Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Updated physician quality measure rankings

July 29, 2016

[

During the third quarter of 2016, Independence will submit updated physician ratings to the Blue Cross and Blue Shield Association (BCBSA), an association of independent Blue Cross and Blue Shield plans, to be displayed within their National Doctor and Hospital Finder. These ratings are also currently available on our local Find a Doctor/Hospital tool within the Accreditation & Quality tab.

The following physician quality measures are rated:

 
  • Cancer Screening
    • – Breast Cancer Screening
    • – Cervical Cancer Screening
  • Diabetes
    • – Blood Sugar (Glucose) Testing
    • – LDL-C (Bad Cholesterol) Screening – Patients with Diabetes
    • – Kidney Disease (Nephropathy) Screening and Treatment
  • Heart Disease
    • – Beta-Blocker (PBH) Treatment after a Heart Attack
    • – LDL-C (Bad Cholesterol) Screening for Heart Patients' Conditions
  • Immunizations
    • – Chicken Pox (VZV)
    • – Measles, Mumps, Rubella (MMR)
  • Medication monitoring
    • – Monitoring for Patients (Adults) on Persistent Medications
  • Respiratory infections
    • – Bronchitis – Avoidance of Antibiotic Treatment in Adults
    • – Strep Test for Sore Throat – Appropriate Use of Antibiotics
    • – Common Colds (Treatment) – Avoidance of Antibiotics
  • Women's health
    • – Breast Cancer Screening (same measure under Cancer Screening)
    • – Cervical Cancer Screening (same measure under Cancer Screening)

If you wish to review your scores in advance of our submission, you can do so from August 8 through September 30. For more information on how to review your scores, please contact your Network Coordinator.

]

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.