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Preventive Health Services Guidelines, premera has adopted the United States Preventive Services Task Force (uspstf) Guide to Clinical Preventive Services.
The guideline is evidence-based, relying on current scientific studies. Vaccinations are part of uspstf recommendations for Preventive Health Services, and Premera recommends the Centers for Disease Control Prevention (CDC) and Advisory Committee on Immunization Practices (acip) for an up-to-date Vaccination Schedule.
Uspstf A and B grade services, in addition to content from other recognized sources, have been selected and formatted in two extension quick reference guides for provider use. Preventive Health - Guide to Clinical Preventive Services for Adults.
Preventive Health - Guide to Clinical Preventive Services for Children/Adolescents.
Hedis (Healthcare Effectiveness Data and Information Set).
Hedis is a set of nationally recognized performance measures developed and maintained by the National Committee for Quality Assurance (ncqa). Hedis is used by over 90 of US health plans to measure quality of care, access to care, and satisfaction with care. If screenings are done in your office, documenting and coding these thoroughly robes helps assess quality care for hedis measurements and allows us to assess appropriate programs to assist members with health conditions.
The more accurate claims are coded, the less medical record reviews are needed for hedis measurements. Please view our new coding tip sheet to ensure you are sending complete claims and are paid for all the services you provide.