Medicaid billing records (WA)

Evan Anderson filed this request with the Health Care Authority of Washington.

It is a clone of this request.

Tracking #

PDR 2018-027

Est. Completion March 27, 2018
Status
No Responsive Documents

Communications

From: Evan Anderson

To Whom It May Concern:

Pursuant to RCW Ch. 42.56 (Public Records Act), I hereby request the following records:

A spreadsheet of Medicaid billing records from 1/1/2000 through 2017. Specifically, I am interested in information related to the service provided (for example, psychotherapy), the primary diagnosis related to the service provided, and the amount reimbursed, for the following NPIs:
1346359163
1417097379

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 5 business days, as the statute requires.

Sincerely,

Evan Anderson

From: Health Care Authority

Good Afternoon Mr. Anderson,

Please see the attached acknowledgment letter in response to your public disclosure request, PDR 2018-027.

Sincerely,

Tina
Tina Leipski
Public Disclosure Specialist
Division of Legal Services
office: 360-725-1911
tina.leipski@hca.wa.gov<mailto:tina.leipski@hca.wa.gov>

[cid:image001.png@01D396B0.EC799D80]<http://www.hca.wa.gov/>

www.hca.wa.gov

[cid:image028.png@01D1C583.2CBF7EB0]<http://www.facebook.com/WAHealthCareAuthority>

[cid:image029.png@01D1C583.2CBF7EB0]<http://www.twitter.com/WA_Health_Care>

[cid:image030.png@01D1C583.2CBF7EB0]<http://www.hca.wa.gov/hcaconnect/default.aspx>

[cid:image031.png@01D1C583.2CBF7EB0]<http://www.youtube.com/channel/UC2_tBogIUnVye4GBwbVXxNw>

From: Health Care Authority

Mr. Anderson,

Staff have replied with the following:

"Please let the requestor know that we made a transition to a large data system, ProviderOne, in mid 2010. Data that was migrated and available prior to that date did not go through as many quality checks as claims do in ProviderOne after mid 2010. Would the requestor be amenable to pulling data for NPIs 1346359163 and 1417097379 from July 2010 going forward instead? Also I am hearing that the requestor would like us to provide the following data elements within the file. Please have them confirm we aren't missing anything:

NPI (We will look for the NPI whether it is the servicing provider or the billing provider)

Provider Name

Primary Diagnosis code

Primary Diagnosis Name

Service date (may only be able to provide the year due to HIPAA restrictions)

Count of paid/accepted claims

Sum of the amount paid to the provider
Please have the requestor confirm that we aren't missing anything from this data element list and respond regarding our recommendations."

Please let me know how you would like us to proceed.

Sincerely,

Tina
Tina Leipski
Public Disclosure Specialist
Division of Legal Services
office: 360-725-1911
tina.leipski@hca.wa.gov<mailto:tina.leipski@hca.wa.gov>

[cid:image001.png@01D3999E.CB765A10]<http://www.hca.wa.gov/>

www.hca.wa.gov

[cid:image028.png@01D1C583.2CBF7EB0]<http://www.facebook.com/WAHealthCareAuthority>

[cid:image029.png@01D1C583.2CBF7EB0]<http://www.twitter.com/WA_Health_Care>

[cid:image030.png@01D1C583.2CBF7EB0]<http://www.hca.wa.gov/hcaconnect/default.aspx>

[cid:image031.png@01D1C583.2CBF7EB0]<http://www.youtube.com/channel/UC2_tBogIUnVye4GBwbVXxNw>

From: Evan Anderson

Hi there,

Thanks for the email. Yes, those are the correct data elements. Also, data from July 2010 through 2017 sounds good to me. If any more questions come up don't hesitate to reach out.

Sincerely,
Evan

From: Evan Anderson

Hello,

Looking to see if there's an update on this request.

Best,
Evan

From: Health Care Authority

Good Morning,

I have not received any updates from staff so I believe we are still on track for March 27, 2018.

Sincerely,

~Tina
Tina Leipski
Public Disclosure Specialist
Division of Legal Services
office: 360-725-1911
tina.leipski@hca.wa.gov<mailto:tina.leipski@hca.wa.gov>

[cid:image001.png@01D39FF6.9FCBEF70]<http://www.hca.wa.gov/>

www.hca.wa.gov

[cid:image028.png@01D1C583.2CBF7EB0]<http://www.facebook.com/WAHealthCareAuthority>

[cid:image029.png@01D1C583.2CBF7EB0]<http://www.twitter.com/WA_Health_Care>

[cid:image030.png@01D1C583.2CBF7EB0]<http://www.hca.wa.gov/hcaconnect/default.aspx>

[cid:image031.png@01D1C583.2CBF7EB0]<http://www.youtube.com/channel/UC2_tBogIUnVye4GBwbVXxNw>

From: Health Care Authority

Good Afternoon Evan,

Staff began working on your request and noticed that they don't have those two NPI's as providers with an active status in ProviderOne. Is there a name they can search or another NPI for the providers?

Please advise. Thank you!

Sincerely,

~Tina
Tina Leipski
Public Disclosure Specialist
Division of Legal Services
office: 360-725-1911
tina.leipski@hca.wa.gov<mailto:tina.leipski@hca.wa.gov>

[cid:image001.png@01D3A730.DD0E5850]<http://www.hca.wa.gov/>

www.hca.wa.gov

[cid:image028.png@01D1C583.2CBF7EB0]<http://www.facebook.com/WAHealthCareAuthority>

[cid:image029.png@01D1C583.2CBF7EB0]<http://www.twitter.com/WA_Health_Care>

[cid:image030.png@01D1C583.2CBF7EB0]<http://www.hca.wa.gov/hcaconnect/default.aspx>

[cid:image031.png@01D1C583.2CBF7EB0]<http://www.youtube.com/channel/UC2_tBogIUnVye4GBwbVXxNw>

From: Evan Anderson

Hi there,

The two NPIs correspond to a Dr. Laura Susan Brown and a Dr. Sandra Lee Paulsen.

Hope that helps!
Evan

From: Health Care Authority

Good Morning Mr. Anderson,

Please see the attached closure letter in response to your public disclosure request, PDR 2018-027.

Sincerely,

~Tina
Tina Leipski
Public Disclosure Specialist
Division of Legal Services
office: 360-725-1911
tina.leipski@hca.wa.gov<mailto:tina.leipski@hca.wa.gov>

[cid:image001.png@01D3AAEA.92DB2160]<http://www.hca.wa.gov/>

www.hca.wa.gov

[cid:image028.png@01D1C583.2CBF7EB0]<http://www.facebook.com/WAHealthCareAuthority>

[cid:image029.png@01D1C583.2CBF7EB0]<http://www.twitter.com/WA_Health_Care>

[cid:image030.png@01D1C583.2CBF7EB0]<http://www.hca.wa.gov/hcaconnect/default.aspx>

[cid:image031.png@01D1C583.2CBF7EB0]<http://www.youtube.com/channel/UC2_tBogIUnVye4GBwbVXxNw>

Files

pages

Close