High-impact grace period cases
If the grace period in effect is a high-impact grace period, the quality reviewer
will enter the assigned grace period code in the "Grace Period" field on the QA Initial
Allowance tab in OQR’s case processing system for any case that falls under the grace
period, regardless of whether the case contains a deficiency, i.e., all initial QA
sample cases in which the new or revised policy or procedure is a factor in the adjudication
of the case. Quality reviewers will code group I or group II deficiencies, if applicable,
in the usual manner in the "Med/Voc Deficiency" field under the QA Initial Allowance
tab in OQR’s case processing system.
OQR CO systems staff remove all initial QA sample cases that are coded as grace period
cases from the adjudicating component's accuracy computations, i.e., OQR CO systems
staff remove all cases coded as grace period cases from the QA database.
Low-impact grace period cases
If the grace period in effect is a low-impact grace period, the quality reviewer will
enter the assigned grace period code in the “Grace Period” field on the QA Initial
Allowance tab in OQR’s case processing system only if there is a group I deficiency in the grace period case that is directly related
to the new or revised policy or procedure.
Quality reviewers will code group I deficiencies in the usual manner in the “Med/Voc
Deficiency” field under the QA Initial Allowance tab in OQR’s case processing system.