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Review of the Adult HEDIS Measures that includes suggested best practices and appropriate documentation for compliance.
Review of Lead Screening, including an overview of State guidelines vs. NCQA requirements with emphasis on age compliance ranges and best practices. Discuss testing requirements, risk assessment questionnaire, reporting, coding and reimbursement, and MedTox.
The presentation Quality Care Gap Closure will explain how care gaps are closed, hybrid & administrative data, coding claims to reflect services rendered, and using the Provider Tips Booklet.
The Asthma Medication Ratio presentation will provide an overview of signs, symptoms, risks, treatments, suggested best practices, and resources.
The ADD and ADHD presentation will provide an overview of signs, symptoms, risks, treatments, suggested best practices, and resources.
Review of telehealth versus telemedicine, effectiveness and challenges, reimbursement, suggested best practices.
Overview of the Women’s Health R&R Program which aims to positively impact the health of women and children in New Jersey focusing on improving clinical outcomes and performance on HEDIS measures.
A comprehensive overview of the Quality Programs, including all Lines of Business, HEDIS information, and resources.
HorizonDocs is a web-based centralized document repository that allows Horizon to securely exchange documents with Providers accessed through NaviNet Portal.
Review of the Pediatric HEDIS Measures that includes suggested best practices and appropriate documentation for compliance and review of the importance of Lead Screening.
Information on risk adjustment, common HCC errors and best practices.
The CWP presentation will provide an overview of appropriate testing for pharyngitis, the CWP HEDIS measure, signs and symptoms of pharyngitis, diagnosis and testing, and best practices.
The CAHPS presentation will provide an overview of Medicare CAHPS and STARS. Learn more about the CAHPS survey and the importance of the patient experience. Review tools and resources available to help ensure that your patients always receive exceptional care from you and your staff.
Optimizing monthly R&R reports will provide an overview of how to review and digest the monthly gap and incentive reports for the best outcomes.