How many people are enrolled in the HEDIS?

The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools. 191 million people are enrolled in plans that report HEDIS results. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. We are adjusting to the COVID-19 outbreak. Learn more.

What does HEDIS stand for in health care?

The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools.

What are the technical specifications for the HEDIS?

HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. Overview of the HEDIS measurement set and how the data are used.

Are there any nonsurvey measures for HEDIS 2019?

HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. Note: The Standardized Healthcare-Associated Infection Ratio (HAI) measure is suspended and will not be collected for HEDIS 2019.

What do you need to know about the HEDIS tip sheet?

This measure requires collection of medical records for evidence of the following: A note with thedate HbA1c wasperformed, and the result • Automated laboratory data Diabetes CPT II Hba1c result Codes: Less than 7.0 3045F: 7.0 – 9.0 3046F: Greater than 9 HbA1c testing CPT Codes: 83036 83037 ICD – 10 Diabetes diagnosis codes:

What are the domains of care in HEDIS?

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.