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Encounter Data Validation
Pursuant to Title 42 of the Code of Federal Regulations (42 CFR) §438.242, Oregon Health Authority (OHA) must ensure that each of its coordinated care organizations (CCOs) maintain a health information system that collects, analyzes, integrates, and reports data on areas including, but not...
https://www.hsag.com/en/myoregoneqro/encounter-data-validation/About
We Are on a Mission to Make Healthcare Better Since our beginning in 1979, HSAG has been committed to improving the quality of healthcare services in order to achieve the best possible patient outcomes. We provide: Healthcare quality expertise to those who deliver care and those who receive...
https://www.hsag.com/about/Mental Health Parity
The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires that Mental Health and Substance Use Disorder (MH/SUD) treatments covered by managed care organizations (MCOs) have benefit limitations that are equivalent to those for medical/surgical (M/S) services and are not applied...
https://www.hsag.com/en/myoregoneqro/mental-health-parity/FAQs
If your question is not answered in the below Frequently Asked Questions, please send your query to: KElliott@hsag.com
https://www.hsag.com/en/florida-eqro/faqs/Model Development Summary
The Anticoagulant-Related Bleeding Risk Prediction Model was developed using 2016–2018 Medicare fee-for-service claims data. To be included in the study cohort, a Medicare beneficiary had to be over 18 years of age, have at least 13 months of continuous enrollment in Parts A/B/D and no Part...
https://www.hsag.com/en/healthcare-policy-quality-measurement/anticoagulant-related-bleeding-prediction-model/model-development-summary/Information Systems Capability Assessments
Conducted in coordination with EQR activities (i.e., Compliance Monitoring Reviews, Validation of Performance Measures, Encounter Data Validation, and Delivery System Network Evaluations), Information System Capability Assessments (ISCAs) represent a review of the Coordinated Care...
https://www.hsag.com/en/myoregoneqro/information-systems-capability-assessments/Validation of Performance Improvement Projects
Performance Improvement Projects (PIPs) allow Coordinated Care Organizations (CCOs) the opportunity to identify areas of concern affecting their members and strategize ways to improve care. Designed to assess and improve healthcare processes, a PIP’s purpose is to impact healthcare delivery...
https://www.hsag.com/en/myoregoneqro/performance-improvement-projects/