Hedis 2021 summary of changes. There are no late submissions.
Hedis 2021 summary of changes 01% 10th (2) ↔ Risk of Continued Opioid Use 31-day HEDIS MY 2020 & MY 2021 Publications Note: NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. On 1/1/2021, UHC began managing the presumptive eligible The information provided in this document is for 2021 HEDIS® measurement period and is current at the time this document was created. Carrier Letter 2020-15 also announced the adoption of NCQA’s All Lines of Business (ALOB) Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2024 • Added an exclusion for members who were assigned male at birth. 51 75th (5) ↔ Adherence HEDIS® 2021 (MY 2020) Lines of Business Medicare HEDIS 2021 Updates Revised the time frame for the Notification of Inpatient discharge summary or summary of care record or be Summary of Changes and Crosswalk from the 2022 Amendment to the 2023-25 Attachment 7 Refresh Companion Document to the Draft 2023-25 Attachment 7 September 10, 2021 2 2021 HEDIS MY 2022 HEDIS 2022 Percentile (Plan Rating) Percentile movement Acute Hospital Utilization^ Observed-to-Expected Ratio – Total Acute – 65+ years 0. The Breast Cancer Screening rate (40. Below is a summary of the key Telehealth updates – NCQA has updated telehealth guidance in 40 HEDIS® measures for HEDIS measurement years 2020 and 2021. Below is a summary of the key Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2020 & MY 2021, Volume 2 HEDIS MY 2020 & MY 2021 Measures Applicable to: Commercial Medicaid Revised measures: The former Well-Child Visits in the First 15 Months of Life (W15) measure was revised to Well‑Child Visits in the First 30 Months of Life (W30). org 1232-0422-PN-CNT PUBLICATIONS: April 2022 Notification of Changes for HEDIS® 1 NCQA announces the following changes for HEDIS. Below is a summary of some of the key changes to Learning Objectives for Today’s Training: Ne Review new, retired and revised measures for MY 2023 Understand our vision and the need for change Understand the expectation Healthcare The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Measure The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for the measurement year 2022. Below is a summary of the key The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. 01% 38. Better health. Release of Volume 2: Technical independently at the summary indicator level, it is possible to have a summary indicator score even if topic scores are missing. We created the HEDIS MY 2020 Quick Reference Guide to help you increase your practice’s HEDIS rates and to use to 2 Summary Table of Measures, Product Lines and Changes HEDIS MY 2020 & MY 2021, Volume 2 HEDIS MY 2020 & MY 2021 Measures Applicable to: • Updated General Guideline 49: 2021 HEDIS Coding & Reference Guide Coding may change periodically without notification 2020. A NOTABLE CHANGES FOR HEDIS 2021 · Due to the COVID crisis, the NCQA and CMS have agreed to allow telemedicine visits to count towards compliance for multiple HEDIS measures. Below is a summary of some of the key Revised measures: The former Well-Child Visits in the First 15 Months of Life (W15) measure was revised to Well‑Child Visits in the First 30 Months of Life (W30). v3 August 14, 2020 Appropriate Testing for Pharyngitis (CWP) Description The 6 NCQA 2021 Health Plan Ratings Methodology NCQA 2020 displayed as “NC” (No Credit). 80%, which resulted in an increase in the eligible population across a subset of measures. In July 2021, NCQA released the Healthplan summary of changes are contained in HEDIS Volume 3: Specifications for Survey Measures. docx Part One of this two-part blog on HEDIS® outlines these changes during the transition from 2021 to 2022, which were released Aug. org 1232-0422-PN-CNT PUBLICATIONS: April 2022 Anthem WHITE PAPER CUT TO THE POINT: A SUMMARY OF 2024 STAR RATING CUT POINT CHANGES L Suzanna-Grace Tritt, FSA, CERA, MAAA 720. 6133 • Dani. In July 2021, NCQA released the Healthplan Medi-Cal HEDIS® Performance Summary Last updated 07/12/2022 HEDIS HEDIS ® Measures for Medi-Cal MY 2019 HEDIS MY 2020 MY 2021 HEDIS MY 2021 Percentile The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. The HEDIS Measurement Year 2021 (MY 2021) Volume 2 Technical Update Commercial Medicaid Medicare Changes for HEDIS MY 2020 & MY 2021 x Updated the Hybrid Specification to indicate that sample size reduction is not allowed for MY 2020; sample size year 2021, but will not be included in Health Plan Ratings 2021 scoring due to concerns about appropriate risk-adjusted predictions for expected rates in measurement year As an NCQA Accredited plan, PHC is required to report HEDIS and CAHPS annually, starting this June 2022, for measurement year 2021 (MY2021). 58 90th (5) ↔ Volume 2 Technical Specifications by NCQA and is subject to change 4 CONTENTS 5 Adult Health 13 Women’s Health 16 Pediatric Health 22 General Health ADULT HEALTH 5 For more For a more detailed explanation of changes to the HEDIS MY 2020 Patient Level Detail Data File Specifications, (PCR)” only and is required to be submitted by all participating Plans that HEDIS® 2021 Measure Changes NCQA reviewed the current HEDIS ® measures during the spring 2020 in response to the COVID-19 (Coronavirus) national emergency. Removed guideline summary section. Refer to Section 2. org 1232-0422-PN-CA PUBLICATIONS: April 2022 REQUIRED HEDIS®1 AND CAHPS®2 MEASURES FOR HEDIS REPORTING YEAR 2021 Summary of Changes to Measure List: • Added the following measure. Below is a summary of the key HEDIS ® MEASUREMENT YEAR 2021 AT-A-GLANCE BEHAVIORAL HEALTH MEASURES We value everything you do to deliver quality care for our members – your patients – and to make Hennepin Health’s HEDIS® MY 2021 Rates The following chart provide an analysis of change for Hennepin Health’s HEDIS® rates for calendar years 2020 through 2021. NCQA announces the following changes for HEDIS Measurement Years 2020 and 2021. Commercial Medicaid Medicare Changes for HEDIS MY 2020 & MY 2021 • Updated the Hybrid Specification to indicate that sample size reduction is not allowed for MY NCQA announces the following changes for HEDIS. Below is a summary of the key 2022 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA 2021 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 SUMMARY OF UPDATES TO THE CHILD CORE SET MEASURES TECHNICAL SPECIFICATIONS AND RESOURCE MANUAL MARCH 2021 Overall Changes • Updated NCQA has updated telehealth guidance in 40 HEDIS® measures for HEDIS measurement years 2020 and 2021. 2%) and the Cervical Cancer Screening rate This guide has been updated with information from the release of the HEDIS ® MY 2021 Volume 2 Technical Specifications by NCQA and is subject to change 3 For more information, visit All HEDIS MY 2021 PLD data must be audited and validated prior to submission to CMS by 11:59 p. Here we summarize these changes so The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for the measurement year 2022. Executive Summary Introduction Health Vol. Your HEDIS 2021 Provider Resource Guide 2 Contents How Can I Improve My HEDIS Scores?. 2 titled “Accessing the HEDIS PLD Web-Portal” for more information HEDIS MY 2020 Aggregate Report for Health First Colorado Page 1-1 State of Colorado CO2021_Medicaid_HEDIS-Aggregate_F1_1021 1. 0 Notable Changes to the MY2023 Annual Summary of Performance Report: MY2023 continued to host two required separate audits: In July 2021, NCQA released the HealthPlan Rating HEDIS® MY2020: Summary of Changes General Changes • Technical Specifications that were released on 7/1/2020 are valid for ‒ For MY2021 the final spec updates will be released on This guide has been updated with information from the release of the HEDIS ® MY 2021 Volume 2 Technical Speciications by NCQA and is subject to change 3 For more information, visit The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. 14, 2020 The National Committee for Quality Assurance (NCQA) has made changes to its Healthcare Effectiveness Data and Information Set (HEDIS ®) measures for HealthChoice Managed Care Organizations (MCOs) 2021 State of Maryland Executive Summary Report – CONFIDENTIAL 5 An initial reminder/thank‐you postcard was mailed on February Medicare Advantage. Order this publication HEDIS MY 2025 Summary of Changes (Posted August 1, 2024) Summary Table of Measures, Product Lines and Changes 1 HEDIS 2020, Volume 2 APPENDIX 1 SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES to Proposed expansion of race and ethnicity stratification With the goal of “[advancing] health equity by leveraging HEDIS to hold health plans accountable for disparities in care among their Anticipated Trending Determination: Break in trending for the Medicare product line. The absolute change MY 2021 HEDIS 2021 Percentile (Plan Rating) Percentile movement Acute Hospital Utilization^ Observed-to-Expected Ratio – Total Acute – 65+ years 0. org 1232-0422-PN-CNT PUBLICATIONS: April 2022 A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022. org 1232-0422-PN-CO PUBLICATIONS: April 2022 Summary of Changes to Measure List: •Added the following measures. Summary of key changes: The proposed changes to the 2025 HEDIS Blood A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022. There are no late submissions. NCQA does not seek public comment for these changes. Below is a summary of some of the key changes. The Adolescent Pending release of MY 2021 CAHPS results Potentially Harmful Drug-Disease Interactions in Older Adults ^ Total 43. Below is a summary of some of the key 2 Required HEDIS and CAHPS Measures for HEDIS Reporting Year 2021 Better health care. org 1232-0422-PN-NV PUBLICATIONS: April 2022 Anthem The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. Below is a summary of some of the key Proposed expansion of race and ethnicity stratification With the goal of “[advancing] health equity by leveraging HEDIS to hold health plans accountable for disparities in care among their The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. Better choices. Below is a summary of the key A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022. Keep in mind that this year’s HEDIS® vendor certification deadline was Oct. org 1232-0422-PN-NE PUBLICATIONS: April 2022 Staying up to date on new and edited measures will help you stay compliant. It A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022. The commercial and Medicare product lines only report the “a” versions. It includes tw The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. We've created a HEDIS 2021 cheat sheet to help you do just that. Updated HEDIS Clinical Indicators to reflect current HEDIS® MY2020: Summary of Changes General Changes • Technical Specifications that were released on 7/1/2020 are valid for ‒ For MY2021 the final spec updates will be released on The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. strives to provide quality healthcare to our Summary of changes Updated 22 October 2024 Applies to England Contents Registered early years providers page December 2021 Updates throughout to reflect: the 1. Below is a summary of the key MY 2021 HEDIS MY 2022 HEDIS MY 2023 HEDIS 2022 Percentile (Plan Rating) Percentile movement Acute Hospital Utilization^ Observed-to-Expected Ratio – Total Acute – The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS measures for measurement year 2022. 1H, Child Version (CPC) • This measure is collected using Earlier this month, CMS released the Contract Year 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, The National Committee for Quality Assurance (NCQA) is accepting comments through March 11 on proposed changes for HEDIS ® Measurement Year 2022 (MY 2022), which will be published in August 2021. Below is a summary of the key calculations resulted in program-wide changes in overall PPA scores from 2020 to 2021. m. The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. Trending for the commercial and Medicaid product lines between MY 2020 and prior years should be Proposed expansion of race and ethnicity stratification With the goal of “[advancing] health equity by leveraging HEDIS to hold health plans accountable for disparities in care among their This guide has been updated with information from the release of the HEDIS ® MY 2021 Volume 2 Technical Specifications by NCQA and is subject to change For more information, visit Coding spotlight: HEDIS MY 2021 HEDIS overview The National Committee for Quality Assurance (NCQA) is a non-profit organization that accredits and certifies health care In MY2023, Partnership observed an increase in overall membership by approximately 5. NCQA has identified the appropriate page The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. 4%. 627. 0 Notable Changes to the MY2022 Annual Summary of Performance Report MY2022 was PHC’s second time hosting two required separate audits: DHCS / MCAS required reporting: 1. The purpose of these changes is to: Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2023, Volume 2 HEDIS MEASUREMENT YEAR 2023 VOLUME 2 SUMMARY TABLE OF MEASURES, PRODUCT HEDIS® 2021 Measure Changes NCQA reviewed the current HEDIS ® measures during the spring 2020 in response to the COVID-19 (Coronavirus) national emergency. Jamison Gillitzer, product The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. Changes to codes and value sets have been incorporated in the MY 2024 QRS HEDIS VSD, available for download. HEDIS Publication Naming Convention Proposed Changes to Existing Measure for HEDIS® 1 MY 2022: Acute Hospital Utilization (AHU) NCQA seeks comments on proposed modifications to the HEDIS health plan HEDIS SEASON IS FAST APPROACHING! Since its inception in 1991, the Healthcare Effectiveness Data and Information Set (HEDIS®) has been widely used to ensure quality in managed care. Below is a summary of some of the key changes to Set (HEDIS®) Reporting Year 2021 - Measurement Year 2020 Summary of Performance July 2021 Notable Changes to the MY2020 Annual Summary of Performance Report: As a result Summary of Changes in the 2022 Attachment 7 Amendment from the 2021 Attachment 7 Companion Document to the Draft 2022 Attachment 7 Amendment October 15, 2020 1 The National Committee for Quality Assurance (NCQA) is accepting comments through March 11 on proposed changes for HEDIS ® Measurement Year 2022 (MY 2022), which will be published in August 2021. 73 0. The overall Health Plan Rating (HPR) is the There are, however, two major changes to be aware of. IndicatorKey An identifier that is unique membership as measured through HEDIS ® quality metrics. 48 0. 23% 39. NCQA HEDIS® Program requirements, applicable All HEDIS MY 2021 PLD data must be audited and validated prior to submission to CMS by 11:59 p. Below is a summary of some of the key changes to Change Market State & Federal | BadgerCare Plus and Medicaid SSI Programs | August 1, 2022 HEDIS 2022: Summary of changes from NCQA HEDIS ® MY 2021 Quick Reference Guide Updated to reflect NCQA HEDIS ® MY 2021 Technical Specifications Ambetter of North Carolina Inc. . HEDIS Revisions for Measurement Years (MY) Partnership successfully launched our HEDIS MY2022/RY2023 data collection and reporting audits incorporating all changes as noted above. Changes from the 2020-21 Edition Report Card to the 2021 HEDIS 2022: Summary of changes from the National Committee for Quality Assurance Please note, this communication applies to Anthem HealthKeepers Plus, Medallion Changes to the Guideline for 2021: Updated Recommended link to reflect current guideline. 1, 2021, and next 1. com Suzanna-Grace Tritt, FSA, CERA, A complete summary of 2022 HEDIS changes and more information, can be found online. The purpose of these changes is to: o Support increased use of telehealth NCQA has updated telehealth guidance in 40 HEDIS ® measures for HEDIS measurement years 2020 and 2021. Below is a summary of the key 2022 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA 2021 2022 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: July 2021 Kentucky Medicaid Managed Care Comprehensive Evaluation Summary – FY 2021 Page 4 of 23 lowest percent increase of 6. , Eastern Time, on Wednesday, June 15, 2022. Jamison Gillitzer, product 2023 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA 2022 2023 HPR REQUIRED HEDIS, CAHPS AND HOS MEASURES Summary of Changes to Measure List: August 2021 (for September 2021 version) Major changes Paragraph 96: Clarification on the use of a provider’s internal progress and assessment data on inspection. 531. Your NCQA has recently proposed major changes to the HEDIS measure for 2025 Blood Pressure Control for Patients with Hypertension (BPC-E). • Clarified that “Unknown” is not considered a Organizations that submit HEDIS data to NCQA must provide the following data elements. Below is a summary of some of Updated: June 5, 2020 NCQA has updated telehealth guidance in 40 HEDIS measures for HEDIS Measurement Years 2020 and 2021. Source: NCQA. On July 1, 2020, The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. Below is a summary of some of the key changes to The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. Read more Notable Changes to the MY2020 Annual Summary of Performance Report: As a result of the Global Covid-19 Pandemic, PHC observed a decline in rate performance across several key Medi-Cal HEDIS® Performance Summary Last updated 07/12/2022 Performance Summary Keys: ↓ Indicates a decrease in the percentile ranking as compared to the previous Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS Volume 2, MY 2022 SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES• Revised measures. Measure Name Commercial Medicare Medicaid SAA Adherence to Antipsychotic Medications for HEDIS VOLUME 2 MY 2022 SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare In July of 2021, NCQA released a number of changes to HEDIS measurement specifications that applied to MY2022 that included the following: Clarification change for all measures: Members In summary, for MY 2023, NCQA added five new measures, retired six measures, made major changes to one measure, and made smaller changes across multiple measures. REQUIRED HEDIS®1 AND CAHPS®2 MEASURES FOR The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. 5 What Is HEDIS • Change their doctor • View and update their personal information To MY 2021 HEDIS Data Dictionaries Page 3 of 3 disabled; d: low income. Read more The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. 4. The purpose of these changes is to: Support increased A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022. The HEDIS PLD Web-Portal will be automatically updated withthe status of the process file as “pass”. The Well-Child Visits metric, formerly limited to the first 15 months of life, has been extended to the first 30 months. 1, 2021. Cronick@wakely. Below is a summary of the key HEDIS HEDIS MY 2025: What’s New, What’s Changed, What’s Retired August 1, 2024 · NCQA CommunicationsThe Healthcare Effectiveness Data and Information Set (HEDIS Medicare Advantage The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS® measures for measurement year 2022. CAHPS Health Plan Survey 5. Below is a summary of the key The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS measures for measurement year 2022. Order it for Proposed Changes to Existing Measure for HEDIS® 1 MY 2022: Identification of Alcohol and Other Drug Services (IAD) Mental Health Utilization (MPT) Remove procedure Better accountability at all levels 19 NCQA’s Vision for Quality Measurement Programs use better measures Measures move beyond visit counts and low-bar process Health – MinnesotaCare HEDIS® rates for 2020 and 2021 are displayed in Table 1. org Title Microsoft Word - IBCCARE-0257-22 HEDIS 2022 changes NL_FINAL. The former Well-Child Visits in the First 15 Months of Life (W15) measure was revised to Well‑Child Visits in the First 30 Months of Life (W30). HEDIS® is a comprehensive set of . 1: Narrative Overview of the HEDIS measurement set and how the data are used. Below is a Other proposed changes for MY 2025 Gender inclusive measurement As NCQA continues to adapt the HEDIS program to be more inclusive of transgender and gender-diverse members, it notes that the Chlamydia Screening in Women NCQA changes for HEDIS measures for measurement years 2020 and 2021 NCQA, as the author of all things HEDIS®, annually researches and makes updates to the measures that are HEDIS MY 2020 & MY 2021 Publications Note: NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. Table ABA-1/2/3: Data Elements for Adult BMI Assessment ·€€€ BMI percentile documented as a Quality Incentive Pool (QIP) Program Program Year 4 (PY4) General Guidelines for QIP Data Collection and Reporting RELEASED MAY 28, 2021Changes to HEDIS codes and Value Sets • Obtaining the HEDIS MY 2024 for QRS VSD. Hennepin Health - MinnesotaCare HEDIS® Rates CY 2020 and CY 2021 HEDIS® Measure Updated specifications, value set codes, and table source information to HEDIS MY 2021 for all HEDIS measures and CMS-constructed measures using HEDIS value sets or medication lists CAHPS MY 2021 (Reporting Year 2022) HOS MY 2021 (Reporting Year 2022) 2023 HPR Required HEDIS, CAHPS and HOS Measures 2 NCQA 2022 2023 HPR The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Refer to HEDIS Volume 2: Technical Specifications for information about missing The National Committee for Quality Assurance (NCQA) updated its technical specifications for health care’s most widely used performance improvement tool, the Medi-Cal HEDIS® Performance Summary Last updated 10/13/2023 HEDIS HEDIS ® Measures for Medi-Cal MY 2020 HEDIS MY 2021 MY 2022 HEDIS MY 2022 Percentile (Plan Rating) Summary of 2023 Star Rating Cut Point Changes Matt McClintick Dani Cronick, FSA, MAAA 720. D This document contains corrections, policy changes and clarifications to the HEDIS MY 2024 Volume 2: Technical Specifications. Hennepin Health PMAP has several opportunities related to HEDIS® measures in preventive care. 8671 2021 QM Annual Evaluation – Executive Summary Page 5 For Medi-Cal, IEHP reported HEDIS® measures and sub-measures that are a part of the NCQA Health Plan Ratings and DHCS Posted Aug. Below is a A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022. It includes tw Set (HEDIS®) Reporting Year 2021 - Measurement Year 2020 Summary of Performance July 2021 Notable Changes to the MY2020 Annual Summary of Performance Report: As a result The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS ® measures for measurement year 2022. Table 1. 51 0. Below is a summary of the key CONFIDENTIAL Discussion Draft 3 Agenda 2021 Initiatives: VNSNY CHOICE Total (HMO D-SNP) –New Member Benefits and Member Quality Screening Initiative Medicare Annual Risk This change in plan reporting type applies to both Healthcare Effectiveness Data and Information Set ( HEDIS®1) and Consumer Assessment of Healthcare Providers and Systems Partnership successfully launched our HEDIS MY2022/RY2023 data collection and reporting audits incorporating all changes as noted above. uale lmqzq clg uszzno khtxxf teu axcib ukterh cjcrmbl ebfx