THIS BOOK WILL HELP YOU BE THE BEST AND MASTER
HEDIS® Abstraction - Work From Home
QUICK REFERENCE E-BOOK FOR HEDIS® REVIEWERS
Working in the field as a HEDIS® Reviewer: Quick Reference Handbook, delivers foundational knowledge to help Certified Healthcare Record Reviewers™ (CHRR™) or anyone that are seeking to work in the field as a HEDIS® Reviewer.
What you'll learn:
Learn to use all the related tools, walk into a job and be a rockstar from day one. The skill you need to become a HEDIS® professional. Learn the tools used by the world's top professional. Boost your confidence, master the field.
QUICK REFERENCE E-BOOK FOR HEDIS® REVIEWERS
Chapter 1
- Introduction to NCQA
Chapter 2
- The Impact of Performance Quality Measure
- What are (CMS) STAR Ratings?
Chapter 3
- What is a Medical Record?
- What in a Medical Record
Chapter 4
- What is a Healthcare Provider?
Chapter 5- How to Process Medical Records for STARS Ratings Project?
- Receiving Medical Records
- Verify Identifiers/Demographics
- Chart Review/Abstracting
- Highlighting the Medical Records
Chapter 6
- Medical Records Retrieval Process
- Sample Record Request Letter
- Chart Pull List
- Sample Chart Pull List
- On-Site Visits
- How to Prepare for a Site Visit
- What is a HEDIS Call Script?
- Sample HEDIS Call Script
Chapter 7
- Copy Services/Third Party Vendor
- What is a Copy Service?
Chapter 8
- Know Your Job Assignment
- Scenario 1 58
- Know Your End Game
- Scenario 2
Chapter 9- Exclusions
- Required Exclusions
- Optional Exclusions
Chapter 10
- Initial Reviewer -vs- Over Reader
- Quality Assurance Process
- Initial Reviewer Roles Overview
- How will the Initial Reviewer (IR) Score be Calculated?
- Over Reader Roles Overview
- How will the Over-Reader (OR) Score be Calculated?
Chapter 11
- What is a Chart Chase
- Why does the Quality Consolidator have to close out a Chase?
Chapter 12
- Different Work Roles in HEDIS®
- HEDIS Various Job Roles and their Functions
Chapter 13
- What is a Contract Position?
- What Reviewers Should Expect Working a Contract Position
Chapter 14
- How to Negotiate Your Salary?
- The Call
- Understanding the Corporate Negotiation Game
- Know Your Happy Number
- Get the Compensation You Want
- Negotiation is a Skill
Chapter 15
- Self Confidence
- Overcoming Lack of Self-Confidence
- Scenario 3
Chapter 16
- Equipment(s) Every Reviewer Should Have
Chapter 17
- Helpful Tips
- Endnotes