Will there be a HEDIS 2021?
By Daniel Avila
Will there be a HEDIS 2021?
The transition will coincide with the HEDIS Timeline transition process starting in HEDIS 2020 and completing in 2021.
What are HEDIS codes?
Developed by the National Committee on Quality Assurance (NCQA), the Healthcare Effectiveness Data Information Set (HEDIS) is a tool to assess the performance of health plans based on the quality of care and services provided to their members.
What are the measures of HEDIS?
HEDIS Measures. HEDIS® includes more than 90 measures across 6 domains of care: Effectiveness of Care. Access/Availability of Care. Experience of Care. Utilization and Risk Adjusted Utilization. Health Plan Descriptive Information. Measures Collected Using Electronic Clinical Data Systems.
Where can I find the rules for allowable adjustments in HEDIS?
The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. NCQA’s HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. Visitors to this page often check HEDIS FAQs or ask a question through MyNCQA.
How to conduct a HEDIS audit?
The approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit. Technical specifications for the Health Outcomes Survey (HOS).
How does NCQA collect HEDIS data?
NCQA collects HEDIS ® survey results directly from health plans and PPOs through the Healthcare Organization Questionnaire (HOQ), and collects non-survey data through the Interactive Data Submission System (IDSS). HEDIS data help calculate national performance statistics and benchmarks, and set standards for measures in NCQA Accreditation.
