CommercialDocumentationMedium impact
Hints for HEDIS®: Clinical documentation and impact on quality performance
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Jul 1, 2022
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island provides guidance on clinical documentation and coding practices to improve HEDIS quality measure performance. The policy emphasizes using complete and accurate CPT codes to document care, close quality gaps, and reduce administrative burden on practices.
Action Required
Immediately: Billing professionals should review and keep available the HEDIS coding reference table provided in the policy when submitting documentation after patient visits. Ensure complete and accurate coding submission to help close quality care gaps and reduce future medical record requests. Contact QualityHEDIS@bcbsri.org with questions and refer to 2022 PQIP Booklet for additional guidance.