The Record - Final reminder: Submit 2017 service dates for Medicare Advantage Diagnosis Closure Incentive program

Need access to Health e-Blue?

If your primary care office doesn’t have access to Health e-Blue, apply today. Visit bcbsm.com/providers, click on the LOGIN tab to log in to Provider Secured Services and then follow these steps:

Under Michigan provider and facilities: how to get access, click on Professional providers.
Click on Professional Secured Access Application to access the Health e-Blue application.
If your group or office has never used Provider Secured Services, click on Use and Protection Agreement.
Complete all fields on the Health e-Blue application and the Use and Protection Agreement, and return to the address on the form.

To maintain access to the system, make sure you sign in to Health e-Blue at least every six months.

Tips for signing up for Health e-Blue

All applications need to be completed and signed by a primary care physician or primary care physician manager.
The practice name has to match across the application.
Provide your state license number (send additional pages if you’re out of space).
Include any previously created web-DENIS ID to help the Health e-Blue team provide faster service. (Web-DENIS IDs usually start with a D or F.)
Use your full legal name on the application.

The 2017 Medicare Advantage Diagnosis Closure Incentive program is effective for dates of service Jan. 1, 2017, or later. As part of the program, health care providers should complete patient diagnoses, supported by any necessary documentation in their medical records and following M.E.A.T. (manage, evaluate, assess or treat) guidelines.

This is a final reminder that you’re required to address 2017 diagnosis gaps with a face-to-face visit with your patients by Dec. 31, 2017. You then have until Jan. 31, 2018, to submit results of your 2017 patient visits on Health e-Blue. (See side panel at right for information on accessing Health e-Blue.)

You’ll find diagnosis gaps for your patients on Health e-Blue’s Diagnosis Evaluation panel. Health care providers can use the monthly reports on Health e-Blue to document that diagnosis gaps have been closed.

Keep in mind that if a prior service year date is entered for a 2017 diagnosis gap, the diagnosis gap will open with the next refresh and the gap closure won’t count toward your 2018 incentive payment.

Physicians who close 100 percent of all identified gaps for each attributed patient will receive $100 per patient. Your incentive payment will be mailed to you by the end of the third quarter in 2018.

Have questions about dates of service, diagnosis gap submissions or the Diagnosis Closure Incentive program? Contact our provider consultants on the HEDIS^® and risk adjustment provider outreach team:

HEDIS is a registered trademark of the National Committee for Quality Assurance.