All PlansDocumentationMedium impact
March Is Colorectal Cancer Awareness Month
EmblemHealth·Family Medicine, General Practice, Internal Medicine +1 more·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth released updated documentation requirements for colorectal cancer screening claims for HEDIS quality measures. The policy specifies acceptable and unacceptable documentation standards for various screening methods including colonoscopy, FIT tests, and Cologuard for patients aged 45-75.
Action Required
Immediately: Providers and billing team must ensure all colorectal cancer screening documentation includes the specific type of screening, date performed, and results/findings. Update EMR templates to require these elements. For pathology reports without screening type specified, ensure documentation shows scope advancement (cecum = colonoscopy, beyond splenic fissure = colonoscopy, sigmoid colon = flexible sigmoidoscopy). Remove vague documentation like 'colorectal screening done' or 'colo done' as these will not meet HEDIS criteria.