Resources
The site you would come for all HEDIS Measure Specific Overviews
What is Education & Training Resource Center
For Colorectal Cancer Screening Measure, a member in hospice or using hospice services anytime during the MY is considered a required exclusion.
What is True
Scheduling and Retrieval goal on 2/20/2023
What is 75% and 30%
A compliant screening or monitoring for Eye Exam for individuals with Diabetes
What is a retinal or dilated eye exam by an eye care professional (optometrist or ophthalmologist) in the MY (2022) OR a NEGATIVE retinal or dilated eye exam by an eye care professional in the year prior to MY (2021) or Bilateral eye enucleation any time during the member's history through 12/31/2022
Place you would come to find all things HEDIS (Key Dates, Trainings, Links to RateLift and Ciox, Help and Feedback form)
What is 2023 QFO HEDIS Collection Sharepoint
Any of these screening are considered compliant for Colorectal Cancer Screening Measure if performed within the required timeframe. (and what is the timeframe)
What is Fecal Occult Blood Test (FOBT) during MY
Flexible Sigmoidoscopy in MY of 4 years prior
Colonoscopy in MY or 9 years prior
CT colonography in MY or 4 years prior
Stool DNE or FIT Test (cologuard) in MY or 2 years prior
This is the retrieval goal on 3/20/2023
What is 70%
A retinal eye exam can be performed in the PCP office using retinal AI equipment. This is compliant for HEDIS EED measure.
What is False. Retinal exam performed by PCP in office must be read by eye care specialist for compliance
This individual can be contacted if you are unsure of a medical record's compliance.
What is your manager/director or SME or phone a friend (colleague)
These are optional exclusions and can be used for Colorectal Cancer Screening if no compliant screening was performed.
What is Colorectal Cancer and Total Colectomy
This is the projected close date of HEDIS
What is 5/1/2023
This is not an exclusion for a diabetic eye exam because it is difficult to distinguish between members which are totally __________ and partially ___________
What is Blindness
Daily Double.......... This market assigned individual is key during HEDIS chart chase and reviews all medical records which were marked as non-compliant by the Chart Ops/MRR Abstraction team, in hopes of finding compliant data as a last resort.
What is market HEDIS SME
This type of post colonoscopy report can be used for compliance if it indicates the type of screening performed and the date when the screening was performed.
What is a pathology report
Daily Double .............. This is the Star Year which our HEDIS retrievals will apply towards
What is SY2024
A member with hypertension retinopathy, but NO diabetic Retinopathy upon retinal exam, is considered complaint if performed with in the MY (2022).
What is False