Clinical quality and education
Capital Blue Cross is committed to supporting medical professionals to provide quality whole-person care to their patients that is, effective, patient-centered, timely, preventive, and equitable.
Allow us to help you help them.
To ensure you have the tools needed to deliver high-quality care, Capital has developed the following resources, programs, and guidelines.
Capital Blue Cross HEDIS® guide
External reference materials
Coding reference materials
- Healthcare Effectiveness Data and Information Set® (HEDIS) Current Procedural Terminology (CPT II) quick reference guide
- Guide to HEDIS® universal exclusions quality measures toolkit
Behavioral health quality measures
- HEDIS® Follow-Up After Hospitalization for Mental Illness (FUH) Measure Tip Sheet
- HEDIS® Follow-Up After Emergency Department Visit for Mental Illness (FUM) Measure Tip Sheet
- HEDIS® Antidepressant Medication Management (AMM) Measure Tip Sheet
- HEDIS® Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) Measure Tip Sheet
- HEDIS® Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) Measure Tip Sheet
- HEDIS® Diabetes Screening and Monitoring for People with Schizophrenia or Bipolar Disorder (SSD, SMD) Measure Tip Sheet
- HEDIS® Follow-Up Care for Children Prescribed ADHD Medication (ADD) Measure Tip Sheet
- HEDIS® Initiation and Engagement of Substance Use Disorder Treatment (IET) Measure Tip Sheet