New Resource on
ncci.com!
NCCI recently released the
Medical Data Dashboard—your source to expand Medical data knowledge and drive better decisions. This new dashboard provides benchmarking capabilities for a customizable selection of states and industry sectors. The
Medical Data Dashboard allows you to visualize medical costs for physician services, facilities, and prescription drugs.
Hoping to go deeper? You can interact and drill down into a price and utilization analysis, as well as identify top cost drivers.
The
Medical Data Dashboard is available for both affiliates and regulators and can be accessed through the new
Medical Data Resources landing page!
Check out
Medicare Fee Schedules and Workers Compensation in 2022, written by NCCI experts David Colon and Katherine Norris. This 2022 article focuses on comparing the 2021 and 2022 Centers for Medicare and Medicaid Services (CMS) updates to reimbursement rules and rates and provides insight on some early effects of the 2021 changes on workers compensation medical costs based on data reported to NCCI through its Medical Data Call (MDC) for the first three quarters of 2021.
This article discusses CMS fee schedule changes for three categories of medical services:
- Physician
- Facilities
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Recently, an article titled
Long COVID in Workers Compensation: A First Look was published on
ncci.com. This was a collaborative effort between Dr. Michael Choo of Paradigm and NCCI actuaries Robert Moss and Nedžad Arnautović.
The paper presents research on prolonged symptoms of COVID-19 using data from both the Indemnity Data Call (IDC) and Medical Data Call (MDC). Specifically, COVID-19 claims were identified using the IDC and linked to the corresponding claim in the MDC. This afforded NCCI the ability to examine a wide range of characteristics for COVID-19 claims that had medical treatment provided more than one month after the initial hospital discharge date or more than one month after the accident date for workers not hospitalized. The paper contains insights related to such claim characteristics as age, gender, and medical diagnosis group, along with information on average costs, claim durations, the distribution of medical services, and persistency.
Indemnity Incentive Program
NCCI will start applying the
Indemnity Incentive Program assessments to Fourth Quarter 2022 Indemnity data, which is due by the end of First Quarter 2023.
The
Indemnity Incentive Program monetary assessments will apply when Indemnity data does not meet the defined criteria for each component.
Timeliness Assessments
Each carrier group is required to report complete Transactional and Quarterly Indemnity data by the due date. If either a Transactional Record or a Quarterly Record are not reported, the carrier group will be subject to the Timeliness Assessment. The Timeliness Assessment will be based on the group’s market share.
Completeness Assessments
The
Indemnity Incentive Program will evaluate if the data submitted is complete for each of the following five categories:
- Category 1—Group
- Category 2—State
- Category 3—Carrier
- Category 4—Unreported Transactional Claims
- Category 5—Unreported Quarterly Claims
Quality Assessments
The Indemnity Data Call submissions are evaluated at the data element level, based on the edits that are provided in the
Indemnity Data Call Reporting Guidebook (Edit Matrix). NCCI will compare the percentage of indemnity records that pass these edits based on established thresholds.
Refer to
Circular DQ-2022-01 for full details of the
Indemnity Incentive Program.
