What is hedis Study guides, Class notes & Summaries

A set of standards that provides universal names and codes for laboratory and clinical results is . Answer - Logical Observation Identifiers Names and Codes (LOINC) High-quality information is contingent on . a. Computerized decision support b. Systems integration c. Knowledge management d. Reliable data Answer - d. Reliable data The individual most likely to lead strategic planning for a healthcare organization's information system is the . a. CEO b. HIM director c. CIO d. Medical d...

CPH Exam Practice Test Bank Prep_ Answered_2022. Many people do not attempt to decrease unhealthy behaviors such as overeating or smoking because they lack the confidence that they can successfully change. This is an example of: (A) Perceived susceptibility (B) Perceived severity (C) Perceived self-efficacy (D) Perceived response efficacy The construct of normative beliefs is from which model/theory? (A) Transtheoretical model (B) Theory of reasoned action/planned behavior (C) So...

Risk Adjustment (a prospective payment system) - correct answer The process of increasing or reducing payments to health plans to reflect higher or lower than expected spending. Risk adjusting is designed to compensate health plans that enroll an older and sicker population as a way to discourage plans from selecting only healthier enrollees. What is the goal when coding for risk adjustment? - correct answer code ALL current dx What is the purpose of collecting dx in risk adjustment coding...

What is the first step in quality control? A) To take corrective action when standards have not been met B) To collect data to determine whether standards have been met C) To determine criteria and standards D) To determine who will measure the standard C An RN is a supervisor in an organization that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. How does the RN practice TQM on the unit? A) Encouraging employees to thi...

__ is a preprogrammed definition of each data field within the software application. If data is different from what has been preprogrammed, a message appears on the screen. - ANS »»» An edit check ___ allows clinical applications to share information at the point of care. - ANS »»» CCOW ___ are systems that serve to find and direct data into the electronic health record. - ANS »»» Source systems ___ are the potential for a particular weakness within the system to be exploited. - AN...

RHIT Domain 1 Exam Questions With 100% Verified Answers GUARANTEED SUCCESS Latest 2024/2025 | Verified Answers. 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 ...

RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 | 100% VERIFIED. 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 mortality - ANSWER-A) Data sets (3) In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about each patie...

HIT Domain 1 Exam Questions With 100% Verified Answers Latest 2024/2025 (100% Correct) 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, followed by last name alphabetically and then alphabetically by middle name File the record alphabetically by the last name, followed by alphabetical order of the first...

CPMSM Practice Tests / Extras 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 c...

HOM 5307 Exam 2 What technique is used by many pharmaceutical companies with health plans and PBMs to increase formulary access and utilization of specific products? A- Rebates for preferred formulary position B- Health economic data, including a growing number of head-to-head clinical trials C- Member copayment coupons to offset copayment D- All the above - D- all of the above T/F Recent legislation encourages separate lifetime limits for behavioral care. - false T/F The...