CHOC Health Alliance wants to ensure quality and cost-effective health care solutions for our members. Our Quality Improvement program aims to advance patient safety and care. As you know, HEDIS® is a tool that is used to measure quality of care, access to care, and Member satisfaction. You can improve your HEDIS® scores significantly by submitting accurate and complete coded claims and encounter data for each service rendered.
Why is HEDIS® important to you?
- HEDIS® data ensures that optimal healthcare and services are provided to our Members
- It helps you identify non-adherent members so you can ensure they receive needed services
- It provides information allowing you to compare and rank with other Providers
- It’s the centerpiece of your quarterly Score Cards and the basis for our incentive programs
We hope these documents below will provide you with necessary information to be successful in your practice. If you have any questions or would like to discuss your specific challenges with these measures, we’d love to hear from you. Please contact your Provider Relations Representative directly or email us at ProviderRelations@choc.org.
HEDIS® Provider Guides
2023 CHA Clinical Excellence Quick Reference Guide
2023 CHA Quick Reference Pocket Card
CHA ICD-10 Codes
HEDIS® Tool and Resource
(AAB) – Adults with Acute Bronchitis
(AAP) – Adults’ Access to Preventive/Ambulatory Health Services
(ADD) – Follow-Up Care for Children Prescribed ADHD Medication
(AMM) – Antidepressant Medication Management
(AMR) – Asthma Medication Ratio
(CBP) – Controlling High Blood Pressure
(CDC) – Comprehensive Diabetes Care
(CHL) – Chlamydia Screening
(CIS) – Childhood Immunizations
(CWP) – Appropriate Testing for Children with Pharyngitis
(FUH) – Follow – Up After Hospitalization for Mental Illness
(IMA) – Immunizations for Adolescents
(LSC) – Lead Screening
(PPC – Postpartum) – Postpartum Care
(PPC – Timelines) – Prenatal Care
(URI) – Appropriate Treatment for Children with Upper Respiratory Infection
(WCC) – Weight Assessment and Counseling for Nutrition and Physical Activity
(W30) – Well Visits in the First 30 Months of Life
(WCV) – Child and Adolescent Well Care Visits
CY2023 CPN Quality Program
Incentivized Quality Measure Provider Guide
(IMA) Immunization for Adolescents
(WCC) Weight Assessment and Counseling for Nutrition and Physical Activity
Weight Assessment and Counseling – BMI
Weight Assessment and Counseling – Nutrition
Weight Assessment and Counseling – Physical Activity
(W30) Well Visit in the First 30 Months of Life
Well-Child Visit in the First 15 Months
Well-Child Visit for Age 15 Months – 30 months.
(WCV 3-21) Child and Adolescent Well Care Visit
What is COZEVA®?
This is an NCQA (National Committee for Quality Assurance) HEDIS® certified platform for Pay for Performance
Cozeva is the operating system that aggregates and transforms multiple data steams into a registry driven dashboard.
To access your account, visit https://corp.cozeva.com/
Use COZEVA® to:
- View your member information
- View HEDIS care gaps
- View and print opportunity lists
- Submit Supplemental Data
Registration and Support
To register for COZEVA® user account contact ProviderRelations@CHOC.org
For COZEVA® support and training contact your Provider Relations Representation or email ProviderRelations@CHOC.org
COZEVA®
