Chiroptera – Mosia (statistical module) - Fraud prevention

Statistical module

The statistical module serves for the professional evaluation and comparison of behaviour of healthcare providers (HCP) against reference standards of other outpatient and inpatient care providers within the DRG system, including a comparison with historical data. The system utilizes statistical data to perform dual checks, assessing providers in terms of costs and the quality of care provided.

Product sheet:

Mosia

Key Functionality

Statistical module for expert evaluation and comparison of healthcare providers' behaviour
Assesses healthcare providers in terms of costs and quality
Utilizes calculated reference values and compares results with historical data

Main Benefits

Evaluation of a physician's performance based on selected indicators and comparison of results with reference values
Specific indicators based on expertise
Expert assessment and comparison of healthcare providers within the relevant reference group

References

Všeobecná zdravotná poisťovňa, a. s., SR