New HEDIS® Tip Sheets* Behavioral Health HEDIS Measures: FUA and FUM

29 de septiembre de 2020

We’ve added two additional behavioral health tip sheetsto help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures and code claims appropriately:

These measures from the National Committee for Quality Assurance (NCQA) serve as a quality improvement tool to help ensure our members receive appropriate care.

The tip sheets include measurement requirements, medical record best practices and billing codes.

FUA Measure
This measure evaluates members 13 years old and older who had an emergency department (ED) visit with the principal diagnosis of alcohol and other drug (AOD) abuse or dependence. It evaluates the percentage of members who had follow-up visits within 7 and 30 days of the ED visit.

FUM Measure
This measure evaluates members 6 years old and older who had an ED visit for mental illness. It evaluates the percentage of members who had follow-up visits within 7 and 30 days of the ED visit.

* Measurement Year (MY) 2020 and MY 2021

HEDIS is a registered trademark of the NCQA.

El material de arriba se ofrece a título informativo y no pretende sustituir el juicio médico independiente de un facultativo. Se recomienda a los médicos y otros profesionales de la salud que apliquen su mejor criterio médico basándose en toda la información disponible y en el estado del paciente para determinar el mejor tratamiento.