CommercialDocumentationMedium impact
Hints for HEDIS® (and more)
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Gastroenterology +1 more·Physician
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has provided updated guidelines for HEDIS Colorectal Cancer Screening (COL) measure for 2022, clarifying acceptable screening methods and measurement periods. Key reminders include that digital rectal exams and office-based FOBT tests do not count, and FIT-DNA test orders alone will not close quality gaps - only collection or result dates qualify.
Action Required
Quality team should review current colorectal cancer screening documentation practices to ensure proper HEDIS reporting. Verify that only appropriate screening methods (colonoscopy, flexible sigmoidoscopy, CT colonography, fecal occult blood testing, FIT-DNA) are being counted within their respective measurement periods. For FIT-DNA tests, ensure collection dates or result dates are documented, not just physician orders. Contact QualityHEDIS@bcbsri.org with questions.