2: PPO, 2: Medium, Answer 3: 3: High risk, “Interactive IVR Intervention 4: No with information not offered, stratification capture” only if it 4: Regional involves record Number provided, updates and/or 5: National triggering Number additional provided, intervention. 6: Offered but not tracked regionally or statewide IVR with Multi, Decimal. Multi, Unknown Unknown outbound From 0 to messaging only 1: HMO, 1: Low, 2: PPO, 2: Medium, 3: 3: High risk, Intervention 4: No not offered, stratification 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Live outbound Multi, Decimal. Multi, Unknown Unknown telephonic From 0 to coaching program (count 1: HMO, 1: Low, 2: PPO, 2: Medium, only members 3: 3: High risk, that are Intervention 4: No successfully not offered stratification engaged) 9.4.9.2 Review the two most recently uploaded years of HEDIS results for the Plan HMO product based on QC 2015 and QC 2014. If a plan did not report a certain measure to Quality Compass (QC), or NCQA chose to exclude a certain value, instead of a rate, QC may have codes such as NR (not reported), EXC (Excluded), etc. To reflect this result in a numeric form for uploading, the following coding was devised: -1 means 'NR' -2 means 'NA'
Answer “Interactive IVR with information capture” only if it involves record updates and/or triggering additional intervention. 2: PPO, 3: Intervention not offered, 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide 2: Medium, 3: High risk, 4: No stratification IVR with outbound messaging only Multi, 1: HMO, 2: PPO, 3: Intervention not offered, 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Decimal. From 0 to Multi, 1: Low, 2: Medium, 3: High risk, 4: No stratification Unknown Unknown Live outbound telephonic coaching program (count only members that are successfully engaged) Multi, 1: HMO, 2: PPO, 3: Intervention not offered Decimal. From 0 to Multi, 1: Low, 2: Medium, 3: High risk, 4: No stratification Unknown Unknown 9.4.9.2 Review the two most recently uploaded years of HEDIS results for the Plan HMO product based on QC 2015 and QC 2014. If a plan did not report a certain measure to Quality Compass (QC), or NCQA chose to exclude a certain value, instead of a rate, QC may have codes such as NR (not reported), EXC (Excluded), etc. To reflect this result in a numeric form for uploading, the following coding was devised: -1 means 'NR' -2 means 'NA'
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