96%92%96%91%91%94%93%86%95%91%90%95%88%83%95%94%83%97%92%87%95%
VANCE95%92%92%95%89%94%98%91%96%97%91%97%94%88%97%99%94%97%98%95%99%99%95%98%98%94%99%96%92%96%96%96%98%97%96%98%96%94%97%94%93%95%99%94%97%97%93%97%
VANDENBERG92%88%89%98%92%92%91%94%97%96%94%96%89%84%93%91%94%95%95%96%95%89%93%90%87%90%90%91%91%91%95%93%93%93%95%96%91%88%95%97%91%95%96%94%95%93%92%94%
WHITEMAN93%92%97%93%96%98%94%97%97%91%93%96%97%95%98%95%95%97%93%96%96%94%94%93%90%96%94%92%95%96%93%94%97%90%93%96%89%96%99%95%95%99%95%94%97%93%95%97%
W-PATTERSON86%73%83%86%76%86%83%76%84%85%73%81%87%75%83%91%77%88%91%75%85%90%82%88%92%79%90%91%78%89%94%83%90%93%83%89%93%79%90%93%78%89%93%79%90%90%78%87%
Average91%85%91%93%88%93%93%86%92%93%87%93%93%86%94%94%88%95%94%89%95%93%88%94%92%87%94%93%87%94%94%89%94%93%89%95%93%88%94%94%88%95%95%90%96%93%88%94%
Blank Fields = data not avialable

HISTORICAL OUTPATIENT ACCURACY RATES

&F&A&P

APV Accuracy History

CPT HCPCS Correct Records2009/Oct2009/Oct2009/Oct2009/Nov2009/Nov2009/Nov2009/Dec2009/Dec2009/Dec2010/Jan2010/Jan2010/Jan2010/Feb2010/Feb2010/Feb2010/Mar2010/Mar2010/Mar2010/Apr2010/Apr2010/Apr
MAJCOMCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 AccuracyCPT HCPCS AccuracyE&M AccuracyICD9 Accuracy
ACCLANGLEYBEF/0/0/0100.00%100.00%100.00%100.00%100.00%90.91%/0/0/0100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCLANGLEYBEA100.00%100.00%100.00%93.02%100.00%96.30%97.50%100.00%96.00%97.50%100.00%91.67%98.00%100.00%90.20%96.92%100.00%90.36%97.67%100.00%87.93%
ACCLANGLEYBBD87.50%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
ACCLANGLEYBBA/0/0/0100.00%100.00%100.00%/0/0/0100.00%100.00%100.00%97.96%100.00%95.83%96.55%100.00%91.43%97.50%100.00%95.24%
ACCLANGLEYBAA100.00%100.00%100.00%96.30%100.00%95.12%100.00%100.00%96.51%
ACCLANGLEYBBF100.00%100.00%100.00%100.00%100.00%96.15%100.00%100.00%76.19%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCLANGLEYBBI100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%/0/0/0100.00%100.00%100.00%
ACCLANGLEYBCB96.55%100.00%96.77%100.00%100.00%92.86%92.59%100.00%100.00%100.00%100.00%100.00%100.00%100.00%96.15%94.44%100.00%96.43%100.00%100.00%100.00%
ACCLANGLEYCAA100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
ACCLANGLEYLANGLEY98.62%100.00%99.43%96.46%100.00%95.80%98.18%100.00%94.55%99.16%100.00%97.32%98.70%100.00%95.11%97.69%100.00%94.50%98.71%100.00%95.48%
ACCNELLISBEA100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISBEF100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISBGA100.00%100.00%100.00%100.00%100.00%96.15%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISBCB100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISBBI100.00%100.00%100.00%100.00%100.00%100.00%96.55%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISBBA100.00%95.65%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISBBF98.41%100.00%93.02%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%94.44%100.00%100.00%100.00%
ACCNELLISBBD100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
ACCNELLISNELLIS100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%98.89%100.00%100.00%100.00%100.00%100.00%100.00%99.26%100.00%100.00%100.00%
AETCLACKLANDBEF/0/0/0100.00%100.00%100.00%100.00%100.00%70.00%/0/0/0/0/0/0/0/0/0100.00%100.00%100.00%
AETCLACKLANDBEA88.89%100.00%83.33%100.00%100.00%100.00%100.00%100.00%84.21%90.48%100.00%92.86%96.88%100.00%96.15%100.00%100.00%100.00%100.00%100.00%100.00%
AETCLACKLANDBDA81.25%100.00%90.91%93.75%100.00%90.91%100.00%100.00%100.00%90.00%100.00%91.67%100.00%100.00%94.44%100.00%100.00%100.00%100.00%100.00%85.71%
AETCLACKLANDBCB100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
AETCLACKLANDBBM88.89%100.00%88.89%96.88%100.00%84.21%96.15%100.00%100.00%100.00%100.00%94.74%100.00%100.00%92.86%96.30%100.00%100.00%89.29%100.00%90.91%
AETCLACKLANDBBK93.33%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%66.67%100.00%100.00%87.50%100.00%46.15%84.62%100.00%100.00%88.24%100.00%100.00%
AETCLACKLANDBAG88.89%100.00%81.36%95.06%100.00%95.19%91.67%100.00%92.38%91.86%100.00%90.43%95.06%100.00%92.31%94.38%100.00%98.17%98.88%100.00%93.07%
AETCLACKLANDBAN87.50%100.00%100.00%92.86%100.00%100.00%/0/0/0100.00%100.00%100.00%76.19%100.00%66.67%92.31%100.00%90.00%/0/0/0
AETCLACKLANDBAJ/0/0/0100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0100.00%100.00%100.00%
AETCLACKLANDBAC84.38%100.00%96.43%100.00%100.00%87.10%96.00%100.00%85.00%93.33%100.00%96.43%82.86%100.00%91.30%82.14%100.00%96.15%91.43%100.00%100.00%
AETCLACKLANDBBJ/0/0/080.00%100.00%100.00%/0100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0
AETCLACKLANDBBF77.27%100.00%86.67%100.00%100.00%94.44%100.00%100.00%73.68%86.36%100.00%90.00%100.00%100.00%87.50%100.00%100.00%82.35%87.10%100.00%86.96%
AETCLACKLANDBBI92.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%81.82%100.00%90.91%84.85%100.00%94.74%100.00%100.00%89.47%100.00%100.00%100.00%
AETCLACKLANDBBG/0/0/0100.00%100.00%100.00%91.67%100.00%100.00%95.00%100.00%94.12%85.00%100.00%78.57%75.86%100.00%89.47%95.24%100.00%100.00%
AETCLACKLANDBBD100.00%100.00%62.50%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AETCLACKLANDBBC/0/0/0100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AETCLACKLANDBBA95.00%100.00%94.74%95.65%100.00%100.00%82.61%100.00%93.75%100.00%100.00%100.00%100.00%100.00%100.00%90.91%100.00%100.00%100.00%100.00%100.00%
AETCLACKLANDLACKLAND89.31%100.00%87.50%97.45%100.00%95.19%95.42%100.00%91.19%93.17%100.00%93.29%92.66%100.00%89.94%93.93%100.00%96.46%96.22%100.00%95.58%
AFDWANDREWSBEF/0/0/0100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBEA100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBCB100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBBF100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBBK/0/0/0100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0100.00%100.00%100.00%/0/0/0
AFDWANDREWSBBI/0/0/0100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBBD100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBBA100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFDWANDREWSBBH/0/0/0100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
AFDWANDREWSANDREWS100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AFMCEGLINBCB100.00%100.00%100.00%96.15%/096.30%100.00%100.00%90.00%91.43%/096.97%100.00%/095.00%90.63%/091.67%100.00%/097.06%
AFMCEGLINBBA100.00%100.00%100.00%98.39%/0100.00%96.72%100.00%98.11%100.00%/0100.00%100.00%/095.31%100.00%/0100.00%98.33%/098.15%
AFMCEGLINBBD96.97%100.00%100.00%100.00%/0100.00%100.00%100.00%100.00%100.00%/0100.00%100.00%/097.37%100.00%/0100.00%100.00%/0100.00%
AFMCEGLINBBF97.56%100.00%84.38%100.00%/0100.00%100.00%/0100.00%96.97%/0100.00%94.59%/0100.00%97.14%/0100.00%97.06%/097.37%
AFMCEGLINBBI100.00%100.00%100.00%100.00%/0100.00%97.06%100.00%100.00%97.37%/0100.00%100.00%/096.15%100.00%/096.15%80.00%/095.45%
AFMCEGLINBEA100.00%100.00%100.00%100.00%/094.44%93.94%100.00%100.00%97.06%/0100.00%100.00%/0100.00%96.97%/0100.00%96.67%/096.00%
AFMCEGLINBEF/0/0/0100.00%/0100.00%95.83%100.00%100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%/0/0/0
AFMCEGLINBEC100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
AFMCEGLINBBG100.00%/0100.00%100.00%/0100.00%88.24%100.00%88.24%100.00%/0100.00%100.00%/0100.00%94.29%/0100.00%100.00%/0100.00%
AFMCEGLINBBK/0/0/0100.00%/0100.00%92.31%/0100.00%100.00%/0100.00%100.00%/092.31%100.00%/0100.00%100.00%/0100.00%
AFMCEGLINEGLIN99.10%100.00%97.44%99.12%/098.72%96.47%100.00%98.35%97.90%/099.65%99.20%/096.83%97.59%/098.67%96.67%/097.94%
AMCTRAVISBAA/0/0/0100.00%/0100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
AMCTRAVISBAB/0/0/0100.00%/0100.00%25.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%
AMCTRAVISBAC100.00%/084.62%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%96.97%/083.87%
AMCTRAVISBAM/0/0/0100.00%/0100.00%/0/0/0/0/0/0100.00%/0100.00%/0/0/0/0/0/0
AMCTRAVISBAN/0/0/0100.00%/0100.00%100.00%/0100.00%/0/0/0100.00%/0100.00%100.00%/0100.00%84.62%/092.86%
AMCTRAVISBBA100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%94.44%/091.89%100.00%/0100.00%89.47%/0100.00%100.00%/0100.00%
AMCTRAVISBBD100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/097.30%100.00%/0100.00%
AMCTRAVISBBF100.00%/0100.00%89.19%/0100.00%100.00%/0100.00%100.00%/0100.00%91.89%/0100.00%90.63%/088.24%100.00%/0100.00%
AMCTRAVISBBG/0/0/0100.00%/0100.00%/0/0/0100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%
AMCTRAVISBBI100.00%/0100.00%96.43%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%91.43%/093.33%93.55%/0100.00%
AMCTRAVISBBM100.00%/0100.00%87.10%/082.76%100.00%/0100.00%/0/0/0100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%
AMCTRAVISBCB100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%96.00%/0100.00%100.00%/0100.00%
AMCTRAVISBDA100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%
AMCTRAVISBEA100.00%/088.57%100.00%/0100.00%100.00%/0100.00%97.22%/0100.00%100.00%/0100.00%97.06%/096.77%97.06%/090.00%
AMCTRAVISBEC70.00%/096.15%100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%87.88%/0100.00%100.00%/0100.00%96.97%/0100.00%
AMCTRAVISBEF100.00%/089.29%100.00%/0100.00%100.00%/080.00%100.00%/0100.00%100.00%/085.71%82.35%/096.43%100.00%/0100.00%
AMCTRAVISBGA/0/0/0100.00%/0100.00%100.00%/0100.00%100.00%/0100.00%/0/0/0100.00%/0100.00%100.00%/0100.00%
AMCTRAVISTRAVIS97.09%/096.23%96.92%/098.01%99.07%/099.19%99.03%/098.79%97.96%/098.62%95.26%/097.59%98.15%/097.09%
PACAFELMENDORFBAA/0/0/0100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
PACAFELMENDORFBAG100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%98.78%100.00%53.13%
PACAFELMENDORFBAK100.00%100.00%100.00%100.00%100.00%100.00%/0/0/0/0/0/0/0/0/0/0/0/0/0/0/0
PACAFELMENDORFBBA100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%80.00%100.00%56.25%
PACAFELMENDORFBBD100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%76.92%100.00%40.00%
PACAFELMENDORFBBF100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%75.00%
PACAFELMENDORFBBI100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%86.96%100.00%72.73%
PACAFELMENDORFBCB100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%90.91%100.00%88.89%
PACAFELMENDORFBEA100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%92.86%
PACAFELMENDORFBEF100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%90.91%
PACAFELMENDORFELMENDORF100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%93.15%100.00%63.45%

HISTORICAL APV ACCURACY RATES

&F&A&P

File details come from the government source that posted it. Updated .