Healthcare Effectiveness Data and Information Set (HEDIS) is a system for assessing the quality of care and clinical performance . ... In this work from home job, you collect the data remotely and contact facilities and medical records departments on the phone when necessary.
What is HEDIS and how is it used?
HEDIS is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need for reliable comparison of health plan performance . HEDIS Measures relate to many significant public health issues, such as cancer, heart disease, smoking, asthma, and diabetes.
How do I get HEDIS certified?
- Request an Application. Submit an inquiry through My NCQA. ...
- Review Handbook and Application. ...
- Submit Your Application. ...
- NCQA Approves Your Application. ...
- Learn Requirements and Audit Process. ...
- Sit for Your Exam.
What is HEDIS training?
The Healthcare Effectiveness Data and Information Set (HEDIS ® ) is widely used to measure and improve health care quality and is relied on by government regulators, health plans, provider organizations, employers and others to identify quality and compare plan performance.
What is HEDIS in nursing?
The Healthcare Effectiveness Data Information Set (HEDIS) is a construct of guidelines used to measure healthcare performance and service. ... By using HEDIS to enforce medical record keeping and coding policies, HEDIS Nurses are invaluable in improving facility care quality.
How long does it take to become HEDIS certified?
NCQA determines whether you are eligible to be a licensed organization. This usually takes 2–3 weeks .
How much do HEDIS nurses make?
| Annual Salary Weekly Pay | Top Earners $91,500 $1,759 | 75th Percentile $88,000 $1,692 | Average $74,422 $1,431 | 25th Percentile $65,000 $1,250 |
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Is HEDIS mandatory?
Q: Is my participation in HEDIS mandatory? A: Yes . Network participants are contractually required to provide medical record information so that we may fulfill our state and federal regulatory and accreditation obligations.
Is HEDIS only for Medicare?
All Medicare plans required by CMS to submit HEDIS are included in the published ratings.
What are the benefits of HEDIS?
Benefits of HEDIS
Works to improve patient outcomes and decrease the cost of care through preventative services . May provide beneficial data regarding public health issues affecting large patient populations such as cancer, heart disease, smoking, asthma, and diabetes.
How do I get a job with HEDIS?
The qualifications that you need to become a remote HEDIS nurse include a nursing degree , knowledge of auditing procedures and HEDIS measurement variables, and computer skills to access medical records. You start your nursing career by earning an associate or bachelor’s degree in nursing.
What is HEDIS coding?
Developed by the National Committee on Quality Assurance (NCQA), the Healthcare Effectiveness Data Information Set (HEDIS) is a tool to assess the performance of health plans based on the quality of care and services provided to their members .
What are the 5 domains of HEDIS?
- Effectiveness of Care.
- Access/Availability of Care.
- Experience of Care.
- Utilization and Risk Adjusted Utilization.
- Health Plan Descriptive Information.
- Measures Reported Using Electronic Clinical Data Systems.
What is the highest paying nurse?
The certified registered nurse anesthetist consistently ranks as the highest paid nursing career. That is because Nurse Anesthetists are advanced and highly skilled registered nurses who work closely with medical staff during medical procedures that require anesthesia.
What does a hedis review nurse do?
What do HEDIS nurses do? They collect and review data from patient charts and other medical records from hospitals , doctors’ offices and various health care providers to measure and help improve quality.
Can you work from home as a registered nurse?
Yes , most people picture registered nurses providing in-person care, but nurses can also practice from home in a surprising number of ways. If you are interested in transitioning out of traditional care, these nursing positions can put your nursing degree, and your spirit of caregiving, to good use working from home.
