Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along w...
All clinical practice guidelines are based on scientific evidence, review of the medical
literature, or appropriately established authority, as cited. All recommendations are
based on published conse...
Clinical practice guidelines are documents which seeks to guide decisions about the diagnosis and treatment of certain health conditions. Clinical practice guidelines are based on scientific evidence,...
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Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims...
The Molina Healthcare Quality Improvement (QI) Program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service, and ...
Each year Molina Healthcare sets goals to improve our services to members. Annually we measure member satisfaction using the Consumer Assessment of Healthcare Providers and Systems survey (CAHPS®). Th...
The Molina Healthcare Quality Improvement and Health Equity Transformation (QIHET) Program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing i...
Preventive Health Guidelines can be beneficial to the provider and his/her patients. All practice guidelines are based on scientific evidence, review of the medical literature, or appropriately establ...
