What must scanned medical record documentation contain for HEDIS reporting?

For HEDIS reporting, scanned medical record documentation must include key elements that ensure the data is accurately captured and can be verified. The inclusion of member name, date of service, and event is crucial because these components provide essential identifiers that link the specific service provided to the individual patient. This information allows for the proper tracking of health care quality measures and ensures that the reported outcomes are associated with the correct patient and service period.

Having the member name confirms the identity of the individual receiving care, while the date of service ensures that the measures are being reported for the correct time frame. Lastly, documenting the specific event—whether it be a diagnosis, treatment, or procedure—affirms that the healthcare provider’s actions can be attributed to the quality metrics being analyzed.

This information is fundamental for accurate data collection and reporting in the HEDIS framework, which aims to measure performance on important dimensions of care and service.