J.3.A UPIC Analytic Findings Report.docx

Attachment J.3.A HHSM-500-2015-RFP-0122 UPIC

Analytic Findings Report

Jurisdiction Florida

Provider / NPI or other ID number

EXECUTIVE SUMMARY

Provide a summary on the following:

· How/why was this analysis performed?

· What type of data and date ranges were used?

· Provide a short statement on the overall findings of the analysis and whether there are recommendations for further actions or if there were no actionable results.

ANALYTIC FOCUS

· What is the basis in policy or regulations for this analysis?

ANALYTIC METHOD

· What analytics were performed?

· Describe the claims that were included in the analysis or not included in the analysis.

· Describe any constaints or assumptions used.

· Give a concise description of the method used so that it could be used in a subsequent analysis.

ANALYTIC RESULTS

· Provide summary results for the analysis.

· Describe the amounts of money (Medicare/Medicaid) at risk from either program.

· Describe the parameters of the findings, in terms of risk.

· Describe any other results of interest from the analysis.

RECOMMENDATIONS

· Provide an itemized list of recommendations for further action and rationale for the recommendations.

APPENDICES/OTHER SUPPORTING DOCUMENTATION

· Provide file names/locations or links to other documents (policies) that supported this analysis and recommendations.

[Keep this Analytics Findings Report meaningful and concise, preferably up to 4 pages only.]