Quality management
Highmark Blue Cross Blue Shield of Western New York maintains a comprehensive quality management (QM) program to objectively monitor and systematically evaluate the care and service provided to members. The scope and content of the program reflects the demographic and epidemiological needs of the population served. Studies are planned across the continuum of care and service with ongoing proactive evaluation and refinement of the program.
Related information
Documents
- HEDIS Desktop Reference Guide 2024
- HEDIS Coding Booklet 2023
- HEDIS Well Child and Immunizations Coding Bulletin 2023
- HEDIS Desktop Reference Guide 2023 WNY
- NYSDOH Guidelines: Identification and Management of Lead Exposure in Children
- Perinatal care standards reference for Medicaid providers
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)
- HEDIS Category II Coding Bulletin 2023
- HEDIS Hypertension Measures: BPD and CBP
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
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