HEDIS Tip Sheet for Eye Exam in Diabetes Patients

This guide provides detailed information on the Eye Exam for Patients With Diabetes (EED) measure, which is part of the Healthcare Effectiveness Data and Information Set (HEDIS). It outlines the criteria for measuring the percentage of patients aged 18-75 with diabetes who received a retinal eye exam by a qualified eye care professional during the measurement year or a negative exam in the prior year. The document specifies exclusions for certain patient groups and offers best practices for documentation, emphasizing the importance of accurate record-keeping. It also includes coding tips for billing retinal eye exams and highlights the necessity for proper documentation to ensure compliance with the measure. The guide encourages practices to educate patients about the importance of annual preventive retinal exams and suggests incorporating tele-retinal cameras in routine visits to improve screening rates. Overall, the document aims to assist healthcare providers in increasing HEDIS rates related to diabetic eye care.