Quality Measures Track Diabetes Care
AI Summary
This policy outlines HEDIS quality measures that Blue Cross Blue Shield of Texas tracks for diabetes care, including glycemic status, blood pressure control, eye exams, kidney health evaluations, and statin therapy. Providers should focus on proper documentation using CPT II codes and ensuring comprehensive diabetes care to meet quality benchmarks.
Action Required
Immediately: Providers must ensure proper documentation of diabetes care using CPT Category II codes for glycemic status assessments and blood pressure control. Schedule lab tests before office visits, document HbA1C test dates and results, monitor blood pressure at each visit, encourage annual eye exams, and communicate with other providers to ensure all tests are completed and documented in medical records. Access CPT Category II code information through Availity Essentials in Payer Spaces Resources section.
Plan Types
All Plans
States
TX
Specialties
family-medicine, internal-medicine, endocrinology, ophthalmology, nephrology, cardiology