Posted in BCBS (Various States), NY Providers, Training, Updates

HEDIS Measure: Update Colorectal Cancer Screening for 2022

Are you a primary care physician and is reporting HEDIS measures? Then this following blog post is for you.


In this blog post we will discuss the changes/updates that NCQA just released for HEDIS Colorectal Cancer Screening Measure.

Measure Description: Measures the percentage of members 45 to 75 years of age who had appropriate screening for rectal cancer. The Medicaid product was added to the administrative data collection method for this measure and the age range was changed to 45 to 75 years of age.

In order to meet this measure your patients need to fall in ANY of the following criteria:

  • Fecal occult blood test during the measurement year
  • Flexible sigmoidoscopy during the measurement year or the four years prior to the measurement year
  • Colonoscopy during the measurement year or the nine years prior to the measurement year
  • CT colonography during the measurement year or the four years prior to the measurement year
  • Stool DNA (sDNA) with FIT test during the measurement year or the two years prior to the measurement year

If you would like to report this measure via Electronic Clinical Data Reporting system you will need to select: Colorectal Cancer Screening (COL-E).


Reminder: please make sure to document all of needed information in the patient medical records.


#HEDIS #Cancer #primarycare #physicians #NCQA


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Posted in HEDIS Measures, Training, Updates

HEDIS Measure: Colorectal Cancer Screening (COL)

This HEDIS® measure evaluates the percentage of patients age 50 to 75 who had appropriate screening for colorectal cancer.

In order for PCPs to get credit for this Measure they need to document the following:

Document (date and result) one or more of these screenings:

  • Colonoscopy during measurement year or nine years prior
  • Fecal occult blood test (FOBT) during measurement year
  • CT colonography during measurement year or four years prior
  • Fecal immunochemical test (FIT)-DNA test during measurement year or two years prior
  • Flexible sigmoidoscopy during measurement year or four years prior

There following are exclusions for this measure:

  • Diagnosis of colorectal cancer
  • Total colectomy
  • Members who receive palliative 

Quest Test available:

There is an option for your patient to get a FIT kits through Quest Diagnostics.®* This option is only available for PARTICIPATING providers.

Quest will ship InSure® ONE™ FIT kits directly to your practice. There are 2 ways to order:

  • Online, use the Quest Quanum® Lab Services Manager. Create an account at https://bit.ly/3qLxNPh.
  • Via phone, call 1-866-MY-QUEST and state supplies for assistance.

Quest will ship the kits to your practice at no cost, based on usage and test completion.