Updated 2024 HEDIS Provider Reference Guide

We recently updated our 2024 HEDIS Provider Reference Guide (login required).

To access the manual, after logging into your prism account, click Quality Improvement. You can then bookmark the manual URL in your browser for quick access.

Here’s a summary of the changes.

Page 32: Glycemic Status Assessment for Patients with Diabetes (GSD) measure

• Added clarification on how to interpret the rate for this measure: We added a note stating that, because the rate for this measure is inverted, a lower rate reflects higher performance.
• Updated numerator compliance: The numerator compliance section was updated to state that glycemic status must be ≤9% to show evidence of control.
• Corrected required exclusions: The required exclusions section was corrected due to inaccurate information.

Page 39: Kidney Health Evaluation for Patients with Diabetes (KED)

• Corrected test, service or procedure to close care opportunity: The test, service or procedure to close care opportunity section was corrected due to inaccurate information.

Page 202: Colorectal Cancer Screening (COL-E)

• Updated billing codes