Medicare Guideline posts
- Home
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation process - how often provide need to do - FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list
What is the Health Outcome Survey (HOS)?
What is HOS?
The Health Outcomes Survey (HOS) is a Centers for Medicare & Medicaid Services (CMS) survey that gathers meaningful health status data from people with Medicare. Like the CMS Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS), HOS is part of an integrated system for use in quality improvement activities and to establish accountability in managed care. All managed care plans with Medicare Advantage (MA) contracts, including CarePlus Health Plans, Inc., must participate.
How does HOS affect my patients and me?
HOS may be of interest to physicians as they could receive questions about the survey from their Medicare patients.
Survey questions pertain to patient-physician relationships and help identify areas for improving member health outcomes. Members are asked questions about overall physical and mental health status. They also are asked if they had a discussion about or received counseling or intervention from their physician on the following topics:
* Management of urinary incontinence
* Physical activity in older adults
* Fall risk management
* Osteoporosis testing in older women
CarePlus- participating physicians are encouraged to provide assessment and counseling for members in these particular areas.
How does HOS work?
A random sample of Medicare beneficiaries receives a baseline survey in the spring. Two years later, the same respondents will be surveyed for follow-up measurement. Survey completion is voluntary. The difference in the scores for the two-year period will show if members’ physical and mental health status are categorized as better, the same or worse than expected. After the study is completed, member responses will be shared with CarePlus to use in quality improvement initiatives.
Who conducts the survey?
A CMS- approved Medicare survey vendor conducts the survey.
For more information about HOS, please call the CarePlus Quality Operations Compliance and Accreditation Department at 305-626-5195.
Subscribe to:
Post Comments (Atom)
Top Medicare billing tips
-
Procedure code 77427: Radiation treatment management, 5 treatments Procedure code 98966: Telephone assessment and management service provi...
-
CPT 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a...
-
FL 42 - Revenue Code Required. The provider enters the appropriate revenue codes from the following list to identify specific accommodation ...
-
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee... -
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
-
Procedure code and description 11400- Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion d...
-
Procedure code and description 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage;...
-
Procedure Codes and Definitions 36415 Collection of venous blood by venipuncture - Fee schedule amount $3.10 - Private insurance pay upt... -
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr... -
CPT 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of...
No comments:
Post a Comment