Diagnosis Closure Incentive Program
Deadline approaches for closing diagnosis gaps

In order to earn an incentive as part of the Diagnosis Closure Incentive Program, physicians must close all the diagnosis gaps that exist for a patient through a face-to-face visit before the end of this calendar year or notify the Blues that the patient does not have the suspected diagnosis.

Through the program, Blue Cross Blue Shield of Michigan and Blue Care Network provide an incentive to primary care physicians who close diagnosis gaps for their Blues Medicare Advantage members. The diagnosis gaps are listed on Health e-Blue^SM under Panel – Diagnosis Evaluation.

All of the diagnosis gaps included in the 2013 incentive will be identified on Health e-Blue by the end of September.

Diagnosis gap closures must be submitted to the Blues by the following dates:

More information about the incentive program is available in the Resources section of Health e-Blue by clicking on 2013 Diagnosis Closure Incentive Program and 2013 Diagnosis Closure Program FAQ. Also, a fact sheet can be found on web-DENIS within BCBSM Provider Publications and Resources. Click on Newsletters & Resources, then click on Medicare Advantage Resources.

If you do not have access to Health e-Blue, sign up today.

If you have any questions, please contact your provider consultant.