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Medicare AdvantageDocumentationMedium impact

2025 Medical Record Review Results Now Available

Florida Blue·FL · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Not stated
We identified it
Jun 16, 2026
Days to comply

Summary

Florida Blue released 2025 Documentation of Care (DOC) Medical Record Review results showing an overall score of 92.04%, down 4.2 percentage points from 2024. The review identified three key documentation improvement areas: advance directives for patients 18+, substance use screening for patients 12+, and preventive services/screenings documentation.

Action Required

Action needed
Providers should review mailed results and guidelines from Florida Blue's Quality Management Department. Improve documentation practices by: 1) Recording advance directive status (yes/no) for all patients 18+ and requesting copies for medical files, 2) Documenting substance use inquiry and counseling for patients 12+, and 3) Recording preventive screenings discussions and recommendations during annual well visits. Contact qualitymanagementdepartment@bcbsfl.com with questions.