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Highlighting HEDIS How to read your Facility Provider
Provider Remittance How to read your Facility Provider Remittance Ancillary Providers: Refer to this guide only when working with Facility providers. AmeriHealth HMO, Inc. • AmeriHealth Insurance Company of New Jersey Highlighting HEDIS® 2014 This booklet captures articles that were published in 2014 as part of the Highlighting HEDIS®[PDF]
2014 Provider Tips for Optimizing HEDIS Results
2014 Provider Tips for Optimizing HEDIS® Results HEDIS Measure Required Documentation Provider Specialty Billing Tips* Adolescent Well Care Visit Members age 12–21 years Applies to: Priority Partners One Well Child Visit with a PCP or OB/GYN during the measurement year. All three components of an Adolescent Well Care Visit must be included:[PDF]
MassHealth Managed Care HEDIS 2014 Report
MassHealth Office of Providers and Plans (OPP), and the MassHealth Office of Behavioral Health (OBH). The data presented in this report are a subset of the Healthcare Effectiveness Data and Information Set (HEDIS) measures. HEDIS was developed by the HEDIS 2014. HEDIS 2014 [PDF]
2014 HEDIS MEASURES QUICK REFERENCE: PREVENTIVE HEALTH CARE 900-3935-0913 WOMEN AND ADOLESCENT GIRLS Breast Cancer Screening (Age *50 – 74) *Tech Spec change as of 7/2013 from age 40 percentile and counseling for Women who had a mammogram to screenPublished in: The Lancet · 1995Authors: Christopher Patterson · Larry W ChambersAffiliation: Mcmaster University · United States Public Health ServiceAbout: Health care · Public health[PDF]
Tips to Improve Your HEDIS Measures
This presentation was prepared as a tool to assist providers, coders, and billing staff. Although every reasonable effort has been made to assure the accuracy HEDIS is the most used performance measure in the 2014. NCQA has created a plan to identify a valid and appropriate set of ICD-10 codes for each HEDIS[PDF]
HEDIS 101 for Providers - Aetna
HEDIS® 101 for Providers Agenda What is HEDIS®? Why is HEDIS®Important to the Provider? How is Data Collected for HEDIS®? HEDIS® Annual Timeline HIPAA and HEDIS® What is the Provider’s Role in HEDIS®? HEDIS Measures (select examples) How Can You Improve Your HEDIS® Scores? CAHPs Survey –A Component of HEDIS® How Can Aetna Better
Healthcare Effectiveness Data and Information Set - Wikipedia
OverviewStructureData collectionReportingAdvantages and disadvantagesThe Healthcare Effectiveness Data and Information Set is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance. HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks. Although not originally intended for trending, HEDIS results are increasingly used to track year-to-year performance. HEDIS is one component of NCQA's accreditatioSee more on enpedia · Text under CC-BY-SA license[PDF]
HEDIS 101 for providers [2019] - Anthem Inc.
HEDIS 101 for providers [2019] Improving quality of care Authors — Commercial and Government Business Division HEDIS Teams Document Contact —Kenya Clement, Clinical Quality Program Manager, Corporate Medical Record Review, HEDIS Quality Team
HEDIS Measures and Technical Resources - NCQA
The complete HAI specifications are included in HEDIS 2018. Technical Specifications for Physician Measurement. HEDIS quality and cost of care measures for physician-level measurement. Technical Specifications for Physician Measurement Memo – Posted November 14, 2018; HEDIS Measures Included in the 2019 Quality Rating System (QRS)
The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools. 190 million people are enrolled in plans that report HEDIS results. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA.
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