Breast Cancer Screening (BCS-E)

HEDIS Measure

Breast Cancer Screening (BCS-E)

Line of business: Commercial Medicaid Medicare

Data Collection Method:

Administrative (Claims)
Supplemental Data Submission

• Standard - Electronic Clinical Data System (ECDS) Layout
• Non-Standard - Medical Record

Measure Description

The percentage of women 50–74 years of age who had a mammogram to screen for breast cancer.

Numerator Compliance

One or more mammograms any time on or between October 1 two years prior to the measurement year and December 31 of the measurement year.

Best Practices

• Educate members about the importance of early detection and encourage screening
• Engage patients to discuss their fears about mammograms and let women know that the test is less uncomfortable and uses less radiation than it did in the past
• Establish a standing order to obtain annual mammogram for eligible population
• Document the month and year of most recent mammogram and/or mastectomy status, in the medical record

Quality Value Set Directory Coding Tips

Mammography