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October 2021

Help improve health of patients with diabetes while reducing medical record review requests

The Comprehensive Diabetes Care, or CDC, HEDIS® measure (also a Medicare Star Ratings measure) supports the consistent medical care and monitoring needed by patients with diabetes to reduce the risk of severe complications and improve outcomes.

Interventions to improve outcomes go beyond glycemic control. That’s why the measure assesses HbA1c control, screening for diabetic retinopathy, screening for nephropathy and blood pressure control.

View the Comprehensive Diabetes Care tip sheet to learn more about what’s included in the measure, exclusions such as advanced illness and frailty, and ways you can close gaps in care for patients with diabetes.

The tip sheet also covers medical record documentation and claims coding that can reduce the need for medical record reviews.

HEDIS®, which stands for Healthcare Effectiveness Data Information Set, is a registered trademark of the National Committee for Quality Assurance.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.