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2013 HEDIS CODING GUIDE

[PDF]
HEDIS Benchmarks and Coding Guidelines for Quality Care
Proper coding and providing appropriate care decrease the need for high volume of medical record review requests and provider audits. It also helps us review your performance on the quality of care that is provided to our members and meet the HEDIS measure for quality reporting based on the care you provide our members.[PDF]
HEDIS Benchmarks and Coding Guidelines for Quality Care
reimbursement for the applicable codes. Proper coding and providing appropriate care decrease the need for high volume of medical record review requests and provider audits. It also helps us review your performance on the quality of care that is provided to our members and meet the HEDIS measure for quality reporting based on the care you[PDF]
2019 HEDIS CODING GUIDE - CareSource
2019 HEDIS® CODING GUIDE – ADULTS Use this coding guide as a resource to help you correctly document adults’ visits at your practice to meet HEDIS measures. 1. MEASURE Colorectal Cancer Screening Ages 50 to 75 years Medication Ratio and Management for People with Asthma Ages 5 to 64 years Controlling High
2019 HEDIS-Related Star Measures Coding Guide - MediGold
2019 HEDIS-Related Star Measures Coding Guide. 2019 HEDIS-Related Star Measures Coding Guide. MediGold Can Assist With Closing Gaps in Care Our HEDIS coordinators are available to help your office team address gaps in care with calls to members for annual wellness visits and member education or in-house record collection, coding assistance and much more.[PDF]
2020 HEDIS® Coding & Reference Guide - BCBSKS
2020 HEDIS Coding & Reference Guide. Adolescent Well-Care Visits (AWC) Description. The percentage of enrolled members 1221 years of age who had at least one comprehensive well– -care visit with a PCP or an OB/GYN practitioner during the[PDF]
2019 HEDIS Billing Guide and Tips - aetnabetterhealth
General tips and information that can be applied to most HEDIS measures: 1. Use your member roster to contact patients who are due for an exam or are new to your practice 2. Take advantage of this guide, coding information, and the on-line resources that can assist the practice with HEDIS measure understanding, compliance, and requirements 3.[PDF]
HEDIS 2019 physician documentation guidelines and
HEDIS Measure Memberdescription Documentation requirements Codes Avoidance of Antibiotic Treatment in AdultsWith Acute Bronchitis (AAB) Members 18–64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription Dispensed prescription for antibiotic medications (listed in[PDF]
HEDIS® 2018 Documentation & Coding Tips for Providers
HEDIS® 2018 Documentation & Coding Tips for Providers • Taken during an acute inpatient stay or an ED visits. • Taken during an outpatient visit which was for the sole purpose of having a diagnostic test or surgical procedure performed (e.g., sigmoidoscopy, removal of a mole).[PDF]
Risk Adjustment Coding, HEDIS, and Documentation
Physician data (coding information submitted on physician claims) is critical for accurate risk adjustment. Physician claims data is the largest source of medical data for the risk adjustment models which help to determine how resources are allotted for care of the population.[PDF]
2018 Coding Reference Guide for Primary Care
MVP Health Care® | HEDIS 2018 Coding Reference Guide for Primary Care 7 HEDIS 2018 Preventive Care Measures Appropriate Care and Associated Codes to Bill CPT and CPT II ICD–10 HCPCS UB Revenue Lead Screening in Children (LCS) The percentage of children 2 years of age who had one or more capillary or
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