6 de mayo de 2021
To support quality care, we are providing information to providers and members to encourage discussions on health topics. Watch for more on health care quality in News and Updates.
Colorectal cancer is the third most common cancer in the U.S., and the third leading cause of cancer deaths. Nearly one-third of adults ages 50 to 75 don't get recommended colorectal screenings, according to the Centros para el Control y la Prevención de Enfermedades (CDC, en inglés) . Discuss the importance of colorectal cancer screenings with your patients and encourage them to ask questions about colon health and cancer prevention.
Why is colorectal cancer screening important?
Colon cancer usually has no symptoms in its early stage. Screening before symptoms present themselves can catch the disease when treatment is most effective. The five-year survival rate for treatment of the earliest stage of colorectal cancer is about 90%.
Closing care gaps
Colorectal cancer screening is recognized as a quality measure by the National Committee for Quality Assurance (NCQA) . The NCQA recommends screening adults ages 50 to 75 with any of the following tests:
- Annual fecal occult blood test (FOBT)
- Stool DNA (FIT-DNA or Cologuard®) every three years
- Flexible sigmoidoscopy every five years
- Computed tomography (CT) colonography every five years
- Colonoscopía cada 10 años
Consulte nuestro recomendaciones de cuidado preventivo on colorectal cancer screenings.
Best practices
- In your patients’ records, document the date a colorectal cancer screening is performed or include the pathology report indicating the type and date of screening.
- Discuss with patients why it’s important to return for follow-up visits.
- Reach out to patients who cancel appointments and help them reschedule as soon as possible.
- Use the proper codes when filing claims. Proper coding can help identify gaps in care, provide accurate data and streamline your administrative processes.
Checking eligibility and benefits
Asegurado eligibility and benefits should be checked using Availity® Provider Portal or your preferred vendor before every scheduled appointment. Eligibility and benefit quotes include members' coverage status and other important information, such as applicable copays, coinsurance and deductibles. Ask to see members' ID card and photo ID to guard against medical identity theft.
Availity es una marca registrada de Availity, LLC, una compañía aparte que opera una red de información de salud para prestar servicios de intercambio de información electrónica a profesionales médicos. Availity presta servicios administrativos a BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third-party vendors such as Availity. Si tiene alguna pregunta acerca de los productos o servicios ofrecidos por estos proveedores, debe comunicarse con el proveedor directamente.
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