Related documents, manuals and ebooks about Hedis Reporting
Questions about HEDIS Reporting : Last Reviewed: 1/22/09 . Question: How do I contact NCQA with a question about the SNP HEDIS reporting requirements or a specific HEDIS measure?
HEDIS® 2014 Medicare and SNP Reporting Requirements In July of 2013, CMS and NCQA devised a “Stratified Sampling Method” to be used by Medicare Advantage contracts that report measures for
Updated step 5 in the Systematic Sampling Methodology for HEDIS 2014 reporting. Effectiveness of Care Guidelines for Effectiveness of Care
SUBJECT: 2009 HEDIS, HOS and CAHPS Measures for Reporting by Medicare managed care contractors . DATE: December 9, 2008 . This memo contains a list of HEDIS ...
HEDIS Reporting Improve quality with a comprehensive, innovative HEDIS reporting system. Emerging industry dynamics are driving an increased focus on improving quality —
HEDIS 2014 Reporting Measures Measuring Performance for Calendar Year 2013 Admin Measure: Data collected from claims submission, lab data, pharmacy data, vision service provider data, and other supplemental
HEDIS® QUALITY MEASURES GUIDE 2013 (Measurement Year 2012)* *HEDIS codes can change from year to year. ... HEDIS reporting is mandated by NCQA for compliance and accreditation. MEASURE SERVICE NEEDED WHAT TO REPORT Adult Access to
What is HEDIS? The Healthcare Effectiveness Data and Information Set (HEDIS®) is a comprehensive set of performance measures that are sponsored and maintained by the National Committee
To reduce the overall HEDIS reporting burden and allow the MCO to allocate resources to improvement activities, NCQA instituted a measure rotation strategy where the MCO may rotate selected commercial and Medicaid measures on a biennial basis.
Page 1 of 2 HEDIS ® Provider Frequently Asked Questions What is HEDIS? “HEDIS” stands for Healthcare Effectiveness Data and Information Set, a standardized set of performance
2014 HEDIS Coding Guide; Code; Measure Title; LOBs: Description Coding (Identifying Numerator) Category II Codes-CPT. Preventive medicine: CPT: 99381-99387, 99391-99397, 99401-99404, 99411, 99412, 99420, 99429 ; HCPCS: G0438, G0439 ...
D ˘ ˆ – with data to support HEDIS reporting coming from so many sources, such as internal data warehouses, state immunization registries and lab
August 13, 2012 Minnesota Measurement and Reporting Workgroup HEDIS/CAHPS 101
Provider HEDIS® Reference Guide The diagnosis and/or procedure codes in this Guide are in compliance with the HEDIS® 2012 Volume 2 Technical Specifications
2011 QUICK REFERENCE GUIDE (HEDIS/QARR MEASURES) *Listed are commonly used codes that are acceptable for HEDIS/QARR reporting but not limited to:
What is HEDIS®? HEDIS® (Healthcare Effectiveness Data and Information Set) consists of a set of performance measures utilized by more than 90 percent
This year’s HEDIS reporting included the following commercial population Effectiveness of Care Measures: Childhood Immunizations, Appropriate Treatment for Children with Upper Respiratory Infection, Appropriate Testing for Children with Pharyngitis, ...
Updated 09/17/2013 2014 HEDIS®1 Measures Healthcare Effectiveness Data and Information Set *Measures collected with medical record review.
Since HEDIS reporting is mandated for DHS and CMS compliance, physicians and their staff should become familiar with HEDIS to understand what health plans are required to report. Contractually, physicians are obligated to allow the AlohaCare access for reviewing medical records.
Reporting Requirement Guidelines Table 1 lists, by product, the NYS-specific and HEDIS® 2013 measures required for submission. This manual describes in detail only the NYS-specific measures.
HEDIS 2012 is published across a number of volumes and includes 76 measures across 5 domains of care: – Effectiveness of Care – Access/Availability of Care ... Members must be continuously enrolled during the 12 month reporting
HEDIS® Documentation and Reporting Charlotte L. Kohler, CPA, CVA, CRCE-I, CPC, ACS, CHBC President, Kohler HealthCare Consulting, Inc. www.kohlerhealthcare.com
2 For the reporting year of 2013, MAOs and other organization types listed in Table 1 must submit audited, summary-level HEDIS data to NCQA. Table 1 also indicates which organization types
An important feature of HEDIS reporting is that the methodology for collecting data and calculating all of the measures is standardized in a set of detailed specifications. The specifications include the data fields to be collected, diagnosis and procedure
HEDIS - Effectiveness of Acute Care E & M Codes: Clinic Only Encounter Date(s): Jan 1, 2014 through Jun 30, 2014 Location Provider Avoidance of Antibiotic Treatment
Reporting System Features A comprehensive solution Many health plans use multiple vendors, which can be costly and time-consuming, especially when you consider that the HEDIS season is shorter and more
III. Reporting Requirements Table 1: 2013 QARR/HEDIS®2013 : Required measure Table of Required Measures NR: Not required
measures were developed according to HEDIS® reporting guidelines. DataInsights Report No 9 Quality Measurement Report - 2001 October 2002 3 . NCQA recommends that scores based on sample sizes of less than 30 should not be reported
Page 1 of 1 Attachment 1: HEDIS Measures Required for 2014 . All plans must follow NCQA’s procedures for HEDIS reporting, including the HEDIS Compliance Audit™
HEDIS ® was developed by ... benchmarks for each measure and then reporting how often they beat the benchmark. We only considered the 2010 and 2011 measures due to the lack of reporting for Diabetes measures by PCCP in 2012. The following figure shows the results of this comparison:
HEDIS Reporting Capabilities Key Findings Twenty-three contracted plans underwent performance measure validation. Twenty-two of those plans had a HEDIS Compliance Audit. Family Mosaic Project (FMP), a specialty plan, reported
HEDIS Reporting DirectProvider.com Training To register your provider office staff for Coventry Health Care’s HEDIS Reporting – DirectProvider.com training sessions,
In addition to reporting on clinical care measures, the Report shows utilization rates, prescription drug usage, ... provider information as a foundation for accurate and automated HEDIS reporting. “The scope of the NCQA HEDIS Compliance Audit includes the following domains: Effectiveness of Care;
INFORM through ongoing tracking and reporting Inovalon’s solutions for measuring and reporting quality go beyond HEDIS requirements, providing comprehensive catalogues of measures that include
HEDIS QUALITY MEASURE REPORTING ON CLAIMS The Healthcare Effectiveness Data and Information Set (HEDIS), through the National Committee for Quality
1 HEDIS REPORTING FOR CY2005 INTRODUCTION The North Carolina Division of Medical Assistance (NC DMA) annually compares selected performance measures across the Division’s systems of health care and obtains
Home > About NCQA > The Basics: Public Reporting Programs HEDIS & Quality Measurement Report Cards Public Policy Publications & Products Education & Events
2013 HEDIS 2 CDPHP® Introduction What is HEDIS®? The Healthcare Effectiveness Data and Information Set (HEDIS®) is a collection of standardized
Pacific Business Group on Health September 30, 2010 Page 1 of 10 Scoring Documentation for Consumer Reporting Office of Patient Advocate HMO HEDIS Reporting Year 2010
noted previously, health plans can minimize the cost of reporting many HEDIS measures by relying primarily on administrative data as opposed to chart extraction. However, reliance on administrative data might also result in lower HEDIS rates, ...
Office of the Patient Advocate (OPA) California Health Care Quality HMO and PPO Report Cards, 2014 Edition Scoring Documentation for Public Reporting on HEDIS*
that are part of the Health Effectiveness Data Information Set (HEDIS®) reporting initiative. Health Plans are compared on their performance and their rates are publicly reported. Last year Partnership observed improvements in several measures in our core counties (Napa, Solano,
C. Required specifications: In submitting the HEDIS reporting set component of the health plan report, reporting health plans shall use the complete HEDIS specifications, templates, electronic data submission formats and any other documents provided by the commission or made directly ...
Michigan Department of Community Health Distribution: Medicaid Health Plans 02-03 Issued: March 1, 2002 Subject: Annual HEDIS@ Reporting Requirements for Medicaid Health Plans
5 Reporting Year 2004 Results The Division results are above the national HEDIS means in childhood immunizations, appropriate medications for people with asthma (except age group 18-56 years), adult’s
Our Company, like most health plans, collects quality-of-care data based on the National Committee for Quality Assurance (NCQA) reporting specifications.
Based upon these data and national guideline consensus, HEDIS has adopted for reporting the percentage of members 40 years of age and older with a new diagnosis or newly active COPD who received appropriate spirometry testing to confirm the diagnosis.
Coding Seminar: HEDIS Documentation and Reporting (includes 2014 CPT Code Updates) Wednesday, January 15, 2014 Ten Oaks Ballroom 5000 Signal Bell Lane
HEDIS reporting is one of the many ways we measure how we’re doing. In addition to HEDIS, we continually monitor our performance on more than 50 customer-facing operational processes. Our own performance metrics use a model similar to HEDIS to demonstrate our quality
HCC reporting capably. HEDIS measures exist to drive quality improvement, and streamlining reporting activi-ties can bolster that process. When health plans cut costs associated with data re-trieval, they can redirect resources to catalyze more dy-