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  1. 30 kwi 2024 · For a complete list of codes, please visit the NCQA website at ncqa.org, or see the HEDIS value sets. Only subsets of the NCQA-approved codes are listed in this document. Wellcare and Ambetter strive to provide quality healthcare to our membership as measured through HEDIS® quality metrics.

  2. Patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90 mm Hg) during the measurement year. Note: The most recent BP reading during the measurement year on or after the second diagnosis of hypertension is used.

  3. This table contains the measures and brief descriptions that are included in HEDIS MY 2024. For full specifications, visit the NCQA store. BMI Percentile Documentation*. Counseling for Nutrition. Counseling for Physical Activity.

  4. For a complete list of codes, please visit the NCQA website at ncqa.org, or see the HEDIS value sets. Only subsets of the NCQA-approved codes are listed in this document. <Health Plan> strives to provide quality healthcare to our membership as measured through HEDIS® quality metrics.

  5. For a complete list of codes, please visit the NCQA website at www.ncqa.org, or see the HEDIS value sets. Only subsets of the NCQA approved codes are listed in this document.

  6. HEDIS® Adult Pocket Guide: 2024 Measurement Year For a complete list of codes, please visit the NCQA website at ncqa.org, or see the HEDIS value sets. The following is a subset only of the NCQA approved codes. Measure Best Practice Codes (AAP) Adults’ Access to Preventive/Ambulatory Health Services (Age 20+)

  7. by coding specific services or test results that support performance measures. CPT-CAT-II codes will lower the need.

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