CommercialDocumentationMedium impact
Hints for HEDIS® (and more)
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +2 more·Physician
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
BCBS Rhode Island has published updated guidance on HEDIS colorectal cancer screening measures for members ages 50-75. The policy clarifies acceptable screening tests (FOBT, FIT, colonoscopy, sigmoidoscopy, CT colonography, Cologuard) with specific timeframes and excludes digital rectal exams and office-based FOBT tests.
Action Required
Immediately: Review current colorectal cancer screening documentation practices to ensure compliance with HEDIS requirements. Verify that digital rectal exams are not being documented as colorectal cancer screening and that FOBT tests are home-based, not office-performed. Update quality reporting procedures to align with acceptable screening definitions and timeframes.