PCR Affirmation/Claim Approval Rate Calculation
Published 01/20/2021
When a provider transitions from one cycle to the next there are two months of decisions between Cycles that will be included in the rate for the subsequent cycle. This includes providers who move from a PCR option to an ADR option, or from an ADR option to a PCR option.
Example:
|
Cycle 1 End
|
Cycle 1 Analysis
|
Cycle 2 Selection
|
Cycle 2 Start
|
|---|---|---|---|
|
9/30/2020
|
10/2020
|
11/1/2020 – 11/15/2020
|
12/1/2020
|
In the example above, the two months between Cycle 1 and Cycle 2 are the months of October and November. The data from the two months between Cycles will be combined into one PCR Affirmation/Claim Approval rate which will be included in your next Cycle results.