HEDIS
QUALITY
Team Members
QUALITY
HEDIS
200

I am an Inverse Measure, the lower the better and triple weighted.

What is the A1c Measure

200

What does PODS stand for?

What is Physician Office Diagnostic Services

200

Whos sister just recently had a baby?

Who is Myranda Rodriguez

200

What does MRA stand for?

What is Medicare Risk Adjustment 

200

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.

400

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)

400

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

400

She loves everything Disney and is from North Cackalacky aka NC.

Who is Ashley Corbean

400

A comprehensive view including admit history, charts, encounter history, labs, patient activity and prescriptions.

What is a Member Snapshot

400

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)

600

Code 1111F and medications must be reviewed and reconciled.

 What is Medication Reconciliation Post-Discharge

600

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

600

This team member has a racehorse named Indian Buzz

Who is Jennifer Nobles


600

How many times should you evaluate chronic conditions?

What is twice a year

600

Triple weighted, consists of 3 drug classes, Statin, Oral Diabetics and Hypertensive (ACEI / ARB).

What is Medication Adherence Measure

800

I  can capture the Colorectal Cancer Screening Measure by obtaining a stool sample once a year

What is a FOBT Kit?

800

Care for Older Adults consists of these 4 measures.

 Functional Status(COAF), Pain Assessment(COAP), Med List and Review(COAR) and Advance Care Planning(COAA)

800

Before Better Health Group Services Inc, what name were we under.


What is Sun Labs USA Inc?


800

If a provider asks a clinical question in a Quality Huddle, who should we direct the question to?

What is a Provider Educator

800

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)

1000

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

1000

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

1000

I retrieve Charts for the offices without EMR capabilites?

Who is Angela Reed


1000

Report that shows all Hospital events, including inpatient visits, ER visits, and SNF?

 What is the Admissions Report

1000

Completed once Every 27 months and the age range is 50-75

What is Breast Cancer Screening?

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