CommercialDocumentationMedium impact
Quality Measures Track Diabetes Care
BCBS Oklahoma·OK · Family Medicine, Internal Medicine, Endocrinology +2 more·General
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Oklahoma has released guidance on HEDIS quality measures for diabetes care tracking, emphasizing documentation requirements for glycemic control, eye exams, kidney evaluations, and statin therapy. The policy provides specific tips for closing care gaps and recommends using CPT Category II codes to facilitate proper documentation and measure reporting.
Action Required
Billing team should review Quality Care 2026 booklet in Availity Essentials for HEDIS measure documentation requirements. Providers must ensure exact dates are documented for hemoglobin A1c assessments and results. Use CPT Category II codes to document test results for diabetes care measures. Update documentation workflows to capture glycemic status, eye exams, kidney evaluations, and statin therapy adherence for members ages 18-85 with diabetes.