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Quality Management 2021 Webinars

Attention Providers: To receive credit for viewing one of the Quality Management Webinars, please click on the below link and complete the survey after viewing the Webinar.

https://www.surveymonkey.com/r/Quality_Management_Recorded_Webinar_Feedback

Overview

A comprehensive view of the Quality Programs, including all Lines of Business, HEDIS information, and resources.

Adult Measures

Review of the Adult HEDIS Measures that includes suggested best practices and appropriate documentation for compliance.

Pediatric Measures

Review of the Pediatric HEDIS Measures that includes suggested next practices and appropriate documentation requirements.

ADHD

Discuss ADHD signs, symptoms, risks, treatments, suggested best practices, and resources.

Asthma

Discuss Asthma signs, symptoms, risks, treatments, suggested best practices, and resources.

Achieving Quality Compliance

Discuss standard versus non-standard supplemental data, components required for the hybrid measures, chart documents required for HEDIS 2021 measures, steps for chart retrieval for Chart Chase

Resources

Discuss Horizon Healthy Journeys, Care Management, Provider Relations, Horizon Community Outreach and other Horizon-offered resources.

What’s the Code?

Explain how care gaps are closed, hybrid & administrative data, coding claims to reflect services rendered, and using the Provider Tips Booklet.

Lead

Discuss testing requirements, risk assessment questionnaire, reporting, coding and reimbursement, and MedTox.

Clinical Documentation Improvement

Discuss importance of clinical documentation, compliant versus non-compliant clinical documentation, supplemental data, Horizon Docs and Secure Blue messaging.

Telehealth

Discuss telehealth versus telemedicine, effectiveness and challenges, reimbursement, suggested best practices.

Optimizing Monthly Results and Recognition Quality Reports

How to review and digest the monthly gap and incentive reports for the best outcomes; how incentive calculations are done.

Horizon Docs

HorizonDocs is a web-based centralized document repository that allows Horizon to securely exchange documents with Providers accessed through NaviNet Portal.

Risk Adjustment

Calling all Coders & Office Managers! Information on coding, risk adjustment, common HCC errors and best practices.