What Are The Rules for Allowable Adjustments of HEDIS?

What Are The Rules for Allowable Adjustments of HEDIS?

If you are in the healthcare field, chances are that you are involved in HEDIS. There are a lot of different aspects of HEDIS, ranging from data collection and reporting to allowable adjustments. If you are overwhelmed by all things HEDIS, you are not alone! Thankfully, HEDIS Nurses is here to help. Keep reading to learn about the Rules for Allowable Adjustment of HEDIS and how HEDIS Nurses can help you.

What is HEDIS?

HEDIS stands for the Healthcare Effectiveness Data and Information Set. It is one of health care’s most widely used performance improvement tools. This comprehensive set of standardized performance measures provides purchasers and consumers with an “apples to apples” comparison of health plan performance.

Why does HEDIS matter?

You might think of HEDIS as just more red tape and bureaucratic work, but in reality, HEDIS is extremely important. This tool is used by more than 90% of health plans to measure performance on important dimensions of care and service. It is designed to be able to compare health plans on a standardized scale so consumers can make informed decisions.

What are the Rules for Allowable Adjustment of HEDIS?

HEDIS measures are traditionally specified for health plan reporting. That is why the NCQA has developed Rules of Allowable Adjustment of HEDIS. This enables them to accommodate the application of HEDIS to various levels of the health care system. In essence, these rules provide flexibility to evaluate various populations without altering the measure’s clinical intent. To find the Rules for Allowable Adjustment, check out the HEDIS Volume 2 publication.

Contact HEDIS Nurses today for help with your HEDIS projects!

Do you need help with your HEDIS work? At HEDIS Nurses, we have over 2024 years of experience when it comes to HEDIS. We keep our staff up to date on recent developments and continual training allows our nurses to be the best of the best when it comes to chart abstractions and HEDIS projects. We also are scalable so we can handle your entire HEDIS load or be available on call when you need assistance with one-off projects. Are you ready to get started? Give us a call today at (877) 328-2343 to discuss our HEDS and chart abstraction services!

To learn more about the reliable and quality HEDIS services that we offer, visit us on the web at HEDIS Nurses.