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FEDIS & Medical Record DocumentationADMINISTRATIVE METHODOLOGY MEASURE PERFORMANCE IS CALCULATED FROM A CLAIM OR AN ENCOUNTER SUBMITTED TO AMERIGROUP VIA TRANSACTION DATA AND ELECTRONIC DATA: Insurance
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Gather all necessary data and forms required for HEDIS & VBP reporting.
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Review the patient population and identify applicable individuals for HEDIS & VBP reporting.
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HEDIS (Healthcare Effectiveness Data and Information Set) and VBP (Value-Based Purchasing) are measures used in healthcare to evaluate performance and improve quality of care.
Healthcare providers, insurance companies, and other organizations in the healthcare industry are required to file HEDIS and VBP data.
HEDIS and VBP data can be filled out through electronic reporting systems provided by organizations such as NCQA (National Committee for Quality Assurance) and CMS (Centers for Medicare & Medicaid Services).
The purpose of HEDIS and VBP is to measure and improve the quality of care provided to patients, enhance transparency in healthcare performance, and incentivize providers to deliver high-quality care.
Information such as preventive care services, chronic disease management, patient outcomes, and patient satisfaction must be reported on HEDIS and VBP.
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