Acronyms
Tech Spec's
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100
HEDIS
What is Health Effectiveness Data and Information Set?
100
You need a Height, weight, and BMI for what Hedis Measure?
What is a compliant adult BMI record
100

This Hedis Measure captures the child in the 1st 30 months of life

What is the W30 Measure

100

The percentage of members 18–75 years of age with diabetes (types 1 and 2) whose blood pressure (BP) was adequately controlled (<140/90 mm Hg) during the measurement year.

What is the BPD Measure?

100
The acronym for the Care of Older Adults Hedis Measure
What is COA?
200
NCQA
What is the National Commitee for Quality Assurance?
200
Member name, DOB, DOS, DX of HTN prior to June 30th of the MR, and the last B/P documented in the MR are needed for which Hedis Measure?
What is the CBP Measure
200
The HEDIS Season focus is on PROVIDER or MEMBER contact?
Provider
200
  • History of bilateral mastectomy

What is an optional exclusion BCS Measure?

200
  • BMI percentile documentation
  • Counseling for nutrition.
  • Counseling for physical activity

What is the WCC Measure

300

CCS

What is the acronym for Cervical Cancer Screening?

300
TRUE or FALSE: It is required that a result is provided for an A1C.
TRUE
300

E-visit or virtual check-ins

What are asynchronous visits

300
Medical Records that have documentation such as: ESRD, dialysis, DX of pregnancy in the MY, are in regards to what Hedis Measure?
What is the CBP Measure?
300
Bathing, dressing, eating, transferring, walking are examples of what? and from what Hedis Measure?
What are the ADL's (Activities of daily living). What is the COA Functional Status Assessment (FSA) component?
400

Acronym for Transition of Care?

What is TRC?

400

TRUE or FALSE: Post-natal compliant visits occur between 7-85 days.

FALSE: 7-84 days.

400

A Complete Hysterectomy, Total Hysterectomy (TAH or TVH), and Radical abdominal or Vaginal Hysterectomy relate to which Hedis Measure?

What are the exclusions for the the Cervical Cancer Screening (CCS) Measure,

400

For the COA Measure list the categories that MUST be in the MR.

 Medication Review (MR), Functional Status Assessment (FSA), Pain Assessment (PA)

400

Assesses the percentage of members 3-21 years of age who had at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner during the measurement year.

What is the WCV Measure.

500
Acronym for Controlling Blood Pressure.
What is CBP?
500

TRUE or FALSE: A synchronous visit includes video visits

True

500

We can go back as far as 9 years in the MR for this measure.

What is the COL Measure in regards to a Colonoscopy.

500

For the EED Measure, what type of doctor should the eye exam come from?

What is An Optometrist or and Ophthalmologist.

500

Aimee Black

Who is the VP of Quality for NTC

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