Adult Preventive Services Resource
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BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. This document has been classified as public Information. Adult Preventive Services Resource Tutorial Adult Preventive Services Resource
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Adult Preventive Services Resource. Adult Preventive Services Resource. What is the Adult Preventive Services Resource? A compilation of online resources to promote a systematic approach for delivering clinical preventive services. Adult Preventive Services Resource. - PowerPoint PPT Presentation
Transcript of Adult Preventive Services Resource
BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. This document has been classified as public Information.
Adult Preventive Services
Resource TutorialAdult Preventive Services Resource
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Adult Preventive Services Resource
What is the Adult PreventiveServices Resource?
A compilation of onlineresources to promote asystematic approach fordelivering clinical preventiveservices.
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Adult Preventive Services Resource
Why is the Adult Preventive ServicesResource needed?
• Evidence shows that clinical preventive services may prevent some of the leading causes of death
• To help ensure prevention is a routine part of every patient encounter
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Adult Preventive Services Resource
How was the Adult Preventive Services Resource developed?
Through:
• A Best Practice Survey that demonstrated practices with above average mammography screening rates used a systematic approach to tracking preventive services
• Literature research
• Endorsement of existing resources and making them more easily accessible
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Adult Preventive Services Resource
Who will find the Adult PreventiveServices Resource useful?
• Practitioners• Practice Office Managers• Practice Clinical Staff• Practice Reimbursement Staff
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Adult Preventive Services Resource
How can you access and use the Adult PreventiveServices Resource?
From the Home page, click on Providers.
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Adult Preventive Services ResourceHow can you access and use the Adult Preventive ServicesResource?
Click on Preventive Services.
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Adult Preventive Services ResourceHow can you access and use the Adult Preventive ServicesResource?
Click on Adult Preventive Services.
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Adult Preventive Services Resource
What materials are available in the Adult PreventiveServices Resource?
Offsite links to useful and practical resources
• Agency for Healthcare Research and Quality (AHRQ)– Offers easy resource assistance in implementing a
systematic approach to preventive services – Resources can be customized for individual practice
needs– AHRQ offsite link, www.ahrq.gov/clinic/ppipix.htm
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Adult Preventive Services Resource
What materials are available in the Adult PreventiveServices Resource? (con’t)Offsite links to useful and practical resources• U.S. Preventive Services Task Force (USPSTF)
– Develops and disseminates evidence-based Preventive Service guidelines
– Conducts assessments of scientific evidence for the effectiveness of a range of clinical preventive services
– Recommendations considered “gold standard” for clinical preventive services
– USPSTF offsite link, www.ahrq.gov/clinic/uspstfix.htm
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Adult Preventive Services Resource
What materials are available in the Adult PreventiveServices Resource? (con’t)Offsite links to useful and practical resources• Guide to Clinical Preventive Services (CPS)
– Lists all USPSTF* recommendations on preventive health – The standard by which BlueCross BlueShield of
Tennessee conducts medical record review of preventive services
– CPS offsite link, www.ahrq.gov/clinic/pocketgd.htm
* U.S. Preventive Services task Force
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Adult Preventive Services Resource
What materials are available in the Adult Preventive Services Resource? (con’t)
Offsite links to useful and practical resources
• BlueCross BlueShield of Tennessee Adult Preventive Health Tutorial– Provides practitioners and their support staff with
information about the Adult Preventive Services Resource – Company Web site, www.bcbst.com
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Adult Preventive Services Resource
How do I bill for preventive services?
Preventive care benefits vary according to the member’shealth care benefits plan. • Providers can verify member benefits by calling:
– BCBST Provider Service 1-800-924-7141– BlueCare® Provider Service 1-800-468-9736– TennCareSelect Provider Service 1-800-276-1978– Accessing BlueAccess on the company Web sites,
www.vshptn.com and www.bcbst.com
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Adult Preventive Services Resource
Where do I go for Help?
• Review preventive health guidelines in BlueCross BlueShield of Tennessee’s online Health Care Practice Recommendations manual at www.bcbst.com/providers/manuals/
• Request paper copies by calling Quality Management 423-535-6705
• Call BCBST Provider Service 1-800-924-7141
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Adult Preventive Services Resource
Your patients depend on youfor ensuring they receiveappropriate and timelypreventive services.
Preventive health reminders from practitioners work!
