FAQ Directory: HEDIS

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10.15.2015 Technical Update In the Technical Update memo, the following language was added to Persistence of Beta-Blocker Treatment After a Heart Attack and Follow-Up After Hospitalization for Mental Illness: “Use only facility claims to identify discharges and diagnoses for denominator events (including readmissions or direct transfers). Do not use professional claims.” For other measures that use the same method and value sets to identify a discharge (or an admission), should the organization use both facility and professional claims?

Yes. Unless the measure specification directs otherwise, use diagnosis and procedure codes from both facility and professional claims to identify an admission or discharge event.

HEDIS 2016