We are committed to making quality care available to our members. To help you and your billing staff correctly code your claims to include and exclude members from various measures, we are introducing two new resource guides:
- Transitions of Care: Claims coding impacts quality scores. It is just as important to code your claims to exclude patients who do not meet a measure’s criteria as it is to include those who do.
- Advanced Illness and Frailty Exclusions: Strong care coordination is vital for ensuring that patients successfully transition from an inpatient setting back to their home.
Coming Soon! Look for the 2025 versions of other quality guides and resources in a future edition.
JP 68152 01/2025