Performance Measure

Agency

Department of Medical Assistance Services (602)

Measure Name

Percentage of accurate reimbursement payments processed within 30 calendar days of receipt of clean claim at the Department of Medical Assistance Services (DMAS)

Measure Last Modified

Oct 05 2018 04:44

Measure Last Published

Sep 04 2019 03:41

Measure Status

Retired

Data Source and Calculation

The source for this measure is the Virginia Medicaid Management Information System (VaMMIS) Clean Claim report #MRM325. This report produces counts based on the type of claim (physician, hospital, capitation, etc.) and the average number of days from when the claim is received to the date considered paid.

Enterprise Priorities and Strategies

Enterprise Initiative	Enterprise Priority	Enterprise Strategy

Associated Service Areas

SA Code	SA Name

Measure ID

M602SA12025

Measure Class

Other Agency

Measure Type

Outcome

Year Type

State FY

Preferred Trend

Stable

Frequency

Quarterly

Cumulative Data

Statistical Unit

Percentage of claims

Baseline and Targets

Target Name	Date	Result	Note
Baseline
Short Target 2020
Long Target 2022

Measure Results

Year	Q1	Q2	Q3	Q4
2006				100.00
2007	99.00	100.00	99.00	100.00
2008	100.00	100.00	100.00	99.94
2009	100.00	100.00	100.00	100.00
2010	100.00	100.00	100.00	100.00
2011	100.00	100.00	100.00	100.00
2012	100.00	100.00	100.00	100.00
2013
2014
2015
2016
2017
2018
2019