Quality Programs - Provider News

Home Test Kits During COVID-19 Pandemic | 7/2/2020

Members can complete important health tests at home.

New Process for Payment Integrity | 6/18/2020

Premera is working with MedReview and Claris Health for payment accuracy and appropriateness.

Claims Coding Can Improve HEDIS Scores | 6/18/2020

Learn how CPT® Category II and Z codes can reduce medical record reviews.

HEDIS Quality Measure: Diabetes Care | 6/4/2020

Improve patient health and reduce need for medical record reviews.

HEDIS Quality Measures: New Exclusions | 4/2/2020

New exclusions for patients with advanced illness and frailty.

Information on Well-Child Checkups Sent to Members | 3/5/2020

Some FEP members will receive information about well-child checkups. Here’s what you need to know.

HEDIS Quality Measure Changes | 2/20/2020

The National Committee for Quality Assurance released changes for select HEDIS® Quality measures.

Knowing Where to Go: ER Alternatives | 1/16/2020

Helping members be aware of emergency room alternatives.

Medical Records Review: February 2020 | 1/1/2020

Premera and COTIVITI will be reaching out for a HEDIS medical record review.

Respiratory Failure: Acute, Chronic Or Both? | 12/6/2018

Understand what documentation is needed to code respiratory failure to the highest level of specificity.

Seizure, Seizure Disorder, Epilepsy – What’s the Difference? | 11/15/2018

Coding a seizure as epilepsy is a common, but serious coding error.