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HEDIS Tip Library

As you may know, quality of care is measured through the Healthcare Effectiveness Data and Information Set (HEDIS). The following HEDIS Tip Sheets have been created to reflect NCQA HEDIS 2019 Technical Specifications and may be used as reference to help you increase your practice’s HEDIS rates. Please note that Maryland Physicians Care does not advise providers on which codes to use. Please always follow the State and CMS billing guidance to ensure the codes are covered prior to submission.

Stay tuned for more tip sheets!

Care for Infants, Children, and Adolescents

Cardiac Care

Cancer and Preventative Screenings


Diabetes Care

Prenatal and Postpartum Care

Respiratory Care