Population and Sampling is required for all PPS hospitals participating in inpatient RHQDAPU. The deadline for Population and Sampling is 15 days before the inpatient data submission deadline. Population and Sampling is a factor in determining eligibility for the APU. Population and Sampling must be as accurate as possible, and we recommend you complete the Population and Sampling several days before the deadline to allow time to correct any errors that may be found.
Either a vendor or the hospital may complete Population and Sampling, but the hospital has the responsibility to review and ensure accuracy of what is submitted. Below are a few steps to evaluate Population and Sample sizes:
1. Log in to My QNet and go to the "Run Reports" section. Select the "Annual Payment Update Reports" category and click on "RHQDAPU Provider Participation Report." Request the report and then save/print the report from the "View Reports" tab.
A. The "Total Medicare Claims" column is updated on a monthly basis until 15 days prior to the submission deadline for that quarter.
B. The other columns will be filled in as the data is received.
C. You may run this report at any time to see where your hospital is in the process.
2. To edit Population and Sampling, go to the "Manage Measures, Hospital Inpatient" section and click on "View/Edit Population and Sampling". Select the appropriate quarter and click "continue".
A. You must enter a sampling frequency:
i. Not sampled (doing all your cases)
ii. Monthly
iii. Quarterly
iiii. N/A (five or fewer cases)
B. All cells must have a number from zero and up, for every topic and SCIP strata. Areas that are left blank will be interepreted as an "incomplete data submission."
3. Compare what your Population and Sampling numbers are to the actual cases submitted.
A. The overall goal is to be as accurate as possible in identifying the patient populations.
B. No changes can be made to the Population and Sampling after the deadline passes. (November 1).
