Attachment_J-23_BFCC-QIO_Estimated_Level_of_Effort_per_Case_.docx

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Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO)
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HHSM-500-2014-RFP-BFCC-QIO
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Attachment J-23 BFCC-QIO Estimated Level of Effort per Case

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Attachment J-23 BFCC-QIO Estimated Level of Effort per Case

Quality of Care Reviews Hours for IGCE per case
EMTALA 5-day Hours for IGCE per case
EMTALA 60-day Hours for IGCE per case
BIPA Appeals Hours for IGCE per case
Grijalva Appeals Hours for IGCE per case
Weichardt Appeals Hours for IGCE per case
HWDRG Reviews Hours for IGCE per case
QOC Referrals Hours for IGCE per case
Pre-Admission and Admission HINN Hours for IGCE per case
Sanctions Activities Hours for IGCE per case
Non-Review Activities (i.e. all required activities that are not specifically case review)
Total
15.22
2.79
6.76
3.74
3.62
2.71
2.14
2.83
2.71
44.25
37% of Total Review Costs

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