PPV: Postpartum Care Visit Timeliness
Postpartum visit between 7 and 84 days after delivery.
Measure description
Postpartum visit between 7 and 84 days after delivery.
Eligible population
Members who delivered live infant
Performance drivers
Maternal health quality.
Documentation & PA strategy
Schedule at delivery discharge.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure PPV measure?
Postpartum visit between 7 and 84 days after delivery.
What drives performance on this measure?
Maternal health quality.
How should clinicians document for this measure?
Schedule at delivery discharge.
What is the eligible population?
Members who delivered live infant
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