Data Quality

The accuracy of coding and quality of data submitted by each hospital on the UB form is imperative to the success of the MHA Hospital Performance Project and should be monitored internally by each participating hospital. Hospitals are expected to comply with requirements and instructions for completing the UB claim forms as defined by the National Uniform Billing Committee, as well as complying with ICD- 9-CM coding guidelines and subsequent versions of coding guidelines that may be implemented in the future.

HIDI performs an editing and verification process on the UB data received from participating hospitals to ensure the data’s reliability and validity. HIDI provides three types of edit and validation reports to respective hospital information management contacts after each submission of discharge data. The first report provides summary statistics on the count and percent of each error; the second report provides details on each patient and error for correction purposes; and the third report provides summary statistics on data variables for validation by the hospital. These reports are available on HIDI’s Web site after submission of data for each quarter. Copies of the reports are mailed to hospitals that have not established access to the Web site. Although the Missouri Department of Health and Senior Services’ regulations require a less than 1 percent error level, HIDI requests that hospitals establish a goal of zero errors.