HEDIS Settings

Elissa Toder

Modified on: Thu, 26 May, 2022 at 6:07 PM

Here is where you define your measure year and overread settings for your project.

TABLE OF CONTENTS

HEDIS Settings Page Overview

HEDIS Settings Page Overview

Measure Year: This is how you define the measurement year of your project. It cannot be edited
Reporting Year: The year in which you will be reporting. It cannot be edited
Auto-Close Rule: This allows you to determine if you want to auto-close Open and Pended chases once a member becomes compliant.
NRC Requirements: You can show or hide NRC on the Data Entry screen.
Provider Confirmation: Allow users to update the provider on a chase
Overread Feedback Tool: This is how you enable and disable the Overread Feedback tool.
Enable/disable Gap Pursuit creation: If Retrieval Type is Gap on a HEDIS project, you can disable pursuit creation.
Overread Settings: Here is where you define the percentage of Overread for each Measures’ Compliance.
Overread Bot Settings: If Bot enabled and configured, all Measure Compliances will show in yellow.
Overread 2 Settings: Here is where you define the percentage of Overread 2 for each Measures’ Compliance.

HEDIS Settings - Edit

From HEDIS Settings tab
Edit Desired fields with the exception of measurement year and reporting year
Click Save

HEDIS Overread Feedback Tool - Enable/Disable

Use the toggle to enable and disable this feature
1. Green = Enabled
2. Grey = Disabled
Click Save

Note:

When you disable the feature, no new charts will be sent through the Overread Feedback Tool and all charts that are currently processing will complete their cycle.

HEDIS Gap Pursuit Creation - Enable/Disable

Use the toggle to enable/ disable Gap Pursuit Creation
1. Green = Enabled
2. Grey = Disabled
Click Save

HEDIS Settings - Configure Overread

Enter the percentage of Overread for each Measures’ Compliance
Click Save

HEDIS Settings - Configure Overread 2

Enter the percentage of Overread 2 for each Measures’ Compliance
Click Save