No. Documentation of an “unknown” eye exam result does not meet criteria for hybrid reporting for the eye exam indicator of the CDC measure or the EED measure.
HEDIS MY 2022
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11.15.2021 Comprehensive Diabetes Care If medical record documentation indicates that an eye exam result is “unknown,” does this qualify as a result when reporting the eye exam indicator of the CDC measure or the EED measure?
11.15.2021 Comprehensive Diabetes Care If medical record documentation indicates that an eye exam result is “unknown,” does this qualify as a result when reporting the eye exam indicator of the CDC measure or the EED measure?
10.15.2021 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents The WCC measure includes a summary of change (SOC) to indicate that the value is stratified. Should this be removed from the SOC?
Yes. Remove the SOC that reads, “Revised the Reporting Instructions for the ‘NumeratorByAdminElig’ data element in Table WCC-1/2 to read ‘For each Metric and Stratification.’” Organizations reported “NumeratorByAdminElig” by age stratification in the past, so this is not a change to the measure for MY 2020 & MY 2021 reporting.
HEDIS MY 2022
10.15.2021 General Guideline 32: Obtaining Information for the Systematic Sample Should the number of numerator events by administrative data in the eligible population (before exclusions), the number of required exclusions and the current year’s administrative rate (before exclusions) data elements change with a data refresh after the sample has been drawn?
10.15.2021 Transitions of Care The TRC measure includes a summary of change (SOC) to indicate that it the value is stratified. Should this be removed from the SOC?
Yes. Remove the SOC text that reads, “Revised the Reporting Instructions for the ‘NumeratorByAdminElig’ data element in Table TRC-3: Data Elements for Transitions of Care to ‘For each Metric and Stratification.’” Organizations reported “NumeratorByAdminElig” by age stratification in the past, so this is not a change to the measure for MY 2020 & MY 2021 reporting.
HEDIS MY 2022
10.15.2021 Transitions of Care The TRC measure includes a summary of change (SOC) to indicate that it the value is stratified. Should this be removed from the SOC?
Yes. Remove the SOC text that reads, “Revised the Reporting Instructions for the ‘NumeratorByAdminElig’ data element in Table TRC-3: Data Elements for Transitions of Care to ‘For each Metric and Stratification.’” Organizations reported “NumeratorByAdminElig” by age stratification in the past, so this is not a change to the measure for MY 2020 & MY 2021 reporting.
HEDIS MY 2021
10.15.2021 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents The WCC measure includes a summary of change (SOC) to indicate that the value is stratified. Should this be removed from the SOC?
Yes. Remove the SOC that reads, “Revised the Reporting Instructions for the ‘NumeratorByAdminElig’ data element in Table WCC-1/2 to read ‘For each Metric and Stratification.’” Organizations reported “NumeratorByAdminElig” by age stratification in the past, so this is not a change to the measure for MY 2020 & MY 2021 reporting.
HEDIS MY 2021
10.15.2021 General Guideline 32: Obtaining Information for the Systematic Sample Should the number of numerator events by administrative data in the eligible population (before exclusions), the number of required exclusions and the current year’s administrative rate (before exclusions) data elements change with a data refresh after the sample has been drawn?
9.15.2021 Guidelines for Calculations and Sampling: Hybrid Method How should the eligible population be reported for hybrid measures if there are optional or required exclusions?
The eligible population for hybrid measures should be reported before the optional exclusions and after the required exclusions for all three hybrid method approaches (refer to Appendix 4 in HEDIS Volume 2). For example, if the eligible population is 100 members and 10 members met optional exclusion criteria, then the reported eligible population value must still be 100.
HEDIS MY 2022
9.15.2021 Acute Hospital Utilization, Emergency Department Utilization and Hospitalization for Potentially Preventable Complications May covariance values be rounded before using them in the variance calculation?
No. Do not round covariance values for use in variance calculations. Member-level PPD and PUCD should be unrounded in covariance and variance calculations, although truncation to 10 decimal points is applied, per the previous step. NCQA intends to evaluate truncation and rounding logic throughout intermediate calculations to ensure consistency and reduce potential bias in a future publication release.
HEDIS MY 2021