Certified Risk Adjustment Coder (CRC)

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Test your knowledge as a Certified Risk Adjustment Coder (CRC) with our comprehensive quiz. With hints and detailed explanations, enhance your understanding and prepare effectively for the CRC exam!

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Which of the following about HEDIS is NOT true?

It is an acronym for Healthcare Effectiveness Data and Information Set
It is developed by a government organization
It measures quality of care provided by managed care plans
It is standardized performance measurement

The correct answer is: It is developed by a government organization

The correct answer highlights that HEDIS was not developed by a government organization. Instead, HEDIS, which stands for Healthcare Effectiveness Data and Information Set, is developed by the National Committee for Quality Assurance (NCQA), a non-profit organization. NCQA focuses on improving healthcare quality and ensures that health plans meet certain performance standards. The other statements about HEDIS accurately reflect its purpose and function. It measures the quality of care provided by managed care plans, which is essential for ensuring patient outcomes and healthcare efficiency. Moreover, HEDIS represents standardized performance measurement, allowing for comparisons across different health plans and facilitating improvements in care delivery by establishing a consistent set of metrics. This standardization helps drive performance improvements and accountability within the healthcare system.