HEDIS Provider Guide for Postpartum Care

This document is a HEDIS Provider Guide focused on Postpartum Care (PPC). It outlines the measure description, which specifies the percentage of deliveries of live births that had a postpartum visit or pap test within a defined timeframe after delivery. The guide provides detailed documentation tips for medical records, emphasizing the need for specific notes and evaluations during postpartum visits. It also includes billing codes relevant to postpartum care and cervical cancer screening, detailing the correct codes to use for identifying these services. Furthermore, the guide suggests methods to improve HEDIS scores, such as scheduling postpartum visits, utilizing telehealth options, and screening for depression. It encourages providers to refer pregnant members to the Blue Shield Promise Maternity Program and to submit relevant medical records to ensure compliance with quality measures. The document serves as a comprehensive resource for healthcare providers to enhance postpartum care practices.