CommercialDocumentationMedium impact
Comprehensive diabetes care
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Endocrinology +3 more·Physician
Effective date
Oct 1, 2018
We identified it
Jun 20, 2026
Summary
BCBS Rhode Island updated their HEDIS Comprehensive Diabetes Care quality measures guidance, providing specific practice tips for improving screening rates for diabetic patients including HbA1c testing, retinal exams, nephropathy screening, and blood pressure control. The policy includes actionable strategies like pre-visit planning, patient reminders, and utilizing specific CPT Category 2 codes for documentation.
Action Required
Immediately: Medical assistants should implement pre-visit planning by mailing reminder letters and lab slips to diabetic patients due for HbA1c and other screenings. Providers must utilize CPT Category 2 code 3072F to document diabetic eye exams negative for retinopathy. Update EMR templates to include diabetes screening reminders and ensure collaboration between PCPs and eye care specialists for sharing medical records.