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Hints for HEDIS® (and more)
Effective date
Not stated in the notice
Identified
Jun 19, 2026
Summary
BCBSRI has updated their HEDIS quality measure guidance for osteoporosis management in women who had fractures (OMW). This affects Medicare Advantage members ages 67-85 who had fractures, requiring bone mineral density tests or osteoporosis medication prescriptions within 6 months of fracture to close care gaps.
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What to do
Action · 3 steps
01Billing team must ensure proper coding for bone mineral density tests using CPT codes 76977, 77078, 77080, 77081, 77082, 77085, 77086 for women ages 67-85 with fractures.
02Contact Quest HealthConnect at 1-884-943-8435 for in-home heel scans.
03Contact Quality Concierge Team at QualityHEDIS@bcbsri.org or (401) 459-1005 for HEDIS support and gap closure assistance.
Codes mentioned
76977770787708077081770827708577086
Original notice
Hints for HEDIS® (and more)
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Hints for HEDIS® (and more)MediumEffective May 1, 2021 · PhysicianOsteoporosis screening and fall preventionMediumEffective Oct 1, 2022 · PhysicianHints for HEDIS® (and more)LowEffective Jan 1, 2019 · PhysicianHints for HEDIS® (and more)MediumEffective Feb 1, 2019 · PhysicianBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list