Wiki ICD-10 HCFA 1500 HEDIS Measures Reporting

JessaP123

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I apologize if this question is in the incorrect forum section. I am new to HEDIS measures reporting. Would someone please help me understand how diagnosis data is captured from HCFA 1500 claims for HEDIS reporting purposes? Are insurance payors capturing the ICD-10 data reported in the diagnosis header fields 21A -21L on the HCFA form or only from the diagnosis pointer field 24E on each service line billed?

I work at a pediatric provider's office in Georgia and would appreciate any direction to additional information/education, particularly related to Georgia Medicaid CMOs. Thank you in advance.
 
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