FAQ Directory: HEDIS

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12.22.2016 Standardized Healthcare-Associated Infection Ratio How does NCQA determine that an acute care hospital is contracted with a health plan?

For reporting HAI for HEDIS 2017, NCQA defines a contracted acute care hospital as any acute care hospital to which the organization paid a claim for a member’s inpatient stay during the measurement period. This is a first-year measure; based on the results, NCQA may review this definition for changes in 2018.The FAQ posted in October regarding this topic was retracted given the release of the FAQ above.

HEDIS 2017