General
What does COA stand for in HEDIS measures?
Care for Older Adults
How many ADLs or iADLs are required to meet compliancy for FSA
Notation that ADLs were assessed or that at least 5 ADLs
or
Notation that iADLs were assessed or that at least 4 iADLs
What must be present in the medical record for a medication review to count?
A medication list.
True or false: If found, exclusions must be reported?
True
When abstracting what are the first two things you should verify in the chart?
Where can you locate the official measure training material?
Education and Training Resource center
What two components are required for COA in MY2025
Medication Review and Functional Status Assessment
Name two types of medications included in a medication review.
Prescription and OTC medications (also herbal/supplemental therapies).
What exclusions apply to COA
Members who die within the MY and Hospice
True or False: If a member is administratively compliant you should still abstract the data for that numerator?
True - We will abstract All data for numerators found in the medical chart, even if that numerator is admin compliant. (this is a change from last year)
Which indicator was removed from COA in MY2025?
Pain Assessment
True or false: When abstracting multiple DOS for FSA you should enter a new line for each DOS?
False, you should only enter one DOS and add additional DOS with page #'s to your notes in the comments section.
What provider types can complete a medication review?
Prescribing practitioner and Clinical Pharmacist
True or false: Hospice care and Palliative Care are the same thing and should be reported as an exclusion?
False, Palliative care is not the same as Hospice
If you identify an exclusion in a medical record, what is your first step?
Place on hold for supervisor to review
Are ER visits acceptable to abstract from for all numerators?
Yes, ER visits are acceptable
Does the following statement meet compliancy for FSA? Member able to walk, dress, grocery shop, cook and eat without assistance.
No, you cannot combine ADLs and IADLs
Does a medication review require the member to be present?
No
What are the names of the 2 tools that we utilize for abstraction?
rateLIFT and QMRM
What type of services do NOT meet COA criteria?
Services provided in an Acute Inpatient setting.
Can a functional status assessment be done via telehealth?
Yes (telephone visit, e-visit, or virtual check-in).
What setting is excluded for medication reviews?
Acute inpatient setting.
True or False: COA members who reside in an Assisted Living facility should be excluded?
False, assisted living is not considered an acute inpatient facility and is acceptable to abstract from.
What are the three things you need to complete before saving your data entry when abstracting in rateLIFT?
Enter notes
Select abstracted in vendor system check box
select an OR type