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Aetna Health Inc. Georgia HEDIS 2011 Quality Report Card Reporting Year 2010 Commercial HMO/POS Quality Measure Description Rate Access to Care AAP - Adults Access to Preventive/Ambulatory Health Services CAP - Children s Access to Primary Care Providers IET - Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Initiation Engagement Adults who had ambulatory or preventive care visits in the past three years - Ages 20 to 44 - Ages 45 to 64 - Ages 65 and older...
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Make sure you have the necessary information: Before filling out the hedis form in Aetna, gather all the required information such as member demographics, medical history, and any relevant medical records.
02
Follow the instructions: Read the instructions provided on the form carefully. Pay attention to any specific guidelines or requirements mentioned. This will help ensure that you provide accurate and complete information.
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Provide member details: Start by entering the member's personal information such as name, date of birth, address, and contact details. Double-check the accuracy of this information before proceeding.
04
Complete the medical history section: The hedis form typically includes a section where you need to provide details about the member's medical history. This may include past diagnoses, surgeries, medications, and any chronic conditions they may have.
05
Record current medications: Include a complete list of all the medications the member is currently taking. Make sure to include the name, dosage, and frequency of each medication. If the member is not taking any medication, indicate "none" or "N/A."
06
Document relevant provider visits: If the member has recently visited any healthcare providers, record the details of those visits. Include the date of the visit, the provider's name, reason for the visit, and any treatments or tests performed.
07
Submit supporting documentation: In some cases, the hedis form may require you to attach supporting documentation such as lab results, imaging reports, or referral letters. Ensure you include all the necessary documents as specified in the form.

Who needs hedis in aetna form?

01
Healthcare providers: Healthcare providers, such as doctors, nurses, and hospitals, need the hedis form in Aetna to document and report the quality of care provided to their patients. This form helps track important healthcare measures and performance indicators for evaluation purposes.
02
Insurers: Insurance companies like Aetna use the hedis form to assess the quality of care delivered by their contracted healthcare providers. It enables insurers to monitor the performance of providers and offer guidance for improving patient outcomes.
03
Government agencies: Government agencies, particularly those overseeing healthcare programs, may require the hedis form to assess the quality of care provided to individuals enrolled in government-funded healthcare programs. This information helps in evaluating and refining healthcare policies.
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Researchers and analysts: Hedis data collected through the forms can be valuable for researchers and analysts studying healthcare trends, outcomes, and quality improvement. It provides a standardized and comprehensive dataset for analysis and comparison across different healthcare settings.
Note: The specific requirements and purposes of the hedis form may vary depending on the context, so it's essential to refer to the instructions and guidelines provided by Aetna or the relevant entity.
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HEDIS (Healthcare Effectiveness Data and Information Set) in Aetna form is a set of performance measures used by Aetna, a health insurance company, to assess the quality of healthcare services provided by healthcare providers.
Healthcare providers who have contracts with Aetna and participate in their quality improvement programs are required to file HEDIS in Aetna form.
The specific process for filling out the HEDIS in Aetna form may vary, but generally, healthcare providers will need to collect and report relevant data on various quality measures determined by Aetna. This data can be submitted through the designated channels as specified by Aetna.
The purpose of HEDIS in Aetna form is to measure and evaluate the quality of healthcare services provided by healthcare providers. Aetna uses this data to assess the performance and effectiveness of healthcare providers, identify areas for improvement, and make informed decisions regarding quality improvement initiatives.
The specific information that must be reported on the HEDIS in Aetna form can vary based on the quality measures defined by Aetna. Generally, this may include data related to patient demographics, preventive care services, management of chronic conditions, medication adherence, and other relevant healthcare-related metrics.
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