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HEDIS Measures Colorectal Cancer Screening. Care for Older Adults. Use of Spirometry Testing in the Assessment and Diagnosis of COPD. Pharmacotherapy Management of COPD Exacerbation. Controlling High Blood Pressure. Persistence of Beta-Blocker Treatment After a Heart Attack. Osteoporosis Management in Women Who Had a Fracture.
NCQA Updates & Releases New Quality Measures for HEDIS® 2023 with a Focus on Health Equity Oral Evaluation Dental Services (OED). ... Topical Fluoride for Children (TFC). ... Deprescribing of Benzodiazepines in Older Adults (DBO). ... Emergency Department Visits for Hypoglycemia in Older Adults with Diabetes (EDH).
HEDIS and QARR measure the performance of health plans and their participating practitioners on important aspects of preventive, acute and chronic health care. HEDIS and QARR data are used by insurance purchasers and consumers as well as regulatory and accreditation agencies. Medical Record Data Collections for HEDIS®
HEDIS Measures Effectiveness of Care. Access/Availability of Care. Experience of Care. Utilization and Risk Adjusted Utilization. Health Plan Descriptive Information. Measures Reported Using Electronic Clinical Data Systems.
HEDIS measures address a range of health issues including: asthma medication use; persistence of beta-blocker treatment after a heart attack; controlling high blood pressure; comprehensive diabetes care; breast cancer screening; chlamydia screening; antidepressant medication management; immunization status; and ...
HEDIS coding is carried as follows: Reimbursement claims are coded with ICD-9 (Diagnosis Codes) and CPT (Procedure Codes). These are the codes that offer the encounter and claim information needed for payment and measurement of the quality of the care goals for the NCQA accreditation.