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HEDIS® Tip Sheets

Blue Cross and Blue Shield of Illinois (BCBSIL) created tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures and code appropriately. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receive appropriate care.

Compliance with HEDIS measures reduces the need for you to send medical records later for review. The tip sheets include measurement requirements, medical record best practices and billing codes for all our members including, all fully-insured PPO, Blue Choice PPOSM and HMO, Blue Cross Community Health PlansSM (BCCHPSM), Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Medicare Advantage members. 

Behavioral Health

HEDIS is a registered trademark of NCQA
The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.