Physician Practice

Don’t hide from HEDIS

Physician Practice Insider, May 16, 2017

Practices that treat CIGNA patients: Check that pile of unopened mail. In the provider edition of CIGNA's Network News, April 2017, the payer notes that it mailed initial requests for medical records to collect data for the Healthcare Effectiveness Data and Information Set (HEDIS®) in February.

Unlike Medicare's Quality Payment Program, which is still optional, providers are contractually bound to cooperate with data collection for HEDIS. Practices that have the ability can submit the required information through their electronic health records systems. Secure fax is another option, CIGNA says.

The requests included the names of the patients, "detailed description of what is needed from each patient’s medical record" and a time frame for returning the information, CIGNA announced in the January 2016 Network News.

You can read about HEDIS, including the measures for 2015-2017 and report cards for clinicians, but first make sure you didn't get a HEDIS request!

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