Quality Tools and Resources to Assist Your Practice
In an effort to help you and your office staff with the increasing importance and complexity of quality and risk adjustment documentation and coding, HealthCare Partners created some valuable tools.
These tools will assist you and your office staff in reaching your quality and risk adjustment documentation and coding goals while reducing time spent on administrative functions and increasing the time available for patient care.
Annual Wellness Visit Form


As you know, quality health care begins with an annual wellness visit (AWV). Use our Annual Wellness Visit (AWV) form to document your patients’ well visits and to develop personalized prevention plans to help keep them healthy.
Medical Record Forms & Documentation Requirements

Medical Record documentation is imperative to provide accurate and timely patient care. Clear and concise documentation ensures seamless continuity of care.
Diagnosis Coding Guides and Tip Sheets 

These guides will give you and your office staff additional tools for risk adjustment, coding, and documentation. These guides are intended to be used as a reference for frequently documented risk-adjustable ICD-10-CM diagnoses and ensure diagnoses are substantiated within the clinical documentation guidelines.
HEDIS® Coding Guide - 2023 HCC Coding and Documentation Tips with COVID-19 Updates
- 2023 Provider HCC Risk Adjusted Diagnoses with COVID-19 Updates
- 2023 Telehealth Coding and Billing Tips with COVID-19 Updates
- Medicare Telehealth Services Guide(Source: Medicare CMS.org)


This guide will give you and your office staff an additional tool for coding HEDIS® measures. This guide is intended to be used as a reference for the current and most frequently used codes that meet HEDIS® requirements, resulting in minimized chart retrievals due to appropriate claims/encounter data submissions.
Desk References 

These desk references provide guidelines for preventive health services, as well as condition/diagnosis documentation in the medical record.
Improving Telehealth Communications 

These guides are intended to be used as reference tools when conducting TELEHEALTH visits with your patients.
Care of Older Adults (COA) 

When looking to improve the Care of Older Adults, providers should look at Advanced Care Planning, Medication Review, Functional Status Assessment, and Pain Assessment. For detailed information, use this COA TOOL.
Patient Experience and Satisfaction 

Patients with better care experiences often have better health outcomes. Use these tips to enhance your patients’ experience.
Behavioral Health Tools - The Key to a Successful Practice – Improving the Patient Experience
- Tips for Improving Patient Satisfaction – These important tips can be posted in your office to serve as helpful reminders
- Quality – Health Outcomes Survey Information and Provider Tips
- Education Series Webinar: Improving Patient Experience and the CAHPS® Survey


Recognizing the signs of a behavioral health condition is not always easy. We are providing you with the following behavioral health screening tools to help you diagnose and refer individuals for further care. Utilizing these tools when appropriate and submitting the applicable codes will help you to satisfy HEDIS® behavioral health measures.
Alcohol Use Disorders Identification Test (AUDIT) - EmblemHealth-HCP Your Behavioral Health Screening Tools Pocket Reference
- EmblemHealth-HCP Behavioral Health Screening Tools Scoring and Action Steps
Patient Health Questionnaire (PHQ)
The purpose of the PHQ-2 is to screen for depression in a “first-step” approach. A PHQ-2 score ranges from 0-6. A score of 3 is the optimal cut-point when using the PHQ-2 to screen for depression. The PHQ-2 inquires about the frequency of depressed mood and anhedonia over the past two weeks. The PHQ-2 includes the first two items of the PHQ-9. Patients who score 3 or greater on the PHQ-2 should be further evaluated with the PHQ-9, other diagnostic instruments, or direct interview to determine whether they meet the criteria for a depressive disorder.

The purpose of the AUDIT is to screen and identify excessive drinking and alcohol use disorders. The AUDIT-C is a modified version of the AUDIT Tool.
Pediatric Screenings 

HCP is working closely with our health plan partners to increase the quality and efficiency of pediatric screenings for children. This guide covers best practices for child screenings within their first 1,000 days of life. Topics covered include identification, prevention, diagnosis, treatment, and follow-up care for lead screening, newborn hearing loss, and developmental screening. As part of this initiative, we are encouraging the use of CPT Code 96110 with a modifier CG or ICD-10 code Z13.41 for developmental screenings, and CPT Code 83655 for lead screenings. Early screening for these conditions is critical to the growth and healthy development of children.
Articles 

Find some useful information in these articles to support compliance with HEDIS® and CAHPS® measures. Learn more about specific topics: