Annual HEDIS Medical Record Review

The annual Healthcare Effectiveness Data and Information Set (HEDIS) Medical Record Review is being conducted now through May 2022.

This review assesses Highmark’s provider compliance with a set of standardized performance measurements that Highmark is required to report to the National Committee for Quality Assurance (NCQA). HEDIS data is collected and reported on an annual basis as part of Highmark's accrediting and governmental requirements.

The measurements this year are:

  • Controlling High Blood Pressure
  • Colorectal Cancer Screening
  • Comprehensive Diabetes Care
  • Transitions of Care
  • Cervical Cancer Screening
  • Childhood Immunization Status
  • Immunizations for Adolescents
  • Lead Screening in Children
  • Prenatal and Postpartum Care
  • Weight Assessment and Counseling for Nutrition and Counseling for Physical Activity for Children and Adolescents

For information on who will be conducting this year’s review, who to contact with your questions, or what the COVID-19 procedures are, please review the HIGHMARK TO PERFORM ANNUAL HEDIS® MEDICAL RECORD REVIEWS BEGINNING FEBRUARY 2022 Plan Central message on NaviNet or in the Plan Central Library on the Provider Resource Center.

Disclaimers: HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).


 

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