hedis 101 training

there are changing performance measures, confusion as to who is responsible for what, and the issue of keeping up to date with medical record coding and claims. hedis stands for healthcare effectiveness data and information set. it was developed by the national committee for quality assurance (ncqa) as a way to monitor the performance of the nation’s health plans. these results are audited by auditors before the ncqa releases their final report. they are used to measure performance and identify areas for improvement for health plans and providers. as a provider, your goal is to promote the health of your patients.




to facilitate hedis, your staff assist is proving appropriate care, documenting all care in medical records and accurately coding all claims. there are three ways that hedis data is collected. hybrid data is information that is taken from the claims database and review of medical records. in june, these results are reported to the ncqa, and from july to october the ncqa begins releasing their results nationwide. it is important to stay up to date with your hedis tasks to ensure that you are able to provide accurate information whenever a request rolls in. we work to connect qualified nurses with health care providers that need assistance with their hedis tasks. from chart abstractions to coding and reporting, hedis nurses can help get the job done.

hedis season can be a frustrating time of the year for health plan representatives, but there is more to hedis® is a registered trademark of the national committee for quality assurance (ncqa). hedis compliance audits review whether organizations have capabilities for processing medical, member and, hedis training online 2020, hedis training online 2020, hedis for dummies, hedis training 2020, hedis training manual.

❖ hedis measures (select examples). ❖ how can you improve your hedis® scores? ❖ cahps survey – a committee for quality assurance (ncqa). page 4. • hedis is the measurement tool used by the nation’s health plans to hedis is a registered trademark of the national committee for quality assurance (ncqa). page 3. •, hedis 101 for providers 2019, hedis measures 2020, is hedis mandatory, hedis measures 2019

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