What is hedis Study guides, Class notes & Summaries

CPMSM Practice Tests Extras 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...

What does FDA do? correct answer: approves new medication and issues warnings or other recommendations for already approved meds What does CMS and HHS do? correct answer: determine rules and regs for federally sponsored health care or medicare and other national health care laws What does CDC do? correct answer: determines rules and starndard procedures for point of care testing, immunizations, and mgmt of patients with transmittable diseases What org are NCQA, PCMH, joint commission...

mock RHIT exam 2Which of the following is true about the Joint Commission's "Do Not Use" abbreviation list? a. It applies to handwritten orders and medication-related documentation (including free-text computer entry) or on pre-printed forms. b. It applies to only medication-related orders c. It applies to all documentation in the health record d. It applies to only preprinted forms - correct answer a. It applies to handwritten orders and medication-related documentation (includin...

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 - ANSWER-Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS - ANSWER-MDS (Minimum Data Set) Which of the following statements describes alphabetical filing? File the record alphabe...

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...

CRC Exam Questions and Answers 100% Pass How is predictive modeling used in risk adjustment? - Correct 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 - Correct Answer ️️ -d. I, II, III, and IV What might happen as a result ...

RHIT EXAM PREP PRACTICE QUESTIONS (Data Analysis and Management) Questions and Answers (16) What is the term that is used to mean ensuring that data are not altered during transmission across a network or during storage? A) Media control B) Integrity C) Mitigation D) Audit controls - Answer-B) Integrity (17) Which of the following filing methods is considered the most efficient? A) Alphabetical B) Alphanumeric C) Straight numeric D) Terminal digit - Answer-D) Terminal digit ...

Pharmacist mission improve public health through ensuring the safe, effective, and appropriate use of medications 4 main clinical pharmacy practice models pharmaceutical care MTM comprehensive med mgmt CDTM Morisky Questionnaire predictive adherence measurement tool - 1+ drugs in a regimen for a particular disease - screen for knowledge gaps and motivational issues Adherence Estimator Used only for individual drugs Pt Ed Materials Assessment (PEMAT) tool usa...

D052 Navigating Care Across the Continuum exam 2024/2025 questions and correct answers already passed When considering the regulatory requirements for healthcare, which agencies primarily oversee the use of medication? - ANSWERS FDA and DEA The FDA (Federal Drug Administration) and DEA (Drug Enforcement Agency) focus on medication compliance and medication utilization. How would you follow up on a denied claim? - ANSWERS Make sure resubmissions are marked as "corrected claim" and...

D052 Navigating Care Across the Continuum exam 2024/2025 questions and correct answers already passed When considering the regulatory requirements for healthcare, which agencies primarily oversee the use of medication? - ANSWERS FDA and DEA The FDA (Federal Drug Administration) and DEA (Drug Enforcement Agency) focus on medication compliance and medication utilization. How would you follow up on a denied claim? - ANSWERS Make sure resubmissions are marked as "corrected claim" and...