Hedis - Study guides, Class notes & Summaries
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BTE 450 Chapter 10 Questions with 100% Correct Answers | Latest Update | Verified
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Near misses - Which of the following is defined as a patient safety event that did not reach the 
patient? 
a. Incidents 
b. Near misses 
c. Unsafe conditions 
d. None of the above 
All of the above are categories - Which of the following is NOT one of the four major categories of 
quality measures? 
a. Structure 
b. Process 
c. Outcome 
d. All of the above are categories 
Benchmarking - ________ is the process of comparing one or more performance measures 
against a standard. 
a. Assessing 
b. ...
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RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 | 100% VERIFIED.
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RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 | 100% Verified Answers. 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 establishe...
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CIGNA Exam 100% Correct!!
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HEDIS - ANSWER Healthcare Effectiveness Data and Information Set 
Health plans use HEDIS to see where they are performing well, and where they need to improve. 
 
NCQA - ANSWER National Committee for Quality Assurance 
 
What is the NCQA? - ANSWER The NCQA is a private, non-profit organization focused on assessing the quality of health care provided. 
 
The NCQA provides accreditation to a wide range of health care organizations, including health plans that meet its quality standards. 
What...
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CRC Exam (Questions & Answers) Passed!!
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How is predictive modeling used in risk adjustment? - Answer-to determine suspected diagnosis 
based on data elements. 
Which of the following data elements are used in predictive modeling? 
I. DME claims 
II. Prescription drug events 
III. Physician claims data 
IV. Facility claims data 
a. III and IV 
b. I, II, and IV 
c. I, II, and III 
d. I, II, III, and IV - Answer-d. I, II, III, and IV 
What might happen as a result of predictive modeling? 
a. Disease management programs 
b. Concurrent aud...
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CPMSM Practice Tests QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
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CPMSM Practice Tests QUESTIONS AND 
ANSWERS RATED A+ 2023|2024 
UPDATE 
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...
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CPMSM Practice Tests / Extras | Questions with 100% Correct Answers | Verified | Latest Update 2024
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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...
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RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 (100% VERIFIED)
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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 ...
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CPCS Exam 2023-2024 Questions and Answers (Graded A)
- Exam (elaborations) • 29 pages • 2023
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CPCS Exam Questions and Answers (Graded A) CPCS Exam Questions and Answers (Graded A) CPCS Exam Questions and Answers (Graded A) CPCS Exam Questions and Answers (Graded A) 
MCO acronym for - ANSWER-Managed Care Organization - main accreditors: NCQA, URAC 
 
NAMSS acronym for - ANSWER-National Association of Medical Staff Services 
 
CPCS acronym for - ANSWER-Certified Provider Credentialing Specialist 
 
CVO acronym for - ANSWER-Credential Verifications Organization 
 
HEDIS acronym for - A...
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CPCS Exam 2023 Already Graded A
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CPCS Exam 2023 Already Graded A MCO acronym for Managed Care Organization - main accreditors: NCQA, URAC 
NAMSS acronym for National Association of Medical Staff Services 
CPCS acronym for Certified Provider Credentialing Specialist 
CVO acronym for Credential Verifications Organization 
HEDIS acronym for Healthcare Effectiveness Data Information Set 
CAHPS acronym for Consumer Assessment of Healthcare Providers & Systems 
Structure of a CVO Director - Contract Sales - Credentialing Staff - Huma...
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CPMSM Study Guide Questions and Answers Fully solved 2024
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CPMSM Study Guide Questions and Answers Fully solved 2024 
Non-profit under religious/community control. 
Voluntary/Charitable Hospital 
 
 
 
Non-profit under city, state, county. 
Govt (non-federal) hospital 
 
 
 
 
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Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. 
Govt (federal) hospital 
 
 
 
Owned by corpor...
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