February 2021
Federal Employee Program® (FEP®) Annual Medical Record Data Collection Runs Through April 2021
The Blue Cross and Blue Shield of Illinois (BCBSIL) FEP team would like your help again this year in completing the Healthcare Effectiveness Data Information Set (HEDIS®) medical record data collection for FEP members.
Your cooperation in our previous surveys helped make the project a success. As in past years, we select and examine a sample of medical records as defined by HEDIS to measure quality. We’ve contracted with Change Healthcare (formerly Altegra Health) to facilitate the medical record retrieval and review process.
You may be contacted by Change Healthcare, on our behalf, to arrange for the collection of certain medical records for HEDIS review purposes through April 30, 2021. Change Healthcare will provide you with instructions regarding how to submit the medical records to Change Healthcare by fax, mail, secure email, remote electronic medical record (EMR) download or onsite scanning performed by a Change Healthcare medical record technician. If you receive a request for medical records, we encourage you to reply within five business days.
In addition, BCBSIL FEP staff may contact you directly for certain medical record information to be faxed or emailed to BCBSIL, attention FEP Quality Improvement (QI) Department.
Patient authorization for release of medical record data is not required. These reporting activities are considered health care operations under the Health Information Portability and Accountability Act (HIPAA) of 1996 and its implementing regulations (45 C.F.R. Parts 160 and 164), and the Health Information Technology for Economic and Clinical Health (HITECH) Act, as incorporated in the American Recovery Reinvestment Act (ARRA) of 2009, and its implementing regulations, each as issued and amended.
We appreciate your time and continued collaboration. If you have any questions about medical record requests, please contact the BCBSIL FEP QI (HEDIS) Department at 888-907-7918.
HEDIS is a registered trademark of NCQA.
Change Healthcare is an independent third party vendor that is solely responsible for the products or services they offer. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendor. If you have any questions regarding the services they offer, you should contact the vendor directly.