What is hedis - Study guides, Class notes & Summaries

What does HEDIS stand for? correct answer: Healthcare Effectiveness Data and Information Set What is HEDIS? correct answer: is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private employers' needs and has been adopted by public purchasers, regulators and consumers. HEDIS is an element of NCQA accreditation and the basis of consumer report cards for managed care. HEDIS data is collected through a combinat...

A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary - ANSWER-D) Data dictionary (2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: A) Data sets B) Data elements C) Electronic data interchange D) Bills of ...

ROS- Review of Symptoms - An account of the body systems obtained through a series of questions seeking to spot signs or symptoms the patient may be experiencing. This can be documented by the provider or staff. Chief complaint - The reason for the encounter. A CC is required for every encounter except a preventive service. If the CC is missing, you are to report CPT code 99499: Unlisted E&M service. "Follow up" can not be the reason for the visit. Hypertension - A condition in which the...

HCM 435 EXIT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Types of Healthcare Information Internal and External Internal Healthcare Information Created internally by healthcare organization. Can be financial, clinical or aggregate. Financial Internal Healthcare Information 3rd party payer; Medicare/aid; Insurance companies; billing i.e.. Insurance claims; copies of insurance cards Clinical Internal Healthcare Information Patient information directly related to care/a part ...

Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS MDS (Minimum Data Set) Which of the following statements describes alphabetical filing? File the record alphabetically by first name, follow...

What does HEDIS stand for? - Healthcare Effectiveness Data and Information Set What is HEDIS? - is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private employers' needs and has been adopted by public purchasers, regulators and consumers. HEDIS is an element of NCQA accreditation and the basis of consumer report cards for managed care. HEDIS data is collected through a combination of surveys, provider med...

BCACP ACTUAL EXAM QUESTIONS AND ANSWERS What does FDA do? - ANSWER- approves new medication and issues warnings or other recommendations for already approved meds What does CMS and HHS do? - ANSWER- determine rules and rags for federally sponsored health care or Medicare and other national health care laws What does CDC do? - ANSWER- determines rules and standard procedures for point of care testing, immunizations, and mgmt of patients with transmittable diseases What org are NCQA, P...

What does HEDIS stand for? - Healthcare Effectiveness Data and Information Set What is HEDIS? - is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private employers' needs and has been adopted by public purchasers, regulators and consumers. HEDIS is an element of NCQA accreditation and the basis of consumer report cards for managed care. HEDIS data is collected through a combination of surveys, provider med...

Leadership M6A1 Module 6 Quiz (Ch 23 - 25) | Questions and Answers A client was treated in the hospital for a stroke and was the client's family members assert that the client was discharged too early and did not receive sufficient rehabilitation. The client's early discharge may have been attributable to: the effect of diagnosis-related groups. Which of the following would be considered sentinel events that should be reported to The Joint Commission. Select all that apply. A client experien...

which medicare part is reimbursed based on the risk adjustment models part c who typically employs risk adjustment coders health plans is a health plan required to follow the minimum necessary rule yes, health plans are covered entities and are therefore required to follow the minimum necessary rule what is an example of fraud reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement which part of medicare is also called medicare adv...