|
NaviNet now provides care gap alerts in addition to eligibility and claims status information. These alerts allow you to find missing recommended services (care gaps) before a member comes in for a visit.
A care gap alert will appear on your screen when care gaps are found. Your practice can view and print the Care Gap Worksheet. Place the Care Gap Worksheet in the member’s chart for consideration during the visit.
Current Care Gap Alerts:
- Diabetes – Eye Exam, Microalbumin Test, HbA1c Test, Lipid Test
- Asthma – Medication Management
- Sickle Cell – Folic Acid, Penicillin
- Preventive Health Screenings – Cervical Cancer Screening, Breast Cancer Screening, Well Visits, Lead Screening
- Preventive Health Vaccines – Flu Vaccine
- CV Conditions – Cholesterol Management – Lipid Test
The care gap worksheet is provided in easy to print PDF format and lists the last service date of the missed measure and the rule that was used to determine the gap. Currently met measures are listed with their last service date.
To access this important information, choose the Report Inquiry option from the transaction menu and then select Clinical Reports. Also, Care Gap Alerts will appear on your screen (if applicable) when you check a member’s eligibility and benefits. An easy-to-notice alert box will appear if the member has a care gap.
If you have any questions or feedback about this NaviNet feature, please contact your Select Health Contract Management Representative.
|
