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September 2022
Remind your eligible patients to get regular mammogramsIn the United States, 1 in 8 women will be diagnosed with invasive breast cancer in her lifetime, making it the second most common cancer in women, according to the American Cancer Society. Early detection is key to better outcomes for your patients — and you can play an integral role in helping ensure good outcomes by recommending regular screenings. The Breast Cancer Screening (BCS) HEDIS® measure (also a Medicare Star Ratings measure) assesses female patients ages 50 to 74 who had a mammogram to screen for breast cancer in the past two years. The National Committee for Quality Assurance now allows patients to be excluded from the measure due to advanced illness and frailty. NCQA acknowledges that breast cancer screening most likely wouldn’t benefit patients who are in declining health. Read the tip sheet to learn more about this measure, information to include in medical records, codes to include on patient claims to exclude for mastectomy and tips for talking with patients. HEDIS®, which stands for Healthcare Effectiveness Data Information Set, is a registered trademark of the National Committee for Quality Assurance, or NCQA. |
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