HEDIS POPOURRRI
The compliant time frame when women 67–85 years of age had either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis after sustaining a fracture.
What is 6 months? or What is 180 Days?
If the medical record does not indicate the type of FOBT test and the number of returned samples is specified, if there are fewer than ____ samples, the member does NOT meet screening criteria.
What is 3?
MRIs, ultrasounds and /or biopsies.
Tests and Procedures that do NOT close the BCS measure.
Dr. Goofy's Patient Jiminy Cricket comes in for an annual visit on 01/27/2023, his bp is initial take with a reading of 145/89, after speaking with the provider, his blood pressure is taken again, the second reading is 139/91. What reading gets submitted to the payor?
What is 139/89?
Dr. Eeyore documented that Mirabel Madrigal's blood pressure was 140/76 at her 2/1/2023.
What is not found?
Documentation that does not close the pain assessment aspect of COA PAIN ASSESSMENT.
What is Chest Pain?
The two test that must be completed in order to satisfy the Kidney Health Evaluation for Patients with Diabetes (KED) measure?
What is eGFR and uACR?
What is an estimated glomerular filtration rate eGFR and a urine albumin-creatinine ratio (uACR)
The date(s) the mammogram can be completed for gap closure.
What is October 1, 2021-December 31, 2023?
Mike Wazowski has his A1c Drawn on 6/2/2023, The Lab send the results back on 7/4/2023. His result was 6.0. What date do we use to submit his A1c?
What is 6/2/2023?
Colonoscopy preformed 12/31/2012.
What is Not Found
I can be completed on the date of discharge through 30 days after discharge.
What is 1/1/2014?
For HEDIS Year 2023- Breast Cancer Screening completed 10/1/2021.
What is found?
The number of days for the patient to be evaluated by his or her physician after the date of discharge.
What is 30 Days?
Two types of FOBT tests.
What is Guaiac (gFOBT) and Immunochemical (FIT)?
For gap closure,the age range of women who had a mammogram to screen for breast cancer between 10/01/2020-12/31/2022.
What is 50-74 years of age?