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HEDIS 101

Across
Collecting detailed info from a medical record
The extent to which data corresponds to an actual event or documentation that supports a measure
Medical Record Review
Studying or comparing results to a reasonable, tested standard or threshold to gauge and improve performance
Evidence of service/event/diagnosis which meets measure criteria in either the admin data or the medical record
Record of Administration, Data Management and process. Formerly known as the BAT
Compliant medical record or administrative data
Healthcare Effectiveness Data and Information Set
Down
Certified HEDIS Compliance Auditor
Mapping or converting
National Committee for Quality Assurance
Logical mapping or process flow that is used to derive a conclusive decision or action
Measure data element that falls outside of expected thresholds or standard ranges
Reasons for removing eligible members from a measure population
Consumer Assessment of Healthcare Providers and Systems, satisfaction survey