--- title: Answers to Your 3 Biggest HEDIS® Questions description: NCQA’s updates to HEDIS® technical specifications will create more actionable insights, but that's raised a few reporting and implementation questions. image: https://insights.vitaldatatechnology.com/hubfs/9ba6e9e967ea7851284c4134f72597cb_750x750.jpg --- [![Vital Data Technology Logo](https://insights.vitaldatatechnology.com/hs-fs/hubfs/VitalData_Main%20Logo.png?width=2793&height=595&name=VitalData_Main%20Logo.png "Vital Data Technology Logo")](https://vitaldatatechnology.com/) - [Home](https://vitaldatatechnology.com/) - [Solutions](https://vitaldatatechnology.com/solutions/) - Affinitē Clinical Workflows - [Care Management (CM)](https://vitaldatatechnology.com/care-management/) - [Utilization Management (UM)](https://vitaldatatechnology.com/utilization-management/) - [Affinitē Benefit Query Engine (BQE)](https://vitaldatatechnology.com/benefit-query-engine/) - [Quality Improvement (QI)](https://vitaldatatechnology.com/quality-improvement/) - [Appeals & Grievances (AG)](https://vitaldatatechnology.com/appeals-grievances/) - [Affinitē Intelligent Insights](https://vitaldatatechnology.com/intelligent-insights/) - [Predictive Insights](https://vitaldatatechnology.com/predictive-insights/) - [Population Health Analytics](https://vitaldatatechnology.com/population-health-analytics/) - [Care Gap Analytics](https://vitaldatatechnology.com/care-gap-analytics/) - [Risk Analytics](https://vitaldatatechnology.com/risk-analytics/) - [Affinitē Platform](https://vitaldatatechnology.com/affinite-platform/) - [Analytics + Execution](https://vitaldatatechnology.com/analytics-plus-execution/) - [Intelligent Automation](https://vitaldatatechnology.com/intelligent-automation/) - [Health Data Management](https://vitaldatatechnology.com/health-data-management/) - [Member and Provider Engagement](https://vitaldatatechnology.com/provider-member-engagement/) - [Who We Serve](https://vitaldatatechnology.com/who-we-serve/) - Company - [About Us](https://vitaldatatechnology.com/about-us/) - [Careers](https://vitaldatatechnology.com/careers/) - [Privacy Policy](https://vitaldatatechnology.com/privacy-policy/) - [Resources](https://vitaldatatechnology.com/resources/) - [Blog](https://insights.vitaldatatechnology.com/) - [Videos](https://vitaldatatechnology.com/videos/) - [Solution Briefs](https://vitaldatatechnology.com/solution-briefs/) - [Contact Us](https://vitaldatatechnology.com/contact-us/) [September 28, 2020](https://insights.vitaldatatechnology.com/author/vital-data-technology) [Quality Improvement](https://insights.vitaldatatechnology.com/tag/quality-improvement) # Answers to Your 3 Biggest HEDIS® Questions All in all, NCQA’s [comprehensive updates](https://vitaldatatech.com/ncqa-alters-telehealth-standards-in-wake-of-covid-19/) to dozens of HEDIS® technical specifications will create better outcomes and more actionable data insights. However, health plan quality, billing, and outreach professionals have raised a few reporting and implementation questions. Many of these questions concern when new measurements take effect, which have been revised, and which no longer must be included in plan reports. We provide [an overview](https://vitaldatatech.com/new-hedis-2021-and-ncqas-covid-19-technical-specifications/) of these provisions in an early blog post. In our continuing effort to keep payers apprised the changes and interpretations of the new guidelines, we address some of the questions NCQA has encountered recently: ###### ***Do blood pressure readings taken by the member need to meet the member-reported requirements included in General Guideline 39?*** **No.** Self-administered blood pressure reading is one of the [concessions](https://vitaldatatech.com/ncqa-alters-telehealth-standards-in-wake-of-covid-19/) NCQA made in light of the difficulties presented by COVID-19. General Guideline 39, which states that these readings must be collected by a PCP or other specialist while taking the patient’s history does not apply to readings taken at home. If the result is documented in the member’s medical record, it is acceptable so long as no exclusion criteria apply. ###### ***Given that the hybrid reporting option was retired from the Well-Child Visits in the First 30 Months of Life (W30) & Child and Adolescent Well-Care Visits (WCV) measures, what are the required data elements for supplemental data?*** Infants may show greater[ susceptibility to COVID-19](https://vitaldatatech.com/covid-19s-emergence-in-infants-impact-on-care-management/), making WC30 visits even more critical. Services and documentation in medical records and other supplemental data must be clinically the same as those described in the measure’s administrative specification codes. The organization is responsible for determining this, and it is subject to review by the auditor. ###### ***When reporting a measure as hybrid, should the data element “Number of numerator events by administrative data in eligible population (before exclusions)” be equal to the sum of “Numerator events by administrative data” and “Numerator events by supplemental data”? *** Yes, so long as the organization loads its supplemental data before approval. If the organization loads supplemental data after approval, the “Number of numerator events by administrative data in eligible population (before exclusions)” will be equal to “Numerator events by administrative data.” We discussed earlier the reasons NCQA allows [hybrid reporting](https://vitaldatatech.com/why-cms-and-ncqa-relaxed-2020-hedis-reporting-requirements-and-implications-for-2021/) and why health plans may or may not want to take advantage of the rule this reporting season. Next post [Why Telehealth Does Not Increase Care Use or Cost](https://insights.vitaldatatechnology.com/why-telehealth-not-increase-cost-care) ### Recent Posts - [Beyond Predictive Analytics: Why Health Plans Need an Operating Model for AI](https://insights.vitaldatatechnology.com/beyond-predictive-analytics-why-health-plans-need-an-operating-model-for-ai) - [Preparing for HEDIS® MY 2027: Five Trends Every Health Plan Should Be Planning for Now](https://insights.vitaldatatechnology.com/preparing-for-hedis-my-2027-five-trends-every-health-plan-should-be-planning-for-now) - [Vital Data Technology Achieves NCQA HEDIS® MY 2026 Certification](https://insights.vitaldatatechnology.com/vital-data-technology-achieves-ncqa-hedis-my-2026-certification) - [Beyond Silos: Why the Next Generation of Value-Based Care Depends on Integrating UM, Care Management, and Payment Integrity](https://insights.vitaldatatechnology.com/beyond-silos-why-the-next-generation-of-value-based-care-depends-on-integrating-um-care-management-and-payment-integrity) - 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