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Important HEDIS® and Quality Measures - NHPRI.org
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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. See more HEDIS® includes more than 90 measures across 6 domainsof care: 1. Effectiveness of Care. 2. Access/Availability of Care. 3. Experience of Care. 4. Utilization and Risk Adjusted Utilization. 5. Health Plan Descriptive … See more NCQA screens, trains and certifiesorganizations that collect or audit data for health plans and providers. See more Under contract to CMS, NCQA supports the implementation of the HEDIS Medicare Health Outcomes Survey and the Medicare Health Outcomes Survey – Modified. See more NCQA collects HEDIS data from health plansand other health care organizations. Auditsprotect results’ validity and reliability. See more WebHEDIS claims reporting to MA or Part C carriers does not require that the numerator $0 CAT II reporting (P4P) codes appear on the same claim with the billable denominator CPT codes, nor do the diagnosis code(s) have to match a billable CPT code’s diagnosis. For Insurance Type ‘R’, the $0 HEDIS CAT II (P4P) code will file to a claim http://www.duoduokou.com/excel/68083788772168469943.html fab cars carson