HEDIS
I am an Inverse Measure, the lower the better and triple weighted.
What is the A1c Measure
What does PODS stand for?
What is Physician Office Diagnostic Services
Whos sister just recently had a baby?
Who is Myranda Rodriguez
What does MRA stand for?
What is Medicare Risk Adjustment
Osteoporosis Management with Fracture in Women(OMW) is a time sensitive measure and must be completed within how many days?
What is 180 days from any fracture.
I am a weighted measure this year, displayed last year and must be completed in 7 days. By phone, video or in the clinic.
What is the FMC Measure (Follow up Aftercare with Multiple Chronic Conditions)
What chronic condition belongs to HCC 59 and must be documented with a severity and episode to be appropriately and more specifically documented?
What is Major Depressive Disorder
She loves everything Disney and is from North Cackalacky aka NC.
Who is Ashley Corbean
A comprehensive view including admit history, charts, encounter history, labs, patient activity and prescriptions.
What is a Member Snapshot
To close this measure a Urine Microalbumin plus eGFR lab test is needed
What is the KED Measure( Kidney Health Evaluation in Patients with Diabetes)
Code 1111F and medications must be reviewed and reconciled.
What is Medication Reconciliation Post-Discharge
DAILY DOUBLE
Where in our Google Drive can you find information regarding the top 10 HCC’s, CMS guidelines and condition handouts?
What is the Quality Library 2.0
This team member has a racehorse named Indian Buzz
Who is Jennifer Nobles
How many times should you evaluate chronic conditions?
What is twice a year
Triple weighted, consists of 3 drug classes, Statin, Oral Diabetics and Hypertensive (ACEI / ARB).
What is Medication Adherence Measure
I can capture the Colorectal Cancer Screening Measure by obtaining a stool sample once a year
What is a FOBT Kit?
"What does HCC stand for in Risk Adjustment?"
Hierarchical Condition Category
Before Better Health Group Services Inc, what name were we under.
What is Sun Labs USA Inc?
If a provider asks a clinical question in a Quality Huddle, who should we direct the question to?
What is a Provider Educator
DAILY DOUBLE!!!!!!!!
Care for Older Adults consists of these 4 measures.
What is Functional Status(COAF), Pain Assessment(COAP), Med List and Review(COAR) and Advance Care Planning(COAA)
Part of the DIabetic measures and Must be completed once a year but the previous year’s negative result qualifies for closure.
What is the Eye Exam in Patients with Diabetes(EED) Measure
What tool contains the top 30 chronic conditions with their documentation and coding guidelines. Contains many tools like case studies, quick coding guides, documentation tips and guidelines, and a lot of new HEDIS tools!
What is the Quality Training Manual
I retrieve Charts for the offices without EMR capabilites?
Who is Angela Reed
Report that shows all Hospital events, including inpatient visits, ER visits, and SNF?
What is the Admissions Report
Completed once Every 27 months and the age range is 50-75
What is Breast Cancer Screening?