NCQA

FEBRUARY 13, 2024

HEDIS measures do not constitute clinical practice guidelines, and should not be used to determine insurance or coverage. Health plans have an important role in providing services to prevent adverse outcomes and ensure proper care coordination during the post-surgical period. ET) on March 13. Visit [link] to submit comments.

Quality Assurance 52

Quality Assurance Hospitals Prevention Medicare 52

HIT Consultant

SEPTEMBER 7, 2022

Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them. SDOH for this group is both a contributing factor to disease and an obstacle to effectively closing gaps in treatment and prevention. .

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

NASHP

AUGUST 24, 2023

States that use existing billing codes may want to provide guidance to providers and explain how to use these codes to better track uptake of these services and support best clinical practices. California provided an example of billing codes associated with specified palliative care services in its December 2017 guidance.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52