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!