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1 Jul, 2022

Hints for HEDIS®: Clinical documentation and impact on quality performance

This month, Hints for HEDIS provides a quick reference for coding and documentation to improve quality measure performance. By focusing on clear, detailed, and complete clinical documentation, providers can improve quality performance, as well as better track clinical care and screening measures. A time-saving method to accomplish this is by submitting codes to document care and close quality care gaps. Complete and accurate coding may also reduce future requests for medical records and reduce administrative burden on busy practices.

Utilizing codes is one way to convert high-quality care into high-quality performance and helps to ensure the entire clinical picture is captured and translated into usable, complete data. Submission of CPT® and other codes can help to bridge the gap that exists between delivery of care and exchange of data.

 

 

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The table above may be a helpful resource to keep available when submitting documentation and coding after a patient visit. It may also be a handy resource to share with your practice’s billing professionals.

We recognize the incredible challenge primary care providers face in today’s ever evolving and complex healthcare environment, and we thank you for continuously delivering excellent, high-quality care to our members.

Please refer to your 2022 PQIP Booklet for additional information, and do not hesitate to reach out to your quality representative with any questions at QualityHEDIS@bcbsri.org.

CPT® copyright 2021 American Medical Association. All rights reserved.

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