Account Annually; and January Memo identifying the Account 9 Management Team upon request 1 Management Team Notification April 30 July 31 Performance; key features of Plan Performance October operations; presentation of analyses and 10 Quarterly Outcomes 31 recommendations in response to reported January performance outcomes 31 Utilization and cost by overall payments; April 30 PSPM payments; discount rates; payments July 31 by type of service (inpatient, outpatient, October ambulatory surgical center, or 11 Executive Report Quarterly 31 professional); second-level Appeals January summaries; credit balance recovery report, 31 including total dollars recovered that will be credited to the HCA Separate and combined reports for and Medicare risk groups; Correct reporting of Medicare risk group Eligibility and By By Request Members including those who have Claims Report Request Medicare as their primary coverage, and all other Members included in the risk group Standard key reports and ad hoc reports; Standard Key and By 13 By request accurate and adhering to Ad Hoc Reports request dates and response times SOC1 Type II Audit By 14 By request SOC1 Type II audit results, upon request Results request Service 30th of Requested project details; number of hours 15 Hours/Project Monthly each remaining in the Pooled Hours for Work Report month Orders
9 Account Management Team Notification Annually; and upon request January 1 Memo identifying the Account Management Team 10 Performance Outcomes Quarterly April 30 July 31 October 31 January 31 Performance; key features of Plan operations; presentation of analyses and recommendations in response to reported performance outcomes 11 Executive Report Quarterly April 30 July 31 October 31 January 31 Utilization and cost by overall payments; PSPM payments; discount rates; payments by type of service (inpatient, outpatient, ambulatory surgical center, or professional); second-level Appeals summaries; credit balance recovery report, including total dollars recovered that will be credited to the HCA Eligibility and Claims Report By Request By Request Separate and combined reports for and Medicare risk groups; Correct reporting of Medicare risk group Members including those who have Medicare as their primary coverage, and all other Members included in the risk group 13 Standard Key and Ad Hoc Reports By request By request Standard key reports and ad hoc reports; accurate and adhering to dates and response times 14 SOC1 Type II Audit Results By request By request SOC1 Type II audit results, upon request 15 Service Hours/Project Report Monthly 30th of each month Requested project details; number of hours remaining in the Pooled Hours for Work Orders