Follow-Up After Hospitalization for Mental Illness (FUH)
HEDIS Measure
Follow-Up After Hospitalization for Mental Illness (FUH)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative (Claims)
Measure Description
The percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental illness or intentional self-harm diagnoses and who had a follow-up visit with a mental health provider.
Two rates are reported:
- The percentage of discharges for which the member received follow-up within 30 days after discharge.
- The percentage of discharges for which the member received follow-up within 7 days after discharge.
Numerator Compliance
30-Day Follow-Up - A follow-up visit with a mental health provider within 30 days after discharge. Do not include visits that occur on the date of discharge.
7-Day Follow-Up - A follow-up visit with a mental health provider within 7 days after discharge. Do not include visits that occur on the date of discharge.
For both indicators, any of the following meet criteria for a follow-up visit:
- Outpatient, BH outpatient visit, intensive outpatient encounter, partial hospitalization, community mental health center visit with a mental health provider.
- Electroconvulsive therapy
- Telehealth, telephone or observation visit, or transitional care management services with a mental health provider.
- Visit in a behavioral healthcare setting
- Psychiatric collaborative care management
Best Practices
- Educate patients and caregivers on the importance of follow-up to reduce the risk of inpatient admission.
- Discuss the importance of seeking follow-up with a mental health provider
- Train staff on the “Teach Back Method” to ensure patients and caregivers review and understand discharge instructions and the next steps in their care for follow–up
- Develop outreach systems or assign case managers to encourage recently released patients to keep follow-up appointments or reschedule missed appointments.
- Outreach patients who do not keep initial follow-up appointments
- Set flags if available in EHR or develop tracking method for patients due or past due for follow-up after discharge visits and require staff to follow up with patients that miss or cancel their appointment
- Coordinate care with behavioral health practitioners by sharing progress notes and updates
Quality Value Set Directory Coding Tips
Ambulatory Surgical Center POS
POS
- 24
Behavioral Healthcare Setting
UBREV
- 0513
- 0900
- 0901
- 0902
- 0903
- 0904
- 0905
- 0907
- 0911
- 0912
- 0913
- 0914
- 0915
- 0916
- 0917
- 0919
BH Outpatient
CPT
- 98960
- 98961
- 98962
- 99078
- 99201
- 99202
- 99203
- 99204
- 99205
- 99211
- 99212
- 99213
- 99214
- 99215
- 99241
- 99242
- 99243
- 99244
- 99245
- 99341
- 99342
- 99343
- 99344
- 99345
- 99347
- 99348
- 99349
- 99350
- 99381
- 99382
- 99383
- 99384
- 99385
- 99386
- 99387
- 99391
- 99392
- 99393
- 99394
- 99395
- 99396
- 99397
- 99401
- 99402
- 99403
- 99404
- 99411
- 99412
- 99483
- 99492
- 99493
- 99494
- 99510
HCPCS
- G0155
- G0176
- G0177
- G0409
- G0463
- G0512
- H0002
- H0004
- H0031
- H0034
- H0036
- H0037
- H0039
- H0040
- H2000
- H2010
- H2011
- H2013
- H2014
- H2015
- H2016
- H2017
- H2018
- H2019
- H2020
- T1015
SNOMED CT US Edition
- 77406008
- 84251009
- 185463005
- 185464004
- 185465003
- 281036007
- 391223001
- 391224007
- 391225008
- 391233009
- 391237005
- 391239008
- 391242002
- 391257009
- 391260002
- 391261003
- 439740005
- 3391000175108
- 444971000124105
UBREV
- 0510
- 0513
- 0515
- 0516
- 0517
- 0519
- 0520
- 0521
- 0522
- 0523
- 0526
- 0527
- 0528
- 0529
- 0900
- 0902
- 0903
- 0904
- 0911
- 0914
- 0915
- 0916
- 0917
- 0919
- 0982
- 0983
Community Mental Health Center POS
POS
- 53
Electroconvulsive Therapy
CPT
- 90870
ICD10PCS
- GZB0ZZZ
- GZB1ZZZ
- GZB2ZZZ
- GZB3ZZZ
- GZB4ZZZ
SNOMED CT US Edition
- 10470002
- 11075005
- 23835007
- 231079005
- 231080008
- 284468008
- 313019002
- 313020008
- 1010696002
- 1010697006
Observation
CPT
- 99217
- 99218
- 99219
- 99220
Outpatient POS
POS
- 03
- 05
- 07
- 09
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 22
- 33
- 49
- 50
- 71
- 72
Partial Hospitalization or Intensive Outpatient
HCPCS
- G0410
- G0411
- H0035
- H2001
- H2012
- S0201
- S9480
- S9484
- S9485
SNOMED CT US Edition
- 7133001
- 305345009
- 305346005
- 305347001
- 391038005
- 391042008
- 391043003
- 391046006
- 391047002
- 391048007
- 391054008
- 391055009
- 391056005
- 391133003
- 391150001
- 391151002
- 391152009
- 391153004
- 391170007
- 391185001
- 391186000
- 391187009
- 391188004
- 391191004
- 391192006
- 391194007
- 391195008
- 391207001
- 391208006
- 391209003
- 391210008
- 391211007
- 391228005
- 391229002
- 391232004
- 391252003
- 391254002
- 391255001
- 391256000
UBREV
- 0905
- 0907
- 0912
- 0913
Partial Hospitalization POS
POS
- 52
Psychiatric Collaborative Care Management
CPT
- 99492
- 99493
- 99494
HCPCS
- G0512
Telehealth POS
POS
- 10
- 02
Telephone Visits
CPT
- 98966
- 98967
- 98968
- 99441
- 99442
- 99443
SNOMED CT US Edition
- 185317003
- 314849005
- 386472008
- 386473003
- 401267002
Transitional Care Management Services
CPT
- 99495
- 99496
Visit Setting Unspecified
CPT
- 90791
- 90792
- 90832
- 90833
- 90834
- 90836
- 90837
- 90838
- 90839
- 90840
- 90845
- 90847
- 90849
- 90853
- 90875
- 90876
- 99221
- 99222
- 99223
- 99231
- 99232
- 99233
- 99238
- 99239
- 99251
- 99252
- 99253
- 99254
- 99255