hedis 2022 cheat sheet

0000042208 00000 n % 0000040496 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 0000031527 00000 n Read more about the HEDIS schedule changehere. 0000024026 00000 n vital signs log in . 0000034564 00000 n 0000310823 00000 n 0000016662 00000 n For HEDIS related inquiries, please contact HEDIS_Ops@lacare.org. 0 0000044201 00000 n 0000031901 00000 n 1371 0 obj <>/Filter/FlateDecode/ID[<7F9DDD8800BFEE4C9404AE52E016A647><02E18FF8926EFD40AEA58E0129A180D3>]/Index[1349 36]/Info 1348 0 R/Length 110/Prev 309529/Root 1350 0 R/Size 1385/Type/XRef/W[1 3 1]>>stream cytology performed between 2020-2022. 58 61 The adjusted measure specification may be used only for internal quality improvement purposes. What is HEDIS HEDIS rates are the most widely used set of health care performance measures on important preventive and clinical services. 1. endstream endobj startxref Except for authorized Licensed Users, each person, entity, organization or association, including agents and consultants of the Licensee, is required to separately purchase a license to obtain and access HEDIS Volume 2. PDF Health Net - Coverage for Every Stage of Life | Health Net One option is Adobe Reader which has a built-in reader. 0000009121 00000 n 0000108357 00000 n Most PDF readers are a free download. HEDIS is the gold standard in health care performance measurement, used by more than 90 percent of the nation's health plans and many leading employers and regulators. 0000005859 00000 n 0000033926 00000 n 0000033702 00000 n 0000042667 00000 n 0000312251 00000 n %%EOF trailer 0000106153 00000 n NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha Also, Licensee must prominently display the following notice near each adjusted Licensed Measure Specification using the Rules, or display as a footnote on each page in which an adjustment Licensed Measure Specification exists: The NCQA HEDIS measure specification has been adjusted pursuant to NCQAs Rules for Allowable Adjustments of HEDIS. 0000006410 00000 n 0000012694 00000 n 0000015935 00000 n HEDIS Tip Sheets | Blue Cross and Blue Shield of Illinois - BCBSIL 0000042977 00000 n 0000013099 00000 n 4 0 obj As a result, HEDIS is the ultimate measurable tool to evaluate provider's performance and quality of care. hb```B ce`aB-G_PG 0000041498 00000 n 0000009376 00000 n 0000012545 00000 n 0000309029 00000 n New HEDIS Measures for MY 2023 HEDIS Measure Descriptions Frequently Asked Questions CLINICAL REFERENCE Avoidance of Antibiotic Use Clinical Guidelines HEDIS Measures Immunization Schedules 0000009862 00000 n 0000308347 00000 n 0000014908 00000 n 0000019374 00000 n 0000007623 00000 n Note:NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. BP taken and reported by member using . 0000038081 00000 n 0000041623 00000 n 0000007396 00000 n 0000001516 00000 n Any endobj L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 0000310525 00000 n 0000005715 00000 n xref HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000052324 00000 n Licensed Users mean Licensees employees who may access and use HEDIS Volume 2 on behalf of the Licensee. Unauthorized internal distribution of HEDIS Volume 2 and materials therein - beyond the number of Licensed Users by your organization - is prohibited. 0000011225 00000 n bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000013780 00000 n 0000012813 00000 n 0000040760 00000 n 0000042889 00000 n 58 0 obj <> endobj xref 0000041171 00000 n 0000018194 00000 n 0000029168 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* NCQA SHALL HAVE NO LIABILITY FOR ANY DAMAGES RESULTING FROM USE OR INTERPRETATION OF THE LICENSED MEASURE SPECIFICATIONS OR HEDIS VSD, INCLUDING BUT NOT LIMITED TO THE IMPACT, PROVISION OR STANDARD OF MEDICAL CARE, WHETHER OR NOT NCQA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Licensee means only the individual or legal entity whose authorized acceptance appears below as evidence of agreement to the Agreement terms below. <]/Prev 525985/XRefStm 2956>> ADULT CODING GUIDE 2022-2023 - caresource.com No individual or entity may use HEDIS Volume 2 to evaluate another organization against NCQA standards, except as part of Licensees internal preparation for an NCQA survey or review.2. PDF HEDIS Quick Reference Guide - Health Net HL7 is the registered trademark of Health Level Seven International. 0000039802 00000 n 0000106227 00000 n LICENSEE IS RESPONSIBLE FOR PROCURING ALL EQUIPMENT AND SOFTWARE REQUIRED IN CONNECTION WITH THE USE OF HEDIS VOLUME 2. More than 90 percent of America's health plans use HEDIS to evaluate performance. 0000010426 00000 n Submit this inquiry by logging intoMy NCQA, selecting theAsk a Questionbutton, then theOrdersbutton, then theCustom License Requestsoption. 0000029485 00000 n 0000010501 00000 n %%EOF %PDF-1.7 % 0000312745 00000 n PDF HEDIS MY 2022 - Home | L.A. Care Health Plan 0000021318 00000 n 0000034077 00000 n 0000041786 00000 n 8259 0 obj <> endobj 0000042710 00000 n Read this Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. This Agreement represents the complete agreement between the Parties concerning its subject matter and shall supersede all other agreements, whether written or oral, with respect to such subject matter, other than any nondisclosure or similar agreement, which shall remain in full force and effect. xref 0000306723 00000 n 0000004469 00000 n NCQA > HEDIS MY 2022 Volume 2 (epub) 7 e># v3jDZE#VLFPq3O "{B hs` p$}$gi}3.a Q[TjX Hb)UF0 ]nX3"W`XLi"0Lkc@JeH,6dTj&RXeQP_R%M0z/lTY\>T`*-8Y{VH_1j-9l$U61u~ju\t'vQ4sZJ.QsKIhQv\!W0$lOGG%r2/8=q smB9cve5vsAnU36 E{(f4OL`NY65U%mfu x.fxEy:f,*&_%7cSaAzATC G'QNXpk:@8S. 0000013372 00000 n 0000012472 00000 n IMPORTANT: Are you enrolled in Medi-Cal? For the best experience on our site, be sure to turn on Javascript in your browser. z$qP` .tu"#d4@IM`88dW]C'[Y_NH`x a 3NM2-o c;QAAQ[ fz:f d`} 9o0 mL endstream endobj 59 0 obj <>>> endobj 60 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page/PieceInfo>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 278>>/PageWidthList<0 612.0>>>>>>>> endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <> endobj 64 0 obj <> endobj 65 0 obj <> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj [/ICCBased 91 0 R] endobj 69 0 obj <>stream 0000108933 00000 n 0000042055 00000 n 0000042092 00000 n Except as expressly authorized or provided for herein, Licensee shall: (i) only adjust the Licensed Measure Specifications, or any portion thereof, as permitted by the Rules;(ii) not delete or in any manner alter any notices, disclaimers or other legends contained in HEDIS Volume 2 or appearing on any screens, documents or other materials obtained through use of HEDIS Volume 2;(iii) prominently display language as displayed in Section 17 when adjusting the Licensed Measure Specifications as permitted by the Rules; (iv) not use HEDIS Volume 2 (including the Licensed Measure Specifications) or any portion thereof for any purpose other than as specifically set forth in this Agreement;(v) not publicly display, disseminate or publish the HEDIS Volume 2 (including the Licensed Measure Specifications), modifications or adjustments thereof or any portion of the same;(vi) not use the HEDIS VSD or any portion thereof without an authorized license from the copyright owners; (vii) not provide service bureau facilities or commercial time-sharing services to any third party or supporting operations for any third party through access and/or use of HEDIS Volume 2;(viii) not transmit HEDSI Volume 2 electronically or allow access to HEDIS Volume 2 over a network or a public computer-based information system which permits access to a greater number of users than licensed by Licensee; (ix) not authorize or permit any third-party or affiliate, subsidiary or related entity to use HEDIS Volume 2 (including the Licensed Measure Specifications) or any portion thereof without NCQA's prior written consent;(x) not identify records or calculate or display any calculated measurement (HEDIS measure result) stemming from the Licensed Measure Specifications;(xi) not reproduce, copy, reverse engineer, decompile or disassemble the Licensed Measure Specifications or prepare derivative works from the Licensed Measure Specifications or any portion thereof t (except that Licensee may make one [1] copy for each Licensed User for which Licensee has purchased a license to use HEDIS Volume 2); and(xii) not ship, transmit, transfer or export Volume 2 (including the Licensed Measure Specifications) or any portion thereof outside of the U.S. or to clients or other end-users primarily located outside of the U.S. 0000043397 00000 n 0000022547 00000 n 0000009453 00000 n THE LIMITATIONS OF DAMAGES AND LIABILITIES SET FORTH IN THIS AGREEMENT ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN NCQA AND LICENSEE. 0000020999 00000 n HEDIS MY2022. and improve Quality Incentive Program earnings potential through the use of HEDIS reference sheets that include: Measure descriptions Age ranges Billing and diagnosis codes for each measure Tips and strategies for improving measure performance 1171 0 obj <>stream 0000011894 00000 n 0000042933 00000 n %PDF-1.6 % i09}}y P 5 Optima Health Medicare, Medicaid, and FAMIS programs are administered under agreements with Optima Health and the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services (DMAS). HEDIS MY 2022 includes 96 measures across 6 domains of care: 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 How is HEDIS Data Collected? 0000043726 00000 n HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code values contained in the HEDIS VSD which are owned, licensed or otherwise provided by third parties and protected under federal copyright laws (Third-Party Codes). IN NO EVENT WILL NCQA'S TOTAL LIABILITY FOR ANY DIRECT DAMAGES RESULTING FROM ANY CLAIMS, DEMANDS OR ACTIONS ARISING OUT OF OR RELATING TO HEDIS VOLUME 2 OR ANY PART THEREOF, OR THIS AGREEMENT, EXCEED THE PRICE PAID FOR HEDIS VOLUME 2, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED ON CONTRACT, WARRANTY, TORT OR OTHERWISE. 0000027069 00000 n 2213 0 obj <>stream Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA. 0000313191 00000 n Subject to the terms and conditions of this Agreement, NCQA grants Licensee a personal, limited, non-exclusive, non-transferable license in the United States to use HEDIS Volume 2 during the term of this Agreement solely for internal, non-commercial purposes in accordance with the terms of this Agreement (the License). 0000307846 00000 n Anyone desiring broader internal distribution of HEDIS Volume 2 must purchase additional licensed user permissions via the NCQA Store. If a required measure has only Medicaid specifications, commercial organizations 0000032166 00000 n 0000003174 00000 n View our frequently asked questions. 1407 0 obj <> endobj 0000039666 00000 n Documentation in a standardized prenatal flow sheet, or; b. 0000093172 00000 n The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. YHLdb91{ d 9 PB2%e'c%tPV Q>!dF7\-9.Tr/_HQtvdQY/1g`SEp/HUyG=K>[pCqKI9w4%Vt)l{I)s1(yzv]:L:/dkey~WlXvu5{ 0000004537 00000 n HEDIS Volume 2 contains proprietary and copyrighted information and notice to that effect must appear on all authorized copies of HEDIS Volume 2 (including the Licensed Measure Specifications) made by Licensee under this Agreement. 0000038453 00000 n 0000034562 00000 n 0000313076 00000 n 0000043858 00000 n A dated graphic sheet . <> WHEREAS, NCQA is an independent non-profit organization widely recognized as the authority on the quality of health plans; WHEREAS, NCQA has developed specifications for the Healthcare Effectiveness Data and Information Set (HEDIS) measures and specifications to standardize the collection and reporting of health plan quality information and the survey specifications for the Consumer Assessment of Healthcare Providers and Systems (CAHPS); WHEREAS, NCQA publishes HEDIS Volume 2: Technical Specifications for Health Plans (HEDIS Volume 2) that includes the HEDIS Value Set Directory (HEDIS VSD) that crosswalks HEDIS to third party medical and billing codes; WHEREAS, HEDIS Volume 2 also includes the Rules for Allowable Adjustments of HEDIS (the Rules), that prescribes guidelines for adjusting NCQAs HEDIS measures and specifications; WHEREAS, Licensee desires to use HEDIS Volume 2; and. L.A. Care rewards high performing physicians for providing quality care to our members. hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3  The obligations of both Parties shall not terminate upon any assignment or delegation attempted without such prior written consent. PDF HEDIS VOLUME 2 MY 2022 - National Committee for Quality Assurance Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare Effectiveness Data and Information Set (HEDIS) results. 0000108743 00000 n We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) measures* from the National Committee for Quality Assurance (NCQA). 0000004508 00000 n WHEREAS, NCQA desires to provide Licensee with a license to use HEDIS Volume 2 in accordance with the terms of this Agreement. 0000043309 00000 n As a part of L. A. Care's initiative to improve quality of care to our members, these HEDIS (Healthcare Effectiveness Data and Information Set) reference guides for selected priority HEDIS measures are designed to help your practice provide the best quality care, in alignment with the HEDIS standards as well as with evidence-based clinical practice guidelines. 0000017908 00000 n Updates on HEDIS Measures MY2022 . 0000043770 00000 n This License Agreement, along with all materials referenced herein (Agreement), is a legal agreement between the individual or entity purchasing the license to use HEDIS Volume 2 (defined below) (hereinafter the Licensee) and the National Committee for Quality Assurance (NCQA). To view this file, you may need to install a PDF reader program. 0000037613 00000 n 3 0 obj Health Net - Coverage for Every Stage of Life | Health Net 0000000016 00000 n 0000003724 00000 n NCQA may terminate this Agreement at any time and without notice if Licensee violates any of the terms and conditions hereof. 0000043989 00000 n 0000014698 00000 n Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. 0000026677 00000 n With respect to any and all claims brought by a third party, Licensee shall promptly notify NCQA of such claim and the Licensee shall have the right, at its sole discretion, to defend and control any action or proceeding with respect to such claim. PDF HEDIS Measures Provider Information Document 2023 0000041331 00000 n 0000043549 00000 n PDF HEDIS MY 2022 - L.A. Care Health Plan 0000308484 00000 n 0000004991 00000 n 0000306886 00000 n Has your contact information changed in the past two years? 0000010020 00000 n 0000021024 00000 n 0000043682 00000 n External link You are leaving this website/app (site). A list of potential measures for initial stratification in MY2022 are as follows: Controlling High Blood Pressure (CBP) Comprehensive Diabetes Care (CDC) Antidepressant Medication Management (AMM)

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