Quality Improvement HEDIS® Tip Sheets


We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures and code appropriately. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receive appropriate care.

The tip sheets include measurement requirements, medical record best practices and billing codes.

Compliance with HEDIS measures reduces the need for you to send medical records later for review.

HEDIS Tip Sheets

Behavioral Health HEDIS Tip Sheets

Visit the Behavioral Health HEDIS® Tip Sheets page to access the behavioral health HEDIS tip sheets.

* Measurement Year (MY) 2020 and MY 2021

HEDIS is a registered trademark of NCQA

The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.