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2013 HEDIS Obstetrical Coding Guidelines - WellCare
2013 HEDIS ® OBSTETRICAL CODING GUIDELINES WellCare uses HEDIS reporting measures as one way to document preventive and timely health care services provided to our members. The codes outlined below are from the HEDIS® 2013 Technical Specifications and should be used as a guideline to ensure reporting accuracy.[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 Coding Booklet 2019 - molinahealthcare
Healthcare Effectiveness Data and Information Set (HEDIS®) is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) to objectively measure, report, and compare quality across health plans.
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]
HEDIS® 2018 Documentation & Coding Tips for Providers
HEDIS® 2018 Documentation & Coding Tips for Providers Coding is in accordance with HEDIS® 2018 Guidelines & Specifications. Revised: July 2017 (HPV) co-testing performed every 5 years. 1/1/2013 – 88141–88143, 88147, 88148, 88150, 88152 88154, 88164–88167, 88174, 88175 . [PDF]
HEDIS 2020 Quick Reference Guide
hedis (Healthcare Efectiveness Data and Information Set) is a set of standardized performance measures developed by the National Committee for Quality Assurance[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]
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.
The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools. 191 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.
HEDIS Measures and Technical Resources - NCQA
HEDIS quality and cost of care measures for physician-level measurement. Quality Rating System Measure Technical Specifications are unique to the issuers offering plans on the Exchange and participating in the CMS Quality Rating System (QRS). HEDIS
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