FAQ Directory: HEDIS

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12.15.2016 Plan All-Cause Readmission Does the Note at the end of step 4 (page 347) regarding required exclusions of the denominator of the administrative specification also apply to step 3 of the numerator (page 352)?

Yes. Add the following language to step 3 of the numerator: Note: For hospital stays where there was an acute-to-acute direct transfer (identified in step 2), use both the original stay and the direct transfer stay to identify exclusions in this step.

HEDIS 2017