HEDIS Abbreviations
Product Line (Comm. Medicare, Medicaid, SNP)
CAHPS or Not CAHPS
New
HPV Measure
Sampling Guidelines
100
Comprehensive Diabetes Care
What is CDC
100
Childhood Immunization Status
What is Commercial and Medicaid
100
Flu Shots for Adults Ages 50-64
What is a CAHPS measure
100
Between the administrative or hybrid, the HPV measure is reported using this methodology.
What is the hybrid method?
100
The number of members typically selected for a hybrid sample (not including oversampling)
What is 411?
200
Cholesterol Management for Patients with Cardiovascular Conditions
What is CMC
200
Care for Older Adults
What is SNP
200
Osteoporosis Management in Women Who Had a Fracture
What is not a CAHPS measure
200
The product lines to which the HPV measure applies.
What is Commercial and Medicaid
200
If you oversample more than this percentage, you'll need to get NCQA approval.
What is 20%
300
Pharmacotherapy Management of COPD Exacerbation
What is PCE
300
Comprehensive Diabetes Care
What is Commercial, Medicare, and Medicaid
300
Aspirin Use and Discussion
What is a CAHPS measure
300
The number of HPV doses required to make the member numerator compliant
What is 3?
300
One of the three acceptable reasons for substituting a medical record
What is either: 1) error in the sampling data (member doesn't meet criteria) 2) member has an optional exclusion 3) member is an employee or dependent
400
Human Papillomavirus Vaccine for Female Adolescents
What is HPV
400
Annual Dental Visit
What is Medicaid
400
What is Pneumonia Vaccination Status for Older Adults
What is a CAHPS measure
400
The member's age range to receive the HPV vaccines that count for numerator compliance.
What is 9-13?
400
One of two acceptable methods to reduce the sample size.
What is using either: 1) Current year's administrative rate or 2) Prior year's reported rate
500
Potentially Harmful Drug-Disease Interactions in the Elderly
What is DDE
500
Plan All-Cause Readmissions
What is Commercial and Medicare
500
Fall Risk Management
What is not a CAHPS measure (Medicare Health Outcomes Survey)
500
The only optional exclusion for the HPV measure
What is contraindication for the HPV vaccine?
500
The percentage representing the confidence interval of HEDIS rates when sampling
What is 95%
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