Question

Which is a hospital payment monitoring program that contains hospital-specific administrative claims data for a number of CMS-identified problem areas to compare their performance with that of other hospitals

Answer 1

First-Look Analysis for Hospital Outlier Monitoring (FATHOM) is a hospital payment monitoring program that contains hospital-specific administrative claims data for a number of CMS-identified problem areas to compare their performance with that of other hospitals.

A Microsoft Access program called FATHOM: First-Look Analysis Tool for Hospital Outlier Monitoring enables CMS to give each State hospital-specific Medicare claims data statistics that show regions with a high payment mistake rate. These target area data act as proxies for payment mistake rates.

An observation that differs greatly from the other data in its set is considered an outlier. To find these entries, an auditor will use a variety of methods, procedures, and tools. Data mining is one such tool that the auditor might use to evaluate information.

Learn more about FATHOM here brainly.com/question/992297

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