Help improve diabetic patient health while reducing medical record review requests

Body

The Comprehensive Diabetes Care (CDC) HEDIS® star measure is a composite measure that supports the consistent medical care and monitoring needed by patients with diabetes to reduce the risk of severe complications and improve outcomes.

Interventions to improve diabetes outcomes go beyond glycemic control. That is why the CDC measure assesses HbA1c control, screening for diabetic retinopathy, screening for nephropathy and blood pressure control.

View the Comprehensive Diabetes Care tip sheet to learn more about what is included in the measure, exclusions that include advanced illness and frailty and ways you can close gaps in care for patients with diabetes.

The tip sheet also covers medical record documentation and claims coding that can reduce the need for medical record reviews.

If you have questions regarding this publication, please contact your BCBSKS provider representative.

Professional Providers

Healthcare Effectiveness Data Information Set. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).