HEDIS TEST EXAM PRACTICE QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE NEW
MODIFIED
Select the age criteria for BMI value vs. BMI percentile? --CORRECT
ANSWER--B. <20: percentile // >20: value
In HEDIS terms, "chase" describes? --CORRECT ANSWER--B. A physical
attempt to locate and extract information from a targeted member's medical
record
In HEDIS terms, "advanced care planning" describes? --CORRECT ANSWER-
-B. A discussion about preferences for resuscitation, life-sustaining treatment
and end-of-life care
In HEDIS terms, the "denominator" describes? --CORRECT ANSWER--A. The
eligible population
In HEDIS terms, the "eligible population" describes? --CORRECT ANSWER--
C. All members who satisfy all specified criteria including age, continuous
enrollment, benefit, event and anchor date enrollment requirement
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,In HEDIS terms, "compliant" describes? --CORRECT ANSWER--B. Claims
data that meets HEDIS specification requirements for any given measure or
chart review collection has met criteria for HEDIS specification for distinct
hybrid measures
What does NCQA stand for? --CORRECT ANSWER--National Committee for
Quality Assurance
What does HEDIS stand for? --CORRECT ANSWER--Healthcare
Effectiveness Data and Information Set
"Trace results" are compliant when dealing with CDC nephropathy
indicator...T/F? --CORRECT ANSWER--True
In HEDIS terms, the administrative method describes? --CORRECT ANSWER-
-C. Transaction data or other administrative data used to identify the eligible
population and numerator
In HEDIS terms, Inter-rater reliability (IRR) describes? --CORRECT
ANSWER--C. Standard test is a requirement from NCQA to validate the
integrity of the medical record review process
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, In HEDIS terms, the "numerator" describes? --CORRECT ANSWER--A count
of all members who received the treatment or service as indicated
In HEDIS terms, the "hybrid method" describes? --CORRECT ANSWER--B.
Obtaining numerator compliance through reviewing medical record data
In HEDIS terms, "Medicare Part C" describes? --CORRECT ANSWER--C.
Contains the following: Medicare Advantage, benefits through Private Health
Plans and covers Medicare Parts A, B and often Part D services
In HEDIS terms, "PCP" describes? --CORRECT ANSWER--C. Primary care
practitioner (physician, non-physician who offers primary care medical services
(such as a NP)
In HEDIS terms, "primary care physician" describes? --CORRECT ANSWER--
C. General or family practice physicians, geriatricians, general internal
medicine physicians, general pediatricians, OB/GYNs
In HEDIS terms, "supplemental data" describes? --CORRECT ANSWER--C.
Sources other than claims and encounters that are used to collect data about
members
VHP collects and reports HEDIS results to the following populations --
CORRECT ANSWER--B. Commercial, exchange, marketplace, Medicare or
Medicare SNP
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CORRECT ANSWERS LATEST UPDATE NEW
MODIFIED
Select the age criteria for BMI value vs. BMI percentile? --CORRECT
ANSWER--B. <20: percentile // >20: value
In HEDIS terms, "chase" describes? --CORRECT ANSWER--B. A physical
attempt to locate and extract information from a targeted member's medical
record
In HEDIS terms, "advanced care planning" describes? --CORRECT ANSWER-
-B. A discussion about preferences for resuscitation, life-sustaining treatment
and end-of-life care
In HEDIS terms, the "denominator" describes? --CORRECT ANSWER--A. The
eligible population
In HEDIS terms, the "eligible population" describes? --CORRECT ANSWER--
C. All members who satisfy all specified criteria including age, continuous
enrollment, benefit, event and anchor date enrollment requirement
Page 1 of 18
,In HEDIS terms, "compliant" describes? --CORRECT ANSWER--B. Claims
data that meets HEDIS specification requirements for any given measure or
chart review collection has met criteria for HEDIS specification for distinct
hybrid measures
What does NCQA stand for? --CORRECT ANSWER--National Committee for
Quality Assurance
What does HEDIS stand for? --CORRECT ANSWER--Healthcare
Effectiveness Data and Information Set
"Trace results" are compliant when dealing with CDC nephropathy
indicator...T/F? --CORRECT ANSWER--True
In HEDIS terms, the administrative method describes? --CORRECT ANSWER-
-C. Transaction data or other administrative data used to identify the eligible
population and numerator
In HEDIS terms, Inter-rater reliability (IRR) describes? --CORRECT
ANSWER--C. Standard test is a requirement from NCQA to validate the
integrity of the medical record review process
Page 2 of 18
, In HEDIS terms, the "numerator" describes? --CORRECT ANSWER--A count
of all members who received the treatment or service as indicated
In HEDIS terms, the "hybrid method" describes? --CORRECT ANSWER--B.
Obtaining numerator compliance through reviewing medical record data
In HEDIS terms, "Medicare Part C" describes? --CORRECT ANSWER--C.
Contains the following: Medicare Advantage, benefits through Private Health
Plans and covers Medicare Parts A, B and often Part D services
In HEDIS terms, "PCP" describes? --CORRECT ANSWER--C. Primary care
practitioner (physician, non-physician who offers primary care medical services
(such as a NP)
In HEDIS terms, "primary care physician" describes? --CORRECT ANSWER--
C. General or family practice physicians, geriatricians, general internal
medicine physicians, general pediatricians, OB/GYNs
In HEDIS terms, "supplemental data" describes? --CORRECT ANSWER--C.
Sources other than claims and encounters that are used to collect data about
members
VHP collects and reports HEDIS results to the following populations --
CORRECT ANSWER--B. Commercial, exchange, marketplace, Medicare or
Medicare SNP
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