Annual HEDIS Medical Record Review Now Underway

The annual Healthcare Effectiveness Data and Information Set (HEDIS®) Medical Record Review is being conducted now through May 2024.

This review assesses provider compliance with a set of standardized performance measurements that we are required to report to the National Committee for Quality Assurance (NCQA). HEDIS data is collected and reported on an annual basis as part of our accrediting and governmental requirements.

The measurements being collected are:

  • Controlling High Blood Pressure
  • Colorectal Cancer Screening
  • Hemoglobin A1c Control for Patients with Diabetes
  • Blood Pressure Control for Patients with Diabetes
  • Eye Exam for Patients with Diabetes
  • Transitions of Care
  • Cervical Cancer Screening
  • Childhood Immunization Status
  • Immunizations for Adolescents
  • Lead Screening in Children
  • Prenatal and Postpartum Care
  • Weight Assessment and Counseling for Nutrition and Counseling for Physical Activity for Children and Adolescents

For information on who will be conducting this year’s review and who to contact with your questions, please see the recent Special Bulletin.

Disclaimers:

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

The following entities serve West Virginia and are independent licensees of the Blue Cross Blue Shield Association: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company, or Highmark Senior Solutions Company. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

 

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