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Adult Preventive Services Resource

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.

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Adult Preventive Services Resource

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  1. Adult Preventive Services Resource

  2. 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.

  3. Adult Preventive Services Resource Why is the Adult Preventive Services Resource 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

  4. 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

  5. Adult Preventive Services Resource Who will find the Adult Preventive Services Resource useful? • Practitioners • Practice Office Managers • Practice Clinical Staff • Practice Reimbursement Staff

  6. Adult Preventive Services Resource How can you access and use the Adult Preventive Services Resource? From the Home page, click on Providers.

  7. Adult Preventive Services Resource How can you access and use the Adult Preventive Services Resource? Click on Preventive Services.

  8. Adult Preventive Services Resource How can you access and use the Adult Preventive Services Resource? Click on Adult Preventive Services.

  9. Adult Preventive Services Resource What materials are available in the Adult Preventive Services 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

  10. Adult Preventive Services Resource What materials are available in the Adult Preventive Services 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

  11. Adult Preventive Services Resource What materials are available in the Adult Preventive Services 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

  12. 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

  13. Adult Preventive Services Resource How do I bill for preventive services? Preventive care benefits vary according to the member’s health 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

  14. 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

  15. Adult Preventive Services Resource Your patients depend on you for ensuring they receive appropriate and timely preventive services. Preventive health reminders from practitioners work!

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