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.