Quality Resources and Spotlights

Quality Documents

• 2024 BCBSM & BCN Commercial Coding Tips
• 2024 BCBSM MAPPO & BCN-A STAR Coding Tips
• BCBSM Measures for Quality Uplift 0-15% (CQ VBR) (2024)
• Advanced Illness Frailty Exclusion Guide (2023)
• Medication Adherence Guide for Providers
• Statin Lifetime Exclusion – New for 2025

Quality Spotlights

• ACO REACH Quality Metrics (Video)
• ACO REACH Quality Metrics PPT (Slides)
• Advanced Illness and Frailty (Video)
• Advanced Illness and Frailty PPT (Slides)
• Advanced Illness and Frailty Payor Summary PDF
• Annual Wellness Visits (Video)
• Annual Wellness Visits PPT (Slides)
• Controlling High Blood Pressure (Video)
• Controlling High Blood Pressure PPT (Slides)
• Childhood and Adolescent Immunizations Recording (Video)
• Childhood and Adolescent Immunizations (Slides PDF)
• Diabetic Measures (Video)
• Diabetic Measures PPT (Slides)
• Follow up After ED for MCC Recording (Video)
• Follow up After ED for MCC (Slides PDF)
• MSSP Quality Measures (Video)
• MSSP Quality Measures PPT (Slides)
• Pediatric Well Visits Recording (Video)
• Pediatric Well Visits (Slides PDF)
• Polypharmacy & Concurrent Use of Opioids and Benzodiazepines Recording (Video)
• Polypharmacy & Concurrent Use of Opioids and Benzodiazepines PPT (Slides)
• Medication Overload Handout
• Statins (Video)
• Statins PPT (Slides)
• Transitions of Care and MedRec Recording (Video)
• Transitions of Care and MedRec (Slides PDF)